This form is for current IV MD members requesting a EZ GLP medication refill.
GLP Medication Refill Form
Thank you for requesting a GLP medication refill. Please click the following link for your medications and consent form.Once completed we will order your requested refill. One of our team members may contact you regarding your sumitted information prior to placing your refill order.
Please read the information carefully and provide your consent for participation in the IV MD ME Weight Loss Program, including the use of compounded semaglutide, tirzepatide, and retratrutide.
Oops, there was an error sending your message. Please try again later.
HOURS
Monday, Tuesday, Wednesday, Friday: 10-6
Saturday: 9-4
Sunday & Thursday: Closed
A 3% PROCESSING FEE
WILL APPLY TO ALL CREDIT CARD / DEBIT CARD PURCHASES.
Financing Available
FSA & HSA payments accepted
Louisiana State Board of Medical Examiners requires each individual to undergo a brief medical consultation performed by a licensed physician or authorized practitioner prior to engaging in IV Hydration and other vitamin therapies. a doctor-patient relationship must be established to determine eligibility and appropriateness for the administration of IV Hydration Therapy. This $30 Medical consultation will cover each person for one calendar year (January 01-December 31) for all iv & injectable vitamin therapy services offered by IV MD.We follow all state and federal mandates to ensure only the safest and most effective care for all of our clients and staff.
you may read the LSBME statement of position in its entirety located in the resources section above or visiting the LSBME website directly at:lsbme.la.gov
All services provided have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. The material on this website is provided for informational purposes only and is not medical advice. Always consult your physician before beginning any treatment or therapy program. Any designations or references to therapies are for marketing purposes only and do not represent actual products.