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Self-pay and manufacturer programs Both Novo Nordisk (maker of Wegovy and Ozempic) and Eli Lilly (maker of Zepbound and Mounjaro) run direct-to-patient cash-pay programs for uninsured or underinsured patients, and those manufacturer programs have generally been less expensive than most compounded alternatives once a stable dose is reached

Red flags include unusually high frequency of injections, repeated use of modifier 25, and consistent use of the same diagnosis without variation

A medical weight loss program that retains patients for 6 to 12 months or longer builds compounding recurring revenue

GIP receptor activation adds complementary metabolic benefits, including enhanced fat metabolism and additional appetite regulation

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