Switching GLP-1 Providers Without a Gap

The order to do it in

1. Count your remaining doses and find your next billing date. Everything else keys off these two numbers. If you bill every 23 days rather than monthly, note that too.
2. Read your current provider's cancellation terms. Specifically: does cancelling before shipping get you a refund, and is there a non-refundable clinical fee? The table below has what we could verify.
3. Start intake with the new provider. Do this while still supplied. Approval times vary from same-day to several days, and shipping adds 1–8 business days depending on the provider.
4. Tell the new prescriber your exact current medication and dose. Do not assume they will continue it. Some restart titration, and switching molecules almost always means restarting because semaglutide and tirzepatide use entirely different dose scales.
5. Cancel only once the new medication is in hand. Respect any notice period — Willow, for example, asks for requests at least two business days before your next processing date.
6. Keep the old medication until the new supply arrives. Do not discard anything you have already paid for on the assumption the switch will go smoothly.

The terms worth knowing about in advance

The shipping cutoff

This is the single most important line in most policies. Before the pharmacy fills your order you can often get everything back; after it ships, frequently nothing. Coby Health and Aspire Health both state medication sales are final once shipped.

Non-refundable clinical fees

Coby Health deducts a $50 non-refundable visit and clinical fee from any refund. Aspire Health treats consultation fees as non-refundable once a clinical review has occurred. Both are disclosed — which is better than silence, but plan for it.

Prepaid multi-month plans

The discounts that make annual plans attractive are exactly what makes leaving expensive. TrimRx's $99/mo and Fridays' $150/mo both require twelve months up front. Check what happens to the unused balance before committing.

Notice periods

Willow asks for cancellation requests at least two business days before your next processing date. Missing that window means another charge.

Automatic dose escalation

Citizen Meds states subscription patients automatically receive monthly dosage increases unless they request otherwise — which also raises the price. Worth checking before an auto-renewal you meant to cancel.

Switching for the right reason

Your price keeps rising

You are on a dose-linked programme. Switch to a flat-price one where the cost does not change as you titrate — see providers without membership fees and the flat-pricing group on the providers hub.

Your provider stopped offering compounded medication

Increasingly common. Rather than hunting for another compounder, price the approved product — it may now cost about the same. See compounded GLP-1 legal status.

You moved

Licensure follows where you physically are. Check availability by state — and note that nationwide prescribers plus manufacturer-direct pharmacies work from anywhere.

You got insurance, or found out you had coverage

Stop paying cash. A provider that handles prior authorization may convert a $1,000 medication into a $25 copay — see providers that take insurance.

Side effects, not price

Talk to your current prescriber first. Slowing titration or holding at an intermediate dose often resolves it, and switching providers does not change the molecule. See managing side effects.

Frequently asked questions