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All you have to do is prescribe our brand name products directly to us and well ship it right to the patient.' This approach creates several concerns for med spa owners: It eliminates the crucial provider-patient interaction for medication education It bypasses the med spas ability to earn revenue from primary care services Patients end up paying more ($499 per vial directly to Eli Lilly versus lower costs through compounding pharmacies) The medication arrives without proper instruction on administration For aesthetic practices that have built patient relationships around weight loss programs, this direct-to-patient model threatens both revenue streams and the quality of patient care