FAQ's About Insurance Coverage

Getting your weight loss medication covered by your healthcare insurance provider.
You’re assigned a dedicated insurance and clinical team the same day you apply. They create your full prior-authorization case — including a detailed physician note, medical justification, and follow-up appeals if needed. Your $99/month membership also covers dose adjustments, side-effect support, re-authorizations, and rapid access to our medical team.
If your request is denied, your $99 credit applies toward any compounded GLP-1 vial, so you can begin treatment right away without losing value.
We handle prior authorizations for all major brand-name GLP-1s: Wegovy® (semaglutide) · Ozempic® (semaglutide) · Mounjaro® (tirzepatide) · Zepbound™ (tirzepatide)
Yes. Medicare may approve coverage under certain conditions, such as: • Moderate-to-severe sleep apnea • Cardiovascular disease (heart attack, stroke, TIA, PVD) • Fatty liver disease with cirrhosis Our team identifies these qualifying diagnoses and builds the documentation required for approval.
At this time, we don’t process Medicaid prior authorizations, but our team can help you start with compounded medications at a reduced cash price.
Most cases are approved within 3–7 business days, depending on your insurer’s response. You’ll receive real-time updates from your concierge team.
No service can guarantee coverage, but our approval rate is among the highest because each submission includes custom clinical documentation—not generic form letters.
Once approved, your prescription is sent to the brand-name manufacturer’s preferred pharmacy (or Lilly Direct). You’ll then pay only your insurance copay for medication. We continue to manage renewals and dose changes through your $99 membership.
No. The entire process is 100 % online. You’ll complete a brief intake, and our licensed clinicians handle everything else.
Yes. Many patients begin on compounded vials, then transition once insurance coverage activates. We manage that switch seamlessly.

FAQ's About Weightloss Compounds

Understanding DrBrainRX's easy weight-loss compound prescription process.
Yes — same active ingredients (semaglutide / tirzepatide) from regulated compounding pharmacies.
No — cash-pay only.
Most orders deliver in 2–3 days.
Yes — clinician-guided titration included.
Yes. Your medication is prepared in USP-regulated 503B compounding pharmacies that follow the same sterile testing standards as commercial manufacturers. Each lot is potency-verified before release.
They contain the same active ingredient (semaglutide or tirzepatide) but are dispensed from a licensed compounding pharmacy instead of a retail brand like Wegovy® or Mounjaro®. The main difference is price and access speed—no insurance or shortages.
Most orders ship within 72 hours of clinical approval and arrive 2–3 business days later in temperature-controlled packaging.
Each vial includes clear instructions for dosing and injection. Our team provides a quick video guide and written tutorial, and you can message us anytime if you have questions.
No. Everything is 100% online. You complete a secure intake form, and a licensed clinician reviews your chart before prescribing.
Typical patients lose 10–20% of their body weight over 6–12 months with healthy nutrition and activity. Individual results vary.
Yes. You can adjust or pause anytime—our clinicians help titrate your dose safely to manage side effects or maintain results.
Yes. We offer low-dose “micro” GLP-1 options for patients focused on metabolic health, mood, or longevity rather than major weight loss.
Most are mild and temporary (nausea, fullness, constipation). Your clinician reviews side-effect management and dose timing before you start.
If your clinician decides GLP-1s aren’t appropriate, you’ll get a full credit toward a consult for other peptide or metabolic programs (Strong Brain™ or Sexy Brain™).

 FAQ — Zepbound™ via Lilly Direct

You pay DrBrainRx $99 / month for ongoing care (dose management, side-effect support, refills). The medication cost is paid directly to Lilly Direct, Eli Lilly’s official pharmacy.
2.5 mg vial – $349 • 5–15 mg vials – $499 (≤ 44 days; $650 if later)
Most patients maintain excellent results at 5 mg.
Yes — fulfilled exclusively through Lilly Direct, Eli Lilly’s official distribution channel.
No — this program is cash-pay only. Want coverage? Our Insurance Concierge team can submit a prior authorization for you.
Both contain tirzepatide. Zepbound™ is brand-name FDA-approved; our compounded version costs $299 + $25 / month and is dispensed from USP-regulated 503B pharmacies.
Most approvals in 1–3 business days; delivery from Lilly Direct in 5–7 days.
Clinical trials show average 21 % body-weight loss at 72 weeks with tirzepatide. Individual results vary.
Yes — the $99 membership includes clinician support, dose titration, and rapid-response messaging.
Yes — we can transition you between programs anytime without interrupting care.