Vol. 01 · Prelaunch Dossier
Filed Apr 2026 · 50 states + DC
Waitlist open

Elite care,honestlybuilt.No surprises.

A clinician-guided practice for GLP-1 weight loss, longevity, and recovery. Semaglutide and tirzepatide lead the metabolic path; sermorelin, NAD+, and select peptides round out the broader Northline formulary.

Join the waitlistSee pricing
Shipping 50 states · cash-pay
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01 / Thesis

Telehealth has become a volume business. We’re building the opposite: a practice, not a funnel.

Filed: Northline Health
Prelaunch, April 2026

Clear care for people chasing their apex. Northline is a clinician-led practice built around transparency, honest protocols, and elite execution, so you can make measurable progress without the usual noise.

The practice

Three pillars.
One clinical home.

01
At launch

Metabolic

Compounded semaglutide and tirzepatide — injection and oral. Clinician-titrated, labs included, shipped monthly.

Semaglutide injection
Tirzepatide injection
Oral options available
02
At launch

Longevity

The legal longevity stack. Sermorelin, NAD+, B12-MIC, Glutathione. Layered once metabolic care is stable.

Sermorelin · strength & sleep
NAD+ · energy & cognitive
B12-MIC / Glutathione / Methylene Blue
03
Watchlist · expanding

Recovery

BPC-157, TB-500, GHK-Cu and the broader recovery peptides remain Category 2 today. As the FDA reclassifies, our formulary grows with it — compounders first, new molecules next.

First in line the day anything is reclassified
Members notified on every FDA ruling
New peptides added as science and law allow

Protocol · Titration

A protocol, loaded
like a training block.

Semaglutide titration curve — weeks 0 to 16. Every dose change is clinician-authored, reviewed against labs, and paced to your tolerance. No template. No auto-escalation.

Fig. 02 · Semaglutide · mg / wk
WK 00 / 16
0.00.51.01.52.02.4WK 00WK 04WK 08WK 12WK 160.25 mg
Current
0.25mg
Week0
Step2 / 5
Labs drawn00
ReviewTitrating
↓ Scroll to titrate · Progress 0%

The formulary

Seven today.
Fourteen on watch.
More as the FDA allows.

In 2023 the FDA moved 19 peptides to Category 2 — ineligible for routine 503A compounding. HHS has signaled intent to restore 14 of them, with more molecules under review. Until reclassification, we prescribe only what’s legal today. Members are first in line the moment it changes.

Formulary · live count
07+ compounds tracked
Available today · 7 On watch · 14 + whatever comes next
Available today · 7 compounds
On watch · 00 / 14 · and growing
Status: open list · grows with reclassification
Source: FDA 503A bulk substances framework · HHS reclassification signal · as of Apr 2026. List updates as new molecules are approved.Notify me on any change →

Cash-pay · no insurance, no surprise fees

Pick your protocol.
Know your price.

Membership covers medication, clinician, labs, and shipping. One flat rate — no surprise fees, no insurance middlemen. Pricing is coming soon — waitlist members will hear first.

GLP-1 / Semaglutide
Coming soon
Compounded sema, 503A
Clinician intake + refills
Base labs (Quest/Labcorp)
Monthly cold-chain ship
Oral option available
Read the semaglutide guide
GLP-1 / Tirzepatide
Popular
Coming soon
Compounded tirz, 503A
Clinician intake + refills
Base labs (Quest/Labcorp)
Monthly cold-chain ship
5 compound options incl. side-effect mitigation
Read the tirzepatide guide
Microdose · optimization
Coming soon
BMI > 20 · not weight-loss
GLP-1 + NAD+ / B12 stacks
Muscle, energy, acuity, sleep
Sync consults included
Labs recommended, not required
Longevity stack
Add-on to any protocol
Sermorelin
Coming soon
NAD+
Coming soon
B12-MIC
Coming soon
Glutathione
Coming soon
Reserve my spot

Compounded medications are not FDA-approved. They are prescribed by a licensed clinician based on individual medical necessity. Not all patients qualify. Prescribing decisions are at the clinician’s professional judgment.

Dossier

The year,
on paper.

Async-primary clinical pathway. Sync video visits in AR, DC, DE, KS, MS, NM, RI, WV or when your clinician schedules one. You know the rhythm before you sign.

A1ONBOARD
Intake

Async clinician review, 12-panel medical history

A2ONBOARD
Sync (as required)

Video visit — 8 states or clinician discretion

A3ONBOARD
Prescription

Titration plan, 503A-compounded, shipped

B1TITRATE
Week 4

Async check-in, side-effect + adherence review

B2TITRATE
Month 1

Labs drawn at Quest or Labcorp

B3TITRATE
Monthly

Async refill review until steady-state dose

C1STEADY STATE
Quarterly

Async follow-up + optional sync video

C2STEADY STATE
Year

Full metabolic panel repeat · continue or taper

Compliance

Boring, on purpose.

Good medicine is documented, sourced, and repeatable. Here’s the spec.

LegitScript
Certified
Telehealth merchant standard
Clinical coverage
50 states + DC
MD/DO + NP network
Hours
7a–7p CST
Clinical support · M–F
Patient support
24 / 7 / 365
Live CMA + RN escalation
Age range
18–74
New-patient initiation
Pharmacy
503A · FDA-reg API
Lot-level third-party testing

Common questions

Before
you sign.

01Is this covered by insurance?+

No. Northline is cash-pay by design. Membership covers the clinician, the medication, the labs (with Quest/Labcorp), and the follow-through. No prior auths, no surprise bills.

02Is the medication compounded?+

Yes. Sourced from 503A pharmacies using APIs from FDA-registered manufacturers, with lot-level third-party testing for potency, sterility, and contamination. Compounded medications are not FDA-approved.

03Which peptides do you prescribe?+

Today: Sermorelin, NAD+, B12-MIC, Glutathione, Methylene Blue, Lipo-C, L-Carnitine. Not today: BPC-157, TB-500, GHK-Cu and the other Category 2 peptides — we will not prescribe what cannot be sourced compliantly. Members are the first notified if the FDA reclassifies.

04How do I see a clinician?+

Async-primary pathway: intake, refills, and check-ins happen via written clinical review, which is faster and lets your clinician work through your history carefully. Synchronous video visits are available in AR, DC, DE, KS, MS, NM, RI, WV and any time your clinician schedules one. Sync consults on microdose plans are included at no extra cost.

05What happens if I want to stop?+

Message your care team. They build a taper plan. No cancellation fees, no retention calls. You can request a refund at any time — except on months where medication has already been ordered.

06Do you ship to my state?+

50 states + DC. Waitlist invites are rolling out state-by-state to keep first-visit experience high. Join and you will get a specific launch date for your state.

Closing brief

Hold the
line.

Waitlist is how we say: we will tell you when your state is ready, and what you qualify for — not the other way around.

Join the waitlist
NORTHLINE HEALTH — EST. 2026NLH / V.01