83%

of Americans are not the weight they'd like to be

Data based on a nationally representative survey of 5,000 American adults. The Shape of America Report, December 2024.

Do you have a specific weight loss medication in mind?

Which GLP-1 are you most interested in?

If eligible, you can choose your preferred option. A provider will review your profile to make sure it's a fit.

What would reaching your goal weight mean for you?

Select all that apply.

What was your sex assigned at birth?

Do you identify as a woman?

How would you describe your ethnicity?

Please select all that apply.

Are you currently pregnant or breastfeeding?

GLP-1 medications are not recommended during pregnancy or while breastfeeding.

What is your height?

Please enter your height in feet and inches.

What is your current weight?

Please enter your weight in pounds (lbs).

Is your current weight the most you have ever weighed?

What is your goal weight?

Please enter your desired weight in pounds (lbs).

Your current BMI falls within a range that may qualify you for weight loss medication

How would you describe your typical daily activity level?

Which of the following have you tried for weight loss?

Select all that apply.

Are you currently taking any prescription medications?

This helps your provider check for potential interactions.

Have you ever been diagnosed with any of the following conditions?

Select all that apply. This information is required to determine your eligibility.

Have you ever experienced any of these symptoms?

This helps your provider better understand your current health so they can recommend the best treatment for you.

Have you been diagnosed with any of the following conditions?

Do you have any known drug allergies?

Have you previously used a GLP-1 medication?

Verified customers

Real results start here

Join other Well RX customers who are loving their progress so far.

Before

After

Sarah, 32

Lost 31 pounds
in 6 months

Well RX customer

Before

After

Roland, 43

Lost 22 pounds
in 7 months

Well RX customer

Before

After

Ashley, 36

Lost 18 pounds
in 4 months

Well RX customer

Medications are part of the Well RX Weight Loss program, which also includes a reduced calorie diet and increased physical activity. Results shared by customers who have purchased varying products, including prescription based products. Results have not been independently verified. Individual results will vary.

To verify eligibility, tell us your date of birth:

A little more about you

Your provider will use this information for your medical record.

Select the state you live in:

This is where your medication will be shipped to, if prescribed.

, how can you be reached?

Our medical team and pharmacy use email and text for patient communication.

You are a strong candidate for medical weight loss treatment.

What is your average resting heart rate?

What is your blood pressure range?

Have you had prior weight loss surgeries?

Well RX providers review every form within 24 hours

Do you have any further information you would like your medical team to know?

Within the last 3 months, have you taken opiate pain medications and/or opiate-based street drugs?

Do any of these apply to you?

We ask because some conditions can determine which treatment types are right for you.

Do any of these apply to you?

We ask because some conditions can determine which treatment types are right for you.

Do any of these apply to you?

We ask because some conditions can determine which treatment types are right for you.

Do any of these apply to you?

We ask because some conditions can determine which treatment types are right for you.

Do any of these apply to you?

We ask because some conditions can determine which treatment types are right for you.

Do any of these apply to you?

We ask because some conditions can determine which treatment types are right for you.