Sema/B6 SC Injection with Service Fee RUSH PHARMACY

THIS ITEM REQUIRES A PRESCRIPTION FROM DR.K. NEW PATIENTS MUST PAY THE NEW PATIENT FEE AND BE SENT AN *APPROVAL MESSAGE* PRIOR TO ORDERING. DO NOT ORDER PRIOR TO THIS OR YOUR ORDER WILL BE CANCELLED MINUS A 5% PROCESSING FEE. RETURNING PATIENTS MAY PLACE AN ORDER WHEN READY AND DO NOT NEED PERMISSION PRIOR TO PLACING A NEW ORDER.

PLEASE NOTE: Rush will only send 4 syringes with any order, even for the vials with 5 weeks of a dose. They charge a $15 fee to add 4 more syringes. However, I would suggest ordering the below item from Amazon, as you get 100 syringes for slightly more.

AMAZON LINK TO RECOMMENDED EXTRA SYRINGES

***Rush Pharmacy currently ships to patients in Arizona, Arkansas, Colorado, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Oklahoma, Ohio, Pennsylvania, South Dakota, Tennessee, Utah, Virginia, Vermont, Washington, Wisconsin, and Wyoming***

1. This medication will be shipped to you from Rush Pharmacy.
2. Injection supplies are included.
3. Please allow 7-10 business days for delivery.
4. It will arrive to you cool and will need to be kept in the refrigerator.
5. For the 0.25mg, 0.5mg, and 1mg doses, you will have 5 weeks in each vial. For the 1.75 and 2.5mg doses, you will have 4 weeks in each vial.
6. The units you inject will vary depending on your dose.
7. You MUST order the dosage you intend to take, as these vials are good for 4-5 punctures only. Because these vials only have a 45 day BUD, you may only order one vial at a time.

DOSING:

*Please note that the units are the same for the 0.25mg and 0.5mg doses due to the weaker vial concentration of the 0.25mg dose.

Semaglutide/B6 2.5mg/10mg/ml

• 0.5mg: 20units (0.2ml)
• 1mg: 40units (0.4ml)
• 1.75mg: 70units (0.7ml)
• 2.5mg: 100 units (1ml)

New patients not previously on an injectable weight loss medication will start at the 0.25mg for the first 4 weeks. You may then move up to the 0.5mg dose for the next 4 weeks, then 1mg for 4 weeks, etc. However, you do NOT have to move up in dosing until you are ready. If you are having successful weight loss on a certain dose, you do not have to move up. Also, if you are having significant side effects on a dose, you should spend another 4 weeks on your current dose before you move up.

Joint Commission guidelines for proper use of many multi-dose vials include the recommendation to discard the vial 4 weeks after first puncture, even though the Beyond Use Date (BUD) may be longer. These guidelines are generally followed in office and hospital settings, particularly when the vial is used for multiple different patients. However, this same suggestion is made for vials punctured several times a day or only once a week. With certain vial sizes/doses/packages, using all of the medication in the vial without wasting any could result in a patient using the vial for longer than 28 days after first puncture. If you choose to use your vial longer than 28 days after first puncture due to package size or maintenance dosing, you must acknowledge that you understand the Joint Commission recommendations to discard the vial 28 days after first puncture, even if you only puncture the vial once a week. You will be using the vial at your own discretion.

If you have any concerns about this issue and for best safety practices, please choose a 4-week package and discard any medication leftover 28 days after first puncture.

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