Physician-run telehealth — TN · FL · GA · OH · WA. One doctor reviews every case. No queue, no chatbot. Summit How it works Medications Pricing Dr. Miranda Free tools Supplements FAQ Blog Log in Apply now How it works Medications Pricing Dr. Miranda Free tools Supplements FAQ Blog Apply now Step 1 What are you hoping to change? Pick whatever fits — more than one is fine. Lose weight for my health Get off other medications Keep up with my kids Something coming up I want to be ready for I’ve tried everything else Continue Pick at least one so we know where to start. Step 2 What state do you live in? Telehealth is licensed state by state, so this tells us how we can help you. Select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Back Continue Choose your state to keep going. Step 3 Have you tried anything before? No wrong answer. It just tells Dr. Miranda where to start. Diet programs A GLP-1 before Surgery Nothing serious yet Back Continue Pick at least one. Step 4 A few numbers. So Dr. Miranda isn’t starting from zero on the call. Height Current weight What’s the most you’ve ever weighed? If you’ve already lost weight, this is the part that matters most. Right now, are you trying to lose — or trying to keep it off? Trying to lose Keeping it off Back Continue Fill in height, both weights, and which one you’re working on. Step 5 Two safety questions. These are the only two things that rule this medication out completely. Have you or anyone in your family had medullary thyroid cancer, or MEN2? No Yes Not sure Are you pregnant, breastfeeding, or trying to become pregnant? No Yes Back Continue Answer both so we can keep you safe. Step 6 Here’s exactly what it costs. No packages, no contracts, nothing revealed later. $149/mo while you’re working toward your goal $99/mo once you’re maintaining it We don’t bill insurance. Medication is billed separately by the pharmacy at $5 per mg — no markup. A 60 mg vial is $320 delivered. Your price goes down when you succeed. Back That works What’s included? What you get Everything, for one flat price. One physician — Dr. Miranda — reviews and manages every case personally. Not a queue, not a chatbot, not a rotating panel. Unlimited visits and messaging Dose changes whenever you need them Labs reviewed by a physician Side effects handled same-day No contract — cancel anytime Medication shipped to your door What the brand costs Weekly doseYour medicationZepbound self-pay 2.5 mg~$70/mo$299/mo Your first month, all in~$220$299 (drug only) Your first month — physician, program, and medication — costs less than Zepbound’s medication by itself, and you’d still need a prescriber. Zepbound self-pay price per Lilly’s own published rate for the 2.5 mg starting dose, which requires refilling within 45 days (zepbound.lilly.com, verified September 2026). Compounded tirzepatide uses the same active ingredient as FDA-approved Mounjaro and Zepbound; compounded medications are individually prepared for each patient and are not FDA-approved. Back That works Step 7 When are you generally free for a call? It’s a real phone call with Dr. Miranda — about 15 minutes, no charge, and no card until you decide to start. Weekday mornings Weekday afternoons Weekday evenings This week Next week I’d like to talk sooner if possible. If something opens up I’ll work you in — usually within a business day. — Dr. Miranda Back Continue Pick at least one window so we know when to reach you. Last step Where should Dr. Miranda reach you? That’s it — nothing else to fill out, and no account to create. Back No card required. No contract. Cancel anytime. Licensed in FL · GA · OH · TN · WA. You’re in Got it — let’s pick a time. Grab a 10-minute slot and I’ll call you then: choose a time → You’ll also get a confirmation email in the next few minutes. If anything changes, just reply to it. — Dr. Paul Miranda, Summit Metabolic Health You’re on the list Got it — I’ll email you. We’re not licensed in your state yet, so I can’t take you on as a patient today. Your answers are saved, a note from me is on its way to your inbox, and you’ll be the first to hear the day Summit opens in your state. — Dr. Paul Miranda, Summit Metabolic Health Not a fit This isn’t a safe fit for you. Based on what you shared, I’d rather tell you now than take your money. GLP-1 medication carries a real risk in your situation. Talk to your primary care doctor about medical weight management that’s safe for you — there are good options, they’re just not this one. If you’re not sure about your family history, ask them and come back; a “not sure” is worth checking. — Dr. Paul Miranda Something broke That didn’t go through. Call or text the office at (423) 407-7748 and we’ll pick it up from there — sorry about that.
