
Made and checked in the U.S. Compounded by a licensed 503A pharmacy, then shipped cold, sealed and discreet to your door.

Monthly pricing at every dose
Semaglutide
$99/mo*
Tirzepatide
$199/mo*
Takes about 2 minutes. You’re only charged if a physician approves.
Compounded medications are not FDA-approved and are not the same as the brand-name versions.

Most programs stop at the prescription. Protocol MD brings the medication, the physician review and the care around it together under one clear price.
Hunger, hormones and metabolism can all work against you. That is why compounded semaglutide and tirzepatide are prescribed by a US‑licensed physician and stepped up on clinical judgement, not a fixed calendar.

Two compounded GLP‑1 medications, prepared by a licensed U.S. 503A pharmacy and reviewed by a US‑licensed physician before anything ships.

$99/mo*
Physician-guided GLP‑1 program, built around you. One price at every dose.
Get started
$199/mo*
Physician-guided GLP‑1 program, built around you. One price at every dose.
Get started*Starting prices on the 12‑month plan; full pricing terms below. Whether either medication is appropriate for you is decided by a US‑licensed physician.
Everything included in one clear price.

Care team


Auto-renew
Future renewals stopped. No call required, no cancellation fee.
Made with intention. Checked with discipline. Shipped cold.
Takes about 2 minutes Made in the U.S.A. Shipped cold
Where it is prepared, and what is checked before a vial leaves the pharmacy.
Prepared in a licensed U.S. 503A compounding pharmacy under controlled sterile conditions.

Even the box is considered: one small injection a week, every supply for it packed alongside the medication, and a care team a message away from the first dose.
Semaglutide & tirzepatide available now

Most telehealth programs are built entirely online. Protocol Health is a working clinic, so what we ask and how we guide online is shaped by real patients and real visits.
Protocol Health · Scarsdale, New York
Behind every plan is a clinical team — the questions, the guidance and the everyday support that make progress possible.
Four simple steps.
A short online assessment about your health, goals and history.
About 2 minutes
A US-licensed doctor reviews your assessment and prescribes only if appropriate. You're only charged if approved.
Physician review
Prepared by a licensed 503A pharmacy and shipped cold, in plain packaging.
Cold-chain
Dose steps, check-ins and questions handled from your patient portal.
Ongoing
Takes about 2 minutes Only charged if a physician approves

Published trial averages, not a prediction
Set your height and weight and see the range the trials reported for people like you.
Typical response in the trial:
36 lbs
About 15% of body weight at about 68 weeks (roughly 16 months), STEP-1. About half of trial participants lost at least this much. The trial average was 14.9%.
Lower response
−12 lbs
5% · to 228 lbs
Typical response
−36 lbs
15% · to 204 lbs
Strong response
−48 lbs
20% · to 192 lbs
Takes about 2 minutes Only charged if a physician approves
Based on average results from clinical trials of the FDA-approved brand-name medications. This is a range of published outcomes, not a prediction of your results.
What the published trials reported for each molecule.
−48 lbs
Tirzepatide: a 20% average body-weight change at about 72 weeks (roughly 17 months), SURMOUNT-1 — about 48 lbs at a 240 lb starting weight.
−15%
Semaglutide’s average at about 68 weeks (roughly 16 months), STEP-1 — about 36 lbs at the same starting weight.
72 wks
The length of the trial behind that average. Steepest early, flattening toward the end — not a matter of weeks.
Average results from clinical trials of the FDA-approved brand-name medications (SURMOUNT-1 and STEP-1), converted to pounds at a stated 240 lb starting weight for illustration. This is a published average, not a prediction of your result, and the two trials enrolled different populations and are not directly comparable. Compounded medications are not FDA-approved and are not the same product as the medications studied. Trial participants also received structured lifestyle support. Your dose steps up on a physician’s schedule.
The things people usually want to know first.
No. A US-licensed physician reviews every assessment and prescribes only when it is appropriate — and can decline. Your card is only charged if a physician approves.
No. Compounded GLP‑1s have not been reviewed or approved by the FDA, and they are not brand-name products. Ours are prepared by a licensed U.S. 503A compounding pharmacy under USP <797> sterile standards.
The medication, the physician review, the supplies for each dose and cold-chain shipping. There is no membership fee. The $99 and $199 figures are the 12-month plan billed upfront; 3- and 6-month plans are available at checkout.
No. Your price is set by your plan, not your dose, and it does not rise as you titrate. Plans auto-renew at the same price until cancelled.
Message the care team from your patient portal. Dose changes are decided by a physician, and the boxed-warning conditions are screened before anything is prescribed.
In the trials behind these medications the full result took roughly 68 to 72 weeks. Loss was gradual, steepest in the earlier months, and flattened toward the end. It is not a matter of weeks.
Yes. Enter it at checkout like any other card. Physician-prescribed medication is generally an eligible expense, and every charge has an itemized receipt in your patient portal if your plan reimburses instead. Plans vary, so confirm with your plan administrator.
Yes. Cancelling stops future renewals — no retention calls, no cancellation fee. A term already paid is not refunded.
Answer one question and the assessment picks up from there.
Where are you starting from?
Takes about 2 minutes. You’re only charged if a physician approves.

Richard Dentico, MD
Chief Medical Officer, Protocol MD