Skip to content
Welcome, you are shopping with
Shop Now
SHOP OUR HOLIDAY SPECIAL
HSA/FSA

Advance
Advance Form
Please fill out the form and a customer service representative will email you a payment link within 12 hours.
HSA Advance
First Name
*
Last Name
*
Email
*
Phone Number
*
I'm Interested in Purchasing:
You Can Select Multiple Options.
*
Semaglutide - T1 - $897
Semaglutide - T2 - $1047
Semaglutide - T3 - $1197
Tirzepatide - T1 - $1347
Tirzepatide - T2 - $1797
Tirzepatide - T3 - $2397
B12 - $297
NAD - T1 - $350
NAD - T2 - $438
NAD - Nasal Spray - $370
Sermorelin- Injection - $645
Sermorelin - Tablet - $837
Synapsin - $290
PT 141 -Injection - $438
PT141 - Nasal Spray - $387
Glutathione - $350
Semaglutide - Microdose - $687
Tirzepatide - Microdose - $897
By advancing payment for treatments or services with EllieMD, you acknowledge and agree to the following:
No Refunds: All payments are final and non-refundable.
Plan Administrator Responsibility: It is your responsibility to confirm eligibility and coverage of services with your HSA/FSA or insurance plan administrator. EllieMD will not be held responsible for any denials or disputes regarding coverage.
Documentation: EllieMD will only provide a receipt of services rendered. If you need additional documentation please consult your primary care provider.
Submit
If you are human, leave this field blank.
Submission will be sent to support@elliemd.com
Login
OUR Products
TELEHEALTH PRODUCTS
ELLIE ESSENTIALS STORE
HSA ADVANCE
ABOUT ELLIE
OUR STORY
LEARNING RESOURCES
Partner with us
upgrade to Brand Partner
BRAND PARTNER
login to backoffice
brand partner trainings
Contact Us
Login
TELEHEALTH PRODUCTS
LONGEVITY
WEIGHT MANAGEMENT
SEXUAL HEALTH
DIAGNOSTICS
Contact Us
Login
LEARNING RESOURCES
Educational Series
Articles
FAQs
Contact Us
