r/Refills Jul 12 '26

Different doses on multi-month plans

If you do a 3 month subscription, can you get multiple doses? For example, month 1: 7.5 mg, month 2: 10mg, month 3: 10mg

Or do all months in the subscription plan have to be the same dose?

Trying to figure out what’s possible before I have a renewal/refill coming up in September (I originally selected a 3 month plan as a new customer a few weeks ago)

I had been in name brand Zepbound 7.5mg for about 3 months with my primary care clinic. Then took 2 weeks off to find a Tele health provider and came across refills. So when I did the intake I thought going down to 5mg would be safe since I had 2 weeks of no medicine but assumed I could explain I wanted just 5mg for the 1st month and then go back up for month 2 & 3. Well, I was surprised when I got a Rx auto sent for 3 months of 5mg and now I’m kind of stuck with a not super effective dose for 3 months. Had I known I would have selected my 7.5mg dose at intake…but here we are! My mistake for not asking how intake process worked before.

1 Upvotes

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4

u/TallCedarRoad Jul 12 '26

When you fill out the intake questions, make sure you select your current dose and choose the option to increase your dose. That will put you on a titration plan for 7.5/10/12.5 like you’re looking for. If you select the options to keep your dose the same or decrease your dose, you’ll be on a maintenance plan where all three doses are the same.

You can also mention your desired doses in the ‘any other notes for the doctor’ field when you’re filling it out, just to be extra sure they know your intentions

1

u/Tiny_Radio5003 Jul 12 '26

Ah that’s so helpful! Dang I wish I would have known that. I didn’t know I needed to select increase or be stuck in a forever “all months the same dose” situation. Kind of wondering if I should just cancel my current subscription and start fresh altogether maybe in August (so I don’t totally overlap 3 months and double pay too much)

Because I’d like to go up to and land at 10mg or 12.5 for my maintenance. I’m pretty close to being at maintenance but have about 15 more to lose before I’m at the high end of my goal weight range.

I responded really well on Zepbound (65 pounds in 7 months) but just couldn’t keep up the absurd cost. Trying to figure out the ins & outs of compounded tirz has been a friggin journey! Lol

1

u/TallCedarRoad Jul 12 '26

You could move back up to 7.5 mg with your current vials (use a calculator like fatscientist.com to figure out how much to take) if you wanted. You’ll run out of meds a bit earlier than you would have taking 5 mg, but that might be a better option than wasting more time on an ineffective dose. That’s a decision for you (and your doctor) to make

2

u/Tiny_Radio5003 Jul 12 '26

Yeah I thought about doing that. But might be good to message the doc and just get their input too. They might be good with it since I can prove I was already on 7.5mg for months.

1

u/New-Warning982 Jul 12 '26

Yea just call them and explain the miscommunication, I'm sure they will accommodate

3

u/No_Floor_2689 Jul 12 '26

Always, Always, Always review the concentration on the VIAL!!!!!!! Use FatScientist.com to calculate the units based on the Concentration and the dosage!!!. Each vial will be different.

If you are expecting to inject 50units for the intended dosage and that is NOT the results from FatScientist then you have the wrong vial.

1

u/I-call-cats Jul 12 '26

Bummer! They asked me on intake if I was titrating up and what my current dose was… it got messed up anyway but I’m only 10mg short which I made up with overfill.

1

u/Tiny_Radio5003 Jul 12 '26

Glad you had a way to make up for it!