Oral Weight Loss Refill Request

When you need a refill complete the online form below and let us know how things are going! We can make changes to your plan and if you would like to talk with someone about your progress or making changes just indicate that on the form and we can get that set up! Please allow 48-72 hours for us to go over your responses and approve the request. If we have any questions, no worries, we will contact you. Your card will not be charged until after we approve your refill request. Thank you!!