PAYMENT FORM-Wegovy Tablets
  • WEIGHT LOSS TABLETS PAYMENT FORM

    Please complete this form to order your Wegovy Tablets. 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***
  • PATIENT INFORMATION (REQUIRED)

  • Birthdate*
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  • Is this your first time ordering tablet formulation or are you getting a refill or additional fill? *Please note: This question is for informational purposes only and does not indicate that we will conduct a detailed medical review. We fill prescriptions exactly as written by your provider. As we do not have access to your full medical history or medication list, we rely solely on the information provided in the prescription.
  • YOUR HEALTH GOALS & SUPPORT (OPTIONAL)

    This information is optional, but it helps us better support you on your journey.
  • What are you primarily using compounded GLP medications for? (Select all that apply)
  • What was your most recent A1C
  • How else can we support you on your journey with this medication? (Select all that apply)
  • 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.
  • How do you want to receive the medication when ready?*
  • Date Submitted
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  • Refill Reminder / Feedback Date NOTIFICATION
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  • How Many Months Supply Are You Paying For? If you want a multiple month supply, your doctor must send in a script with a quantity written as 60 or 90. Please note, once your order leaves our pharmacy, we’re unable to offer returns or refunds.*
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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
  • Important Payment & Coupon Notice: Wegovy tablets are processed through a manufacturer savings programs. Additional coupons, discount cards, or promotional offers cannot be applied to this order.

  • My Products*

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    ORAL TABLETS
    Body IQ
    GLP-1 Support
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                    ORAL TABLETS
                    Wegovy 1.5 mg tablet

                    One bottle = 30 tablets (1 month supply)

                    $149.00$149.00
                      
                    Wegovy 4 mg tablet

                    One bottle = 30 tablets (1 month supply).

                    $149.00$149.00
                      
                    Wegovy 9 mg tablet

                    One bottle = 30 tablets (1 month supply).

                    $299.00$299.00
                      
                    Wegovy 25 mg tablet

                    One bottle = 30 tablets (1 month supply).

                    $299.00$299.00
                      
                    InBody Scan (FREE FIRST SCAN) Product Image
                    InBody Scan (FREE FIRST SCAN)
                    Free$ Free
                      
                    Stelo CGM, 1-month supply (1 box, 2 sensors) Product Image
                    Stelo CGM, 1-month supply (1 box, 2 sensors)
                    $79.99$79.99
                      
                    SHIPPING FEE. Please select this option if you would like the medication shipped to you.
                    SHIPPING FEE

                    Please select this option if you would like the medication shipped to you. 

                    $10.00$10.00
                      
                    Body IQ
                    InBody Scan (FREE FIRST SCAN) Product Image
                    InBody Scan (FREE FIRST SCAN)
                    Free$ Free
                      
                    Stelo CGM, 1-month supply (1 box, 2 sensors) Product Image
                    Stelo CGM, 1-month supply (1 box, 2 sensors)
                    $79.99$79.99
                      
                    Stelo CGM, 3-month supply (3 boxes, 6 sensors). Normally priced at $297 for 6 sensors
                    Stelo CGM, 3-month supply (3 boxes, 6 sensors)

                    Normally priced at $297 for 6 sensors

                    $239.99$239.99
                      
                    InBody Scan (1 scan). After your intiial free scan, click this for additional scans.
                    InBody Scan (1 scan)

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

                    $30.00$30.00
                      
                    InBody Scan (3 scan punch card). Normally priced at $150/3 scans
                    InBody Scan (3 scan punch card)

                    Normally priced at $150/3 scans

                    $75.00$75.00
                      
                    InBody Scan (6 scan punch card). Normally priced at $300/6 scans
                    InBody Scan (6 scan punch card)

                    Normally priced at $300/6 scans

                    $135.00$135.00
                      
                    InBody Scan (12 scan punch card). Normally priced at $600/12 scans
                    InBody Scan (12 scan punch card)

                    Normally priced at $600/12 scans

                    $240.00$240.00
                      
                    GLP-1 Support
                    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.
                    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$38.99
                      
                    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.
                    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$37.99
                      
                    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.
                    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$39.99
                      
                    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.
                    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$56.99
                      
                    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.
                    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$24.99
                      
                    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.
                    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$24.99
                      
                    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.
                    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$37.99
                      
                    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.
                    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$52.99
                      
                    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.
                    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$25.99
                      
                    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.
                    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$14.99
                      
                    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.
                    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$16.99
                      
                    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.
                    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$24.99
                      
                    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.
                    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$39.99
                      
                    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.
                    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$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$20.00
                      
                    SHIPPING FEE. Please select this option if you would like the medication shipped to you.
                    SHIPPING FEE

                    Please select this option if you would like the medication shipped to you. 

                    $10.00$10.00
                      
                    Total
                    $0.00$0.00

                    Payment Methods

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                    After submitting the form, you will be redirected to Afterpay to complete the payment.
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