[FillField email with url email] [FillField firstname with url fname] [FillField lastname with url lname] [FillField sms_number with url sms] [FillField f2594 with url code] [IfField #oeddddcd807ae-f2165 is '1' AND #oe43503187162-f2593 not 'Faxed In'][Redirect https://patients.orderlymeds.com/signup][/IfField] [IfField #oeddddcd807ae-f2165 is '2,3,4,5,6,7,8,9,10,11,12' AND #oe43503187162-f2593 not 'Faxed In'][Redirect https://patients.orderlymeds.com/healthscreening][/IfField] [IfField #oeddddcd807ae-f2165 not '10' AND #oeddddcd807ae-f2165 not '12' AND #oe43503187162-f2593 is 'Faxed In'][Redirect https://patients.orderlysupport.com/faxed_in_new_client][/IfField] [IfField #oeddddcd807ae-f2165 is '10' AND #oe43503187162-f2593 is 'Faxed In'][Redirect https://patients.orderlymeds.com/continue/paynow][/IfField] [IfField #oeddddcd807ae-f2165 is '12' AND #oe43503187162-f2593 is 'Faxed In'][Redirect https://patients.orderlymeds.com/healthscreening-ty][/IfField] [SyncFields f2151] [HideBlock #oeddddcd807ae] [ShowBlock #o6a682b836e46] [HideElement 3,30,31,40,58 in #o6a682b836e46] [HideField f2593] [Validate f2145 numeric "You need to input your height with numeric values." force=yes] [Validate f2147 numeric "You need to input your height with numeric values." force=yes] [Validate f2146 numeric "You need to input your weight with numeric values." force=yes] [IfField #o6a682b836e46-f2145 not '' AND #o6a682b836e46-f2147 not '' AND #o6a682b836e46-f2146 not ''] [Calc $feet=#o6a682b836e46-f2145] [Calc $inches=#o6a682b836e46-f2147] [Calc $height=($feet*12)+$inches] [Calc $weight=#o6a682b836e46-f2146] [Calc $bmi=($weight/($height*$height))*703 round=1] [FillField #o6a682b836e46-f2225 with $bmi] [IfVar $bmi <= $bmimin AND $dateofbirth < $eitheenyearsago][Calc f2372,$eligibility='BMI less than 27'][/IfVar] [ShowElement 19 in #o6a682b836e46] [/IfField] [Calc $dateofbirth=0] [IfField #o6a682b836e46-f2000 not ''][SetVar $dateofbirth=#o6a682b836e46-f2000 type=unix][/IfField] [Calc $eitheenyearsago=$today-568024668] [IfVar $dateofbirth > $eitheenyearsago AND $bmi > $bmimin][Calc f2372,$eligibility='Age less than 18'][/IfVar] [Calc $started=#o6a682b836e46-f2364] [IfField #o6a682b836e46-f2364 is 'Currently on the medication'][Calc $bmimin=19][/IfField] [IfField #o6a682b836e46-f2364 not 'Currently on the medication'][Calc $bmimin=27][/IfField] [IfVar $dateofbirth < $eitheenyearsago AND $bmi > $bmimin][ShowElement 43 in #o6a682b836e46][/IfVar] [IfVar $bmi <= $bmimin AND $dateofbirth > $eitheenyearsago][Calc f2372,$eligibility='BMI less than 27 And Age less than 18'][/IfVar] [HideField f2372,f2162,f2662] [IfVar $bmi > $bmimin AND $dateofbirth < $eitheenyearsago][Calc f2372,$eligibility=''][/IfVar] [IfField f2372 not ''][FillField f2162 with 'Not Eligible'][/IfField] [IfField f2372 is ''][FillField f2162 with 'Select...'][/IfField] [IfField f2162 is 'Select...'][FillField f2662 with checked][/IfField] [IfField f2162 is 'Not Eligible'][FillField f2662 with unchecked][/IfField] [IfField #o6a682b836e46-state is 'Puerto Rico'][FillField f2162 with 'Not Eligible'][/IfField] [IfField #o6a682b836e46-state is 'Mississippi'][FillField f2162 with 'Not Eligible'][/IfField] [IfField #o6a682b836e46-state is 'New Mexico'][FillField f2162 with 'Not Eligible'][/IfField] [IfField #o6a682b836e46-state is 'Louisiana'][FillField f2162 with 'Not Eligible'][/IfField] [IfField #o6a682b836e46-state not ''][Calc $state=#o6a682b836e46-state][/IfField] [HideField f2594] [IfField f2594 is 'FREEPERKS' AND f2364 is 'Currently on the medication'][FillField f2594 with 'PERKS100'][/IfField] [IfField f2594 is 'PERKS100' AND f2364 is 'New to weight loss medication'][FillField f2594 with 'FREEPERKS'][/IfField]
Orderly Wellness

 Check Eligibility 

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 *I consent to text and calls to communicate with OrderlyMeds.com 
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Your BMI is [Calc $bmi display]
 *Your BMI needs to be over [Calc $bmimin display] to be eligible 
 *You must be over the age of 18 to be eligible 
 *We currently cannot ship to Puerto Rico 
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 Orderly Wellness LLC, is a marketplace platform, collaborates with independent healthcare professionals to deliver top-notch services through our OrderlyMeds.com Patient Management System. We do not directly offer medical or pharmacy services, and payment doesn't ensure the prescription's writing or dispensing. Independent providers and Beluga Health handle medical services. Information on this site is for reference only and doesn't replace professional medical advice. For health-related inquiries, consult your doctor. Our platform is an advertisement for services, not specific medications.

*Disclaimer: The FDA-approved brand name drugs, such as Wegovy®, and Ozempic® are exclusively available from the Novo Nordisk™ company.  Mounjaro™ and Zepbound™ is exclusively available from Eli Lilly and Company™. OrderlyMeds™ does not claim any affiliation with, or endorsement from, the above mentioned products or entities. 
© 2024 Orderly Wellness LLC. (DBA OrderlyMeds) All rights reserved.
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