FAQ

Questions about
GLP-1 medication,
plainly answered.

Everything you need to know about compounded semaglutide and tirzepatide — the medication, the process, pricing, and safety.

Category 01

About the Medication

Compounded semaglutide contains the same active ingredient as brand-name medications like Ozempic and Wegovy. It is prepared by a licensed compounding pharmacy — not manufactured by a brand-name drug company — using pharmaceutical-grade active ingredient. Compounded semaglutide is not an FDA-approved finished drug product and has not been evaluated by the FDA for safety, effectiveness, or quality. It is prescribed by a licensed clinician who has reviewed your health intake.
Compounded tirzepatide contains the same active ingredient as Mounjaro and Zepbound. Like compounded semaglutide, it is prepared by a licensed compounding pharmacy and is not an FDA-approved finished drug product. It has not been evaluated by the FDA for safety, effectiveness, or quality as a compounded preparation.
Compounded semaglutide is prepared in FDA-registered compounding facilities using the same active ingredient as brand-name GLP-1 medications. It is prescribed only by licensed clinicians who have reviewed your health history. That said, compounded drug products are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality. There are risks associated with any medication. Speak with your clinician if you have specific health concerns before starting treatment.
Semaglutide is a GLP-1 receptor agonist — it mimics the GLP-1 hormone to reduce appetite and slow gastric emptying. Tirzepatide is a dual GIP and GLP-1 receptor agonist, acting on two hormone pathways simultaneously. Clinical data suggests tirzepatide may produce greater average weight reduction, though individual results vary significantly. Tirzepatide is priced higher. Your clinician can help assess which medication is more appropriate for your health profile and goals.
Yes. Licensed compounding pharmacies are permitted to prepare medications under applicable state and federal pharmacy laws. The regulatory environment for compounded GLP-1 medications has evolved in recent years, in part tied to FDA shortage designations. PureForty works exclusively with licensed, accredited compounding pharmacies that operate within current law. For the most current regulatory information, consult with your clinician or pharmacist.
Category 02

The Process

Complete the online health intake form — it takes about 10 minutes and covers your health history, current medications, and weight loss goals. A licensed clinician reviews your intake within 24 hours. If you qualify, a prescription is issued and your medication ships free to your door in 2–5 business days.
Shipping typically takes 2–5 business days from the time your prescription is issued. Shipping is free on all orders. You'll receive a tracking number via email once your order ships.
No insurance is required. PureForty operates on a cash-pay model with transparent, upfront pricing. There are no prior authorization requirements. FSA and HSA cards are accepted.
A licensed clinician reviews your intake, typically within 24 hours. They may contact you through the platform if they need additional information before making a prescribing decision. If you are approved, your prescription is issued and sent to the pharmacy the same day. If you are not approved, you will receive a clear explanation and will not be charged (or will receive a full refund if payment was collected upfront).
Category 03

Pricing & Billing

Semaglutide: $199/month (1-month supply), $169/month (3-month cycle), $149/month (6-month cycle).

Tirzepatide: $249/month (1-month supply), $219/month (3-month cycle), $199/month (6-month cycle).

All plans include provider consultation, medication, and free shipping. See the pricing page for full details.
No. PureForty does not use subscriptions. You pay per treatment cycle and reorder only when you want to continue. Nothing is charged or shipped automatically. There are no cancellation fees because there is nothing to cancel.
We accept Visa, Mastercard, and American Express. FSA and HSA cards are accepted. Afterpay and Affirm support is coming soon.
Yes. Flexible spending accounts (FSA) and health savings accounts (HSA) are accepted. GLP-1 weight loss medication prescribed by a licensed clinician is generally an FSA/HSA-eligible medical expense. We recommend confirming with your plan administrator if you have questions about your specific account.
If your intake is not approved by a clinician, you will not be charged — or you will receive a full refund if payment was collected upfront. For full details on our refund policy for other situations, see the refund policy page.
Category 04

Side Effects & Safety

The most commonly reported side effects are nausea, vomiting, diarrhea, and constipation. These are most common during the initial dose escalation period and typically improve as your body adjusts. Eating smaller, lower-fat meals and staying hydrated helps most people manage GI symptoms. If side effects are persistent or severe, contact your care team through the platform.
GLP-1 medications are not appropriate for everyone. They should not be used by people with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2), those who are pregnant or breastfeeding, or those with a known allergy to the active ingredient. Your clinician will screen your intake for these and other contraindications before issuing a prescription.
Contact your provider directly through the platform's secure messaging system. For urgent but non-emergency concerns, mark your message as urgent. For any medical emergency — including severe symptoms, chest pain, or difficulty breathing — call 911 or go to your nearest emergency room immediately. Do not wait for a message response.
Category 05

Account & Support

You can reach our support team via the contact page or by emailing support@pureforty.com. We respond within 1 business day. Support hours are Monday–Friday, 9am–6pm ET.
Yes. Dose adjustments are part of normal GLP-1 treatment and are handled at refill check-ins with your clinician. If you want to switch from semaglutide to tirzepatide (or vice versa), contact your care team through the platform — they'll assess whether a switch is appropriate and guide you through it. All medication changes require clinical review.
Because PureForty does not use subscriptions, there is nothing to cancel. Simply don't place a new order. If you want to pause or stop treatment and have questions about doing so safely, contact your care team through the platform or reach out to support at support@pureforty.com. There are no cancellation fees or penalties.

FDA Disclaimer

Compounded drug products are not FDA-approved and have not been evaluated for safety, effectiveness, or quality by the FDA. This FAQ is for informational purposes only and does not constitute medical advice. Consult your clinician with any questions about your specific situation.

Ready to Begin

Start your plan.
Free to apply.

Complete a short intake. Get a clinician review within 24 hours. Medication ships free if you qualify.

See If You Qualify

Not all applicants will be approved. Compounded drug products are not FDA-approved and have not been evaluated for safety, effectiveness, or quality by the FDA.