Harmonify

Start Your Journey

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Next, you’ll provide some basic information about yourself, your lifestyle, and your medical history. Your doctor will use this information to evaluate your symptoms and, if appropriate, prescribe medication for treatment.

Email

Full Name

By clicking Next button, you accept HarmonifyRx's terms and privacy policy , and you consent to Telehealth.

Security

Secure handling of your personal data

Support

Continued support from your doctor and our care team

Medical advice

Medical evaluation and perscriptions by board-certified physicians

The Basics

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This information helps your doctor determine if you’re eligible for treatment.

What was your sex at birth?

To verify eligibility, tell us your date of birth?

State ( Zip code )

Phone number

As part of our efforts to ensure patient safety, we need to verify your phone number. By giving us your phone number and continuing, you agree that HarmonifyRx may send text messages to you to verify your phone number and for any other lawful purpose related to your HarmonifyRx account and your use of our services, including order confirmations, shipment notifications, and messages from your provider. Message and data rates may apply. Message frequency varies. Reply HELP for help. Reply STOP to opt out.

Calculate BMI

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Please input your height in Feet and Inches, and your weight in pounds (lb). We will then calculate your BMI before you proceed. If your BMI is less than 27, you may not be eligible for treatment with us.

Height

Weight

BMI

Medical Agreement

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Please read and confirm the following statements before submitting:

Am 18 years or older
Have not had a hypersensitivity reaction to semaglutide or any component of the formulation
Don't have a personal or family history of medullary thyroid carcinoma (MTC) or a history of Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
Do not have type 1 diabetes or diabetic ketoacidosis
Have not had bariatric surgery
Am not pregnant or breastfeeding
Do not have kidney or liver impairment

Do you have any special health conditions or concerns? If yes, please describe them below:

No, I have no special health conditions or concerns.

Yes, I have some health issues and would like to describe **all** of them.

Medical Agreement

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Attest that I will be using this medication as prescribed and for my own personal use

Understand and am aware of the monitoring parameters for A1C levels and am completing the lab work as required

Don't have a personal or family history of medullary thyroid carcinoma (MTC) or a history of Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).

Am aware and understand the symptoms of thyroid tumors (e.g., a mass in the neck, dysphagia, dyspnea, persistent hoarseness).

Understand and am aware that HarmonifyRx has a boxed warning that indicates it is unknown whether semaglutide causes thyroid C-cell tumors.

Understand and am aware this medication slows gastric emptying, which can alter the absorption of other medications

Understand this medication has shown incidence of acute kidney injury, diabetic retinopathy, gallbladder disease, gastrointestinal side effects, and pancreatitis

Understand psychiatric effects have occurred, such as suicidal thoughts, with other medications for weight management

Understand and am aware that prolonged ingestion with excessive doses may result in dental fluorosis and/or osseous changes

Understand that only major drug interactions are listed and have not been reviewed against the other medications, supplements, or herbal products I may be taking unless also filled by HarmonifyRx

Understand that HarmonifyRx does not provide medical care and the providers who use HarmonifyRx to provide telehealth services (“Telehealth Providers”) should not replace your primary provider.

Understand that the Telehealth Providers are not able to: (1) monitor ongoing health or lab values for side effects or efficacy, (2) observe how you (or your pet) tolerate any prescribed treatment, or (3) determine if the prescribed treatment is working as intended and assume any risks associated with this modality of care and waive any claim I may have in the future against HarmonifyRx and/or the Telehealth Providers.

Understand that by using this site, I have created a patient-client-doctor relationship and I am being directed by the Telehealth Providers to consult my primary provider soon after beginning any treatment prescribed by the Telehealth Providers.

Understand that this is a supplemental mode of care for your convenience and the Telehealth Providers are not to be used, or relied on, as a replacement for in-person follow-up visits or interactions with your primary provider.

And I acknowledge that my physician visit is complete and I will follow up with my primary care provider as required.

By clicking Next button, I confirm that I have read, understood, and agree to the statements above, and I accept the conditions outlined.

Semaglutide Type Selection

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Semaglutide Injection - Dose 1 = 0.25 mg/week

1 ml per month

Billed and shipped monthly for:

$199 $299

Semaglutide Oral - 0.5 mg/daily

1 x 15mL Vial per month

Billed and shipped monthly for:

$199 $299

Semaglutide Tablet - 0.5 mg/daily

15 mg per month

Billed and shipped monthly for:

$199 $299

Check Your Plan

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Start Your Journey

The Basics

Calculate BMI

Medical Agreement

Medical Agreement

Semaglutide Type Selection

Check Your Plan

Prescription Dosing

Successfully Saved

Congurulations , you pre-qualify!