can i go from semaglutide to tirzepatide Switching Semaglutide vs. Tirzepatide: What's the

Cash-pay telehealth weight loss was the early model (companies like Ro, Hims, Calibrate): Monthly membership fee ($50-200) Plus cost of medication (either marked up through compounding pharmacies or retail GLP-1s) Patients pay out of pocket entirely Pros: No insurance billing hassle Higher margins per patient if you mark up medications Cons: Limited to affluent patients High churn when patients cant afford $300-500/month ongoing Regulatory scrutiny (many compounded semaglutide products were investigated for safety) Insurance-based model is becoming more viable: Bill insurance for visits (E/M codes) Send GLP-1 prescription to patients pharmacy (they use insurance for medication) You get paid per visit (~$100-150), patient pays copay Pros: Larger addressable market (anyone with obesity diagnosis and insurance) More sustainable (patients can afford to stay on therapy long-term) Less regulatory risk (using FDA-approved products through licensed pharmacies) Cons: Prior authorization burden Payment delays from insurers Need credentialing with multiple payers Hybrid approach: Some practices bill insurance when possible, offer cash-pay as backup for patients with exclusions

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