Most popularMost-prescribed starting plan
Compounded Semaglutide
Compounded semaglutide, the same active ingredient as Ozempic and Wegovy. Cash-pay, no insurance hoops.
Get startedGLP-1 telehealth · Bilingual EN / ES
Preva is GLP-1 weight care for adults who want results — without the hospital aesthetic, without the diet-culture pressure. Doctor-led, transparent pricing, shipped to your door.
Three-minute eligibility check · No charge until prescribed · Cancel anytime

Doctor-prescribed plans
All plans include US-licensed clinician oversight, dispensed by a partner pharmacy, and shipped to your door. Pick a plan to start eligibility — you can switch any time after a clinician's review.
Most popularMost-prescribed starting plan
Compounded semaglutide, the same active ingredient as Ozempic and Wegovy. Cash-pay, no insurance hoops.
Get started
Strongest results in trials
Compounded tirzepatide, the same active ingredient as Mounjaro and Zepbound. Higher cost, often higher response.
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FDA-approved brand
Genuine Wegovy by Novo Nordisk. Higher price reflects the branded formulation.
Get startedPricing reflects the medication tier you pick. Final amount confirmed by your clinician based on the dose they prescribe. Cancel any time, no fee.
Why Preva for weight loss
Lowest starting tier (Compounded Semaglutide / month)
From intake submission to clinician decision
GLP-1 options to match the clinical fit
Hidden fees · no contract · cancel anytime
Pricing and timing reflect current Preva operations. Final dose and medication are confirmed by a US-licensed clinician based on your intake.
How Preva works
01Tell us your goals, basic health info, and where you live. We confirm you're a fit before anything moves forward.
02A US-licensed clinician reviews your case, asks the questions a real visit would, and prescribes the right medication for you.
03Your medication is dispensed by a partner pharmacy and shipped discreetly. Refills are scheduled automatically — adjust anytime.
What you get

Every prescription is written by a US-licensed clinician — not an algorithm, not a quiz score. They review your full case before anything ships.
Dispensed by a vetted partner pharmacy and shipped discreetly with cold-chain handling where required. Refills auto-scheduled.
Side-effect questions, dose adjustments, refills — message the care team and get a real answer in hours, not days.
What you pay is what you pay. No surprise pharmacy bills. We'll quote your medication, consult, and shipping in one number before you commit.
Spanish isn't a translation — it's a parallel program. Spanish-speaking clinicians, native intake, and Spanish-language follow-up.
We tell you what the drug does, what it doesn't, the side effects, and what happens when you stop. No miracle promises.
Why Preva
Most GLP-1 brands pick a side: they're either over-medicalized or over-styled. Preva refuses the trade-off. The medicine is the medicine; the experience is human.

We lead with the medicine, not the lifestyle. No "reset." No "wellness." Real prescriptions, real clinicians, real boundaries.
The science matters. So does the fact that you're a person, not a data point. Our care team treats you like one.
Pricing, refills, side effects, and what happens if you stop — all explained up front. We'd rather tell you the truth than win the click.
Spanish isn't an afterthought, isn't a Google-translate footer. It's a first-class program with native clinicians and Spanish-language care.
Real results
“I didn't want a transformation story. I wanted a doctor, a real plan, and a price I could see. Preva gave me all three.”

“The first telehealth experience that didn't feel like a chatbot wearing a stethoscope. The clinician actually read my history.”

“Bilingual care matters in my family. Preva isn't translated — it's built for us in both languages from the start.”

Stories shared with permission. Names abbreviated and photographs are representative — individual results vary. Preva reports outcomes honestly; we will not show before/after imagery and we will not publish unverifiable weight-loss claims.
Frequently asked
Ready when you are
Pick the range that's closest to where you're starting. A clinician calibrates the plan after your intake — this just helps us point you at the right starting tier.
Three-minute eligibility check · No payment up front