A medication subscription can look like one service while relying on several organizations to deliver it. That is the central issue in Healed’s care model: the brand taking you into the program is not itself the medical practice, prescriber or pharmacy. For a prospective patient, understanding those divisions matters as much as knowing the first-month price. It determines where to direct a prescription question, who handles a delayed shipment and what happens when treatment or payments stop.
Healed’s public documentation, consulted October 19, 2026, describes a U.S. weight-management program offering compounded weekly injectable semaglutide and tirzepatide, subject to clinical review. The advertised package includes medication, clinician visits, coaching and shipping. This review follows that service from enrollment through ongoing care and cancellation, distinguishing the provider’s promises from independently established facts. We did not verify professional or pharmacy licenses, complete a purchase or inspect the patient-specific clinical documents presented inside OpenLoop’s platform.
At a glance
- Who provides the service
- Sigma Health owns the Healed brand and supplies nonclinical services; OpenLoop operates the patient platform, while treating professionals make clinical decisions.Sources: [2]
- Published medication prices
- Compounded injectable semaglutide is advertised at $149 for the first month with SEMA40, then $249/month; compounded injectable tirzepatide is $199 with TIRZ40, then $339/month.Sources: [6]
- Review and dispatch
- Healed advertises clinician review within 48 hours and, if prescribed, first-medication dispatch within 5–7 business days—not guaranteed arrival within that period.Sources: [6]
- Geographic limitation
- Although the terms describe services across all 50 states and Washington, D.C., compounded GLP-1 treatment is expressly unavailable in Louisiana.Sources: [2]
- Cancellation deadline
- Requests must reach support at least 72 hours before the next billing date to avoid the next renewal charge. Cancellation does not automatically reverse an existing order or payment.Sources: [4]
Start by identifying the organizations behind the brand
Healed’s terms identify it as a consumer brand of Sigma Health, Inc. Sigma operates the website and nonclinical membership services, including education, navigation and customer support. It expressly says it is not a medical practice and does not prescribe, compound, dispense or ship medication. A treating professional—not Sigma—decides whether an evaluation, test, treatment or prescription is appropriate. That separation is more informative than treating every interaction as care delivered directly by “Healed.”
OpenLoop Health, Inc. operates the Healed-branded patient platform and supports registration, intake, scheduling, patient billing, portal access and communications. Licensed healthcare professionals provide medical services through a professional entity identified inside that platform. The public documents therefore explain the organizational model without identifying which professional entity will treat a particular applicant. Our guide to clinicians and telehealth platforms explains why that distinction is useful when saving contact information and consent documents.
Credentials on the public website also need careful reading. Healed identifies Mariusz Borkowski as holding a medical degree and medical license in Poland, not a U.S. medical license, and distinguishes his educational role from treating professionals. His presence should not be read as identification of the person who will prescribe. Before proceeding, obtain the treating clinician’s name, professional credentials and practice entity from the patient platform; this review does not independently verify those details.
| Participant | Documented role | What to clarify |
|---|---|---|
| Sigma Health / Healed | Brand, website and nonclinical membership services | Which support requests remain nonclinical |
| OpenLoop | Patient platform, billing and coordination | Portal access and escalation channels |
| Treating professional | Evaluation and prescription decisions | Name, credentials and professional entity |
| Independent pharmacy | Medication services and specified shipment remedies | Assigned pharmacy and product instructions |
| Laboratory or fulfillment provider | Services coordinated through OpenLoop | Which entity handles the particular order |
Intake is an assessment, not a prescription commitment
The basic access rules require applicants to be at least 18, have legal capacity to agree, supply accurate and current information, and be physically located where the requested service is lawfully available when care occurs. Healed describes a U.S. adult service. Its broad claim of services in all states and Washington, D.C., is qualified: not every service is available everywhere, and compounded GLP-1 treatment is specifically excluded in Louisiana. A general state selector is not sufficient confirmation of medication availability.
Healed says a licensed clinician reviews intake answers and advertises review within 48 hours. But the terms allow that professional to require more information, laboratory testing, a telephone or video consultation, an in-person examination or referral elsewhere. This is not necessarily a questionnaire-only pathway. Completing the assessment, talking to support or paying for membership does not guarantee a prescription or establish a clinician-patient relationship with Sigma.
The public documents do not specify complete eligibility criteria, BMI thresholds or the laboratory panels used for every applicant. They also do not settle all potential costs of additional testing or outside referrals. Preparing a medication list, health history and questions about required testing is more useful than assuming the advertised package resolves every assessment need. The first-consultation preparation guide can help organize that conversation without predicting whether a clinician will prescribe.
The advertised products require a separate formulation discussion
Healed presents two compounded weekly injectable options: semaglutide and tirzepatide. Applicants may indicate a preference, but a licensed clinician determines eligibility and treatment. These are not presented as FDA-approved branded products. Healed explicitly says its compounded medications are not FDA approved and are not represented as generics, equivalents or the same as approved drugs. The public offering establishes ingredient names and route, but it does not settle the patient-specific preparation or dispensing details.
FDA’s guidance supplies the relevant boundary: compounded preparations do not undergo FDA premarket review for safety, effectiveness and quality. FDA recommends using compounded drugs when an individual’s medical needs cannot be met by an FDA-approved drug, with a prescription and a state-licensed pharmacy. Nonapproval alone does not establish clinical inequivalence or prove that a provider delivers poor care. It does mean the rationale for the particular compounded prescription deserves an explicit discussion with the treating professional.
Nothing reviewed establishes clinical outcomes for Healed’s program or its preparations. Nor should a medication’s ingredient name substitute for confirmation of the actual formulation and instructions. FDA has received reports of measurement and administration errors involving compounded medication, including some associated with hospitalization. Patients should resolve unclear instructions with the prescriber or pharmacist rather than calculate a dose from an editorial review. Healed’s public description does not replace that patient-specific counseling.
A prescription passes to a pharmacy network, not necessarily one fixed pharmacy
Healed’s terms name Red Rock Compounding Pharmacy, Health Warehouse, Precision Medicine and Triad Rx as partners through OpenLoop’s network, which may change. Their listed locations are St. George, Utah; Florence, Kentucky; Bellmore, New York; and Daphne, Alabama, respectively. Listing these businesses is not independent verification of their licenses, and it does not establish that each performs every kind of preparation. It also does not identify the pharmacy that will fill a particular patient’s prescription.
OpenLoop coordinates with independent pharmacies, laboratories and fulfillment providers, each responsible for its own services. The participating entity can depend on location, the treating professional’s order, availability and applicable law. Before fulfillment, ask which pharmacy is assigned, how to reach its pharmacist and who answers product-specific questions. Those are practical handoff details, not reasons to assume a problem. Our pharmacy-handoff guide covers the distinction between a platform’s coordination role and a pharmacy’s medication responsibilities.
Timing is another handoff issue. Healed advertises clinician review within 48 hours and says that, if prescribed, the first medication ships within 5–7 business days. The latter is a dispatch statement, not a guaranteed arrival date. The consulted documentation does not establish a carrier, destination-specific transit commitment or detailed refrigeration protocol. A patient needing to plan around travel should obtain the actual shipping estimate and delivery instructions rather than combine these separate clocks into an assumed arrival promise.
Delivery problems have specific—and limited—remedies
Healed’s policy tells patients to inspect deliveries promptly and contact patient support immediately about damage, incorrect items, missing items or delays. It says prescription medication generally cannot be returned to a pharmacy for refund or reuse once ordered for a patient. That makes early documentation of an issue important. The policy does not offer a broad satisfaction guarantee under which any concern about a shipped medication automatically qualifies for a return or reimbursement.
The stated remedies distinguish different problems. A pharmacy may replace a damaged item after receiving evidence of damage, while an incorrect item will be replaced by the pharmacy. For other shipping issues, OpenLoop coordinates with the pharmacy, fulfillment provider or carrier, but the policy does not promise a general replacement or refund beyond its confirmed rules or legally required rights. Keep order information and relevant photographs available rather than assuming customer support itself dispenses replacements.
Temperature concerns require a separate safety response. FDA explicitly advises not using an injectable GLP-1 drug that arrives warm or with insufficient refrigeration and contacting the provider or dispensing pharmacy. That guidance is not a finding about Healed’s deliveries, and it does not establish a particular refund entitlement. It is the appropriate boundary while the delivery concern is resolved. The guide to warm injectable deliveries explains how that advice differs from ordinary delay tracking.
Coaching, customer support and clinical follow-up run on different schedules
Healed’s intake page says plans include a one-on-one coaching call every two weeks, medication, shipping, clinician care and adjustments as needed. The homepage separately advertises ongoing one-to-one check-ins. These are meaningful service commitments, but coaching should not be confused with prescribing care. The provider also distinguishes 24/7 patient support from clinician availability: clinicians are advertised as available seven days a week, from 7 a.m. to 7 p.m. CST.
For longer-term follow-up, Healed says coaching continues after a patient reaches their goal and that a clinician reviews the dose quarterly once treatment has settled. That describes a planned cadence, not evidence that every clinical issue waits for a quarterly review. Ask how to request an earlier clinical assessment, which messages reach a clinician and what response time applies. The public availability statement does not itself establish an immediate appointment or message-response guarantee.
The platform also has a separate privacy boundary. Healed’s public-site notice is not the treating provider’s HIPAA Notice of Privacy Practices; clinical terms, consent and medical-record notices appear in OpenLoop’s platform. Healed says Stape, Google and Meta may receive limited public-site interaction data, including the plan clicked and its list price. It says those tools are prohibited in OpenLoop’s intake, checkout, payment, portal and clinical areas, and that Sigma does not send them clinical answers or medication decisions.
What the monthly payment is supposed to support
The published introductory price for compounded injectable semaglutide is $149 for the first month with code SEMA40, followed by $249 per month. Compounded injectable tirzepatide is $199 for the first month with code TIRZ40, followed by $339 per month. Both promotions are labeled “40% off,” although that label does not exactly match the displayed price comparisons. Confirm the actual enrollment charge and promotion conditions at checkout rather than applying the percentage yourself.
The homepage says medication, clinician visits, coaching, treatment adjustments and shipping are included, with no add-on fees, and separately advertises included treatment labs. The subscription policy is less categorical, saying services “may include” consultations, labs and other care. These descriptions should be reconciled for the actual purchase, especially if extra testing or an outside referral is requested. The transactional checkout was not reviewed, so the final package and any specific prepayment offer remain unconfirmed.
Healed says it does not take insurance; the terms describe a cash-pay launch program, with no claim submission by Sigma or OpenLoop unless checkout expressly says otherwise. HSA/FSA eligibility depends on the plan and specific expense, so the administrator should confirm it. Membership automatically renews at the amount and frequency displayed at checkout, with OpenLoop processing payments. Although the homepage quotes monthly prices, the policy also addresses four-week billing; those intervals differ. Failed payments may pause nonclinical service or fulfillment after reasonable notice, subject to clinical-continuity duties.
Stopping the subscription is not the same as undoing care
Healed advertises no cancellation fee, no retention call and no minimum term, with access continuing through the paid period. Requests go through a prefilled cancellation email, support@store.healed.care or patient-portal chat; OpenLoop handles them behind the Healed-branded channels. The policy requires at least 72 hours’ notice before the next billing date and says confirmation arrives by email. A later request may allow the next charge, with cancellation effective for the following cycle.
Cancellation does not automatically reverse a completed charge, cancel an already placed prescription or medication order, or stop a shipment released for fulfillment. The policy promises a full refund when cancellation occurs through support within the first 72 hours of a subscription term and no subscription services have been received. It also promises a full refund of the applicable subscription charge when a treating professional medically disqualifies the patient, with no prescription issued and the subscription canceled.
Other wording is less consistent: the intake page promises a full refund if no prescription is issued, while a policy FAQ says a refund may be issued after loss of eligibility. Ordinary monthly or four-week cancellation generally does not refund the current or prior period, subject to stated exceptions or law. For prepayment covering at least two periods, future periods whose medication has not shipped are refundable. Approved refunds use OpenLoop’s payment process; bank posting time is not guaranteed. Clarify the applicable rule before enrollment.
Questions & answers
Can I get Healed’s compounded GLP-1 treatment in Louisiana?
The consulted terms explicitly exclude Louisiana from compounded GLP-1 treatment, despite describing a broader national service footprint. Availability is subject to change. Confirm the specific service for the state where you will physically be during care; the general coverage statement is not confirmation that every treatment is available.
Will the first medication arrive within seven business days?
That is not what the documented timeline guarantees. Healed advertises intake review within 48 hours and says the first medication ships within 5–7 business days if prescribed. Shipping is dispatch, not arrival. Additional assessment requirements and transit remain separate, and no destination-specific arrival guarantee was established.
Does 24/7 support mean a clinician is always available?
No. Healed distinguishes round-the-clock patient support from clinician availability, advertised as 7 a.m.–7 p.m. CST, seven days a week. Coaching is another service, including a one-on-one call every two weeks according to the intake page. Ask which channel reaches clinical staff and what response time applies.
Which pharmacy will supply my medication?
The public terms do not assign one pharmacy to every patient. They list Red Rock Compounding Pharmacy, Health Warehouse, Precision Medicine and Triad Rx through OpenLoop’s network. Assignment may depend on location, the clinical order, availability and law. Request your actual pharmacy’s identity and contact details before fulfillment.
Is the advertised first-month price the ongoing price?
No. The published semaglutide offer is $149 for the first month with SEMA40, then $249/month; tirzepatide is $199 with TIRZ40, then $339/month. These are compounded injectable options, subject to clinical eligibility. Promotions ordinarily affect only their identified period, and checkout controls the final renewal amount and frequency.
If I cancel today, will I automatically get my money back?
No. Cancellation and refund eligibility are separate. Notice must be sent at least 72 hours before renewal to avoid the next charge. The early full-refund provision requires cancellation through support within the term’s first 72 hours and no services received. Existing charges, prescriptions and released shipments are not automatically reversed.
Our assessment
Healed documents a fairly specific service proposition: two compounded injectable options, published introductory and renewal prices, biweekly coaching, defined clinician hours and named pharmacy-network participants. Its terms also make the organizational boundaries unusually important: Sigma supplies the brand and nonclinical services, OpenLoop coordinates the platform and billing, and independent professionals and pharmacies deliver their respective services. The strongest next step is to confirm those patient-specific assignments before paying. Important unresolved points include the exact preparation, final checkout interval, required testing, arrival arrangements and inconsistent refund wording. Healed may merit further consideration for adults exploring a self-pay compounded-medication pathway, but its marketing is not evidence of clinical results or a guarantee of prescription, delivery timing or suitability. A decision should rest on the actual clinical evaluation and written enrollment terms.
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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.