New York

Start Pallas's online intake — it takes about 5 minutes and covers your health history, goals, and current medications. A New York-licensed clinician reviews it, and because New York allows asynchronous-first care for non-controlled medications like GLP-1s, that review can happen by secure message without a scheduled video call, unless your history calls for one. If a GLP-1 is clinically appropriate, your clinician prescribes it, and a US-licensed pharmacy ships your medication to any New York address within a few business days.

The process is the same as for semaglutide — complete Pallas's online intake, and a New York-licensed clinician reviews it, asynchronously in most cases, since New York allows telehealth providers to establish care and prescribe without a live video visit when the standard of care is met. If appropriate, your clinician can prescribe compounded tirzepatide, prepared per-patient by a US-licensed §503A compounding pharmacy based on a documented clinical rationale, or an FDA-approved brand-name option like Zepbound^® or Mounjaro^®, through the same intake. These are distinct products with different regulatory status; your clinician will explain which fits you.

Yes — compounded semaglutide is available to eligible New York residents through licensed telehealth. It is prepared per-patient by US-licensed compounding pharmacies under FDCA §503A, and a New York-licensed clinician must prescribe it based on a documented, patient-specific clinical rationale. Pallas serves New York with free shipping. FDA-approved brand-name options like Wegovy^® and Zepbound^® are also available through the same intake.

Yes. New York nurse practitioners with more than 3,600 hours of practice experience prescribe without any written physician agreement under the Nurse Practitioner Modernization Act; newer NPs prescribe under a written collaborative agreement with a physician. GLP-1s are not controlled substances, so the full process — intake, prescription, and refills — can happen through telehealth. Every Pallas clinician who treats New York patients holds an active New York license.

Several licensed telehealth platforms serve New York residents seeking compounded semaglutide. Before choosing one, verify that its clinicians are licensed in New York, that it works with US-licensed §503A compounding pharmacies, and that it holds LegitScript Healthcare Merchant Certification — you can check any platform's certification status in LegitScript's public database. Pallas serves New York residents and is LegitScript Healthcare Merchant Certified.

No — New York is asynchronous-first for non-controlled medications like GLP-1s. A New York-licensed provider can review your secure-message intake and, if appropriate, prescribe semaglutide without a scheduled video call, as long as the standard of care is met. Your provider may request a brief video visit or additional information only if your history calls for it.

Most New York patients complete online intake in about five minutes, and a New York-licensed clinician typically reviews it within 1–2 business days, since New York allows asynchronous-first care for non-controlled medications like GLP-1s. If semaglutide is clinically appropriate, your prescription goes to a US-licensed pharmacy, which ships to any New York address in 2–3 business days after filling. An incomplete intake, a missing ID or photo, or a clinician requesting a follow-up visit can add time — there is no guaranteed timeline, since review depends on your individual history.

Yes — telehealth access through Pallas is the same across New York, whether you're in New York City, Buffalo, Rochester, Yonkers, Syracuse, Albany, or a smaller community upstate or in the Hudson Valley. A New York-licensed clinician reviews every intake the same way regardless of ZIP code, and licensed partner pharmacies ship both compounded medications and FDA-approved brands like Zepbound^® to any New York address — patients in New York City and Long Island typically receive medication fastest, within 2–3 business days of the pharmacy filling the prescription, and upstate or rural ZIP codes may take an extra day. Distance from a major metro does not change your eligibility or your care.

Several telehealth providers prescribe tirzepatide to New York residents. Before choosing one, verify that its clinicians hold an active New York medical license, that it works with US-licensed §503A compounding pharmacies (or offers FDA-approved Zepbound^®/Mounjaro^® as the brand-name option), and that it carries LegitScript Healthcare Merchant Certification — checkable in LegitScript's public database. Pallas serves New York residents and is LegitScript Healthcare Merchant Certified.

New York Medicaid covers GLP-1s including Wegovy^® for weight management, typically subject to step therapy and prior authorization. Compounded GLP-1s are not covered. Pallas is a cash-pay service, so Medicaid rules do not affect our pricing.

Pallas is a cash-pay telehealth service — there is no insurance to bill. Your Pallas Membership covers your clinician's review, ongoing check-ins, and care-team messaging; the medication is billed separately and ships free to your New York address, only when a clinician prescribes it. You see your full price during intake before you pay anything — no surprise renewal markups. The price is the same whether you are in New York City, Buffalo, or a rural upstate ZIP code.

Eligibility is always decided by a New York-licensed clinician after reviewing your full intake, never by an automated quiz. In general, GLP-1 medications for weight management are considered for adults with a BMI of 30 or higher, or a BMI of 27 or higher together with a weight-related condition such as high blood pressure, type 2 diabetes, high cholesterol, or obstructive sleep apnea. Your clinician also reviews your medical history and current medications to confirm a GLP-1 is appropriate and safe for you, and will tell you if it is not.

Brand-name medications — Wegovy^® and Ozempic^® (semaglutide) and Zepbound^® and Mounjaro^® (tirzepatide) — are FDA-approved products from their manufacturers, offered cash-pay. Compounded semaglutide and tirzepatide are prepared on a per-patient basis by US-licensed compounding pharmacies, regulated under federal law (FDCA §503A) and by state boards of pharmacy, when a clinician documents a patient-specific clinical need. While these pharmacies are highly regulated, the compounded medications themselves are not FDA-approved, are not generic versions of brand-name drugs, and have not been evaluated by the FDA for safety, efficacy, or quality. Which option fits you is a clinical decision you make with your New York-licensed provider.

Yes, many patients transfer their care to Pallas. During intake you tell your clinician which medication and dose you take now and how you have tolerated it. Your New York-licensed provider reviews that history and, if appropriate, continues you at a comparable dose or adjusts your titration plan. Do not stop or change a prescription on your own — let your clinician guide any transition.

Most patients use a once-weekly injection with a very fine needle, but a compounded oral semaglutide tablet is available for people who would rather not inject. Both are prescribed only after a clinician confirms they are appropriate for you, and your provider can help you weigh which form fits your routine and goals.

The most common side effects are gastrointestinal — nausea, constipation, diarrhea, or reflux — and they are usually mildest when the dose is raised slowly, which is why clinicians titrate up gradually. GLP-1s are not right for everyone; they are avoided in people with a personal or family history of medullary thyroid carcinoma or MEN2, and during pregnancy. Your Pallas clinician screens for these before prescribing and stays available to help you manage any side effects.

You complete a detailed online intake in under five minutes, sharing your health history, goals, and current medications. A clinician licensed by the New York State Education Department reviews it asynchronously in most cases — no live video required — and may follow up by secure message or request labs if your history calls for it. If a GLP-1 is appropriate, your prescription goes to a licensed pharmacy that ships to any New York address, usually within 2–3 business days.

Pallas care is ongoing, not a one-time script. Your plan renews on a regular cadence so your medication arrives before you run out, and your clinician schedules check-ins to monitor your response, adjust your dose, and manage side effects. You can message your care team, change your plan, or cancel anytime from your patient portal — no phone calls or retention hoops.

Compounded semaglutide injection through Pallas is $139 for your first month, then $597 every 12 weeks ($199/mo average). Cancel anytime. That one plan price includes your US-licensed provider, ongoing check-ins, dose adjustments, and unlimited care-team messaging — no separate membership fee. Medication ships free to any New York address, only if a clinician prescribes it, and you are refunded in full if a clinician decides treatment isn't right for you.

Compounded tirzepatide injection through Pallas is $179 for your first month, then $897 every 12 weeks ($299/mo average). Cancel anytime. That one plan price includes your US-licensed provider, ongoing check-ins, dose adjustments, and unlimited care-team messaging — no separate membership fee. Medication ships free to any New York address, only if a clinician prescribes it, and you are refunded in full if a clinician decides treatment isn't right for you.

Yes. FDA-approved Wegovy^® and Zepbound^® for chronic weight management — plus Ozempic^® and Mounjaro^® for type 2 diabetes — are available to New York patients cash-pay from $1069/mo; insurance is not billed. Whether a brand-name or compounded medication is appropriate for you is determined by a clinician licensed in New York during intake.

In some cases, yes — with conditions. New York Medicaid covers GLP-1s including Wegovy^® for weight management, typically subject to step therapy and prior authorization. Compounded GLP-1s are not covered. Pallas is a cash-pay telehealth service — we do not bill Medicaid or private insurance. Pricing is flat and disclosed up front; the cost questions on this page carry current plan terms.

You have two cash-pay paths in New York, and neither requires insurance. One: stay on FDA-approved Wegovy^® or Zepbound^® at flat cash-pay pricing from $1069/mo. Two: if a clinician licensed in New York determines it is clinically appropriate for you, a compounded semaglutide plan ($139 for your first month, then $597 every 12 weeks ($199/mo average). Cancel anytime.) or compounded tirzepatide plan ($179 for your first month, then $897 every 12 weeks ($299/mo average). Cancel anytime.), prepared per-patient by a US-licensed pharmacy under FDCA §503A. There is no gap in care: start the online intake, tell your clinician what you take now and your current dose, and they factor that history into your treatment plan and starting dose. Our guide to switching GLP-1 telehealth providers on the Pallas blog covers records, timing, and what to expect.

That is a decision you make with your clinician. Semaglutide activates the GLP-1 receptor; tirzepatide activates both the GLP-1 and GIP receptors. In the SURMOUNT-5 head-to-head trial of the FDA-approved products, Zepbound^® (tirzepatide 10 mg or 15 mg weekly) produced greater average weight loss than Wegovy^® (semaglutide 1.7 mg or 2.4 mg weekly) — 20.2% versus 13.7% of body weight over 72 weeks. Wegovy^®'s maximum dose is now 7.2 mg weekly, which was not studied in SURMOUNT-5; in the separate STEP UP trial it reached 18.7% average weight loss over 72 weeks. Clinical trial outcomes for the FDA-approved products have not been established for compounded preparations. Individual results vary. Semaglutide plans cost less and semaglutide has the longer post-market record; a clinician licensed in New York weighs your history, goals, and budget to recommend a starting point.