We’re active in most states and growing fast. Our pharmacy partners ship to nearly all 50 states as long as a provider is licensed in your state to review your care.
Not sure if you’re eligible? Start your intake and we’ll confirm before any charges are finalized.

1. Submit your intake (The Weight Loss & Wellness Quiz!)
2. Choose your plan(s)
3. A licensed provider reviews your medical history & selected plan (No video visit required!)

Note: Please allow 24 to 48 business hours for provider review and approval. Prescriptions are not auto-issued. In accordance with laws regarding prescriptions, a licensed provider must review your medical history/intake prior to issuing a formal prescription.

4. If approved, your meds ship straight to you from a 503A/503B compounding pharmacy

• Pharmacy Processing: 3-5 business days
• Shipping: Overnight or 1–2 business days, per pharmacy method (cold-packed if needed)
PLEASE NOTE: DURING HIGH VOLUME, PROCESSING TIMES WILL BE POSTED ON THE WEBSITE BANNER.

Patients can refill by submitting a prescription request on our website, and/or contacting their care team via their patient portal in Spruce Health: http://www.spruce.care/anavahealth

No insurance needed. All pricing is upfront, with no surprise fees.

Yes, compounded medications from licensed U.S. pharmacies (503A/503B).
Prescriptions follow FDA and state regulations and are written based on clinical need.
Not all compounds are available in every state, but we’ll let you know if there’s an issue.

Totally. No contracts, no commitments, no penalties. You’re in control.

Usually yes — but we partner with multiple accredited U.S. pharmacies to avoid delays.
If we need to switch fulfillment, we’ll let you know. No surprises. No ghosting.

Yes. All prescriptions are issued by licensed providers and filled by regulated pharmacies under section 503A per the FDA. Every plan is customized and reviewed based on clinical need—no mass production.