At the bottom of this page is a sample order form that can be faxed over to us. If there is an option that is appropriate for your patient, simply mark it on the form, making sure to provide your clinical reasoning for why a customized, compounded GLP-1 is required for your patient. For instance, l-carnitine addition can boost energy levels, methylcobalamin may be added to boost neurological function or prevent deficiencies, or glycine may be added to preserve lean muscle mass. PLEASE NOTE, A PRESCRIPTION CANNOT BE ACCEPTED FOR COMPOUNDING WITHOUT CLINICAL REASONING DOCUMENTATION.
FAQ for Physicians Wanting to Prescribe a Customized GLP-1
Not exactly. A prescription needs to be written so that it is clear to the pharmacy that a CUSTOM compound is being prescribed. So the prescription must include what the customization is and why it is necessary. By opening the forms below, you can get clear examples for how these prescriptions could be written, or the form itself can be manually faxed over to the pharmacy.
Usually, after a prescription is received by Capitol Heights, it will take 72 hours to turn around to the patient.
They have to pick it up at Capitol Heights. This ensures that the patient is given proper counseling for how to administer and store the medication.
Semaglutide ranges between $229-$299 per month. Tirzepatide ranges between $249 and $379 per month.
303-393-7604
