Before enrolling with Arbor, ask for more than a monthly price: ask what happens to your payment when a prescription is written. That event, rather than shipment or delivery, is the central refund boundary in its terms. Arbor markets a relatively simple weight-management subscription, but the practical arrangement involves a technology platform, an independent medical group and a separate dispensing pharmacy. Understanding those responsibilities is useful before choosing either a monthly subscription or a discounted prepaid term.
Arbor’s public documentation, consulted October 19, 2026, describes weekly injectable compounded semaglutide and tirzepatide programs, clinical oversight and nutrition support. Current homepage and product-page prices agree at $99 and $149 per month, respectively, although the conditions attached to the lowest advertised prices remain unclear. This documentary review focuses on questions prospective patients can resolve before paying: who provides care, what the medicine is, how billing works and which promises have narrower contractual boundaries.
At a glance
- Advertised prices
- Plans start at $99/month for Steady, the compounded semaglutide program, and $149/month for Accelerate, the compounded tirzepatide program. Lowest-price checkout conditions are not fully documented.
- Who provides care
- Harbor Health Inc. d/b/a Arbor operates the platform, not the medical practice or pharmacy. The site names MD Integrations as its partner medical group.
- Payment choices
- Terms offer monthly billing or discounted three-, six- and 12-month prepaid plans collected in full at the start. Monthly plans have no minimum commitment.
- Refund boundary
- Before a prescription is written, cancellation generally means a refund minus a $100 clinician consultation fee. After it is written, payment is nonrefundable; separate exceptions apply.Sources: [8]
Who will actually be responsible for your care?
Arbor’s terms identify the operator as Harbor Health Inc. d/b/a Arbor, a Delaware corporation with a published Dover address. They explicitly say Arbor does not provide medical care, advice, diagnosis or treatment. Instead, it facilitates access to independently employed or contracted healthcare professionals and pharmacy services. The site names MD Integrations as the partner medical group for telehealth consultations. Before enrollment, ask which entity will hold your medical record, answer treatment questions and handle a complaint about clinical care.
The same separation matters for privacy. Arbor’s policy says it is not a HIPAA covered entity, although it may act as a business associate to provider entities; healthcare providers control medical records and clinical decisions. The policy says it does not sell consumer health data but permits sharing limited personal data for advertising where allowed by law. These statements should not be collapsed into either a blanket privacy assurance or a claim that medical information is unrestricted. Ask which policy governs the intake questionnaire, portal and marketing communications.
What medicine and pharmacy are you agreeing to use?
The documented storefront offers weekly injectable compounded semaglutide and compounded tirzepatide. Although one FAQ broadly describes FDA-approved GLP-1 medications, that wording does not establish that Arbor currently supplies branded approved products. Its product listings and regulatory disclosure identify compounded offerings. Arbor also says it is not a pharmacy: prescriptions may go to an independent network pharmacy. A product page refers to 503A and 503B pharmacies, while the FAQ says compounded prescriptions are written for a specific 503A pharmacy and cannot transfer to CVS or Walgreens. Ask for that pharmacy’s name before paying.
FDA approval belongs to a specific drug product, not Arbor or its pharmacy. Compounded preparations are not FDA approved or subject to FDA premarket review for safety, effectiveness and quality; nonapproval alone does not prove clinical inequivalence. FDA recommends compounded drugs when an individual’s medical needs cannot be met by an approved drug, with a prescription and a state-licensed pharmacy. Arbor’s consulted documentation does not independently establish pharmacy credentials or product testing. Our guide to questions about the medicine itself provides a useful framework for clarifying the exact preparation and why it is being proposed.
What will happen between the questionnaire and a prescription?
Arbor restricts services to adults at least 18 years old located in the United States; its terms do not promise availability in every state. The FAQ says intake checks the shipping state and clinician licensure before approval. The questionnaire collects height, weight, medical history, current medicines, allergies and weight-loss goals. The published workflow includes assessment and checkout, followed by clinical review; some patients need live audio or video consultation depending on state requirements and clinical need. Ask when payment is collected relative to review and whether any additional visit carries a separate charge.
The semaglutide page describes its typical audience as adults with a BMI of 27 or higher, subject to a physician’s assessment—not automatic acceptance. Published exclusions include pregnancy, breastfeeding, pregnancy planning, personal or family medullary thyroid carcinoma, MEN-2, active pancreatitis and severe gastrointestinal disease. These are Arbor’s stated criteria, not individualized eligibility advice. Its FAQ describes clinicians as board-certified U.S. physicians with relevant training and state licenses; those credentials were not independently verified here. Despite same-day marketing, the FAQ says most approvals take 24–48 hours and additional information may be requested. Approval, an alternative recommendation or rejection are all possible.
Which price and payment schedule will appear at checkout?
The current homepage advertises plans starting at $99 per month for Steady semaglutide and $149 for Accelerate tirzepatide; their product pages display those same monthly figures. Both describe medication, clinician care and check-ins in one price, with pricing flat as dose changes. However, the consulted documentation does not establish whether the lowest prices require a particular prepaid term, promotion or selection. Monthly billing is an option alongside discounted three-, six- and 12-month terms paid fully upfront. Prepayment is therefore a choice, not a universal enrollment requirement; published term lengths do not establish medication quantities.
Arbor is cash-pay: its terms say neither it nor accessible providers accept insurance, Medicare, Medicaid or other government healthcare programs. HSA/FSA payment is offered for eligible services, but the billing consent leaves eligibility confirmation to the patient. Marketing says there are no price increases, while consent reserves changes to pricing or terms with at least 30 days’ notice where legally required. Get the selected price, renewal amount and billing interval in writing rather than treating advertising as an indefinite lock. Our price-question checklist can help organize the remaining checkout questions.
| Payment detail | What Arbor documents | What to confirm |
|---|---|---|
| Semaglutide | Weekly injectable compounded program from $99/month | Which plan qualifies for the starting price? |
| Tirzepatide | Weekly injectable compounded program from $149/month | What amount is collected today and at renewal? |
| Monthly subscription | Automatic renewal; no minimum commitment | What is the exact renewal date? |
| Prepaid terms | Three, six or 12 months, paid fully upfront | What is the total price and shipment schedule? |
| Included services | Medication, clinician care and check-ins advertised | Are labs and optional dietitian services separate? |
What does cancellation stop—and what does it not return?
Arbor says patients can cancel by messaging support. Subscriptions renew automatically unless canceled, and cancellation before the renewal date prevents the next charge; access continues through the paid period. But stopping future billing does not reverse the current purchase. Before a prescription is written, the terms generally allow a refund minus a $100 clinician consultation fee. After prescription writing, payment is nonrefundable and the order cannot be canceled. On a prepaid plan, the first prescription makes the entire term nonrefundable, including months not yet shipped. That is a substantially broader financial exposure than a single monthly payment.
There are important exceptions. Clinical rejection receives a full refund, as do duplicate or incorrect charges and orders not shipped because of Arbor or pharmacy error. A cancellation requested before renewal earns a full refund if processing delay causes that renewal charge. After renewal, the $100 deduction applies before the refill prescription; afterward, the renewal is nonrefundable. Treatment unavailability may qualify for a prorated refund, processed within 14 days if approved—not necessarily received by the bank then. Ask how the $100 deduction interacts with a $99 advertised plan. Save dated cancellation correspondence using the renewal questions as a checklist.
Could you actually qualify for the results guarantee?
The advertised 12-month money-back guarantee is separate from ordinary cancellation and is not an unconditional trial period. Terms require a new customer, accurate enrollment information, continuous enrollment for 12 consecutive months without cancellation or lapse, a standard-dose compounded semaglutide or tirzepatide plan and all four scheduled quarterly medication shipments. They also require following the clinical program. The quarterly shipment requirement needs clarification because the FAQ separately describes monthly refills for monthly subscribers. Ask which schedule applies to your plan and how Arbor records completion of the guarantee requirements.
Other conditions include no outside weight-loss medication use during the preceding 12 months, and enrollment weights that would neither produce a BMI below 18.5 nor require more than a 20% reduction. Claims must be submitted within 14 days after the full enrollment year. Approved claims return eligible subscription fees, excluding incidental costs and consultations outside membership; there is no prorated guarantee refund. Processing occurs within 30 days after verification approval, not necessarily bank receipt. Ask what outcome qualifies and what documentation is required before relying on this promise. Contractual refund eligibility is not proof of a likely medical result.
Who handles delivery problems and ongoing questions?
Arbor advertises free FedEx Express shipping after approval and an estimated delivery within 48 hours. That estimate is separate from the usual 24–48-hour clinical review, and dispatch is not arrival. Monthly refills reportedly undergo clinician review of progress, side effects and tolerance before authorization. The documentation does not establish detailed refrigeration procedures, replacement rules for damaged deliveries or failed-delivery responsibilities. FDA explicitly advises not using injectable GLP-1 medication that arrives warm or insufficiently refrigerated and contacting the provider or dispensing pharmacy. These are concrete issues to resolve through delivery questions, not assumptions to make from express shipping.
The patient portal at patient.mdintegrations.com supports clinician messaging, shipment tracking, prescription history, billing and labs on mobile or desktop browsers, with two-factor authentication available. Arbor advertises 24/7 clinical access there, including responses to urgent medical messages; that does not establish an immediate response-time guarantee. Billing, shipping and account support operate during weekday business hours. Emergencies belong with 911 or an emergency department, not Arbor. Billing consent describes periodic consultations typically about every three months, while refill review is described monthly. Ask what each interaction includes and whether laboratory testing has separate requirements or costs.
What support remains if treatment changes or ends?
Arbor’s nutrition descriptions do not resolve into one clear entitlement. The homepage says the subscription includes dietitian-led nutrition support and describes a physician-supervised transition off medication followed by personalized registered-dietitian support. Another section calls the dietitian completely optional, with personalized macros, portions or meal plans and portal chat. These could describe different phases or service selections, but the documentation does not settle that. Ask whether the dietitian is included in your price, when access starts, how long it lasts, how often contact occurs and what happens after cancellation.
The proposed transition should also be discussed as a clinical decision, not a promised endpoint. NIDDK describes obesity as a chronic disease that may require long-term care; medication duration depends on response and side effects. Arbor’s description of maintaining results without medication does not establish that outcome for an individual. Its guarantee likewise does not substitute for measured provider-specific clinical evidence. Before enrolling, ask who will reassess treatment if goals change, tolerability becomes a problem or ongoing medication is appropriate, and whether that care remains available under the selected subscription.
Questions & answers
Are Arbor’s $99 and $149 prices only introductory offers?
The consulted product pages present $99/month for compounded semaglutide and $149/month for compounded tirzepatide without labeling them first-month-only offers. The homepage uses starting-price language. Documentation does not settle which selections qualify for those minimums. Confirm the initial collection, subsequent charge and whether a prepaid term is required for your quoted price. Monthly billing is separately documented as an available option.
Can I take an Arbor compounded prescription to my local pharmacy?
Arbor’s FAQ says its compounded GLP-1 prescriptions are written for a specific 503A compounding pharmacy and cannot transfer to retail pharmacies such as CVS or Walgreens. Arbor itself does not dispense. Ask for the dispensing pharmacy’s identity and contact details before purchase, including who handles preparation questions and shipment problems. General references to branded medicines do not establish a currently available branded option.
What if Arbor’s clinician decides not to prescribe?
The terms promise a full refund when a clinician does not approve treatment. That differs from voluntarily canceling before prescription writing, which generally triggers the $100 consultation deduction. Neither completing checkout nor paying guarantees a prescription. The clinician may request more information, suggest an alternative or decline, so ask how a rejection refund is initiated and documented.
Does canceling an annual prepaid plan return the unused months?
Not under the ordinary stated refund rule once the first prescription has been written. Arbor makes the entire prepaid term nonrefundable at that point, including months not shipped. Cancellation stops future renewal rather than automatically recovering the remaining prepaid balance. Separate provisions address errors, treatment unavailability and the conditional results guarantee; none should be assumed to create a general unused-month refund.
Is Arbor’s 24/7 support also available for billing?
No. The FAQ distinguishes around-the-clock clinical access through the MD Integrations patient portal from billing, shipping and account help during weekday business hours. It does not establish a guaranteed immediate clinical response. Ask how to escalate a delivery problem outside business hours and retain the dispensing pharmacy’s contact information. Arbor explicitly says emergencies require emergency services rather than its portal.
Does Arbor guarantee dietitian care after I stop medication?
The website describes dietitian-led aftercare, but also calls the dietitian optional. The consulted documentation does not clearly establish its price, duration, contact frequency or availability after membership ends. Request a written description tied to your chosen plan. A described transition off medication is also not a guarantee that weight loss will be maintained; ongoing treatment decisions belong with the treating clinician.
Our assessment
Arbor documents a recognizable service: cash-pay access to independent telehealth care, compounded injectable medication, network-pharmacy fulfillment and portal follow-up. Its current advertised prices are consistent across the consulted homepage and product pages, and monthly billing offers an alternative to prepayment. The important unresolved questions are not merely cosmetic: the pharmacy’s identity, lowest-price qualifications, lab costs, nutrition entitlement and monthly-versus-quarterly shipment schedule deserve direct answers. Most consequentially, prescription writing sharply limits refunds, especially for prepaid terms, while the annual guarantee requires extensive compliance and timely verification. A prospective patient can use Arbor’s documentation to prepare a focused conversation, but should obtain plan-specific written answers before treating the monthly headline, cancellation slogan or guarantee as a complete description of the purchase.
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Sources & documentation
Public materials consulted October 19, 2026. Provider statements are attributed claims, not independently verified clinical outcomes. Terms can change; obtain a current written quote.