GLP-1 Weight Management Center
One staff-facing home for TNC's Tirzepatide weight-management workflow: patient onboarding, required monitoring, current cash-program pricing, provider follow-up, medication education, injection support, dispensing, documentation, and forms.
Patient Journey
What happens from enrollment through maintenance
Use this sequence so staff know exactly what must happen before medication is continued or dispensed.
Initial Evaluation
Provider reviews medical history, weight-loss goals, baseline measurements, medication eligibility, risks, education, and individualized treatment plan.
Enrollment & Consent
Complete the patient treatment agreement and financial agreement. Confirm self-pay expectations and the prescribed medication plan.
Every 30 Days
Complete required weight/vital checks, side-effect and tolerance review, adherence check, patient questions, and medication dispensing when requirements are met.
Every 3 Months
Required provider follow-up for progress, effectiveness, adverse effects, treatment planning, dose decision, labs when indicated, and continued eligibility.
Current Cash Program
Tirzepatide pricing
Keep this page aligned with the current approved TNC patient pricing materials.
Weight Management Evaluation
Initial consultation and comprehensive assessment. Laboratory testing may be ordered separately when medically indicated.
Tirzepatide 2.5–10 mg
Includes medication supply per the individualized plan, injection training, medication education, medically appropriate dose adjustments, monthly weight/vital checks, and provider oversight.
Tirzepatide 12.5–15 mg
Includes the program services listed above for patients prescribed a higher-dose treatment plan.
Provider Follow-Up
Approximately every 3 months for progress evaluation, effectiveness, side effects, dose decisions, and continued treatment planning.
Required Monitoring
Monthly GLP-1 visit checklist
Every required monitoring visit should show the patient's current status and whether provider escalation is needed.
Obtain & Document
- Current weight
- Blood pressure
- Pulse
- Current prescribed dose
- Medication adherence
- Reported side effects
- Medication tolerance
- Hydration and intake concerns
- Patient questions or concerns
- Required payment / program status
Escalate to Provider
- Significant or worsening adverse reactions
- Concerning abdominal symptoms
- Repeated vomiting or hydration concerns
- Pregnancy or suspected pregnancy
- Hospitalization or new major illness
- Dosing error or uncertain concentration
- Patient requesting an unauthorized dose increase
- Concern regarding continued treatment eligibility
Clinical Reference
Tirzepatide dose progression
This is a staff quick reference only. Dose changes require an active prescriber-approved plan.
| Stage | Weekly Dose | Minimum Time at Dose | Staff Action |
|---|---|---|---|
| Initiation | 2.5 mg | 4 weeks | Follow the initial provider order; monitor tolerance and required follow-up. |
| First Increase | 5 mg | At least 4 weeks at 2.5 mg | Increase only when documented in the provider-approved treatment plan. |
| Additional Increases | 7.5 / 10 / 12.5 / 15 mg | At least 4 weeks at each prior dose | Never independently titrate. Confirm active provider direction before preparing/dispensing the new dose. |
| Maintenance | Provider directed | Based on response and tolerance | Continue monitoring, scheduled provider follow-up, and documented treatment plan. |
Patient Education
Pre-drawn syringe injection teaching
Use the patient's prescribed dosage and current TNC medication handout during teaching.
Prepare
Wash hands. Select the injection site, clean with alcohol, and let the skin dry.
Check
Confirm patient, prescribed dose, syringe, and medication appearance before use.
Remove Cap
Remove the needle cap without touching or contaminating the needle.
Inject at 90°
Pinch the skin, insert the needle at a 90-degree angle, and depress the plunger completely.
Remove & Dispose
Remove the needle, do not rub the site, and place the used syringe in an approved sharps container.
Injection Sites
- Abdomen
- Front of thighs
- Back of upper arms
- Upper outer buttock area when appropriate
- Rotate the injection site each time
Storage
- Keep refrigerated according to the current medication instructions
- Do not freeze
- Protect medication from light
- Do not use medication that appears compromised
- Follow the current patient handout for any allowed room-temperature period
Patient Reminders
- Use only the prescribed dose
- Do not share medication
- Use one syringe for one injection
- Rotate sites
- Call the clinic with dosing or medication questions rather than guessing
Medication Workflow
Preparation & dispensing standard
The medication handoff should match the provider order, patient record, program status, and staff documentation every time.
Before Preparation
- Verify correct patient
- Confirm active provider order
- Confirm medication and prescribed dose
- Confirm concentration/volume is clear
- Confirm required monitoring is current
- Confirm required payment/program requirements are satisfied
Before Handoff
- Confirm patient name
- Confirm dosage on medication label/handout
- Confirm storage instructions
- Provide injection teaching when needed
- Answer questions within staff scope
- Escalate clinical questions to the provider
Document Completion
- Date of medication dispensing
- Medication and dose provided
- Required monitoring completed
- Education provided
- Patient questions/concerns
- Provider escalation when applicable
Team Responsibilities
Who owns what?
Front Office
- Schedule the correct GLP-1 visit type
- Communicate approved pricing
- Collect required payment
- Route forms and administrative questions
- Do not make clinical dose decisions
Clinical / MA
- Complete weight/vitals and monitoring workflow
- Review patient-reported tolerance and side effects
- Provide approved injection/storage education
- Prepare/dispense only under approved workflow
- Escalate clinical concerns and dose questions
Provider
- Determine eligibility
- Prescribe and authorize dose/titration
- Review safety and effectiveness
- Order labs when indicated
- Determine continued treatment, hold, adjustment, or discontinuation
Forms & Resources
GLP-1 documents live in the Forms Library
Keep the actual PDFs in one location. This page should teach the workflow and send staff to the Forms Library when a document is needed.