Are You Unable to Obtain Your Weight Loss Medication?

Now Available! Weight Loss Injectables and Oral Formulations **Compounded Semaglutide and Tirzepatide**

Brand name weight loss medications (Wegovy, Mounjaro, Ozempic, Zepbound) are in short supply and we do not have them in stock; however, now have a solution…

Skippack Pharmacy is proud to offer compounded SEMAGLUTIDE and TIRZEPATIDE for our community! Get it from a source thousands trust!

The same active ingredient as the brand-name weight loss drugs but in supply now.

Frequently Asked Questions

How can I receive this medication at Skippack Pharmacy?

Please fill out our interest form at your earliest convenience. One of our team members will contact you for the next steps to receiving compounded semaglutide or tirzepatide.  See roadmap above for steps.

I do not like needles, are there other weight loss options besides injectables?

Yes, Skippack Pharmacy offers compounded semaglutide oral capsules, semaglutide sublingual oral solution, and semaglutide with B12 (cyanocobalamin) oral troches. No needles required!

How does this medication work? Is there a difference between Semaglutide & Tirzepatide?

If you’ve heard of brand names such as Ozempic, Wegovy, or Rybelsus, then you might be familiar with semaglutide. Semaglutide is a popular weight loss injection that helps suppress your cravings by mimicking hormones that are naturally released in the gastrointestinal tract when you eat. This weekly injection prompts the body to produce more insulin, reducing blood glucose levels and helping you control your appetite so you can lose weight and focus on establishing healthy eating habits.

While semaglutide is an effective weight loss tool, it can also have other incredible health benefits. Semaglutide can lower the risk of heart attack, stroke, or death for individuals with type 2 diabetes or those struggling with heart disease. If you struggle with any of these conditions or struggle to lose weight on your own, ask your doctor about semaglutide injections to jumpstart your journey.

Another weight loss injection that can help you navigate your weight loss journey is tirzepatide. Also known as Mounjaro or Zepbound, tirzepatide is an effective weight-loss injection that has been used to assist adults dealing with obesity or weight-related conditions. This medication activates hormone receptors to reduce your appetite and improve your blood sugar levels so you can make progress without having to struggle with your cravings. It’s a great tool to get you started and to improve your long-term health. This injection is provided weekly, gradually increasing the dosage over several weeks until you reach the level that is most effective for you and your weight loss goals. If you’re ready to make a change in your health and have difficulty taking the first step, then tirzepatide can be a great solution for you.

Ref: Dr. Myra Reed

Is the compounded formulation safe?

As with any medication, each person responds differently to any medication they take.  Everyone’s situation is a little bit different so we always recommend speaking to your health care provider and getting their thoughts.

YES, we believe in the products quality and safety.  Our team diligently vetted many options for compounding pharmacy partners and have chosen a partner we fully trust.  If we did not believe in the product, we would not have our own staff members on it.  They were the first to use it prior to us opening this up to our patients.  See some graphics below in regards to how our compounding pharmacy partner exceeds quality standards.  Analytical testing, API, facility, cleanroom, and quality are just some of the measures in place to ensure this.

Who can receive this medication?

Patients who are approved by their provider/doctor to receive weight loss medication. All patients will need to have a valid and active prescription for an injectable medication containing semaglutide or tirzepatide that allows for substitution or compounded formulation.

For anyone without a provider/doctor, Skippack Pharmacy has worked with Physician 360 Health Clinic, which is a telemedicine service who can evaluate patients and write prescriptions for weight loss injectables (consult is $59.95).

Please visit our clinic page to learn more.

**we are not directly affiliated with Physician 360, simply provide them as a cost-effective option for our patients to use**

Who is not a candidate for this medication?

Compounded semaglutide and tirzepatide are contraindicated in patients with a personal or family history of medullary thyroid cancer (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2). Contraindications also exist for patients with known hypersensitivity reactions to other brand-name and generic formulations of semaglutide and tirzepatide.

Before begining weight loss medication, please let your doctor/provider know if you have any of these conditions:

  • Kidney disease
  • Gallbladder disease
  • Severe gastrointestinal disease
  • Eye disease, diabetic retinopathy
  • History of pancreatitis
  • History of hypoglycemia
  • Allergies to semaglutide, tirzepatide, other medications, foods, dyes, and preservatives
  • Pregnant or breast-feeding

How much will I have to pay for this medication?

Compounded semaglutide and tirzepatide are currently not covered by insurance and will be available OUT OF POCKET ONLY.  You can use your HSA card if you would like.  The pricing for a month’s supply of compounded medication including supplies and a complimentary consultation with our staff are as follows:

Semaglutide oral capsules

  • 1 mg- $229.00/month
  • 3 mg- $309.00/month
  • 6 mg- $429.00/month
  • 9 mg- $549.00/month

Semaglutide sublingual oral solution (1mg/ml) vial

  • 30 mL- $229.00/month

Semaglutide and B12 (cyanocobalamin) oral troches

  • 3 mg- $309.00/month
  • 6 mg- $429.00/month
  • 12 mg- $669.00/month

Semaglutide (2.5mg/mL) vial

  • 1 mL- $179.00 (compounded formulation of Ozempic/Wegovy 0.25mg or 0.5mg)
  • 2 mL- $269.00 (compounded formulation of Ozempic/Wegovy 1mg)
  • 3 mL- $329.00 (compounded formulation of Wegovy 1.7mg)
  • 5 mL- $429.00 (compounded formulation of Wegovy 2.4mg) 

Tirzepatide (10mg/mL) vial

  • 1 mL- $229.00 (compounded formulation of Mounjaro/Zepbound 2.5mg)
  • 2 mL- $329.00 (compounded formulation of Mounjaro/Zepbound 5mg)
  • 3 mL- $409.00 (compounded formulation of Mounjaro/Zepbound 7.5mg)
  • 4 mL (2mLx2)- $489.00 (compounded formulation of Mounjaro/Zepbound 10mg)
  • 5 mL- $579.00 (compounded formulation of Mounjaro/Zepbound 12.5mg)
  • 6 mL (3mLx2)- $649.00 (compounded formulation of Mounjaro/Zepbound 15mg)

Can I use my HSA Card?

Yes, since the medication is a healthcare product/RX – this can be paid for via an HSA card.  You can use the HSA card when making the payment.  You will receive a secure link to pay AFTER you fill out the initial step, “interest form.”

I have an active script at another pharmacy - can you transfer it for me?

Yes, only if it was filled as a compound before. In a majority of cases, if the script was sent to a CVS/Walgreens/Rite Aid, etc. your provider sent it to be filled as the brand (and not the compound) thus the best way for us to process your order is through a new script from the provider as it would need to say substitution or compound permissable.

How are the weight loss injectables provided? Does it include all supplies I need?

The medication will come in a multi-dose vial which is available in different strengths. 1 vial of the compounded medication is good for 28 days (4 once-a-week injections).  Along with the medication, our team will provide complimentary: the syringes with needles & alcohol swabs  needed for administration along with education.

You may order up to a 3-month supply at a time; however, if you are starting the medication, your dose may change, in which case you may want to order 1-month at a time.  Once the product is ordered/paid for, there are no refunds.

How long is 1 injectable vial good for? Can I buy multiple vials or a larger vial for multiple months?

Once punctured, single-patient-use and multiple-dose containers should not be used for longer than the assigned BUD (beyond use date) 28 days—to minimize the likelihood of microbial contamination.

Yes, you can buy multiple vials of your specific strength at once – when you make the payment online, select the quantity of vials you would be purchasing.  If you are just starting the medication, just make sure the strength you buy isn’t going to change the following month.

The question does arise, if my prescription is for a strength which equates to a 1ml vial, can’t you use fill a 3ml vial & I’ll just use that 1 vial over a period of 3 months?  This would be amazing; however, as mentioned above, the beyond use date on the vials is 28 days once punctured.  If you received a 3ml vial and used 1ml (4 injections) for your dose for that month, you would be wasting the other 2ml.

How do I administer a medication as an injection?

When you pick your prescription up at Skippack Pharmacy, our team will ensure you feel confident about administering an injection before you leave!

Link to Skippack Pharmacy’s Instruction Sheet

How do I use and store these medications?

Weight loss injectables

At home, you will use a syringe to draw up your instructed dose from the medication vial which will be given via subcutaneous (under the skin) injection. After the first puncture of the medication vial, the vial is good for 28 days. Please discard any unused medication after the expiration date.

The medication should be stored in its original container in the refrigerator until it is ready for use. Your dose may be injected while cold. Alternatively, you can draw the dose into your syringe and let the syringe sit at room temperature for 15 minutes prior to injecting. 

Some people find the injection more comfortable if done at room temperature.

Oral semaglutide formulations

Semaglutide oral capsules, sublingual oral solution, and troches can both be stored at room temperature. Do NOT refridgerate.

Oral capsules should be taken every day as instructed by your doctor. Patients should take this medication after waking up in the morning on an empty stomach. Take capsule with no more than 4 ounces of water. After 30 minutes, you can eat, drink and take other medications or vitamins.

Semaglutide oral solution comes in a vial with a 1ml dropper for easy administration under the tongue. A 1ml dose should be applied under the tongue and kept there for at least 5 minutes before swallowing. Patients should not eat or drink 30 minutes before or after taking medication.

Semaglutide troches should be taken 15 minutes before or after food and drink. Troche should be placed under the tongue or between the gum and cheek. Allow troche to fully dissolve before swallowing. DO NOT CHEW.  Rotate troche site with each dose.

What are the side effects of these medications?

This medication is expected to have the similar side effects to other semaglutide products, tirzepatide products, and GLP-1 agents.

The most common side effects include gastrointestinal related symptoms such as nausea, indigestion, abdominal pain, diarrhea, constipation, and vomiting.  Many of these can be reduced with vitamin supplementation.  Consult with your healthcare provider for full details; however, we have heard certain vitamins can help reduce these side effects.  You have the option to add these vitamins onto your medication purchase when making the payment.

If extreme sensitivity reactions occur such as rash, shortness of breath, or swelling in your face or neck, report these to your prescriber/doctor immediately.

These medications have the possibility of causing episodes of low blood sugar. Signs and symptoms include dizziness, lightheadedness, confusion,  drowsiness, weakness and shakiness. Risk of low blood sugar increases when taking these medications with other blood sugar lowering medications such as insulins and sulfonylureas.

Do any of the compounded formulations also have B12 or any other ingredients mixed in with it?

Yes, the compounded semaglutide troches contain B12. No other compounded formulations contain B12.

The compounded semaglutide and terzipatide injectables we provide DO NOT have vitamin B12 mixed in.  Each vial contains the active ingredient: either semaglutide or tirzepatide AND inactive ingredients: benzyl alcohol and dibasic sodium phosphate, in sterile water for injection.  The original brand name products, Ozempic, Wegovy, Mounjaro, and Zepbound do not have B12 thus we have opted out of this.

Our pharmacy DOES carry vitamin B12 and other vitamins which can be depleted in tablet formulation that you can pick up with your RX or have shipped to you.  You will have the option to add these items to your order if you would like on the payment form OR please see the vitamin aisle or speak to a team member.

How often do I take the injection?

Each month, you will receive 1 vial that includes the medication your provider has ordered for you.  The specific amount of mL in the bottle is dependent on  your dose.  Typically, patients have taken this medication once a week.  A best practice is taking it at/around the same time each week so you remember.  Setting a reminder on your calendars or phones is also not a bad idea.

How do I refill my medication?

When it comes to your last injection (4th dose) or the last 7 days of your oral medication, please be sure to click on the same secure payment link you will receive from our team when you first get approved. This link is used each month when reordering.

You will have the option to select if you would like 1, 2, or 3-month supply and inform our team if you will continue the same dose or take a different strength. We can use existing refills or scripts on hold to fill your next order. If no refills remain, your provider will need to send a new script.

How is it legal to compound this medication?

FDA approved brand drugs which contain the active ingredients semaglutide and tirzepatide are currently on a national shortage. During a drug shortage, pharmacies are able to compound a drug so that their patients still have access to it. To our knowledge, compounded semaglutide and tirzepatide are common and legal as long as the compounded drug does not contain a salt form. Skippack pharmacy receives their compounded product from a well-established 503A compounding pharmacy who has up-to-date accreditation from the Pharmacy Compounding Accreditation Board (PCAB) and collaborates exclusively with FDA-registered API manufacturers.

What else can I do to lose weight?

When taking weight loss medication, it is important to implement other non-medication strategies such as eating a balanced diet and exercising regulary to promote a healthier lifestyle!

Please visit the CDC website for resources on healthy eating for a healthy weight.

What is the difference between semaglutide capsules, oral solution and troches?

Semaglutide capsules are hard shell capsules that contain powdered semaglutide. These are to be taken with water where they will be broken down by the digestive system.

The semaglutide oral solution is a liquid that comes in a vial that is to be administered with a dropper. This solution is specifically designed to be administered sublingually (under the tongue) where it is absorbed by mucous membranes.

A troche is a small tablet that is slowly dissolved when placed under the tongue or between the cheek and gum, similar to a cough drop. Unlike capsules, troches bypass the digestive system and the active ingredients go into the blood stream. Troches should not be swallowed whole or chewed.