Arbor’s most consequential enrollment decision is not simply choosing between its two advertised medications. It is choosing how much money to commit before a prescription is written. The platform offers monthly billing and discounted prepaid terms, while promoting cancellation flexibility and a 12-month money-back guarantee. Those features operate under different rules: stopping the next charge does not necessarily recover the current payment, and a prepaid plan can become entirely nonrefundable before all its medication shipments have gone out.
This review examines Arbor’s public documentation consulted October 19, 2026, with particular attention to those boundaries. The current homepage and product pages agree on advertised prices of $99 a month for compounded injectable semaglutide and $149 for compounded injectable tirzepatide. The more difficult questions concern which plan qualifies for those prices, when payments become nonrefundable, who controls each part of care, and what a subscriber must complete before requesting the advertised guarantee.
At a glance
- Advertised medication programs
- Steady, the compounded injectable semaglutide program, starts at $99/month; Accelerate, the compounded injectable tirzepatide program, starts at $149/month.
- Payment choices
- Arbor offers monthly billing or discounted 3-, 6- and 12-month prepaid terms. Prepaid terms are collected in full at the start; monthly plans have no minimum commitment.
- Refund cutoff
- Cancellation before a prescription is written ordinarily means a refund minus a $100 clinician consultation fee. After the prescription is written, the payment is nonrefundable.Sources: [8]
- Prepayment exposure
- Once the first-fill prescription for a prepaid plan is written, the entire prepaid term becomes nonrefundable, including months not yet shipped.Sources: [8]
The prescription, not delivery, is the main refund boundary
Arbor’s terms put the ordinary refund cutoff at the moment a clinician writes the prescription. Before that event, a cancellation refund carries a $100 clinician consultation deduction. Afterward, the payment is nonrefundable and the order cannot be canceled. Arbor explains that its partner pharmacy starts filling prescriptions upon receipt through a high-volume process that cannot be stopped for individual orders. That is a substantially earlier cutoff than shipment, delivery or opening the package.
The distinction matters especially for prepaid enrollment. Once the prescription for the first fill is written, no part of a 3-, 6- or 12-month prepaid plan is refundable under the ordinary cancellation rule, including months not yet shipped. The contract therefore ties the whole prepaid balance to one early event. A longer package should not be interpreted as proof that all medication is supplied immediately, or that unshipped portions remain available for a discretionary refund.
There are important exceptions. Arbor promises a full refund if a clinician does not approve treatment, and refunds for duplicate or incorrect charges and orders not shipped because of Arbor’s or the pharmacy’s error. Those provisions differ from a patient choosing to cancel. Before paying, the useful question is which status applies to the account: pending clinical review, prescription written, pharmacy fulfillment or renewal. Our guide to when a prescription becomes a pharmacy order explains why that handoff deserves attention.
| Situation | Documented payment treatment | Practical distinction |
|---|---|---|
| Clinician declines treatment | Full refund | Different from voluntarily canceling before a decision |
| Patient cancels before prescription is written | Payment refunded minus $100 consultation fee | The deduction can be material relative to the advertised monthly price |
| Prescription has been written | Payment nonrefundable; order cannot be canceled | Shipment is not the cutoff |
| First-fill prescription for prepaid term is written | Entire prepaid term nonrefundable | Includes months not yet shipped |
| Cancellation requested before renewal date | Renewal avoided, or refunded in full if charged before processing | Retaining the dated request helps document timing |
The monthly headline does not settle the payment commitment
The current homepage advertises plans starting at $99 per month for Steady semaglutide and $149 for Accelerate tirzepatide. Their individual product pages show the same monthly amounts and describe medication, clinician care and check-ins in one price. Both programs are presented as compounded weekly injections. The consulted documentation does not establish whether the lowest advertised amounts require a particular prepaid term, promotion or checkout selection, so those figures should not be treated as a confirmed month-to-month checkout quote.
The contract offers a genuine choice: monthly billing or discounted prepayment for 3, 6 or 12 months. Only the prepaid options are described as collected in full at the start of each term. Monthly plans have no minimum commitment. Public documentation does not specify the total prepaid charges, discount percentages or detailed conditions behind buy-now-pay-later advertising. A subscriber should obtain the actual amount due now, next renewal amount and billing interval rather than infer them from a monthly equivalent.
Arbor also advertises pricing that stays flat as the dose increases, alongside broader no-price-increase language. Its billing consent nevertheless reserves the right to change pricing or plan terms with at least 30 days’ prior notice where required by law. That does not establish an unconditional lifetime price lock. The most useful confirmation is a written statement of the selected plan’s price and applicable term; monthly prices and billing commitments are related, but not interchangeable.
Canceling stops renewal, but does not unwind the current order
Arbor subscriptions renew automatically unless canceled. Its FAQ directs members to cancel by messaging support, and the billing consent says access continues through the end of the current paid period. A request made before the renewal date should prevent the next charge. If Arbor charges that renewal before processing a timely cancellation request, its terms promise a full refund of the renewal. Keeping the request and its date is a practical way to document that distinction.
After a renewal is charged, the ordinary refund boundary returns: Arbor says it refunds the payment minus the $100 consultation fee if the refill prescription has not yet been written. Once that prescription is written, the renewal is nonrefundable. The public terms therefore distinguish requesting cancellation before renewal from requesting it after payment. They do not make cancel-anytime language equivalent to a right to recover every unused day or every unshipped portion of an active plan.
Treatment unavailability has a separate provision. If supply constraints, regulatory issues or other factors outside Arbor’s control make prescribed treatment unavailable, a patient may qualify for a prorated refund for the unfulfilled portion of the applicable billing period. This is conditional, not an automatic promise covering every interruption. Approved refunds under that provision are processed within 14 days; processing is not a guarantee that funds will appear in the patient’s bank account within the same period.
The annual guarantee requires a different kind of commitment
Arbor’s 12-month results guarantee is separate from ordinary cancellation. Its terms require a new customer with accurate enrollment information, continuous enrollment for 12 consecutive months without cancellation or lapses, and a prescribed standard-dose compounded semaglutide or tirzepatide plan. The customer must receive all four scheduled medication shipments, described as occurring every three months. A monthly plan’s lack of minimum commitment does not remove these conditions for someone seeking the annual guarantee.
Additional requirements narrow eligibility further. The terms exclude outside weight-loss medication use during the 12 months before enrollment. Recorded starting and target weights must not imply a BMI below 18.5 or require more than a 20% reduction from starting weight. The guarantee claim must be submitted within 14 days after the annual enrollment period ends and remains subject to verification. These are contract conditions, not individualized medical targets or a promise that treatment will produce a particular outcome.
For an approved claim, the stated refund equals subscription fees paid during the eligible 12-month period. Incidental expenses, including consultations outside the membership, are excluded, and no prorated guarantee refund is available. Approved refunds are processed within 30 days after verification approval and credited to the original payment method—not necessarily received within 30 days of the first request. Readers comparing this offer should examine refund guarantees and their exclusions, rather than treating the guarantee as a trial period.
Enrollment connects several entities with different responsibilities
Arbor’s terms identify its operator as Harbor Health Inc. d/b/a Arbor, a Delaware corporation with a published Dover address. They describe Arbor as a technology platform, not the entity providing medical care, diagnosis or treatment. Medical services belong to licensed professionals employed by or contracted with separate professional entities. The website names MD Integrations as the partner medical group. Arbor likewise says it is not a pharmacy and does not dispense medications.
Enrollment involves an online health assessment and checkout, followed by clinician review. The questionnaire asks about height, weight, medical history, current medications, allergies and weight-loss goals. Depending on state requirements and clinical need, an audio or video visit may be required before a prescribing decision. Although marketing references same-day approval, the FAQ says most patients receive approval within 24–48 hours; clinicians may request more information, recommend an alternative or decline treatment. Payment does not guarantee a prescription.
Services are restricted to adults 18 and older located in the United States, with availability dependent on state licensing and other requirements. The intake process checks shipping state and clinician licensure; Arbor does not guarantee service in every state. Its published exclusions include pregnancy, breastfeeding, pregnancy planning, personal or family history of medullary thyroid carcinoma or MEN-2, active pancreatitis and severe gastrointestinal disease. The semaglutide page describes its usual audience as adults with BMI 27 or higher, subject to clinical review—not automatic eligibility.
Pharmacy restrictions and delivery estimates deserve separate questions
Arbor describes medication as compounded by licensed U.S. 503A and 503B pharmacies, but the consulted documentation does not name the dispensing pharmacies or independently verify their credentials. Its FAQ is more specific about prescription portability: compounded GLP-1 prescriptions are written for a particular 503A compounding pharmacy and cannot be transferred to retailers such as CVS or Walgreens. Someone expecting to move an Arbor prescription to a neighborhood pharmacy should resolve that restriction before enrolling.
The homepage advertises free FedEx Express shipping after approval and estimated delivery within 48 hours. That estimate is separate from the clinical review period and should not be read as arrival within 48 hours of completing intake. The FAQ describes automatic monthly refills subject to clinician review of progress, side effects and tolerance. Yet the guarantee requires four quarterly shipments. Public documentation does not clearly reconcile those schedules or establish medication quantity from the advertised package duration.
The product descriptions also require regulatory precision. Arbor’s generic FAQ reference to FDA-approved GLP-1 medications does not make its advertised compounded injections FDA approved. FDA says compounded preparations do not undergo its premarket review and recommends them when an individual’s medical needs cannot be met by an approved drug. Nonapproval alone does not establish clinical inequivalence. For an injectable delivery arriving warm or inadequately refrigerated, FDA explicitly advises not using it and contacting the provider or dispensing pharmacy.
Included care is clearer than the nutrition aftercare promise
Arbor advertises an all-inclusive subscription covering medication, physician consultations, ongoing check-ins, dosage adjustments and dietitian-led nutrition support. Its billing consent describes ongoing provider oversight and periodic consultations, typically approximately every three months, with medication fulfillment and shipping if prescribed. These descriptions establish more than a medication-only transaction, but they do not specify unlimited scheduled visits. The documentation also does not settle universal laboratory requirements, laboratory pricing or whether every test a clinician might request is included.
Nutrition support is less consistent. One description places registered-dietitian care after a supervised transition off medication; another calls a dedicated dietitian completely optional and offers personalized macros, portions or meal plans plus portal chat. The precise price, duration and scope of this phase remain unresolved. A prospective member should ask when access starts, whether it requires an additional selection or payment, and what remains available after medication treatment or the paid subscription ends.
The transition language should not be mistaken for evidence that everyone can maintain results without medication. NIDDK describes obesity as a chronic disease that may require long-term care and says treatment duration depends on response and side effects. Arbor’s aftercare description is a service promise, not proof of lasting outcomes. Establishing platform, clinician and pharmacy responsibilities also helps identify who should answer clinical follow-up questions versus questions about continuing access or charges.
Support, cash payment and privacy complete the contract picture
Arbor advertises clinical access around the clock through patient.mdintegrations.com, while billing, shipping and account questions are handled during weekday business hours. The portal supports clinician messaging, shipment tracking, prescription history, billing and labs, works in mobile and desktop browsers, and supports two-factor authentication. Clinical access is not the same as continuous administrative processing. Arbor says emergencies require 911 or an emergency department, not its portal; the consulted pages do not establish Spanish-language care or interpretation.
The service is cash-pay. Arbor’s terms say neither it nor providers accessible through the service accept health insurance, Medicare, Medicaid or other government healthcare programs. Product pages advertise HSA/FSA eligibility, but the billing consent assigns the patient responsibility for determining whether services qualify for reimbursement. That distinction matters: an accepted payment source does not establish an individual tax or plan entitlement, and lack of insurance acceptance should be understood before choosing a substantial prepaid term.
Privacy responsibilities are also divided. Arbor’s policy says it is not a HIPAA covered entity, may act as a business associate in some circumstances, and leaves medical records and clinical decision-making under healthcare providers’ control. It says it does not sell consumer health data, while allowing limited personal-data sharing for advertising where permitted by law. Those statements should not be collapsed into a blanket assurance that every interaction with the platform receives identical treatment or that no advertising-related sharing occurs.
Questions & answers
Is Arbor’s $99 semaglutide price definitely available month to month?
The homepage advertises semaglutide starting at $99/month, and its product page displays $99/month. Arbor offers monthly billing, but the consulted documentation does not establish whether that lowest price requires a particular plan or promotion. Ask for the actual monthly-plan checkout amount and renewal charge.
How does Arbor’s $100 cancellation deduction work with a $99 advertised plan?
The terms specify a $100 consultation deduction before a prescription is written, but do not explain how that operates when the collected payment is below $100. Do not assume either a refund or an additional balance. Request written clarification. Clinician rejection has a separate full-refund provision.
Can I cancel Arbor after my prescription is written?
You can request cancellation to stop future renewals, with access continuing through the paid period. However, the current payment becomes nonrefundable once its prescription is written. For prepaid terms, the first-fill prescription makes the entire term nonrefundable under the ordinary cancellation rule, including months not yet shipped.
Does canceling early preserve Arbor’s 12-month guarantee?
No. The published guarantee requires 12 consecutive months without cancellations or lapses, along with the other eligibility and verification requirements. It offers no prorated guarantee refund. A customer who values freedom to leave should distinguish that flexibility from the continuous enrollment needed to pursue the annual guarantee.
Can I fill an Arbor compounded prescription at CVS or Walgreens?
Arbor’s FAQ says its compounded GLP-1 prescriptions are written for a specific 503A compounding pharmacy and cannot be transferred to retailers such as CVS or Walgreens. The consulted documentation does not name the actual dispensing pharmacy, so ask for its identity and contact details before committing.
Who should I contact about a renewal charge versus a treatment concern?
Arbor directs cancellation requests to support messaging and handles billing, shipping and account matters during weekday business hours. Clinical questions go through the MD Integrations patient portal, where Arbor advertises 24/7 clinical access. These are distinct pathways; around-the-clock clinical availability does not establish around-the-clock billing support.
Our assessment
Arbor documents recognizable advantages: two clearly advertised compounded injectable programs, a monthly option without minimum commitment, bundled clinical oversight and a defined full-refund rule when treatment is declined. Its contract also makes the financial trade-off unusually important. Prescription writing—not delivery—ends ordinary refund eligibility, and a first-fill prescription can expose an entire prepaid balance. The annual guarantee requires sustained enrollment rather than offering an easy exit. Before paying, obtain a written checkout quote, confirm the renewal date and cancellation channel, identify the dispensing pharmacy, and clarify shipment frequency and dietitian access. Monthly enrollment and prepayment should be evaluated as different financial choices, not merely different ways to display the same monthly price.
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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.