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Physician-directed GLP-1 weight loss · Miami

GLP-1 weight loss in Miami, straight from the pharmacy.

No monthly program fee, no membership and no weekly office visits. Get compounded semaglutide or tirzepatide from the Florida-licensed pharmacy that dispenses it, with prices on this page, a $30 provider review if you need a prescriber, and a pharmacist on WhatsApp in English or Spanish. If a GLP-1 isn't right for you, we'll tell you.

From $155 a vialPrices published, no program fee
No membershipNo contract, no weekly office visits
Direct pharmacist lineEnglish and Spanish
Free same-day deliveryAnywhere in Miami-Dade
GLP-1 therapies we dispense

Semaglutide or tirzepatide, plus everything around it.

Both are once-weekly injections you give yourself at home, started at a low dose and raised about every four weeks to limit nausea. You pay for the medication, not a program. Full price list below.

01
GIP + GLP-1 · Rx

Tirzepatide + L-Carnitine

Activates two gut-hormone receptors, GIP and GLP-1, to lower appetite and slow digestion. Weekly injection with the dose raised in steps.

From$155per vial
02
GLP-1 · Rx

Semaglutide + L-Carnitine + Niacinamide

Activates the GLP-1 receptor to reduce hunger, slow stomach emptying and lower blood sugar after meals. Weekly injection with a gradual dose increase.

From$200per vial
Included with every GLP-1 prescription we fill
Pharmacist review firstYour medications and history checked for interactions before anything is dispensed.
A dose plan you understandStart low, step up about every four weeks, and know what to expect at each step.
Injection trainingSites, technique and storage, in person, by video or by phone.
A side-effect planWhat to eat and do when nausea or constipation shows up, and when to call.
Protein and muscle guidanceHow to eat and train so the weight you lose is fat, not muscle.
A direct line to usPhone or WhatsApp, English or Spanish. We call after your first dose.
Clinic program or pharmacy-direct?

Same medication. A different way to pay for it.

Most Miami weight-loss clinics bundle the medication into a monthly program or package. Coming straight to the pharmacy means you pay for the medication itself, and the people who prepare it answer your questions.

Typical Miami clinic programD&D Pharmacy
What you pay forA monthly program or package that bundles medication, visits and feesThe medication itself, priced per vial
Typical costOften about $180 to $500 a month, with some packages above $1,000Tirzepatide from $155 a vial, semaglutide from $200
To get startedConsultation or intake fee, often with labs$30 provider review, or send us your own prescription
Membership or contractCommon, sometimes with auto-renewalNone
Where you get your shotOften weekly visits to the officeAt home, after injection training; free same-day delivery
Who answers medication questionsClinic staff, during clinic hoursA licensed pharmacist, by phone or WhatsApp, in English or Spanish
Brand-name Wegovy or ZepboundVaries by clinicWe fill them and check your insurance

When a clinic may suit you better: if you want in-person physician visits, on-site labs or body-composition scans, a clinic program gives you that. We are glad to fill a clinic's prescription too. Clinic ranges are based on published Miami program prices, September 2026.

What it costs

Prices on the page, before you sign up for anything.

Your prescriber sets the strength. Before you pay, a pharmacist tells you how long your vial will last at your dose. No enrollment fee, no membership, no auto-renewing program.

Tirzepatide + L-Carnitine

From $155
StrengthVialPrice
5 mg/mL4 mL$155
5 mg/mL5 mL$175
10 mg/mL3.5 mL$260
10 mg/mL5 mL$300
15 mg/mL3.5 mL$310
15 mg/mL5 mL$350
17 mg/mL4 mL$350

Semaglutide + L-Carnitine + Niacinamide

From $200
StrengthVialPrice
2.5 mg/mL4 mL$200
2.5 mg/mL5 mL$240
5 mg/mL2.5 mL$240
5 mg/mL5 mL$290
$30Provider review with a Florida-licensed physician, if you don't already have a prescriber
$0Same-day delivery in Miami-Dade, pharmacist counseling and injection training
$0Membership, enrollment or program fees. There aren't any.

Compounded semaglutide and tirzepatide are not FDA-approved. Prices are cash prices for compounded medication, current as of September 2026, and may change; your price is confirmed before you pay. Brand-name Wegovy and Zepbound are priced separately and may be covered by insurance.

Is a GLP-1 right for you?

A straight answer, even when it's no.

A GLP-1 is a strong tool for the right person, but it isn't the answer for everyone. We'll help you see where you stand, and your prescriber makes the final call.

Usually a good fit

  • A BMI of 30 or higher, or 27 or higher with high blood pressure, type 2 diabetes or high cholesterol.
  • You have worked on eating and activity and the weight still won't move.
  • You are ready for a weekly injection and to build habits alongside it.
  • You want a plan for keeping the weight off, not just losing it.

Usually not, or talk to us first

  • You are pregnant, trying to conceive or breastfeeding.
  • A personal or family history of medullary thyroid cancer or MEN 2.
  • Past pancreatitis, gallbladder disease or diabetic eye disease, or you take insulin or a sulfonylurea.
  • You want to drop a few pounds quickly for an event. There are better tools for that.

Not a GLP-1 fit? You still have options.

We help either way. Talk to a pharmacist →

Habits + a medication checkThe six basics below, and a review of any medicines that may be adding weight.
Over the counterFiber, protein shakes and orlistat 60 mg. We'll steer you away from risky "fat burners."
Other prescriptionsPhentermine, Qsymia, Contrave, or the newer GLP-1 pills, if your prescriber agrees.
What makes it work

The habits that make a GLP-1 work, and keep the weight off after.

A GLP-1 turns down your appetite. These six habits decide whether the weight you lose is fat or muscle, and whether it stays off once treatment ends. They matter just as much if you are not on medication.

01
Eating

Protein at every meal

With less appetite, protein is what protects your muscle so the weight you lose is mostly fat. Build each plate around it, then vegetables, then the starch.

Try: Eggs or Greek yogurt at breakfast, fish, chicken or beans at lunch and dinner.

02
Eating

Fiber and fluids

Vegetables, beans, oats and berries add volume and ease the constipation a GLP-1 can cause. Sipping water through the day helps with nausea too.

Try: Half the plate vegetables; a glass of water before each meal.

03
Moving

Strength, not just steps

Resistance training is what keeps muscle on while the scale drops, and muscle is what keeps your metabolism from slowing.

Try: Two or three short strength sessions a week, plus a walk after meals.

04
Recovery

Sleep and stress

Short sleep and constant stress push up cravings the next day, with or without medication. One of the most overlooked reasons a plan stalls.

Try: A fixed bedtime and screens off 30 minutes before it.

05
Pharmacy

Check your medicine cabinet

Some common prescriptions make weight harder to lose. A pharmacist can spot them and help you raise it with your prescriber.

Try: Bring your full list, including supplements, to the counter or send it on WhatsApp.

06
Mindset

A realistic target

Losing 5 to 10 percent of your body weight can already improve blood pressure, blood sugar and cholesterol. The habits you build now are what keep it off later.

Try: Track progress monthly, not daily.

Educational information, not medical advice. Check with your doctor before starting a new exercise or eating plan, especially if you have a heart, kidney or blood-sugar condition.

Medication check

Could another medication be working against you?

Several common prescriptions are linked to weight gain or make it harder to lose, on a GLP-1 or not. There is often an equally effective option that is weight-neutral. A pharmacist can review your list and help you bring the right questions to your prescriber.

Never stop or change a medicine on your own. Ask first.

  • Some antidepressantse.g. paroxetine, mirtazapine
  • Some antipsychotics and mood stabilizerse.g. olanzapine, quetiapine, lithium, valproate
  • Diabetes medicinesinsulin, sulfonylureas such as glipizide, pioglitazone
  • Steroidse.g. prednisone taken for weeks or longer
  • Seizure and nerve-pain medicinese.g. gabapentin, pregabalin
  • Some blood-pressure medicinesolder beta-blockers such as metoprolol and propranolol
  • Some sleep and allergy aidssedating antihistamines such as diphenhydramine
GLP-1 guide · reviewed September 2026

Semaglutide and tirzepatide, explained.

What is compounded semaglutide?

Semaglutide is a GLP-1 receptor agonist: it mimics a gut hormone that signals fullness, slows stomach emptying and lowers blood sugar after meals. The formulation we dispense combines semaglutide with L-carnitine and niacinamide (vitamin B3). It is injected under the skin once a week, starting at a low dose that your prescriber raises about every four weeks as you tolerate it.

What is compounded tirzepatide?

Tirzepatide activates two gut-hormone receptors, GIP and GLP-1, which reduces appetite and slows digestion. The formulation we dispense combines tirzepatide with L-carnitine. It is also a once-weekly injection under the skin, started low and increased in steps about every four weeks.

Semaglutide or tirzepatide: which one?

Your prescriber decides, based on your medical history, current medications, any previous GLP-1 use and budget. The main difference is the mechanism: tirzepatide acts on two receptors (GIP and GLP-1), semaglutide on one (GLP-1). Both are weekly injections, started at a low dose and raised about every four weeks as you tolerate it.

Who qualifies for GLP-1 weight-loss treatment?

Prescribers generally use the criteria for FDA-approved weight-loss GLP-1s: a body mass index (BMI) of 30 or higher, or 27 or higher with a weight-related condition such as high blood pressure, type 2 diabetes or high cholesterol. Treatment is meant to go with a reduced-calorie diet and more physical activity, not replace them.

Who should not take a GLP-1?

GLP-1 medicines are not used during pregnancy or by people with a personal or family history of medullary thyroid cancer or multiple endocrine neoplasia type 2 (MEN 2). Tell your prescriber and pharmacist if you have had pancreatitis, gallbladder disease, kidney disease or diabetic eye disease, or if you take insulin or a sulfonylurea, because doses may need adjusting.

What are the side effects?

The most common are nausea, diarrhea, vomiting, constipation, heartburn and reduced appetite, usually strongest in the days after a dose increase. Smaller meals, stopping when full and enough fluids help. Get medical care right away for severe stomach pain that does not go away, which can be a sign of pancreatitis.

How should I eat while on a GLP-1?

Because you eat less, what you eat matters more. Put protein first at each meal to protect muscle, add vegetables and other fiber, sip fluids through the day, and go easy on greasy or very sweet foods, which tend to worsen nausea. Pair treatment with strength training. A pharmacist can help you adjust when side effects get in the way of eating well.

Is compounded semaglutide the same as Ozempic or Wegovy?

No. Ozempic and Wegovy (semaglutide) and Mounjaro and Zepbound (tirzepatide) are FDA-approved brand-name drugs. Compounded semaglutide and tirzepatide are not FDA-approved and are not generics: FDA does not review compounded drugs for safety, effectiveness or quality before they are dispensed. A compounded formulation is prepared for an individual patient when the prescriber determines it is needed, such as a combination or strength that is not commercially available. We fill brand-name prescriptions too.

Educational information, not medical advice. Your prescriber decides whether a GLP-1 is right for you.

How it works

From prescription to your first injection, and beyond.

01Prescription

Your prescriber, or ours

Your prescriber e-prescribes to D&D. No prescriber? We connect you with a Florida-licensed telehealth physician for an evaluation.

02Review

A pharmacist checks your file

Before anything is dispensed, a pharmacist reviews your medications and history for interactions and explains your dose schedule.

03Preparation

Compounded to order

Your medication is prepared for you by our sterile-compounding partner and kept refrigerated until it reaches you.

04Support

Delivery, then follow-up

Pickup at 9787 SW 72nd St or free same-day Miami-Dade delivery. We call after your first dose and stay reachable as your dose steps up.

Getting started

Prescriptions, cost and support.

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.
Ready, or not sure yet?

Start your order, or ask us first.

Switching from a clinic program or another pharmacy? Ask about dosing, side effects, cost, or whether a GLP-1 makes sense for you at all. Honest answers, no commitment.

Pharmacist line (786) 558-0702 Mon–Fri 8:30a – 6:00p
Sat 9:00a – 1:00p · en español también
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