Weight Management Restrictions

Patients are ineligible for a controlled-substance appetite suppressant prescription and are subject to forfeiture of deposits for the following reasons:

    • Uncontrolled hypertension
    • Active case of glaucoma
    • Heart disease or dysfunction
    • BMI below 24**
    • Active prescription for ADD, ADHD, Narcolepsy, Wakefulness, or Another Appetite Suppressant Rx
    • Unqualified State of Residency (e-visits)*
    • Clinician determines such prescriptions are unsafe for unlisted medical reasons
    • Patient has multiple prescribers for appetite suppressants
    • Failure to appear for appointment or notify staff of inability to appear 24 or more hours prior to scheduled appointment (e-visits)
    • Failure to appear for evisit appointment WITH required equipment (i.e. working blood pressure cuff, tape-measure, working scale, ID, payment)

PLEASE NOTE:

*All patients will be subject to a (PMP) Prescription Management Program Check as required by state-law.

Our weight loss services are available to patients with a body mass index (BMI) of 30 kg/m² or greater, as well as those with a BMI between 24 and 29.9 kg/m² who present with two or more co-morbid conditions.

**Any medications prescribed, whether in-person or via telemedicine, are at the professional discretion of the clinician.

E-Visits (Telemedicine) Requirements

Telemedicine, also known as telehealth, allows us to meet with you virtually to assess your needs and, if appropriate, write prescriptions.

E-Visit Requirements

You must have the following available to you during your e-visit.

  • Digital weight scale*
  • Digital blood-pressure cuff (wrist cuff is permissible)*
  • Measuring tape for hip and waist measurements
  • Video-enabled device
  • Photo identification (valid government-issued ID)

Urgent care and men’s health e-visits do not require a weight scale or a blood pressure cuff.

Semaglutide / Tirzepatide Precautions

  • Age 65 or older. Studies have not been done in this age group. Discuss with one of our clinicians to determine is Semaglutide is an appropriate option.
  • ​Semaglutide can lower your blood glucose (can cause hypoglycemia). Discuss with one of our clinicians to determine is Semaglutide is an appropriate option.

*PLEASE NOTE:

All patients will be subject to a (PMP) Prescription Management Program Check as required by state-law.

Our weight loss services are available to patients with a body mass index (BMI) of 30 kg/m² or greater, as well as those with a BMI between 24 and 29.9 kg/m² who present with two or more co-morbid conditions.

REQUESTS FOR NARCOTIC MEDICATION(S) WILL NOT BE ENTERTAINED.

Semaglutide / Tirzepatide Restrictions

  • Age under 18
  • Pregnant or unsure if pregnant; breastfeeding
  • Renal insufficiency (Kidney dysfunction); Kidney stones are NOT a contraindication
  • Current substance abuse (prescription medications or illicit drugs)
  • Active eating disorder (anorexia or bulimia)
  • Current active cancer of any kind
  • Bariatric surgery within the past 18 months
  • Gallbladder dysfunction or active symptomatic gallstones
  • Pancreatitis within the past 6 months
  • Partial thyroid removal; complete thyroid removal is NOT a contraindication unless gland was removed secondary to thyroid cancer
  • History of multiple endocrine neoplasia syndrome (MEN syndrome), medullary thyroid cancer (MTC), or any type of thyroid C-cell tumor.

Washington EXPHS Guidelines

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Oregon EXPHS Guidelines

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California EXPHS Guidelines

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Alaska EXPHS Guidelines

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Nevada EXPHS Guidelines

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Idaho EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

NO: Semaglutide

YES: Lipo/B12 (Available through Empower)

YES: Urgent Care

YES: Men’s Health

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Utah EXPHS Guidelines

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Arizona EXPHS Guidelines

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Montana EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

NO: Semaglutide

YES: Lipo/B12 (Available through Empower)

YES: Urgent Care

YES: Men’s Health

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Wyoming EXPHS Guidelines

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Colorado EXPHS Guidelines

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New Mexico EXPHS Guidelines

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Texas EXPHS Guidelines

YES: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, Drug Crafters, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Oklahoma EXPHS Guidelines

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Kansas EXPHS Guidelines

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Nebraska EXPHS Guidelines

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South Dakota EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

NO: Semaglutide

YES: Lipo/B12 (Available through Empower)

YES: Urgent Care

YES: Men’s Health

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North Dakota EXPHS Guidelines

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Minnesota EXPHS Guidelines

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Iowa EXPHS Guidelines

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Missouri EXPHS Guidelines

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Arkansas EXPHS Guidelines

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Louisiana Express Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Wisconsin EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, Drug Crafters, The Compounding Pharmacy, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Illinois EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, Drug Crafters, The Compounding Pharmacy, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Kentucky EXPHS Guidelines

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Tennessee EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, Drug Crafters, The Compounding Pharmacy, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Mississippi EXPHS Guidelines

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Alabama EXPHS Guidelines

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Florida EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, Drug Crafters, The Compounding Pharmacy, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Georgia EXPHS Guidelines

YES: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, Drug Crafters, The Compounding Pharmacy, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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South Carolina EXPHS Guidelines

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North Carolina EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Virginia EXPHS Guidelines

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West Virginia EXPHS Guidelines

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Indiana EXPHS Guidelines

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Ohio EXPHS Guidelines

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Michigan EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Maryland EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, The Compounding Pharmacy, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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District of Columbia EXPHS Guidelines

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Delaware EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, The Compounding Pharmacy, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Pennsylvania EXPHS Guidelines

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New Jersey EXPHS Guidelines

NO: Controlled Weight Loss Medications, i.e., Phentermine

YES: Non-Controlled Weight Loss Medications, i.e., Wegovy, Contrave, Topamax

YES: Semaglutide (Available through Revive, Drug Crafters, The Compounding Pharmacy, and Hallandale)

YES: Lipo/B12 (Available through Revive and Empower)

YES: Urgent Care

YES: Men’s Health

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Connecticut EXPHS Guidelines

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Rhode Island EXPHS Guidelines

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Massachusetts EXPHS Guidelines

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Vermont EXPHS Guidelines

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New Hampshire EXPHS Guidelines

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Maine EXPHS Guidelines

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Hawaii EXPHS Guidelines

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Contact Us

Express Health Systems accepts walk-ins at our Tyler and Plano, Texas, clinics. You can also schedule a virtual appointment through our online platform to start your wellness journey from the comfort of your own home.

To get started, visit us at either location Monday through Saturday from 8 A.M. to 5 P.M. Telemedicine PM visits available from 5 P.M. to 10 P.M.

Book a Telehealth Appointment

or call us at 903-592-5670 today!