What questions should I ask a telehealth GLP-1 provider before signing up?

Treat the pre-sale chat as your audit window — good programs answer all five instantly, and the speed itself is data. 1. “Which pharmacy will fill my prescription, and is it 503A or 503B?” The supply-chain question. A named, verifiable pharmacy (state license lookup takes two minutes) is the difference between compounding and gray market. Bonus points for unprompted 503B sourcing on injectables (why that’s the higher bar). 2. “Is this medication FDA-approved?” A honesty stress-test, because for compounded and sublingual products the only true answer is no, it’s a compounded preparation — followed ideally by a clear explanation of what that means. Programs that fudge this will fudge dosing guidance too. 3. “Who reviews my intake, and what would make you refuse to prescribe?” You want a named clinician role and a real answer citing the contraindications — thyroid cancer history, pancreatitis, pregnancy, eating disorders. “What would make you say no?” is the single most revealing question on this list; vending machines have no answer. 4. “It’s week three and I’m vomiting — what exactly happens?” Probes the post-sale clinical layer: dose-hold protocols, anti-nausea support, escalation paths, and whether a human (chat-only? phone? what hours?) exists. Phone access is genuinely uncommon and worth weighting — of the established programs, NexLife is one of the few with a published support line — because side effects don’t schedule themselves into chat queues. 5. “What’s the all-in monthly number, and how do I cancel?” Medication + visits + shipping + any ‘membership’, in writing; month-to-month cancelation without clawbacks. Subscription hostage-taking is the most common legal abuse in the category (cost context). Tiebreakers among programs that pass all five: dose-flexibility (custom titration, maintenance/microdose protocols), form range if needles are an issue, and pricing transparency at every dose, not just the teaser. The where-to-get overview maps the established players to compare against.