Tennessee

No — Tennessee allows asynchronous-first care. A Tennessee-licensed provider can review your intake by secure message and, if appropriate, prescribe semaglutide without a scheduled video call, provided the standard of care is met. Your provider may request a brief video visit or additional information only if your history calls for it.

Start with Pallas's online intake, which takes under five minutes and covers your health history, weight-loss goals, and current medications. A clinician licensed in Tennessee reviews your intake — asynchronously by secure message in most cases, since Tennessee does not require a video visit — and, if a GLP-1 is clinically appropriate, sends your prescription to a US-licensed pharmacy that ships free to any Tennessee address, typically within 2–3 business days.

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

Complete the same online intake used for semaglutide, noting tirzepatide as your preferred medication. A Tennessee-licensed clinician reviews your history and, if appropriate, prescribes it — either compounded tirzepatide, prepared per-patient by a US-licensed §503A pharmacy based on a documented clinical rationale, or an FDA-approved brand like Zepbound^® or Mounjaro^® (Eli Lilly), available cash-pay through the same intake. Your clinician will discuss which option fits your history; the two are not interchangeable, and choosing between them is a clinical decision.

Yes, within the limits of Tennessee's nurse practitioner scope of practice. Tennessee is a restricted-practice state — a nurse practitioner needs a certificate of fitness from the Tennessee Board of Nursing and a collaborating physician named on the prescription (Tenn. Code Ann. §63-7-123). Physicians licensed in Tennessee can prescribe independently. Every Pallas prescription for a Tennessee patient is written by a Tennessee-licensed physician or, where applicable, a nurse practitioner practicing within these requirements.

Several licensed telehealth platforms serve Tennessee residents seeking compounded semaglutide. Before choosing one, verify that its clinicians are licensed in Tennessee, that it dispenses through US-licensed §503A compounding pharmacies, and that it carries LegitScript certification — checkable in LegitScript's public database. Pallas Health serves Tennessee residents, works only with US-licensed pharmacies, and is LegitScript Healthcare Merchant Certified.

TennCare covers certain GLP-1s for FDA-approved diabetes indications with prior authorization. Coverage for weight-management indications is limited. Compounded GLP-1s are not covered. Pallas is a cash-pay telehealth service, so TennCare rules do not affect our pricing.

No. Under Tennessee Board of Medical Examiners rules, the prescribing provider must hold an active Tennessee medical license when treating a patient located in Tennessee. Every Pallas clinician who treats Tennessee patients is individually licensed in Tennessee.

Most Tennessee patients receive their medication within 2–3 business days of the pharmacy filling the prescription. Nashville, Memphis, Knoxville, and Chattanooga typically ship fastest; rural counties may take an extra day.

Eligibility is always decided by a Tennessee-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 Tennessee-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 Tennessee-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 Tennessee Board of Medical Examiners 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 Tennessee address, usually within a few 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 Tennessee 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 Tennessee 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 Tennessee 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 Tennessee during intake.

Coverage of GLP-1 medications for weight loss through TennCare is limited. TennCare (Tennessee Medicaid) covers GLP-1s for type 2 diabetes with prior authorization. Coverage for weight-management indications is limited. Compounded GLP-1s are not covered. Pallas is a cash-pay telehealth service — we do not bill TennCare or private insurance. Pricing is flat and disclosed up front; the cost questions on this page carry current plan terms.

Losing coverage doesn't have to interrupt treatment. Pallas is cash-pay — no insurance required — with two paths in Tennessee: staying on FDA-approved brand-name Wegovy^® or Zepbound^® at flat cash-pay pricing from $1069/mo, or, when a clinician licensed in Tennessee determines it is clinically appropriate for you, a compounded semaglutide or tirzepatide plan at a lower price point (current terms are in the cost questions on this page). During intake, tell your clinician what you are taking now and your current dose — 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 Tennessee weighs your history, goals, and budget to recommend a starting point.