Luxe Quick RX

Luxe Med • Quick Rx

Quick Prescription Request

Submit a streamlined request for up to 2 non-controlled prescription evaluations. Complete your information, symptoms, medication request, and pharmacy details below.

For straightforward, non-emergency concerns only. Submission and payment do not guarantee that a prescription will be issued.

Select Your Request Type

Choose 1 or 2 medication requests. Your total updates automatically.

Total Due: $30

Patient Information

Pharmacy Information

Symptoms + Medication Request

Please describe your symptoms clearly. Requests are reviewed individually and are not guaranteed.

Consent

Your request is not reviewed until payment is completed.
✓

Request Submitted

Your intake has been received successfully. You are now being redirected to secure payment to complete your Quick Rx request.

Amount Due: $30
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Treatment Process

  • Registration ($100 fee) includes all appointments (e-consultation or phone consultation), shipping, and supplies for the program.
  • Invoices for the registration fee, questionnaire, and consent forms will be emailed.
  • Program payment invoice will be sent.
  • Injections will be ordered, and dosage and administration instructions will be provided via email.
  • A progress appointment will be scheduled (e-consultation or phone consultation) three weeks later to go over your results and determine next steps in your transformation.

Getting Started

This weight loss program is offered on a monthly basis. A provider will prescribe Semaglutide or Tirzepatide and guide you on how to self-administer the injections at home.

Treatment Process

  • Registration ($100 fee) includes all appointments (e-consultation or phone consultation), lab work, shipping, and supplies for the program.
  • Invoices for the registration fee, weight loss questionnaire, and consent forms will be emailed.
  • Bloodwork will be ordered through Quest Diagnostics once forms are submitted and the deposit is paid.
  • Lab results and the program payment invoice will be sent.
  • Medication will be ordered, and dosage and administration instructions will be provided via email.
  • A progress appointment will be scheduled (e-consultation or phone consultation) three weeks later to go over your results and determine next steps in your transformation.