[HideField unique_id,f2165,f2309,f2718,f2392,f2151,f2589]
[Calc $currentstep='']
[IfVar $currentstep < 10][Redirect https://patients.orderlymeds.com/healthscreening][/IfVar]
[IfField #o5205cf1c3660-f2593 not 'V5'][Redirect https://patients.orderlymeds.com/healthscreening-summary][/IfField]
[HideElement 5 in #odf343be01019]
[SetVar $phonenumber='']
[IfField #odf343be01019-sms_number not ''][Calc $updatephone=#odf343be01019-sms_number][/IfField]
[IfVar $updatephone not $phonenumber][ShowElement 4 in #odf343be01019][HideElement 6 in #odf343be01019][/IfVar]
[HideBlock #o196c9045abbc]
[IfAnchor #confirm.number][Submit #o196c9045abbc][/IfAnchor]
[HideElement 12,5,13,14 in #o2f2f47009cc5]
[SetVar $address='']
[IfField #o2f2f47009cc5-address not ''][Calc $updateaddress=#o2f2f47009cc5-address][/IfField]
[SetVar $address2='']
[IfField #o2f2f47009cc5-address2 not ''][Calc $updateaddress2=#o2f2f47009cc5-address2][/IfField]
[SetVar $city='']
[IfField #o2f2f47009cc5-city not ''][Calc $updatecity=#o2f2f47009cc5-city][/IfField]
[SetVar $state='']
[IfField #o2f2f47009cc5-state not ''][Calc $updatestate=#o2f2f47009cc5-state][/IfField]
[SetVar $zipcode='']
[IfField #o2f2f47009cc5-zip not ''][Calc $updatezipcode=#o2f2f47009cc5-zip][/IfField]
[IfVar $updateaddress not $address OR $updateaddress2 not $address2 OR $updatecity not $city OR $updatestate not $state OR $updatezipcode not $zipcode][ShowElement 4,11 in #o2f2f47009cc5][HideElement 6 in #o2f2f47009cc5][/IfVar]
[Calc $firstname='']
[Calc $lastname='']
[UploadBox f2406 QlV0dTFPYmF5MS9HVGlHYk0wQU10UT09 firstname=$firstname lastname=$lastname type=addressproof image_id=f2407]
[HideBlock #o77541e3ea8a5]
[IfAnchor #confirm.address][Submit #o77541e3ea8a5][/IfAnchor]
[HideElement 13,14,5 in #o733b6140032f]
[Today date_format=unix var=$today]
[IfAnchor #send.as.soon.as.possible][FillField f2405 with $today][ShowAfter 0.5sec][Submit #o733b6140032f][/ShowAfter][/IfAnchor]
[IfAnchor #pick.a.delivery.date][ShowElement 14 in #o733b6140032f][/IfAnchor]
[IfField #o733b6140032f-f2405 not ''][ShowElement 4 in #o733b6140032f][/IfField]
[HideElement 5,13,17,21 in #oa021517edd50]
[HideColumn 20 in #oa021517edd50]
[HideElement 5,13,17,21 in #ob4cb147537a6]
[HideColumn 20 in #ob4cb147537a6]
[HideBlock #o8468d54d60bb]
[IfAnchor #confirm.dose][Submit #o8468d54d60bb][/IfAnchor]
[IfAnchor #higher.dose][ShowColumn 20 in #oa021517edd50][ShowColumn 20 in #ob4cb147537a6][/IfAnchor]
[IfField #oa021517edd50-f2385//f2207 is 'Yes'][ShowElement 16,18 in #oa021517edd50][/IfField]
[IfField #oa021517edd50-f2385//f2207 not 'Select...' AND #oa021517edd50-f2385//f2208 not 'Select...'][ShowElement 4 in #oa021517edd50][/IfField]
[IfField #ob4cb147537a6-f2385//f2207 is 'Yes'][ShowElement 16,18 in #ob4cb147537a6][/IfField]
[IfField #ob4cb147537a6-f2385//f2207 not 'Select...' AND #ob4cb147537a6-f2385//f2208 not 'Select...'][ShowElement 4 in #ob4cb147537a6][/IfField]
[HideElement 5,13,20 in #o22cdd2f9454f]
[Calc $front='No']
[Calc $back='No']
[Calc $selfie='No']
[Calc $prescription='No']
[IfVar $front is 'Yes'][HideElement 31,32 in #o0e10aec8505e][/IfVar]
[IfVar $back is 'Yes'][HideElement 36,37 in #o0e10aec8505e][/IfVar]
[IfVar $selfie is 'Yes'][HideElement 41,42 in #o0e10aec8505e][/IfVar]
[Calc $glp1='']
[IfVar $prescription is 'Yes' OR $glp1 not 'Yes'][HideElement 46,47 in #o0e10aec8505e][/IfVar]
[IfVar $glp1 not 'Yes'][HideElement 70,71,72 in #oc240e2a38fd0][HideElement 24,54 in #o0e10aec8505e][HideElement 25,31 in #oc240e2a38fd0][/IfVar]
[Calc $secondpresciption='']
[Calc $thirdpresciption='']
[IfVar $glp1 not 'Yes' OR $secondpresciption is ''][HideElement 83,85,94,95 in #oc240e2a38fd0][/IfVar]
[IfVar $glp1 not 'Yes' OR $thirdpresciption is ''][HideElement 90,91,96,97 in #oc240e2a38fd0][/IfVar]
[IfVar $secondpresciption is ''][HideElement 21 in #o22cdd2f9454f][/IfVar]
[IfVar $thirdpresciption is ''][HideElement 22 in #o22cdd2f9454f][/IfVar]
[HideBlock #o243158a88041]
[IfAnchor #confirm.licence.front][Submit #o243158a88041][/IfAnchor]
[HideBlock #o084e807c75bb]
[IfAnchor #confirm.licence.back][Submit #o084e807c75bb][/IfAnchor]
[HideBlock #o78879747e19a]
[IfAnchor #confirm.selfie][Submit #o78879747e19a][/IfAnchor]
[HideBlock #o408fb8290ac0]
[IfAnchor #confirm.prescription][Submit #o408fb8290ac0][/IfAnchor]
[Calc $deliverydate='[Visitor//Delivery Date %U%+0]']
[IfVar $deliverydate not ''][ShowElement 22 in #oc240e2a38fd0][HideElement 21 in #oc240e2a38fd0][/IfVar]
[Multistep #o2f2f47009cc5 #confirmed.address][IfAnchor #confirmed.address][HideBlock #o2f2f47009cc5][/IfAnchor]
[Multistep #o733b6140032f #confirmed.deliverydate][IfAnchor #confirmed.deliverydate][HideBlock #o733b6140032f][/IfAnchor]
[Multistep #o22cdd2f9454f #confirmed.dosage][IfAnchor #confirmed.dosage][HideBlock #o22cdd2f9454f,#oa021517edd50,#ob4cb147537a6][/IfAnchor]
[Multistep #o77541e3ea8a5 #confirmed.address]
[Multistep #o196c9045abbc #confirmed.phone][IfAnchor #confirmed.phone][HideBlock #odf343be01019][/IfAnchor]
[Multistep #o8468d54d60bb #confirmed.dosage]
[ToNumber $referalcreditgift=0.00]
[Calc $referalcreditavailable=$referalcreditgift]
[IfVar $referalcreditavailable is ',0'][HideColumn 167,168,170 in #ob6cd6c4a738c][HideElement 114 in #ocb5a409dd934][/IfVar]
[Calc $quantity='']
[IfVar $quantity is 0][Calc $quantity=1][/IfVar]
[IfVar $threemonthstarter is 'Yes'][ShowElement 186 in #ob6cd6c4a738c][/IfVar]
[SetVar $bestoption='']
[Calc $custompricing='No']
[IfVar $bestoption is 'OM Core: Semaglutide - $199/month - 4 Injections' AND $custompricing is 'No'][Calc $costmonthly=199][/IfVar]
[IfVar $bestoption is 'OM Easy: Semaglutide - $324/month - 30 Daily Tablets' AND $custompricing is 'No'][Calc $costmonthly=324][/IfVar]
[IfVar $bestoption is 'OM Ultra: Tirzepatide - $399/month - 4 Injections' AND $custompricing is 'No'][Calc $costmonthly=399][/IfVar]
[IfVar $bestoption is 'OM Max: Tirzepatide - $499/month - 30 Days Drops' AND $custompricing is 'No'][Calc $costmonthly=499][/IfVar]
[IfVar $bestoption is 'OM Core: Semaglutide - $199/month - 4 Injections' AND $custompricing is 'Yes' AND $threemonthstarter not 'Yes'][ToNumber $costmonthly='$0.00'][/IfVar]
[IfVar $bestoption is 'OM Easy: Semaglutide - $324/month - 30 Daily Tablets' AND $custompricing is 'Yes' AND $threemonthstarter not 'Yes'][ToNumber $costmonthly='$0.00'][/IfVar]
[IfVar $bestoption is 'OM Ultra: Tirzepatide - $399/month - 4 Injections' AND $custompricing is 'Yes' AND $threemonthstarter not 'Yes'][ToNumber $costmonthly='$0.00'][/IfVar]
[IfVar $bestoption is 'OM Max: Tirzepatide - $499/month - 30 Days Drops' AND $custompricing is 'Yes' AND $threemonthstarter not 'Yes'][ToNumber $costmonthly='$0.00'][/IfVar]
[IfVar $bestoption is 'OM Core: Semaglutide - $199/month - 4 Injections' AND $custompricing is 'Yes' AND $threemonthstarter is 'Yes'][Calc $costmonthly=199][/IfVar]
[IfVar $bestoption is 'OM Easy: Semaglutide - $324/month - 30 Daily Tablets' AND $custompricing is 'Yes' AND $threemonthstarter is 'Yes'][Calc $costmonthly=324][/IfVar]
[IfVar $bestoption is 'OM Ultra: Tirzepatide - $399/month - 4 Injections' AND $custompricing is 'Yes' AND $threemonthstarter is 'Yes'][Calc $costmonthly=399][/IfVar]
[IfVar $bestoption is 'OM Max: Tirzepatide - $499/month - 30 Days Drops' AND $custompricing is 'Yes' AND $threemonthstarter is 'Yes'][Calc $costmonthly=499][/IfVar]
[IfVar $bestoption is 'OM: Wegovy - $1839/month'][Calc $costmonthly=1839][/IfVar]
[IfVar $bestoption is 'OM: Zepbound - $1498/month'][Calc $costmonthly=1498][/IfVar]
[Calc $costtotal=$costmonthly*$quantity]
[ToNumber $discount='0.00']
[IfVar $discount is 0][HideColumn 145,146,147 in #ob6cd6c4a738c][/IfVar]
[Calc $costtotaldiscount=$costtotal-$discount]
[Calc $gettingstarted=#o5205cf1c3660-f2364]
[Calc $coupon='']
[Calc $coupontype='']
[Calc $couponvalue='']
[IfVar $coupontype is 'Flat' AND $threemonthstarter not 'Yes' AND $coupon not 'GETSTARTED50'][Calc $coupondiscount=$couponvalue][/IfVar]
[IfVar $coupontype is 'Flat' AND $threemonthstarter is 'Yes' AND $coupon not 'GETSTARTED50'][Calc $coupondiscount=0][/IfVar]
[IfVar $coupontype is 'Percent'][Calc $coupondiscount=($costmonthly*($couponvalue/100)) round=1][/IfVar]
[IfVar $coupontype is ''][Calc $coupondiscount=0][/IfVar]
[Calc $threemonthstarter='No']
[IfVar $coupon is '' AND $gettingstarted not 'Transferring in at Higher Dose (higher doses)'][/IfVar]
[IfVar $coupon is '' OR $threemonthstarter is 'Yes' OR $coupon is 'GETSTARTED50'][HideColumn 162,163,165 in #ob6cd6c4a738c][/IfVar]
[IfVar $coupon not '' AND $coupontype is ''][ShowElement 109 in #ob6cd6c4a738c][/IfVar]
[IfVar $coupon not '' AND $coupon not 'GETSTARTED50' AND $coupontype is 'Flat'][ShowElement 107 in #ob6cd6c4a738c][/IfVar]
[IfVar $coupon is 'GETSTARTED50'][Calc $coupondiscount=0][ShowColumn 211,212 in #ob6cd6c4a738c][/IfVar]
[IfVar $coupon not '' AND $coupontype is 'Percent'][ShowElement 108 in #ob6cd6c4a738c][/IfVar]
[IfVar $coupon is 'FREEPERKS' OR $coupon is 'PERKS100'][HideElement 187 in #ob6cd6c4a738c][/IfVar]
[IfVar $custompricing is 'Yes'][HideElement 187 in #ob6cd6c4a738c][/IfVar]
[HideField f2385//unique_id,f2483]
[IfField f2385//f2542 is checked][FillField #ob6cd6c4a738c-f2483 with 'Update Card Before First Transaction'][/IfField]
[IfField f2385//f2542 is unchecked][FillField #ob6cd6c4a738c-f2483 with 'Charge First Transaction'][/IfField]
[IfAnchor #confirm.and.charge.me][Submit #ob6cd6c4a738c][Redirect #done][/IfAnchor]
[HideBlock #o5205cf1c3660]
[IfAnchor #testing][ShowBlock #o5205cf1c3660,#o97c21a2f1249][ShowField unique_id,f2165,f2309,f2718,f2392,f2151,f2589,f2385//unique_id][/IfAnchor]
[IfField #o5205cf1c3660-f2364 is 'Transferring in at Higher Dose (higher doses)' OR #o5205cf1c3660-f2594 is 'GETSTARTED50' OR #o5205cf1c3660-f2594 is 'PERKS100' OR #o5205cf1c3660-f2594 is 'NIFT' OR #o5205cf1c3660-f2747 is checked][HideColumn 183,184 in #ob6cd6c4a738c][/IfField]
[Calc $costbeforecredit=$costtotaldiscount-$coupondiscount+$extrafees round=1]
[IfVar $threemonthstarter not 'Yes' AND $referalcreditavailable > $costbeforecredit][Calc $finalcost=0][/IfVar]
[IfVar $threemonthstarter not 'Yes' AND $referalcreditavailable is $costbeforecredit][Calc $finalcost=0][/IfVar]
[IfVar $threemonthstarter not 'Yes' AND $referalcreditavailable < $costbeforecredit][Calc $finalcost=$costbeforecredit-$referalcreditavailable round=1][/IfVar]
[IfVar $threemonthstarter is 'Yes'][Calc $finalcost=$costbeforecredit][/IfVar]
[HideBlock #o97c21a2f1249]
[IfAnchor #same.dosage][FillField #o97c21a2f1249-f2385//f2770 with 'I want multiple months of the same dose'][Submit #o97c21a2f1249][/IfAnchor]
[IfAnchor #increase.dosage][FillField #o97c21a2f1249-f2385//f2770 with 'I want to increase dosage every month'][Submit #o97c21a2f1249][/IfAnchor]
[Multistep #o97c21a2f1249 #done.dosage]
[Calc $dosageincrease=#o97c21a2f1249-f2385//f2770]
[SetVar $gettingstarted='']
[IfVar ($quantity is 2 OR $quantity is 6 OR $quantity is 12) AND $gettingstarted is 'Transferring in at Higher Dose (higher doses)' AND $dosageincrease is 'Select...'][HideElement 115,102,74 in #ob6cd6c4a738c][ShowElement 199,198 in #ob6cd6c4a738c][/IfVar]
[IfVar ($quantity >= 6 AND $gettingstarted is 'Transferring in at Higher Dose (higher doses)' AND $dosageincrease not 'Select...') OR ($quantity >= 6 AND $gettingstarted not 'Transferring in at Higher Dose (higher doses)')][ShowElement 195,196,208,209 in #ob6cd6c4a738c][/IfVar]
[IfVar $quantity > 3 AND $threemonthstarter is 'Yes'][ShowElement 115,74 in #o2956340f588b][ShowElement 108,109 in #o8bfed5a93559][ShowElement 110,114 in #oab5956bc2470][/IfVar]
[SetVar $initialdosage='']
[IfVar $quantity > 2 AND $quantity < 6 AND ($initialdosage is 'Tirzepatide 10mg' OR $initialdosage is 'Tirzepatide 12.5mg' OR $initialdosage is 'Tirzepatide 15mg') AND $bestoption is 'OM Ultra: Tirzepatide - $399/month - 4 Injections' AND $gettingstarted is 'Transferring in at Higher Dose (higher doses)']
[ShowColumn 201,202,204 in #ob6cd6c4a738c]
[Calc $extrafees=50*$quantity]
[ToolTip 205 in #ob6cd6c4a738c delay=1 content="Due to higher prices from the pharmacy on 180 expiration date medication, there is an extra $50/month fee incurred if your dosage goes above 7.5mg." follow-cursor=no placement=bottom theme=material interactive=yes]
[/IfVar]
Orderly Wellness - Thank You
OrderlyMeds 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.