Transparent Cash-Pay GLP-1 Weight Loss Pricing
Simple. Affordable. Clinician-Led Care.
At Silence Medical PLLC, we reject high-volume "pill mills" and hidden monthly subscription traps. Your care is managed 1-on-1 by Alexis N. Silence, MSN, FNP-C, APRN, focusing on safe, sustainable metabolic health, lean muscle retention, and complete pricing transparency.
Step 1: Your Virtual Consultation Fees
You only pay for actual medical care when you need a more in-depth evaluation or prescription update.
Initial Consultation ($75): A comprehensive 1-on-1 virtual visit to review your full health history, evaluate baseline labs, discuss your weight goals, and design your customized metabolic roadmap.
Follow-Up Visits ($50): Dedicated precision management check-ins to monitor your progress, fine-tune dosage, manage side effects, and optimize your nutrition and lab markers to protect lean muscle mass.
Step 2: Your Starter Metabolic Programs (Pay-Per-Vial)
Our starter programs bundle expert clinical management, all necessary administration supplies, direct-to-home pharmacy coordination, and your multi-week starter vial from our 503A compounding pharmacy partners (Strive Pharmacy and Red Rock Compounding Pharmacy).
1. The Starter Semaglutide Program | $180
Includes: Clinical oversight, administration supplies, and your initial multi-week supply of Semaglutide (compounded with supportive B-vitamins or Glycine).
Weekly Equivalent Breakdown: ~$25 / week (including your $75 initial consultation fee).
Clinical Focus: Gentle starter titration and steady, comfortable appetite regulation.
2. The Starter Tirzepatide Program | $275
Includes: Clinical oversight, administration supplies, and your initial multi-week supply of Tirzepatide (compounded with supportive B-vitamins or Glycine).
Weekly Equivalent Breakdown: ~$35 / week (including your $75 initial consultation fee).
Clinical Focus: Advanced dual GIP/GLP-1 pathway therapy for maximum metabolic efficiency and enhanced digestive tolerance.
Maintenance & Custom Dosing Beyond the Starter Phase
Metabolic health is not one-size-fits-all. Once you complete your initial starter phase, your reordering frequency adapts directly to your custom clinical plan and preferred order size:
Flexible Order Volume: Depending on how quickly or conservatively Alexis N. Silence, NP adjusts your protocol, you can order individual vials as needed or select multi-vial packages (such as a 3-vial order providing up to 12 weeks of medication at a time).
Pay-As-You-Need (No Auto-Drafts): You only order a new supply when your current medication is running low. You are never locked into an automatic 30-day billing cycle or forced into subscription auto-shipments if you still have medication on hand.
Custom Maintenance Pricing: Higher milligram concentration vials for maintenance phases are priced transparently at the time of reorder. Contact us directly at alexis@silencemed.com for specific higher-tier vial quotes.
The Silence Medical Difference
No Monthly Subscription Fees: Zero recurring membership dues, zero auto-drafts, and zero cancellation penalties. You only pay for the expert care and medication you actually receive.
Muscle-Sparing Clinical Protocol: We prioritize high-protein guidance and micronutrient support so you lose fat tissue—not functional strength or lean muscle mass.
Enhanced Formulations: Formulated with Vitamin B12 and Glycine to reduce nausea, power liver detoxification pathways, and support cellular energy.
Top-Tier 503A Pharmacy Partners: Prescriptions are fulfilled directly by state-licensed compounding facilities (Strive Pharmacy in Gilbert, AZ & Red Rock Compounding Pharmacy in Springville, UT).
Frequently Asked Questions About Pricing
Are there any hidden monthly fees or subscriptions?
No. Unlike corporate telehealth apps that charge $99–$199/month just to access their portal, Silence Medical charges zero subscription fees. You pay $75 for your initial visit, $50 for follow-up visits, and the cost of your medication vial or package when it is ordered.
How much do supplies and shipping cost?
Syringes, alcohol swabs, and temperature-controlled direct-to-home shipping from our partner pharmacies are included in your medication cost breakdown—no unexpected add-on charges at checkout.
What if I prefer brand-name Wegovy®, Ozempic®, or Zepbound®?
If you prefer brand-name retail prescriptions, Alexis N. Silence, NP can electronically submit your prescription to your local retail pharmacy for pickup using your insurance or commercial savings cards.