What does the TWL weight loss program include?

The TWL weight loss program includes a medical intake, clinician review, personalized treatment options such as GLP‑1 medications, coaching support, and ongoing progress tracking.

Are the medications for weight loss FDA‑approved?

Yes, some medications like Zepbound™ and Wegovy® are FDA‑approved for weight loss, and others such as Ozempic® and Mounjaro® may be prescribed off‑label for weight loss at a provider’s discretion.

Do I need insurance to join the weight loss program?

No, you can join the program with or without insurance; TWL helps navigate insurance coverage or offers affordable compounded alternatives.

How much weight can I expect to lose?

Weight loss varies per individual, but TWL members using GLP‑1 medications such as Mounjaro® or Zepbound™ have reported average weight loss results of around 15–20% of body weight.

Is the program completely online?

Yes, the TWL weight loss program is delivered entirely online, including consultations, prescriptions, coaching, and support.

Weight Loss FAQ

TWL Membership Overview

What is the Weight Loss Program at TWL?

Your weight-loss journey starts here. After you share a few details and complete an online consultation, the TWL Care Team creates a personalized plan based on your goals and medical needs. Your plan may include GLP-1 medication and coaching when clinically appropriate.
If a GLP-1 medication—such as Zepbound, Wegovy, or Mounjaro—is prescribed, our care coordination team helps you explore insurance coverage or affordable alternatives. Eligible members may also receive semaglutide or tirzepatide shipped directly to their home for added convenience.
You’ll be paired with a dedicated coach and have access to unlimited secure messaging, so support is always within reach. Results vary, and treatments are prescribed based on provider evaluation and individual medical need.
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Take the first step toward feeling healthier and more confident: https://app.topweightlossmed.com/get-started

How do I get started with the TWL Weight Loss Program?

Getting started is simple. You can sign up and see if you’re eligible by answering a few short questions here: https://app.topweightlossmed.com/get-started

What does the first month include, and how much does it cost?
Your first month of membership is currently discounted to $39 and includes personalized medical care, one-on-one coaching, and support from our insurance coordination team to help obtain coverage for prescribed medications when possible. You’ll also have access to affordable compounded medication options if you choose not to use insurance.
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Are medications included in the membership fee?
Medications are not included in the cost of membership. However, if prescribed, compounded GLP-1 medications—such as semaglutide—are available at transparent, affordable pricing, starting as low as $151 per month when purchasing a 3-month supply.
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Our goal is to make weight loss accessible, supported, and sustainable—with clear pricing and expert care every step of the way.

How does TWL personalize my weight loss plan?

We begin by learning more about you. You’ll share information about your health history, current symptoms, and treatment preferences so we can build a complete and secure health profile. This allows your provider to understand your unique needs and create a personalized medical record.
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Using this information, your provider will recommend a weight loss plan tailored specifically to you. With a range of treatment options available, your care plan is designed to support your health goals safely, effectively, and sustainably.

What kind of results can I expect with the TWL Weight Loss Program?

With the right support, meaningful change is possible. Many TWL members work toward losing an average of 15–20% of their body weight over approximately one year by combining GLP-1 medications—such as Zepbound, Mounjaro, Ozempic, or semaglutide—with a personalized weight-loss plan designed around their individual needs. Your journey is fully supported by the TWL Care Team and a dedicated coach who offers guidance, encouragement, and accountability along the way—helping you build healthier habits and confidence for the long term. Results vary from person to person, and weight loss is not guaranteed. Medications are prescribed only when clinically appropriate, and outcomes depend on individual health factors, adherence to the care plan, and provider recommendations.

Who will be overseeing my care at TWL?

Your care is led by qualified medical professionals you can trust. TWL providers are U.S.-licensed and board-certified physicians and nurse practitioners, with clinical experience in weight management and metabolic health.Our providers follow evidence-based medical guidelines and collaborate with industry leaders to design care plans that reflect each member’s unique biology and health history. All treatment decisions are made by licensed clinicians based on medical appropriateness, individual health factors, and professional judgment.

Why choose TWL for safe and effective weight loss?

Your health and safety come first. At TWL, weight loss begins with a thoughtful, medically guided approach designed to support both short-term progress and long-term success.
The TWL Care Team creates a personalized, science-backed program for each member, which may include GLP-1 medications—such as Wegovy, Zepbound, or Ozempic—when clinically appropriate. If medication is prescribed, our care coordination team helps you explore insurance coverage or identify affordable alternatives.
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In addition to medical care, TWL offers personalized coaching to help you build sustainable habits. When combined with appropriately prescribed medication, coaching can play an important role in achieving and maintaining lasting weight loss.
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Results vary, and treatments are recommended only after a provider evaluation. Medications are prescribed based on individual medical needs and are not guaranteed.
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Ready to take the first step? Get started here: https://app.topweightlossmed.com/get-started

What kind of support and communication can I expect from TWL?

You’re never on this journey alone. TWL makes it easy to stay connected with your care team in ways that fit your life:

- Unlimited secure messaging with your provider for questions and ongoing support
- Monthly video or phone visits with your provider for check-ins and guidance
- Secure messaging with your care coordinator through the TWL portal—our team is always here to help.

You’re free to use whichever communication option works best for you at any time, based on your needs, schedule, and comfort level. Availability of services may vary based on clinical appropriateness and provider discretion.

Is the TWL program fully online?

Yes! The TWL Weight Loss Program is fully online, making it easy to get care on your schedule—no in-person appointments required. After you complete your intake, a licensed AM Rx medical provider will review your information and determine the most appropriate weight-loss plan for you, which may include GLP-1 medication when clinically appropriate. You’ll also be matched with a dedicated coach and can message your care team anytime through our secure portal for guidance and support. Treatment recommendations are based on provider evaluation and individual medical need, and results may vary.

Is there a mobile app?

Yes! TWL has a mobile app available on both iOS and Android devices.

Is my medical information private?

Yes. Protecting your privacy is a top priority at TWL. All medical information is handled in accordance with HIPAA regulations and stored using secure, encrypted systems designed to safeguard your data. Access to your information is limited to authorized members of your care team and used only to support your treatment and care.

TWL Weight Loss Medications

What medications does TWL prescribe?

Your care is always personalized. After reviewing your intake and medical history, a licensed TWL provider may prescribe medication if it’s clinically appropriate for you.
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Many members are prescribed GLP-1 medications—such as Zepbound, Wegovy, Ozempic, or Mounjaro—or compounded GLP-1 options like semaglutide or tirzepatide, when eligible. These medications can help reduce appetite and support weight loss by helping you feel satisfied with fewer calories.
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Depending on your individual needs, providers may also recommend other treatment options. All medications are prescribed based on medical evaluation, individual health factors, and provider judgment. Results vary, and medication is not guaranteed.
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Ready to take the next step? Get started here: https://app.topweightlossmed.com/get-started

Does TWL prescribe Zepbound, Wegovy, Ozempic, or Mounjaro?

Yes. TWL’s licensed healthcare providers may prescribe Zepbound, Wegovy, Ozempic, or Mounjaro when clinically appropriate and based on your individual health history and needs. A provider will carefully review your intake form and then evaluate whether one of these FDA-approved medications is a good fit for you.

For members who prefer or need more affordable options, TWL may also offer compounded versions of semaglutide or tirzepatide, when appropriate. All medications are prescribed based on provider evaluation, medical necessity, and individual eligibility. Availability and outcomes may vary.

Is Semaglutide the same as Wegovy and Ozempic?

Semaglutide is the active ingredient in FDA-approved medications like Wegovy and Ozempic, and it can be a more affordable option for some TWL members—especially if insurance doesn’t cover brand-name medications or if you’re uninsured.
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At TWL, we’re committed to making high-quality care more accessible. For clinically eligible members, providers may recommend semaglutide as part of a personalized weight-loss plan. We offer convenient monthly or quarterly shipments, with pricing starting as low as $151 per month, with or without insurance.
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All medications are prescribed only after a provider evaluation and based on individual medical need.

Availability, pricing, and results may vary.
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You can learn more about your options here: http://app.topweightlossmed.com/semaglutide-bundled

Can I purchase multiple months of compound GLP-1?

TWL Weight Loss members can save more when they plan ahead. Members who choose a 3-month supply of semaglutide (the active ingredient in Wegovy) or tirzepatide may receive 20% off, helping make treatment more affordable and accessible.
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With these savings, semaglutide may be available for as low as $151 per month, and tirzepatide for as low as $216 per month, depending on eligibility and treatment plan.
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Because ongoing medical oversight is important while taking prescription medication, AM Rx also offers an additional 20% off your next two months of membership, supporting continued care and follow-up with your provider.
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All medications are prescribed only when clinically appropriate and require active provider oversight. Pricing, availability, and results may vary.
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Get started here:
‍https://app.topweightlossmed.com/patient-portal/weight-loss-treatment/compound

We offer compound GLP-1 like Semaglutide which is the main active ingredient in Wegovy for as little as $151/month. We also offer Tirzepatide which is the main active ingredient in Zepbound for as little as $216/month. We’ll be able to ship compound GLP-1 straight to your door (no prior authorization submission required). Most Zealthy members will start on a compound GLP-1 (semaglutide or tirzepatide), while their care team works with the member’s insurance to see if they’ll be able to cover one of the GLP-1 medications.

If I order a compounded GLP-1 medication, how long will it take to arrive?

We want to help your treatment start as smoothly as possible. To avoid delays, be sure to complete all questions in your intake form and respond promptly if your provider reaches out with any follow-up questions. Once your provider has reviewed your request and, if approved, prescribed semaglutide or tirzepatide, it typically takes 2–7 business days for the pharmacy to process your order and ship it using 2-day delivery.

Most members receive their medication within 2–9 business days after their provider finalizes the treatment plan. Timing may vary based on pharmacy processing, shipping location, and clinical review.

Can you ship the medication to my home?

Yes! For clinically eligible members, TWL can ship compounded GLP-1 medications—such as semaglutide (the active ingredient in Wegovy) or tirzepatide (the active ingredient in Zepbound)—directly to your home for added convenience. We offer both 1-month and 3-month supply options, with pricing starting as low as $151 per month for semaglutide and $216 per month for tirzepatide, depending on your treatment plan. All medications are prescribed by a licensed provider and shipped by a partner pharmacy after provider approval. Availability, pricing, and delivery timing may vary based on clinical review and location

If I order a 3-month supply of semaglutide or tirzepatide, will it arrive in one package?

Members typically receive a three-month supply of semaglutide or tirzepatide in a single shipment. This shipment includes three vials, with each vial containing a one-month supply of medication. Your personalized dosing instructions are always available in your secure TWL portal. All medications are shipped following provider approval. Delivery timelines may vary depending on pharmacy processing and state regulations.

Are GLP-1 medications safe?

GLP-1 medications have been widely studied and are commonly used as part of medically supervised weight-loss care. Some GLP-1 medications—such as Wegovy and Zepbound—are FDA-approved for weight loss and have been shown in clinical studies to help many people lose weight and maintain results when used as directed. Other options, such as compounded semaglutide or compounded tirzepatide, may be prescribed off-label for weight loss when a licensed provider determines they are appropriate based on an individual’s health profile. As with any medication, GLP-1 treatments are not right for everyone. All medications at TWL are prescribed only after a thorough provider evaluation, and safety, potential risks, and benefits are reviewed as part of your care. Individual results and experiences may vary.

Does my membership include medication costs?

Some medications may be included as part of your care, while others are not. For example, certain medications like metformin may be included, while GLP-1 medications are typically not included in the membership fee. If a GLP-1 medication—such as Zepbound, Mounjaro, Ozempic, or Wegovy—is prescribed, TWL's care coordination team will work with you to help explore insurance coverage. Depending on your plan, some members may pay as little as a $25 monthly copay for covered medications. For members who prefer not to use insurance or whose plans do not cover GLP-1 medications, TWL also offers access to compounded options when clinically appropriate. Compounded semaglutide may be available starting at $151 per month, and compounded tirzepatide starting at $216 per month, with shipping included. All medications are prescribed based on provider evaluation, medical necessity, and individual eligibility. Coverage, pricing, and availability may vary.

Are there side effects to GLP-1 medications?

Like all medications, GLP-1 treatments can have side effects, and experiences may vary from person to person. Your TWL provider will work closely with you to select a medication and dosage that aligns with your health history, preferences, and goals. If you experience any side effects, it’s important to log them in your TWL portal so your care team can monitor your response and adjust your treatment if needed. Your provider will review potential risks and benefits with you and is available to support you throughout your care. All medications are prescribed based on provider evaluation and clinical appropriateness.

Will my provider ever deny my prescription?

Your TWL provider’s priority is your safety and long-term success. After reviewing your intake and medical history, your provider will recommend the treatment plan that is most appropriate for you, which may or may not include a specific medication such as a GLP-1. If you have a medication preference, you’re encouraged to share it with your provider through unlimited secure messaging. While preferences are always considered, prescriptions are made based on clinical judgment, medical appropriateness, and individual health factors. Not all medications are right for every person, and prescribing decisions are guided by safety, effectiveness, and your overall health.

Do I need to make changes to my diet?

Healthy changes look different for everyone. If a GLP-1 medication is part of your plan, you may notice reduced appetite or fewer cravings, which can make healthier choices feel more manageable. Your TWL weight-loss coach will work with you to build a balanced, realistic approach to nutrition and physical activity that fits your lifestyle and supports your goals. Any recommendations are personalized and designed to be sustainable—not restrictive. Diet and activity guidance is provided as part of a comprehensive care plan and may vary based on individual needs and provider recommendations.

When will I be charged for semaglutide or tirzepatide?

You’ll only be charged for medication if it’s prescribed. If your TWL provider determines that semaglutide or tirzepatide is clinically appropriate for you, payment is processed after the provider sends the prescription to one of our partner pharmacies for shipment to your home. Once your payment is successful and the pharmacy receives the order, you’ll receive a receipt from our team for your records. Charging and fulfillment timing may vary slightly based on pharmacy processing.

How are GLP-1 medications taken?

GLP-1 medications can be taken in different ways, depending on your treatment plan. Many GLP-1 medications are administered as a once-weekly injection using a very small needle, similar to an insulin pen. These injections are typically given just under the skin, often in the abdomen. In some cases, oral GLP-1 options may also be available and prescribed when clinically appropriate. Your TWL provider will review your recommended treatment plan with you and provide clear instructions on how to take your medication safely. It’s important to follow your provider’s guidance and review your plan in the TWL portal before starting or changing any medication. All medications are prescribed based on provider evaluation and individual medical need.

Insurance Coverage

What is a prior authorization?

A prior authorization (often called a “PA”) is a step some insurance plans require before they agree to cover certain medications, including GLP-1 medications like Ozempic or Wegovy. If a prior authorization is needed, your TWL care coordinator will handle the process for you. This involves submitting clinical information and documentation to your insurance company to request coverage for a medication your provider has prescribed. Prior authorizations are managed before or shortly after your treatment plan is created, and approval decisions are made by your insurance provider. Coverage outcomes and timelines may vary depending on your plan.

Do you accept insurance?

Yes. TWL works with many insurance plans, and our dedicated insurance coordination team is here to support you. If a brand-name GLP-1 medication—such as Wegovy, Ozempic, Zepbound, or Mounjaro—is prescribed, our coordinators will help gather the necessary information and submit a prior authorization to your insurance company to request coverage. When coverage is approved, some members may pay as little as $25 per month in copays, depending on their insurance plan. Approval decisions are made by your insurance provider, and coverage and pricing can vary. If you don’t have insurance or if your plan doesn’t approve coverage, AM Rx also offers access to compounded semaglutide (the active ingredient in Wegovy) and compounded tirzepatide (the active ingredient in Zepbound) when clinically appropriate, providing more affordable options. All medications are prescribed based on provider evaluation and medical necessity. Insurance outcomes and costs are not guaranteed.

Does TWL submit prior authorizations to insurance?

Yes. For eligible members, TWL's insurance coordination team can submit prior authorizations to your insurance company to request coverage for prescribed GLP-1 medications.To keep a prior authorization active, you’ll need to maintain an active TWL Weight Loss membership. This allows your licensed provider to continue monitoring your treatment, ensure your medication remains appropriate, and support your progress over time. Prior authorization approvals and coverage decisions are made by your insurance provider, and outcomes may vary.

How long does it take to hear back about my prior authorization?

Response times can vary by insurance plan, but most prior authorization decisions are received within 2–14 business days. During this time, your insurance company’s clinical team—such as pharmacists or medical reviewers—will evaluate the request. Your TWL care coordinator will keep an eye on the process and notify you as soon as your insurance provider shares an update or next steps. Timing and outcomes are determined by your insurance company and may vary.

What if my insurance denies my prior authorization?

We’re here to support you. If your insurance initially denies a prior authorization, TWL can submit up to three requests on your behalf, depending on your plan and eligibility.
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While waiting for insurance decisions, some members choose to begin treatment with compounded GLP-1 options, such as semaglutide or tirzepatide, when clinically appropriate and prescribed by a provider. This can help you continue moving forward without unnecessary delays.
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All insurance decisions are made by your insurance provider, and coverage is not guaranteed. Medication options and timing are based on provider evaluation and individual medical need.
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If you’d like to explore compounded options, you can get started here:
https://app.topweightlossmed.com/patient-portal/weight-loss-treatment/compound

What if my insurance doesn’t cover my medication?

If your insurance doesn’t approve coverage, you still have options. TWL's care coordination team can help you explore compounded GLP-1 medications, such as semaglutide or tirzepatide, when clinically appropriate and prescribed by a provider. For eligible members, compounded semaglutide may be available starting at $151 per month, and compounded tirzepatide starting at $216 per month. Pricing includes shipping and offers an alternative for those who prefer not to use insurance. All medications are prescribed based on provider evaluation and individual medical need. Availability, pricing, and results may vary.

Do you accept government insurance?

At this time, the TWL's Weight Loss Program is not available to members using government insurance plans, such as Medicare or Medicaid. This helps ensure AM Rx remains compliant with all applicable laws and regulations. We understand this may be disappointing, and we’re committed to expanding access where possible in the future. Eligibility and program availability may change over time

Doctor + GLP-1 Membership Option

What is the TWL Weight Loss Doctor + GLP-1 Plan?

The TWL Weight Loss Doctor + GLP-1 Plan is a bundled option designed to make medically guided weight loss simpler and more accessible. TWL offers two bundle choices, depending on the medication prescribed and your individual needs.
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Semaglutide Bundle:
$217 for your first month, then $297 per month
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Tirzepatide Bundle:
$349 for your first month, then $449 per month
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Each bundle includes ongoing medical care, a provider review, and a written prescription for semaglutide or tirzepatide (when clinically appropriate), and medication shipped directly to your home.
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If your provider determines that a higher dose is medically appropriate beyond standard titration schedules, additional fees may apply. Your provider will review dosing and treatment options with you before any changes are made.
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If you’re found not to be clinically eligible for semaglutide or tirzepatide, you’re eligible for a full refund—no questions asked.
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All medications are prescribed based on provider evaluation, medical necessity, and individual eligibility. Results may vary.
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Learn more about each option here:
Semaglutide Bundled:
‍https://try.topweightlossmed.com/wl-semaglutide-bundled-new2/

Tirzepatide Bundled:
https://try.topweightlossmed.com/tirzepatide-bundled-shopping/

Do I have to pay for medication separately with the Weight Loss Doctor + GLP-1 plans?

No. With the Weight Loss Doctor + GLP-1 bundled plans, your compounded GLP-1 medication is included in your monthly plan cost when it is prescribed and clinically appropriate.
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The Semaglutide Bundle is $217 for your first month, and the Tirzepatide Bundle is $349 for your first month. As long as your membership remains active, your prescribed medication will be shipped directly to your home each month.
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All medications are prescribed by a licensed provider based on medical evaluation and individual eligibility. Pricing and availability may vary.
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Learn more about each option here:
Semaglutide Bundled:
‍https://try.topweightlossmed.com/wl-semaglutide-bundled-new2‍
Tirzepatide Bundled:
https://try.topweightlossmed.com/tirzepatide-bundled-shopping/

What if I'm not eligible for compound GLP-1 medication?

Your safety always comes first. If, after a provider review, you’re determined not to be clinically eligible for compounded GLP-1 medication, TWL offers a 30-day satisfaction guarantee and will issue a refund.
Eligibility is based on provider evaluation and individual medical factors. Our goal is to ensure you receive care that’s appropriate, safe, and aligned with your health needs.

When will my medication be shipped after I complete sign-up?

After you complete your sign-up form, a licensed TWL provider will review your information within 1–2 business days to determine your treatment plan, if you’re eligible. Be sure to watch for any follow-up questions from your provider, as responding promptly can help avoid delays. Once a prescription is approved and sent to the pharmacy, delivery typically takes 5–9 business days to arrive at your preferred address. Shipping timelines may vary based on pharmacy processing and location. All medications are shipped only after provider approval.

Billing

Will my account be billed automatically?

Yes. TWL memberships are billed monthly on the same date as your initial membership charge for convenience and continuity of care. You can cancel your membership at any time.
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Some members may qualify for a 20% membership discount for two months when they purchase a 3-month supply of compounded GLP-1 medication. TWL also offers discounted quarterly, semi-annual, and annual membership options for members committed to their weight-loss journey.
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Billing terms, discounts, and eligibility may vary.
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Ready to get started?
https://app.topweightlossmed.com/get-started?care=Weight+loss&variant=0

How can I update my payment information?

You can easily update your payment details at any time by visiting your secure TWL portal. Simply go to the payment section of your profile using the link below:
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https://app.topweightlossmed.com/patient-portal/profile/update-payment
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If you need help or run into any issues, our support team is here to assist you.

Will my card be charged automatically after I update my payment method?

Yes. Once you update your payment information, the system will automatically retry any pending or failed charges using your new payment method. If you have questions about a charge or need assistance, our support team is available to help.

Do you accept HSA/FSA funds?

Yes. AM Rx accepts HSA and FSA cards as a form of payment for eligible services. You can add or update your payment method at any time through your securTWL x portal using the link below:

https://app.topweightlossmed.com/patient-portal/profile/update-payment

Eligibility of specific expenses may vary based on your HSA/FSA plan.

How do I cancel my account?

You can cancel your membership at any time directly through your TWL portal. Simply go to your profile, select “Manage membership,” then choose “Manage plan” to complete the cancellation.
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You can access your profile here:
https://app.topweightlossmed.com/patient-portal
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If you have questions or need help along the way, our support team is here for you.

Where is my refund?

If your purchase is eligible for a refund and our team has confirmed it has been issued, the funds typically appear back in your account within 7–10 business days, depending on your bank or card issuer. Please note that refunds can only be processed to the original form of payment used at checkout. If that payment method has been closed or canceled, we’re unable to issue a refund to a different account. If you have questions about your refund status or need additional support, you can message your care team through the TWL portal or email us at support@topweightlossmed.com.

Is this a one-time plan?

No. TWL weight-loss memberships are recurring, as ongoing provider oversight is important when using prescription medications and working toward lasting results. That said, you’re always in control—you can cancel at any time through your account.

Can I pause my membership?

At this time, memberships can’t be paused. This is because ongoing provider oversight is important while using prescription medication and following a medical weight-loss plan. That said, you can delay medication shipments directly from your TWL portal by selecting “Manage subscription” on your home page, which can be helpful if you need a short break. If you choose to cancel your membership, please let your provider know so they can guide you on safely discontinuing your medication. Once a membership is canceled, prior authorizations for GLP-1 medications are discontinued, refills are no longer available, and providers are unable to continue monitoring your treatment. If you have questions or need help deciding what’s best for you, your care team is here to support you

Top Weight Loss Med Weight Loss FAQ

TWL Membership Overview

TWL Weight Loss Medications

Insurance Coverage

Doctor + GLP-1 Membership Option

Billing

TWL offers high-quality, comprehensive online care

Top Weight Loss Med
Weight Loss FAQ