PAYMENT FORM-Compounded GLP-VIP
  • WEIGHT LOSS INJECTABLE FORMULATION PAYMENT FORM

    Please complete this form to order your compounded weight loss medication. This product is not covered by insurance and will be available out of pocket. Patients are responsible for the cost of the medication up front. This is NOT a hold on your credit card, by inputting your credit card number below, you will be charged immediately. Please contact us at clinic@skippackpharmacy.com prior to submitting if you have any questions! Once the order is placed through this form, you acknowledge there are no refunds. ***BOOKMARK THIS PAGE: We cannot put your card on file so you will have to fill out a new payment form when you need a refill --> you will use this same payment link for your initial medication & for refills for following months***
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  • RECEIVING YOUR MEDICATION

    Based on if you select if you would like it shipped or pick up in store, you will be notified from our team. If picking up in store, please come to Skippack Pharmacy to pick-up your prescription ONLY AFTER receiving an email or text that it is ready. You do not need to reach out to us --- we will be in touch with you the moment your medication is ready. Our pick-up hours are Mondays-Fridays 10 AM to 6 PM and Saturdays 10AM to 3PM. If you requested for it to be shipped, we will email you with tracking information once the RX is ready.
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  • Vials or Syringes?

    We've made multiple options available but at the end of the day, the choice is yours. You will need to click the acknowledgement (the next square box) after reading below.
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    Click here to view max order quantities of each product based on current expiration dates.

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  • Click Image Above to Learn More About Body IQ
  • Click Image Below to Learn How BodyIQ Helps You Track Real Progress.

    Curious how the InBody Scan and Stelo CGM work together to give you real, personalized insights? Now you can add these to your GLP-1 order today and take your results to the next level. We offer Stelo CGM at one of the lowest prices available for our GLP patients and exclusive discounted InBody scans to help you track real progress—not just weight. Click below to explore how BodyIQ helps you understand your body and make smarter health decisions.
  • Click Image Above to Learn More About Body IQ
  •  

    To make it easier we have split the products up in categories based on the drug:

    Semaglutide PRE-FILLED SYRINGES
    Semaglutide VIALS


    Tirzepatide PRE-DRAWN SYRINGES
    Tirzepatide
     PRE-FILLED SYRINGES
    Tirzepatide with B VIALS

    Body IQ
    GLP-1 Support

  • Categories:All
    All
    Semaglutide PRE-FILLED SYRINGES
    Semaglutide VIALS
    Tirzepatide PRE-DRAWN SYRINGES, limited supply (original formula with no vitamin B) avail for PICKUP only
    Tirzepatide PRE-FILLED SYRINGES
    Tirzepatide VIALS
    Body IQ
    GLP-1 Support
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                                                                      Semaglutide PRE-FILLED SYRINGES
                                                                      Semaglutide 0.25mg pre-filled SYRINGE (4pk)

                                                                      Needle Size on PFS: 32g, 4mm

                                                                      $179.00
                                                                        
                                                                      Semaglutide 0.5mg pre-filled SYRINGE (4pk)

                                                                      Needle Size on PFS: 32g, 4mm

                                                                      $179.00
                                                                        
                                                                      Semaglutide 1mg pre-filled SYRINGE (4pk)

                                                                      Needle Size on PFS: 32g, 9mm

                                                                      $239.00
                                                                        
                                                                      Semaglutide 1.7mg (4 pre-drawn syringes)

                                                                      For those who don't want to draw out of your own vial, a team member will pre-draw them for you.  Available for pick up only.

                                                                      $269.00
                                                                        
                                                                      Semaglutide 2.4mg pre-filled SYRINGE (4pk)

                                                                      Needle Size on PFS: 32g, 4mm

                                                                      $299.00
                                                                        
                                                                      InBody Scan (FREE FIRST SCAN) Product Image
                                                                      InBody Scan (FREE FIRST SCAN)


                                                                      $ Free
                                                                        
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors) Product Image
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors)
                                                                      $79.99
                                                                        
                                                                      SHIPPING FEE Product Image
                                                                      SHIPPING FEE

                                                                      Please select this option if you would like the medication shipped to you. Cold packages are shipped Monday-Thursday via UPS. By selecting this you, agree with our shipping disclaimer.

                                                                      $30.00
                                                                        
                                                                      Semaglutide VIALS
                                                                      Semaglutide 1 mL - 0.25mg VIAL
                                                                      $179.00
                                                                        
                                                                      Semaglutide 1 mL - 0.375mg** VIAL

                                                                      **0.375mg does not commercially exist as a brand; however, if you have a SLOWER titration, your doc might prescribe this vs moving you up from 0.25mg to 0.5mg. Most patients will move up from 0.25mg to 0.5mg**. DO NOT SELECT THIS OPTION UNLESS YOU ARE SURE.

                                                                      $179.00
                                                                        
                                                                      Semaglutide 1 mL - 0.50mg VIAL
                                                                      $179.00
                                                                        
                                                                      Semaglutide 2 mL - 1mg VIAL
                                                                      $239.00
                                                                        
                                                                      Semaglutide 2 mL - 0.75mg** VIAL

                                                                      **0.75mg does not commercially exist as a brand; however, if you have a SLOWER titration, your doc might prescribe this vs moving you up from 0.5mg to 1mg. Most patients will move up from 0.5mg to 1mg**. DO NOT SELECT THIS OPTION UNLESS YOU ARE SURE.

                                                                      $239.00
                                                                        
                                                                      Semaglutide 3 mL - 1.7mg VIAL
                                                                      $269.00
                                                                        
                                                                      Semaglutide 4 mL - 2mg VIAL
                                                                      $299.00
                                                                        
                                                                      Semaglutide 4 mL - 2.4mg VIAL
                                                                      $299.00
                                                                        
                                                                      InBody Scan (FREE FIRST SCAN) Product Image
                                                                      InBody Scan (FREE FIRST SCAN)


                                                                      $ Free
                                                                        
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors) Product Image
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors)
                                                                      $79.99
                                                                        
                                                                      SHIPPING FEE Product Image
                                                                      SHIPPING FEE

                                                                      Please select this option if you would like the medication shipped to you. Cold packages are shipped Monday-Thursday via UPS. By selecting this you, agree with our shipping disclaimer.

                                                                      $30.00
                                                                        
                                                                      Tirzepatide PRE-DRAWN SYRINGES, limited supply (original formula with no vitamin B) avail for PICKUP only
                                                                      Tirzepatide 2.5mg (4 pre-drawn syringes)

                                                                      For those who don't want to draw out of your own vial, a team member will pre-draw them for you.  Available for pick up only.

                                                                      $229.00
                                                                        
                                                                      Tirzepatide 5mg (4 pre-drawn syringes)

                                                                      For those who don't want to draw out of your own vial, a team member will pre-draw them for you.  Available for pick up only.

                                                                      $329.00
                                                                        
                                                                      Tirzepatide 7.5mg (4 pre-drawn syringes)

                                                                      For those who don't want to draw out of your own vial, a team member will pre-draw them for you.  Available for pick up only.

                                                                      $369.00
                                                                        
                                                                      Tirzepatide 10mg (4 pre-drawn syringes)

                                                                      For those who don't want to draw out of your own vial, a team member will pre-draw them for you.  Available for pick up only.

                                                                      $399.00
                                                                        
                                                                      InBody Scan (FREE FIRST SCAN) Product Image
                                                                      InBody Scan (FREE FIRST SCAN)


                                                                      $ Free
                                                                        
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors) Product Image
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors)
                                                                      $79.99
                                                                        
                                                                      Tirzepatide PRE-FILLED SYRINGES
                                                                      Tirzepatide 15mg pre-filled SYRINGE (4pk)

                                                                      Needle Size on PFS: 32g, 9mm (smaller needle tip available by request)

                                                                      $399.00
                                                                        
                                                                      InBody Scan (FREE FIRST SCAN) Product Image
                                                                      InBody Scan (FREE FIRST SCAN)


                                                                      $ Free
                                                                        
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors) Product Image
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors)
                                                                      $79.99
                                                                        
                                                                      SHIPPING FEE Product Image
                                                                      SHIPPING FEE

                                                                      Please select this option if you would like the medication shipped to you. Cold packages are shipped Monday-Thursday via UPS. By selecting this you, agree with our shipping disclaimer.

                                                                      $30.00
                                                                        
                                                                      Tirzepatide VIALS
                                                                      Tirzepatide 2.5mg + Vit B6 (10mg/ml) VIAL
                                                                      $229.00
                                                                        
                                                                      Tirzepatide 5mg + Vit B6 (10mg/ml) VIAL
                                                                      $329.00
                                                                        
                                                                      Tirzepatide 7.5mg + Vit B6 (10mg/ml) VIAL
                                                                      $369.00
                                                                        
                                                                      Tirzepatide 10mg + Vit B6 (10mg/ml) VIAL
                                                                      $399.00
                                                                        
                                                                      Tirzepatide 12.5mg + Vit B6 (20mg/ml) VIAL
                                                                      $409.00
                                                                        
                                                                      Tirzepatide 15mg + Vit B6 (20mg/ml) VIAL
                                                                      $409.00
                                                                        
                                                                      InBody Scan (FREE FIRST SCAN) Product Image
                                                                      InBody Scan (FREE FIRST SCAN)


                                                                      $ Free
                                                                        
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors) Product Image
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors)
                                                                      $79.99
                                                                        
                                                                      SHIPPING FEE Product Image
                                                                      SHIPPING FEE

                                                                      Please select this option if you would like the medication shipped to you. Cold packages are shipped Monday-Thursday via UPS. By selecting this you, agree with our shipping disclaimer.

                                                                      $30.00
                                                                        
                                                                      Body IQ
                                                                      InBody Scan (FREE FIRST SCAN) Product Image
                                                                      InBody Scan (FREE FIRST SCAN)


                                                                      $ Free
                                                                        
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors) Product Image
                                                                      Stelo CGM, 1-month supply (1 box, 2 sensors)
                                                                      $79.99
                                                                        
                                                                      Stelo CGM, 3-month supply (3 boxes, 6 sensors) Product Image
                                                                      Stelo CGM, 3-month supply (3 boxes, 6 sensors)

                                                                      Normally priced at $297 for 6 sensors

                                                                      $239.99
                                                                        
                                                                      InBody Scan (1 scan) Product Image
                                                                      InBody Scan (1 scan)

                                                                      After your intiial free scan, click this for additional scans.

                                                                      $30.00
                                                                        
                                                                      InBody Scan (3 scan punch card) Product Image
                                                                      InBody Scan (3 scan punch card)

                                                                      Normally priced at $150/3 scans

                                                                      $75.00
                                                                        
                                                                      InBody Scan (6 scan punch card) Product Image
                                                                      InBody Scan (6 scan punch card)

                                                                      Normally priced at $300/6 scans

                                                                      $135.00
                                                                        
                                                                      InBody Scan (12 scan punch card) Product Image
                                                                      InBody Scan (12 scan punch card)

                                                                      Normally priced at $600/12 scans

                                                                      $240.00
                                                                        
                                                                      GLP-1 Support
                                                                      THORNE GI Relief  (180qty) Product Image
                                                                      THORNE GI Relief (180qty)

                                                                      Thorne GI Relief is a dietary supplement formulated to support digestive health by soothing irritation and promoting the well-being of the gastrointestinal (GI) tract. It combines a blend of botanical extracts known for their calming properties on the digestive system. The soothing effects of THORNE’s GI Relief may help relieve common side effects of GLP-1 medications like digestive tract discomfort and irritation. THORNE prides themselves in being 100% clean with no harmful ingredients or unnecessary fillers. 

                                                                      $38.99
                                                                        
                                                                      THORNE Craving and Stress Support (60qty) Product Image
                                                                      THORNE Craving and Stress Support (60qty)

                                                                      Thorne Craving and Stress Support is a dietary supplement formulated to assist individuals in managing stress, reducing stress-related eating, and promoting a balanced mood. The product combines traditional herbal extracts with essential B vitamins to support overall well-being during stressful periods. Craving and Stress Support may benefit GLP-1 patients by assisting in controlling stress-related eating habits and late-night cravings.

                                                                      $37.99
                                                                        
                                                                      THORNE Berberine (1000mg) (60qty) Product Image
                                                                      THORNE Berberine (1000mg) (60qty)

                                                                      Thorne Berberine 500 is a high-quality dietary supplement featuring berberine, a bioactive compound derived from plants like Berberis aristata (Indian barberry). Berberine may help maintain healthy blood sugar levels and improve insulin sensitivity, making it beneficial for individuals with type 2 diabetes or metabolic syndrome. It has also been associated with modest weight loss, particularly when combined with a healthy diet and exercise regimen making it a great addition to the supplementation regimens of GLP-1 patients. 

                                                                      $39.99
                                                                        
                                                                      THORNE Metabolic Health (120qty) Product Image
                                                                      THORNE Metabolic Health (120qty)

                                                                      Thorne Metabolic Health is a dietary supplement designed to support metabolic function, weight management, and overall wellness. It combines two well-researched botanical extracts—curcumin and bergamot—to target various aspects of metabolic health. THORNE’s Metabolic Health is great for GLP-1 patients with plateaued weight loss, elevated lipids, pre-diabetes, fatty liver, or who want to enhance metabolic outcomes holistically. It supports several areas that align with the goals and potential gaps of GLP-1 therapy, but does not interfere with its receptor activity, making it a great gentle add-on.

                                                                      $56.99
                                                                        
                                                                      THORNE Ferrasorb (iron) NSF Certified for Sport® (36mg) (60qty) Product Image
                                                                      THORNE Ferrasorb (iron) NSF Certified for Sport® (36mg) (60qty)

                                                                      THORNE’s iron contains 36 mg of iron as Ferrochel® ferrous bisglycinate, a gentle, highly absorbable chelated form that’s less likely to cause GI upset compared to other forms. It supports healthy red blood cell formation and oxygen transport and is a good choice for those with iron-deficiency anemia, especially if sensitive to typical iron supplements. THORNE is free of gluten, soy, dairy, and artificial additives. 

                                                                      $24.99
                                                                        
                                                                      THORNE B - Complex #12 (600mcg + complex) (60qty) Product Image
                                                                      THORNE B - Complex #12 (600mcg + complex) (60qty)

                                                                      Thorne B‑Complex #12 is a premium vitamin B complex that includes all eight water‑soluble B vitamins in their ready-to-use (bioactive) forms, plus choline. Long-term GLP-1 use may contribute to B12 deficiency, especially in patients already at risk (e.g., older adults, vegetarians, or those on metformin). B-12 is crucial for red blood cell production which may help reduce fatigue. It also helps maintain nerve function such that supplementing may help stabilize mood, mental clarity, and focus. 

                                                                      $24.99
                                                                        
                                                                      THORNE Basic Nutrients 2/Day (60qty) Product Image
                                                                      THORNE Basic Nutrients 2/Day (60qty)

                                                                      Basic Nutrients 2/Day is Thorne’s streamlined, high-quality daily multivitamin designed to support foundational health in just 2 capsules per day. Multivitamins are important because they help fill nutritional gaps in your diet and support overall health. They aren’t a replacement for a healthy diet, but they are a smart safety net—helping support your body’s needs when real life gets in the way of perfect nutrition. Consider choosing THORNE for their 4 rounds of purity testing and 100% clean ingredients.

                                                                      $37.99
                                                                        
                                                                      THORNE FloraMend Prime Probiotic (5 billion live cells) (30 qty) Product Image
                                                                      THORNE FloraMend Prime Probiotic (5 billion live cells) (30 qty)

                                                                      Thorne FloraMend Prime Probiotic is a shelf‑stable, acid‑resistant probiotic supplement delivered in vegetarian capsules with the highest quality ingredients. Each dose contains 5 billion live bacterial cells, formulated to support gut health, immune function, and even weight management. Taking oral probiotics may help relieve common side effects of GLP-1 medications like occasional diarrhea, constipation, or bloating. Studies of L. gasseri also suggest ~4–5 % average reduction in visceral and subcutaneous fat, along with improvements in weight, BMI, and waist circumference.

                                                                      $52.99
                                                                        
                                                                      THORNE Calcium (250mg) (120qty) Product Image
                                                                      THORNE Calcium (250mg) (120qty)

                                                                      THORNE Calcium is a well-absorbed calcium supplement that combines calcium citrate and calcium malate—two highly bioavailable forms of calcium—to support bone health and prevent deficiency. Calcium is vital for overall health, especially for bones, muscles, nerves, and the heart! Without enough calcium, your body can’t perform these critical functions properly making it a non-negotiable in our supplement regimen. 

                                                                      $25.99
                                                                        
                                                                      NOW Vitamin B-12 Lozenges (5,000mcg - 60qty) Product Image
                                                                      NOW Vitamin B-12 Lozenges (5,000mcg - 60qty)

                                                                      Vitamin B12 is essential in staving off anemia, a common concern bariatric patients face due to impaired nutrient absorption. It supports our energy levels and nerve health, making it a critical supplement for anyone on a GLP-1 drug.

                                                                      $14.99
                                                                        
                                                                      NOW Calcium Citrate Caps (120qty) Product Image
                                                                      NOW Calcium Citrate Caps (120qty)

                                                                      Calcium citrate is especially beneficial for bariatric patients, offering superior absorption that's not dependent on stomach acid. It plays a key role in preventing bone density loss and osteoporosis, making it a non-negotiable part of our supplement regime.  Vitamin D's role in facilitating calcium absorption is vital for maintaining strong, healthy bones and preventing osteoporosis. Given the higher risk of vitamin D deficiency bariatric patients, supplementing with vitamin D is crucial for our bone health and in preventing secondary hyperparathyroidism.

                                                                      $16.99
                                                                        
                                                                      NOW Daily Vits Veg Capsules (120qty) Product Image
                                                                      NOW Daily Vits Veg Capsules (120qty)

                                                                      Multivitamins are a pillar of daily nutritional insurance, filling any gaps in our diet. While they can't replace the rich diversity of a balanced diet, they ensure we're not missing out on essential nutrients, which is especially critical when our nutritional intake falls short.

                                                                      $24.99
                                                                        
                                                                      NOW Probiotic 50 Billion Supplements (50qty) Product Image
                                                                      NOW Probiotic 50 Billion Supplements (50qty)

                                                                      Introducing probiotics into our regimen helps combat the gastrointestinal side effects of GLP-1 medications, such as nausea and diarrhea, making the treatment more tolerable. Beyond easing these symptoms, probiotics support gut health and may even enhance metabolic health, offering a comprehensive benefit to our weight loss efforts.

                                                                      $39.99
                                                                        
                                                                      NOW Iron 18mg Caps (120qty) Product Image
                                                                      NOW Iron 18mg Caps (120qty)

                                                                      Iron helps the body grow and develop. It also helps the body make hemoglobin in red blood cells, which carry oxygen from the lungs to the body, as well as myoglobin, which provides oxygen to muscles. Iron also makes some hormones.

                                                                      $12.99
                                                                        
                                                                      Ondansetron ODT (RX Anti-Nausea Med)

                                                                      IF your prescriber is sending in an RX for ondansetron 4mg ODT (which many of our patients have used as RX-strength anti-nausea medication), please select this option.  If you are unsure, do not select it & we'll send you a link after.

                                                                      $20.00
                                                                        
                                                                      Home Sharps Container 1.5QT

                                                                      Used to dispose of needles / syringes you use to inject with.

                                                                      $7.99
                                                                        
                                                                      GLP-1 Cold Insulated Travel Case (Black) Product Image
                                                                      GLP-1 Cold Insulated Travel Case (Black)

                                                                      A compact and durable insulated travel case designed to keep GLP-1 and other temperature-sensitive medications cool and organized.

                                                                      $14.99

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                                                                      SHIPPING FEE Product Image
                                                                      SHIPPING FEE

                                                                      Please select this option if you would like the medication shipped to you. Cold packages are shipped Monday-Thursday via UPS. By selecting this you, agree with our shipping disclaimer.

                                                                      $30.00
                                                                        
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                                                                      Payment Methods

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                                                                    • If you do not see a thank you confirmation on the next page or get an error (Error 1 -- your card is declining, please try reprocessing with another card, Error 2 - our system issue, please email: clinic@skippackpharmacy.com or text 267-766-0076 to inform us so we can fix it on our end), your submission did not go through and payment is not confirmed. Please keep an eye out in your provided email and check your spam email as well from clinic@skippackpharmacy.com.

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