Medical Weight Management — Wegovy & Zepbound | Icon Medicine Maryland Telehealth
Branded GLP-1 Therapy — Wegovy & Zepbound

Medical Weight Management with Wegovy & Zepbound

FDA-approved branded GLP-1 therapy — Wegovy (semaglutide) and Zepbound (tirzepatide) — with board-certified medical supervision. $99 initial visit. Prescription sent directly to manufacturer savings programs. Telehealth in MD, VA & FL.

$99 Initial Visit · $75 Follow-ups
Board-Certified Medical Supervision
Same-Day Telehealth Appointments
MD, VA & FL

What are GLP-1 Medications?

GLP-1 receptor agonists (glucagon-like peptide-1) are a class of medications originally developed for type 2 diabetes that have revolutionized medical weight management. They work by mimicking hormones your body naturally produces after eating — slowing digestion, reducing hunger signals, and helping you feel full with less food.

The results are clinically dramatic. Clinical trials show average weight loss of 15–22% of body weight over 68 weeks with semaglutide (Wegovy) and tirzepatide (Zepbound). These aren't stimulants or crash diet pills — they're sophisticated metabolic medicines that change how your brain and gut regulate appetite.

At Icon Medicine, you get ongoing medical monitoring, dose adjustments, lifestyle guidance, and a real relationship with your provider — all via telehealth. We prescribe the branded FDA-approved medications and send your prescription directly to the manufacturer's savings program for fulfillment.

Wegovy® Pill
Semaglutide oral (daily)
FDA-approved oral semaglutide for weight management. Available in 1.5, 4, 9, and 25 mg doses. Self-pay from $149/mo.
Wegovy® Pen
Semaglutide injection (weekly)
FDA-approved injectable semaglutide 2.4mg for chronic weight management. Weekly self-injection. Self-pay from $349/mo.
Zepbound®
Tirzepatide injection (weekly)
Dual GIP/GLP-1 agonist. FDA-approved for obesity. Clinical trials show up to 22% body weight loss. Self-pay from $299/mo.
How It Works
You pay Icon Medicine for the visit. We prescribe your medication and send it directly to the manufacturer's savings program (NovoCare or Lilly Direct), who ships it to your door.
$99 Initial Visit

$75/mo follow-up visits  ·  Medication billed separately by manufacturer

Who Qualifies for GLP-1 Therapy?

Medical eligibility is based on clinical criteria. Most people who have struggled with weight despite diet and exercise qualify.

BMI ≥ 30 (Obesity)

Standard clinical qualification for GLP-1 therapy. No additional health conditions required.

BMI ≥ 27 with Health Conditions

Overweight with type 2 diabetes, hypertension, high cholesterol, or sleep apnea.

Previous Weight Loss Failures

You've tried diets and exercise programs. You may need medical support to overcome metabolic resistance.

Type 2 Diabetes Patients

GLP-1 medications also improve blood sugar control. Many reduce or eliminate other diabetes medications with sustained weight loss.

Pre-Surgical Candidates

Need to lose weight before elective surgery, joint replacement, or other procedures where weight reduction reduces surgical risk.

Busy Professionals

Don't have time for in-person clinic visits. Our 100% telehealth model means your care fits your schedule.

How Treatment Works at Icon Medicine

We follow evidence-based clinical protocols for GLP-1 therapy with the personal attention of a private practice.

1
Day 1

Comprehensive Medical Evaluation

45-minute telehealth visit covering medical history, current medications, lab work review, and discussion of your weight history and goals. We determine which GLP-1 medication is right for you based on your health profile, insurance coverage, and goals.

2
Week 1

Prescription & Manufacturer Savings Program

We send your Wegovy or Zepbound prescription to the manufacturer's savings program — NovoCare (Wegovy) or Lilly Direct (Zepbound). They contact you directly, process payment, and ship your medication. Self-pay pricing starts as low as $149/mo for Wegovy and $299/mo for Zepbound. With insurance, your cost may be significantly lower.

3
Weeks 4–20

Dose Titration

GLP-1 medications use a slow escalation schedule (4 weeks per dose level) to find your optimal therapeutic dose. Monthly check-ins ensure you're tolerating the medication and seeing results. Most patients reach their target dose by month 4–5.

4
Ongoing

Monitoring & Lifestyle Integration

Monthly telehealth visits to track weight, review labs, assess side effects, and adjust your plan. We also provide practical nutrition and activity guidance — not a rigid diet, but sustainable changes that complement the medication.

5
Long-Term

Maintenance Planning

Once you reach your goal, we discuss a maintenance strategy. Some patients continue at a lower dose; others transition to lifestyle-only maintenance. We monitor for weight regain and adjust proactively.

Ready to Start?

Same-day weight management appointments available.

Board-certified providers  ·  Licensed in MD, VA & FL  ·  HIPAA-compliant telehealth

Book Now Call (240) 966-4266

What to Expect

Realistic expectations are part of good medicine.

Realistic Timeline

  • Month 1: 2–5 lbs loss; appetite suppression begins
  • Month 3: 5–10% body weight reduction typical
  • Month 6: 10–15% loss; energy and lab values improving
  • Month 12+: Up to 15–22% total body weight loss

Common Side Effects

  • Nausea (most common, usually mild, resolves in weeks)
  • Decreased appetite (the intended effect)
  • Constipation or loose stool (manageable)
  • Injection site reactions (minimal with proper technique)

The Lifestyle Component

Best results come when combined with:

  • Protein-rich diet to preserve muscle mass
  • Adequate hydration (nausea improves significantly)
  • Progressive resistance training or walking
  • 7–8 hours of sleep (hormonal regulation)

Telehealth Details

Maryland: Telehealth or in-person at 7411 Riggs Rd, Suite 300B, Hyattsville.

VA & FL: Telehealth only. Initial visit 45 min; monthly follow-ups 15–20 min. Labs ordered to a facility near you.

Why Choose Icon Medicine?

Other telehealth weight loss programs charge more and give you less.

Transparent Visit Fees

$99 initial visit. $75/month follow-ups. Medication is billed directly by NovoCare (Wegovy) or Lilly Direct (Zepbound) — no markup, no hidden program fees.

Board-Certified Supervision

Not a mid-level provider on a weight loss assembly line. Our board-certified physicians manage your care personally.

Whole-Patient Care

We treat the whole person — diabetes, hypertension, mental health concerns are addressed alongside your weight goals.

Insurance & Prior Auth Support

GLP-1 medications can be expensive. We assist with prior authorization and savings programs to reduce your out-of-pocket cost.

No Gimmicks

No required meal plans, supplements, or $500 "starter kits." Just real medicine, real monitoring, and honest guidance.

Same-Day Starts

Same-day telehealth appointments available. Book online or call — your first visit can happen today.

From the Blog

GLP-1 Weight Loss Treatment: Telehealth Options in Virginia — A deep dive into how GLP-1 medications like Wegovy and Zepbound work, who qualifies, and what real patients experience.

Read Article

BMI Calculator & Weight Loss Projection

GLP-1 medications (Wegovy & Zepbound) are FDA-approved for BMI ≥ 30, or BMI ≥ 27 with a weight-related condition. Calculate yours and see your projected results.

BMI Calculator

Enter your measurements — results appear instantly. Add your email to get results in your inbox.

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BMI Categories

Standard WHO / NIH classification for adults 20+

BMI Range Category GLP-1 Eligible
Below 18.5 Underweight
18.5 – 24.9 Normal Weight
25.0 – 29.9 Overweight ✓ w/ conditions
30.0 – 34.9 Obese Class I ✓ Eligible
35.0 – 39.9 Obese Class II ✓ Eligible
40.0 and above Obese Class III ✓ Eligible

GLP-1 eligibility (Wegovy/Zepbound) at BMI 27–29 requires at least one weight-related condition. BMI is a screening tool — clinical eligibility confirmed at provider evaluation.

Your Weight Loss Projection

Based on GLP-1 clinical trial outcomes (STEP & SURMOUNT trials)

*Average clinical trial outcomes at maximum tolerated doses. Individual results vary. Not a guarantee of results. All treatments require provider evaluation.

Frequently Asked Questions

The most common questions we get about Wegovy and Zepbound weight management.

Coverage varies. Many commercial plans cover Wegovy and Zepbound for weight management. We help with prior authorization — and for patients without coverage, manufacturer savings programs (NovoCare for Wegovy, Lilly Direct for Zepbound) can significantly reduce medication cost. We'll discuss all options at your first visit.

Clinical trials show 15–22% total body weight loss over 68 weeks with semaglutide and tirzepatide at maximum doses. That's 30–44 lbs for a 200-lb person. Real-world results vary — most patients see meaningful results within the first 3 months.

Studies show stopping GLP-1 medications typically leads to regaining about 2/3 of lost weight within a year. This is why we view obesity as a chronic medical condition requiring long-term management. We discuss maintenance strategies early so you're not blindsided if you decide to stop.

GLP-1 medications have been used for type 2 diabetes since 2005 and have extensive safety data. Semaglutide (Wegovy) has been studied in over 17,000 patients showing reduced heart attack and stroke risk. Contraindications include personal/family history of medullary thyroid cancer, MEN2 syndrome, or prior pancreatitis. We screen for all contraindications at your evaluation.

No crash diets or proprietary meal plans. The medication significantly reduces appetite. We provide guidance emphasizing protein, hydration, and manageable activity. Most patients naturally gravitate toward smaller portions and better food choices.

You pay Icon Medicine $99 for your initial visit and $75/month for follow-up appointments. Medication is billed separately by the manufacturer's savings program — NovoCare for Wegovy, Lilly Direct for Zepbound. Self-pay pricing starts at $149/mo for Wegovy pill, $349/mo for Wegovy pen, and $299/mo for Zepbound. With insurance or savings programs, your cost may be significantly lower. Call (240) 966-4266 to discuss options.

Yes — Icon Medicine prescribes Wegovy (semaglutide) and Zepbound (tirzepatide) via telehealth for Maryland patients. No in-person visit required. Book a telehealth weight management evaluation, and if you're a candidate, receive your prescription the same day. VA and FL telehealth patients are also eligible.

Both are highly effective branded GLP-1 medications. Wegovy (semaglutide) targets the GLP-1 hormone receptor. Zepbound (tirzepatide) is a dual GIP/GLP-1 agonist — it targets two hormone receptors instead of one. Clinical trials show tirzepatide produces slightly greater average weight loss (up to 22% body weight) versus semaglutide (up to 15–17%). Your provider will recommend the best option based on your medical history, goals, and insurance coverage.

Is This Treatment Right for You?

If several of these apply, you're likely a strong candidate. A brief consultation will confirm eligibility — no obligation.

BMI ≥ 30, or BMI ≥ 27 with a weight-related condition (type 2 diabetes, hypertension, high cholesterol, sleep apnea)

You've tried multiple diets and exercise programs but can't maintain weight loss long-term

Hunger and food cravings feel difficult to control even when you're strongly motivated to eat less

Excess weight affects your energy, joint pain, sleep quality, mood, or self-confidence

You have type 2 diabetes or prediabetes and want to reduce medication dependence through weight loss

You want a telehealth approach — no weigh-ins at a clinic, no mandatory meal plans or supplements

If 2 or more apply to you, it's worth a conversation.

Same-day appointments available. Book online or call (240) 966-4266.  Book a free eligibility check →

Pricing & Insurance

Transparent visit fees. Medication billed directly by the manufacturer — no markup, no hidden program fees.

Blue Cross Blue Shield
Aetna
United Healthcare
Cigna
Carefirst
Medicare Part B (qualifying conditions)
Most major commercial plans

Medication cost is billed separately by NovoCare (Wegovy) or Lilly Direct (Zepbound). We assist with prior authorization and savings program enrollment to minimize your out-of-pocket cost.

Visit Fees

$99
Initial Appointment
Comprehensive evaluation
$75
Follow-up Appointments
Ongoing monitoring
  • Initial comprehensive evaluation (45 min)
  • Monthly telehealth monitoring visits
  • Lab orders & review included
  • Prescription management
  • Prior authorization assistance
  • Manufacturer savings program enrollment
  • Nutrition & lifestyle guidance

Book Your First Visit

Wegovy® Medication Pricing

Pricing is available for local pharmacy pickup with a savings offer or home delivery. New patient limited-time offers available through NovoCare.

Oral Daily Medication

Wegovy® Pill

Semaglutide oral tablet

Dose Limited Time (new pts) Standard
1.5 mg $149/mo
4.0 mg
$149/mo
$199/mo
9 mg $299/mo
25 mg $299/mo
Weekly Injection

Wegovy® Pen

Semaglutide injection pen

Dose Limited Time (new pts, 2 mo) Standard
0.25 mg/0.5 mL
$199/mo
$349/mo
0.5 mg/0.5 mL
$199/mo
$349/mo
1 mg/0.5 mL $349/mo
1.7 mg/0.75 mL $349/mo
2.4 mg/0.75 mL $349/mo
How it works: We send your prescription to NovoCare (Wegovy's savings program). NovoCare contacts you directly, processes payment, and ships your medication to your door or coordinates local pharmacy pickup.

Zepbound® (Tirzepatide) Pricing

Self-pay pricing through Lilly Direct. Prices reflect monthly cost with the Zepbound Self Pay Journey Program.

Weekly Injection — Dual GIP/GLP-1

Zepbound® (Tirzepatide)

Lilly Direct Self Pay Journey Program

Dose Self-Pay Price
2.5 mg Starting at $299/mo
5 mg Starting at $399/mo
7.5 mg $449/mo
10 mg $449/mo
12.5 mg $449/mo
15 mg $449/mo
Note: Prices for 7.5–15 mg reflect monthly cost with the Zepbound Self Pay Journey Program. Regular prices apply if prescription is not refilled within 45 days. We send your prescription to Lilly Direct; they contact you directly for payment and shipment.

Appetite Suppressants — Phentermine & Contrave

Prefer an oral pill over injections? FDA-approved appetite suppressants are an effective, affordable alternative for qualified Maryland patients. Telehealth prescription — medication filled at your local pharmacy.

How Appetite Suppressants Work

Appetite suppressants work directly on the brain's hunger and reward signaling pathways. Unlike GLP-1 injections that mimic gut hormones, these FDA-approved oral medications reduce hunger signals at the neurological level — making it significantly easier to eat less without the mental battle.

They're an excellent option for patients who want to avoid injections, prefer a lower-cost oral medication, or have tried GLP-1 therapy and are looking for an alternative approach.

All prescriptions require a medical evaluation to confirm eligibility, rule out contraindications, and select the right medication for your health profile.

Appetite Suppressant Pricing

Initial Visit $99

Comprehensive evaluation, medical history review, lab orders if needed, medication selection

Monthly Follow-Up $75/mo

Ongoing telehealth check-ins, medication management, provider messaging

Medication Patient responsibility

Filled at your local Maryland pharmacy. Insurance may cover medication cost.

✓ No hidden fees  ·  ✓ No enrollment fee  ·  ✓ Cancel anytime

Schedule Your $99 Evaluation

Phentermine vs. Contrave — Which Is Right for You?

Your provider will determine the best fit based on your medical history, goals, and preferences. Here's how they compare:

Short-Term Option

Phentermine

FDA-approved sympathomimetic appetite suppressant

How It Works

Stimulates the central nervous system to suppress hunger signals in the brain (hypothalamus). Reduces appetite by increasing norepinephrine, making you feel full and satisfied with less food.

Duration

Typically prescribed for up to 12 weeks (short-term). Some patients cycle on and off under medical supervision.

Best For

  • Patients needing a short-term jumpstart
  • Those without history of cardiovascular disease
  • Patients who prefer a simple, low-cost pill
  • Kickstarting weight loss before transitioning to long-term options

Common Side Effects

Dry mouth, increased heart rate, insomnia, elevated blood pressure (monitored at follow-ups), mild anxiety

Long-Term Option

Contrave

Naltrexone/bupropion — FDA-approved for chronic weight management

How It Works

Works on two pathways simultaneously: hunger (hypothalamus, via bupropion) and food reward & cravings (dopamine/opioid system, via naltrexone). Reduces both the desire to eat and the reward feeling from eating.

Duration

Long-term chronic weight management — FDA-approved for ongoing use with medical supervision.

Best For

  • Patients with food cravings and emotional eating patterns
  • Long-term weight management (no 12-week limit)
  • Those who may benefit from bupropion's mood-supporting properties
  • Patients who've struggled with addiction medicine background (naltrexone expertise)

Common Side Effects

Nausea (most common, improves over time), headache, constipation, dizziness, insomnia. Titrated gradually to minimize side effects.

Icon Medicine Advantage: Our providers have addiction medicine expertise — a unique background for managing Contrave (naltrexone/bupropion), since naltrexone originates in addiction pharmacology. This means deeper clinical knowledge of how this medication works and more nuanced prescribing decisions.

Who Qualifies?

Standard FDA criteria apply. Most patients who have struggled with weight despite diet and exercise will qualify.

BMI ≥ 30

Standard obesity classification. No additional health conditions required to qualify.

BMI ≥ 27 with Comorbidity

Overweight + type 2 diabetes, hypertension, high cholesterol, or sleep apnea qualifies under FDA criteria.

Prefers Oral Medication

Great for patients who want to avoid injectables, or are looking for an affordable alternative to GLP-1 therapy.

How It Works at Icon Medicine

From evaluation to prescription — all via telehealth, all in Maryland.

1

$99 Initial Visit

Telehealth Evaluation

Comprehensive medical review of your history, current medications, labs, and weight goals. We screen for contraindications and determine which medication — Phentermine or Contrave — is the right fit for your profile.

2

Provider Decision

Medication Selection & Prescription

Your board-certified provider selects the appropriate medication and dosing based on your health profile. Prescription is sent electronically to your chosen local Maryland pharmacy.

3

Your Local Pharmacy

Fill at CVS, Walgreens, Rite Aid, or Any Maryland Pharmacy

Pick up your medication at any local pharmacy. Insurance may cover your medication cost — we can advise on coverage and savings programs during your visit.

4

$75/mo Ongoing

Monthly Telehealth Follow-Ups

Monthly check-ins to monitor progress, manage side effects, adjust dosing, and provide ongoing support. Direct provider messaging between visits.

Maryland Patients

Serving Patients Across Maryland

Telehealth appointments available statewide — Hyattsville, Baltimore, Rockville, Silver Spring, Annapolis, and everywhere in between. No driving, no waiting rooms.

Optional in-person visits at our Hyattsville office: 7411 Riggs Rd, Suite 300B, Hyattsville, MD 20783 — for patients who prefer face-to-face care.

Why Trust Icon Medicine

Board-Certified Providers — Not a mid-level assembly line. Real physicians managing your care personally.

Addiction Medicine Expertise — Unique clinical background for Contrave (naltrexone). Deeper pharmacology knowledge than typical weight loss clinics.

Ongoing Medical Supervision — Monthly follow-ups, not a one-time Rx and goodbye. We monitor your progress, labs, and side effects continuously.

Affordable & Transparent — $99 initial visit, $75/mo follow-ups. No enrollment fees, no hidden costs, cancel anytime.

Start Your Weight Loss Journey Today

$99 Initial Evaluation — Phentermine or Contrave

Telehealth appointment available statewide in Maryland. Board-certified provider. Prescription sent to your local pharmacy. Monthly follow-ups at $75/mo.

Book Consultation call (240) 966-6266 (Main) or (240) 240-6684 (Direct)

What Our Patients Say

Real experiences from Icon Medicine patients. Their words, not ours.

I had tried every diet imaginable. Three months into semaglutide with Icon Medicine and I've lost 24 pounds. The cravings just disappeared. I finally feel in control of what I eat.

S

Sarah M.

Maryland patient · GLP-1 Weight Management

The telehealth model made this possible for me. I work two jobs — I can't make clinic appointments. Everything from the visit to the pharmacy prescription happened in one afternoon. Down 31 pounds in 5 months.

D

David K.

Virginia patient · Semaglutide Therapy

My A1C dropped from 7.8 to 6.2 and I've lost 38 pounds. My cardiologist was genuinely surprised. The price is so much more reasonable than every other GLP-1 program I looked at.

L

Linda R.

Maryland patient · Diabetes + Weight Management

* Patient names changed for privacy. Testimonials represent typical patient experiences; individual results may vary.

Start Your Weight Loss Journey Today

Real medicine, real results. Book your $99 initial visit and get started with Wegovy or Zepbound — prescribed by board-certified providers, fulfilled through manufacturer savings programs.

7411 Riggs Rd, Suite 300B, Hyattsville, MD 20783 | Fax: (301) 235-1771

Legal Disclaimers

Branded Medications: Icon Medicine prescribes FDA-approved branded GLP-1 medications (Wegovy® and Zepbound®) only. Prescriptions are sent to the manufacturer's patient savings programs (NovoCare for Wegovy; Lilly Direct for Zepbound), which are independent of Icon Medicine. Medication pricing, availability, and savings program terms are determined by the respective manufacturers and are subject to change.
Marketing & Medical Advice: This website is for marketing and informational purposes only. The information provided is not intended to be a substitute for professional medical advice, diagnosis, or treatment. All clinical decision-making must be done by a licensed medical provider in accordance with all applicable state and federal laws.
Telehealth Services: Telehealth services are provided by licensed medical professionals. Telehealth has limitations, including the absence of a physical examination, and is not appropriate for all medical conditions. If you are experiencing a medical emergency, call 911 immediately.
Results: Results from any weight loss program or medication vary by individual. No outcomes are guaranteed.