Do I need a prescription?
Yes, for a GLP-1. If you have a prescriber, ask them to e-prescribe to D&D Pharmacy or call us. If you don't, we connect you with a Florida-licensed telehealth physician who decides whether treatment is appropriate. You don't need one to talk to a pharmacist first.
How is this different from a weight-loss clinic?
Most clinics sell a monthly program or package that bundles the medication with visits and fees, often about $180 to $500 a month in Miami, and sometimes more than $1,000 for a package. At D&D you pay for the medication itself, priced per vial, with no membership or program fee. You inject at home after training, and a pharmacist answers your questions. If you want in-person physician visits and on-site labs, a clinic may suit you better, and we can fill a clinic's prescription too.
How much does compounded tirzepatide or semaglutide cost at D&D?
Compounded tirzepatide with L-carnitine starts at $155 a vial and compounded semaglutide with L-carnitine and niacinamide starts at $200 a vial, depending on strength and vial size. If you need a prescriber, the provider review is $30. How long a vial lasts depends on your dose, and a pharmacist tells you before you pay.
Will you tell me if a GLP-1 isn't right for me?
Yes. If your history, your goals or your current medications point away from a GLP-1, we say so and talk through what makes more sense, whether that is a habit change, a medication review with your prescriber or a different prescription. Talking to us carries no obligation to start anything.
How quickly can I start?
Once your prescription is on file, your medication is often ready within a day. If you need a prescriber first, timing depends on the telehealth appointment.
How much does it cost, and does insurance cover it?
Compounded GLP-1s are usually not covered by insurance; they are cash-priced per vial, and the full price list is on this page. There is no membership or program fee. Coverage for brand-name weight-loss medicines varies widely by plan, so we check yours.
What happens when I stop a GLP-1?
Appetite usually returns, and many people regain some weight after stopping. That is why we put as much weight on protein, strength training and daily habits as on the medication itself, and why any plan to stop or taper should be made with your prescriber.
Will you show me how to inject?
Yes. A pharmacist covers your dose schedule, injection sites, needle technique, storage and side effects, in person, by video or by phone, in English or Spanish.
Could my other medications be making it harder to lose weight?
Possibly. Some antidepressants, antipsychotics, diabetes medicines such as insulin and sulfonylureas, steroids like prednisone, certain seizure and nerve-pain medicines and some beta-blockers are linked to weight gain. There is often a weight-neutral alternative. Do not stop anything on your own: bring your list to a pharmacist and we will help you prepare questions for your prescriber.
What are the options besides GLP-1 injections?
Prescription pills include phentermine, phentermine-topiramate (Qsymia), naltrexone-bupropion (Contrave) and the newer GLP-1 pills: the Wegovy pill (oral semaglutide) and Foundayo (orforglipron). Orlistat 60 mg is the only FDA-approved over-the-counter weight-loss medicine. Your prescriber decides which prescription, if any, fits you.
Are weight-loss supplements safe?
Many are not. FDA has found hidden prescription drugs in products sold as natural weight-loss or fat-burner supplements. Fiber supplements and protein shakes can help as part of a plan. Bring any product you are considering and a pharmacist will check it against your medications.
Do you deliver?
Yes. Delivery is free and same-day in Miami-Dade, and we ship cold-packed anywhere in Florida. Out-of-state shipping is case by case; call to confirm.
Who do I call about a side effect after hours?
Call (786) 558-0702. During pharmacy hours a pharmacist answers; after hours the line routes to the on-call pharmacist for urgent medication questions. For a medical emergency, call 911.