Reflect Wellness and Aesthetics Review: Local Weekly Prices, Separate National Packages

Reflect Wellness and Aesthetics makes its local price ranges relatively easy to find. The harder budgeting question is what a patient actually pays to begin and continue care. Its Tennessee pages advertise compounded semaglutide at $25–$125 per week and compounded tirzepatide at $75–$175 per week, with clinician-selected tiers and a $10 take-home fee. Those figures describe local offerings, not a nationwide all-inclusive subscription, and the fee’s frequency is not specified.

This documentary review examines Reflect’s own supplied pages and terms, consulted October 19, 2026. The central distinction is between care delivered by Reflect’s Tennessee practice and a national program using independent clinicians through a partner platform. Their prices and responsibilities should not be merged. Reflect provides useful information about medications, visits and local extras, but the supplied material leaves the first charge, billing schedule, included services and exit terms for patients to settle before paying.

At a glance

Local compounded semaglutide: Tennessee clinic pricing is $25–$125 per week across six clinician-selected tiers, plus a $10 take-home fee whose frequency is unspecified.
Sources: [10]
Local compounded tirzepatide: Tennessee clinic pricing is $75–$175 per week across six clinician-selected tiers, with a $10 take-home fee.
Sources: [4]
Separate national service: National packages are priced separately; independent network clinicians conduct assessments, and Reflect says it does not prescribe for that program.
Sources: [12] [13]
Direct-pay structure: Reflect describes its program as direct-pay and says the clinician confirms the full plan cost, including any take-home fee, before treatment begins.
Sources: [12]
Optional membership: Membership is not required. The semaglutide page advertises up to 15% off with membership, but the supplied material does not establish membership cost or maximum-discount conditions.
Sources: [8] [10]

Start with the Tennessee menu—not an assumed monthly bill

Reflect’s most concrete prices are its Tennessee clinic cash-pay ranges. Compounded semaglutide has six tiers at $25–$125 per week; compounded tirzepatide has six at $75–$175 per week. The clinician selects the starting tier and can adjust it at monthly visits. A patient therefore cannot assume the lowest advertised figure applies personally, or that the starting expense will remain unchanged as the plan changes. These are weekly price descriptions, not documented monthly collection schedules.

Two combination programs broaden the local menu. SkinT pairs compounded tirzepatide with B12 and L-carnitine in a weekly injection program, priced at $85–$185 per week across six tiers. Xtra Skinny pairs compounded semaglutide with those ingredients, priced at $35–$100 per week across five tiers. Both are Tennessee-clinic-only offerings with monthly clinician visits. Their names and ingredient combinations should remain attached to their prices rather than being treated as interchangeable versions of the basic programs.

The table summarizes published local figures, not complete bills. The semaglutide and tirzepatide pages each identify a $10 take-home fee, without explaining how often it is collected. The supplied combination-program information does not settle whether that charge also applies there. Before comparing these weekly figures with another service’s monthly quote, establish the actual billing period; our guide to monthly, four-week and prepaid billing explains why those units should not be substituted for one another.

Published Tennessee clinic injection-program prices
Program and presentation	Published weekly price	Material conditions
Compounded semaglutide injection	$25–$125/week	Six clinician-selected tiers; $10 take-home fee, frequency unspecified
Compounded tirzepatide injection	$75–$175/week	Six clinician-selected tiers; $10 take-home fee, frequency unspecified
SkinT: compounded tirzepatide with B12 and L-carnitine	$85–$185/week	Six clinician-selected tiers; Tennessee clinic only
Xtra Skinny: compounded semaglutide with B12 and L-carnitine	$35–$100/week	Five clinician-selected tiers; Tennessee clinic only

Sources: [10] [4] [5] [6]

The first payment needs its own written explanation

Reflect says a consultation is required before treatment and that the clinician confirms the full plan cost, including any take-home fee, before the patient starts. That is a useful commitment to price disclosure. It does not, however, specify the consultation’s price or whether payment is collected before clinical review. The supplied pages also do not establish whether laboratory testing, injection supplies or delivery are included in each advertised range.

The semaglutide page places “Baseline health screening at consult” under its labs heading. That wording does not identify particular laboratory tests or establish that any tests are included without a separate charge. Similarly, a program description mentioning monthly visits does not conclusively show how those visits are billed. A practical quote should separate the assessment, medication, monitoring, supplies and take-home or delivery charges, even if Reflect ultimately bundles some of those items.

Ask for both the amount due initially and the expected next charge, with the period each payment covers. The material does not document an introductory offer, a renewal-price formula, mandatory prepayment, installment options or a minimum commitment. None should be assumed. Our first-payment guide offers a useful framework for this conversation: the issue is not whether the advertised range is real, but whether it describes the entire transaction a patient is about to authorize.

Sources: [12] [10]

National telehealth is a different purchasing arrangement

Reflect’s Tennessee practice provides care at its clinics and through its Tennessee telehealth visits. The national arrangement is different: assessments come from an independent network of licensed providers made available through a partner telehealth platform. Reflect expressly says it does not prescribe medication in that program or control those clinicians’ medical judgment. For budgeting purposes, this means the local menu cannot serve as a reliable estimate for an out-of-state applicant.

The national pathway advertises an online assessment and home delivery where available, but program and medication availability vary by state. The supplied material does not name the platform, medical network or dispensing pharmacies, provide a supported-state list, or disclose concrete national-package prices. Completing an assessment does not guarantee a prescription. If one is issued, the terms say a licensed 503A compounding pharmacy selected through the provider network fills it.

Payment handling also differs: national-program payments use a third-party processor, while clinic payments use in-clinic systems. Reflect says its website does not store full payment-card details. These statements describe processing, not which party owes a refund or handles a disputed charge. Before national enrollment, request the package price, billing entity, treating provider, pharmacy and no-prescription payment policy together. Otherwise, a clear-looking local price can obscure a materially different transaction.

Sources: [13] [12] [10]

Direct pay and membership are separate budget decisions

Reflect describes the program as direct-pay rather than insurance-covered through its practice. Its answer to the insurance question emphasizes upfront tier pricing and confirmation of the full plan cost. Patients should therefore budget around a self-pay quote rather than assume their insurance will reduce the advertised clinic charge. This documentation does not establish reimbursement by an outside plan or provide a basis for promising that a patient can recover the expense later.

Membership is advertised as optional, never required. The compounded semaglutide page promotes “up to 15% off with membership,” but the supplied material does not disclose the membership fee, qualifying conditions, eligible tiers or the requirements for the maximum discount. That makes it impossible to determine a patient’s net benefit from the discount alone. The headline percentage should not be treated as a guaranteed reduction or subtracted automatically from every service on the menu.

For a useful comparison, request two itemized quotes for the same proposed care: one without membership and one with its full cost and applicable discount. Ask whether membership has its own renewal or cancellation conditions, separate from treatment. Reflect’s optional-membership statement is meaningful, but it does not answer those contractual questions. A patient can evaluate the documented nonmember option without assuming that buying another product is necessary to access the program.

Sources: [12] [8] [10]

Local extras have real prices, but are not all the same purchase

Reflect lists standalone in-person B12 and L-carnitine injections at $10 each, and a lipotropic injection at $20. These are available at its Franklin and Murfreesboro locations and can be added during a consultation or follow-up without a separate appointment. The lipotropic page leaves the specific blend for discussion with the clinician rather than enumerating it. Those prices should not be confused with the weekly SkinT and Xtra Skinny combination-program prices.

There is some access ambiguity around B12 and L-carnitine: their pages describe add-ons, while their FAQs allow obtaining them without a weight-management program. That is a reason to clarify the booking route, not evidence that they are unavailable separately. From a cost perspective, ask whether an additional consultation charge applies when purchasing an injection outside an existing visit. The documented per-injection figure does not resolve every possible encounter charge.

Other listed options include prescription phentermine tablets at $30 for 30 tablets and compounded prescription ondansetron tablets at $6.99 for 15 or $10.99 for 30, with ondansetron limited to Tennessee clinics. Reflect describes clinician review and appropriate clinical fit rather than automatic access. Thirty tablets should not be relabeled a month’s supply. These are separate documented offerings, not evidence that either medicine is included in every GLP-1 plan or needed by every patient.

Sources: [11] [7] [3] [2] [9]

Understand the practice and the care behind recurring spending

Reflect identifies Dr. Brandon Hardin as its owner and practice leader, with clinics in Murfreesboro and Franklin, Tennessee. Its broader business includes weight management, peptides, hormone therapy, aesthetics and IV therapy. The site identifies Danelle Farmer, NP, as a board-certified nurse practitioner providing weight-management care in Murfreesboro, and Michelle Sloan, NP, as a board-certified family nurse practitioner doing so in Franklin. These are provider-published descriptions, not independently verified credentials.

The documented pathway begins with a licensed clinician reviewing health history and goals to determine whether a program fits. Monthly visits then review progress and adjust the plan within its tiers as needed, rather than following a fixed adjustment schedule. Reflect describes compounded semaglutide as a weekly self-administered injection and says the consultation covers how it is supplied and injected. The supplied material does not provide complete clinical eligibility criteria or identify particular required laboratory tests.

Reflect offers Tennessee telehealth visits and medication delivery as well as in-clinic care. Its site terms require users to be at least 18 to use the site, book or submit intake information; that is not medication eligibility. For an ongoing budget, establish how remote follow-ups work, whether they are included, and what contact is available between visits. The pages establish monthly monitoring but do not settle response times, after-hours access or separate charges for additional encounters.

Sources: [8] [12] [13] [10]

Pharmacy language does not establish product approval or delivery coverage

Reflect says it is not a pharmacy. It attributes prescribing to licensed medical providers and fulfillment to U.S.-licensed, FDA-registered pharmacies, including 503A compounding pharmacies. Its semaglutide page describes patient-specific prescriptions from a state-licensed 503A pharmacy. Those are the practice’s statements; the supplied record does not independently verify pharmacy status or identify the pharmacies by name. Registration or regulatory language should not be read as FDA approval of Reflect or its compounded preparations.

FDA explains that compounded drugs are not FDA approved and do not undergo its premarket review for safety, effectiveness and quality. Nonapproval alone does not prove clinical inequivalence. FDA recommends compounded drugs when an individual’s medical needs cannot be met by an approved drug, with a prescription and a state-licensed pharmacy. The addition of vitamins or a different price does not, by itself, establish that individual medical need or prove superior results.

Delivery also belongs in the quote. Reflect documents home delivery where available, but the supplied material does not establish shipping charges, dispatch or arrival times, refrigeration procedures, or replacement policies for damaged or lost shipments. FDA explicitly advises not using an injectable GLP-1 product that arrives warm or inadequately refrigerated and contacting the provider or dispensing pharmacy. Our guide to included program costs can help organize questions about shipping, supplies and who handles a delivery problem.

Sources: [8] [10] [1]

Get the exit terms before authorizing an ongoing charge

Reflect’s general terms defer specific refund, cancellation and no-show rules to the conditions shown when a patient purchases or books. They also say medical care is governed by separate clinical consents and agreements. Consequently, the public summary is not enough to determine a minimum commitment, cancellation deadline, automatic-renewal arrangement or refund entitlement. The site expressly labels its terms an operational draft not yet reviewed by an attorney, adding another reason to retain the actual purchase documents.

Before payment, ask when charges recur, how cancellation must be submitted, what happens to pending prescriptions and shipments, and which payments remain nonrefundable. Cancellation and refund are different questions; stopping future service does not establish recovery of money already paid. Our cancellation and refund guide explains that distinction. Reflect’s supplied material does not give a concrete public deadline or refund-processing window, so neither should be invented from a general subscription model.

Finally, establish the right communication channel. Reflect says website forms, messages and booking tools are not monitored for urgent medical needs. Its terms also allow opting out of marketing texts by replying STOP and state that marketing-text consent is not a purchase condition. Opting out of messages is not documented as canceling treatment or billing. A useful enrollment record should therefore include separate instructions for clinical questions, routine billing problems, medication-delivery issues and ending the service.

Sources: [13]

Questions & answers

Is Reflect’s $25 semaglutide price available nationwide?

The documented $25–$125 weekly range is for compounded semaglutide at Tennessee clinics, across six clinician-selected tiers. It is not a national-package quote, and the lowest tier is not guaranteed. National telehealth packages have separate pricing that is not provided in the supplied material. State availability also varies, so an out-of-state applicant needs both availability confirmation and a specific written package price.

Sources: [10] [12] [13]

How often does Reflect charge the $10 take-home fee?

The supplied semaglutide and tirzepatide pages say a $10 take-home fee applies, but do not state its frequency. It should not automatically be counted once per week, visit, prescription or month. Ask what event triggers it, whether it applies to your delivery or pickup arrangement, and whether it appears in the full plan quote that Reflect says its clinician confirms before treatment starts.

Sources: [10] [4] [12]

Must I buy a membership to use Reflect?

Reflect explicitly describes membership as optional, not required. Its semaglutide page advertises up to 15% off with membership, but the supplied evidence does not give the membership price or explain access to the maximum discount. Request a nonmember quote and a membership-inclusive quote for the same care. Without those details, the advertised percentage cannot establish the cheaper overall option.

Sources: [8] [10]

Will a Reflect clinician prescribe through the national program?

Reflect says no: independent network clinicians available through a partner platform conduct national assessments, and Reflect does not prescribe in that program or control their medical judgment. Assessment completion does not guarantee a prescription. If issued, the terms say a network-selected licensed 503A compounding pharmacy fills it. Ask who provides follow-up and handles medication questions, as the supplied material does not name those organizations.

Sources: [13]

Are monthly appointments included in the weekly medication price?

Reflect describes monthly visits and ongoing monitoring, with individualized changes within program tiers. The supplied wording does not conclusively establish whether every consultation, follow-up, laboratory test or supply is included in each weekly price. Ask for an itemized quote identifying included appointments and charges for extra visits. The documented monthly care schedule also does not establish a monthly billing schedule or a fixed medication-price commitment.

Sources: [12] [10]

Can I cancel and get my money back?

The supplied public terms do not provide a definite answer for an individual purchase. They say the specific refund, cancellation and no-show conditions presented at booking or purchase control, while separate clinical agreements govern care. Obtain those documents before paying and keep a copy. Ask separately about stopping future charges, canceling pending fulfillment and refunding prior payments; permission to cancel does not itself establish a refund.

Sources: [13]

Our assessment

Reflect offers a useful local starting point: published weekly ranges, named injection programs, monthly monitoring, optional membership and specific prices for several extras. Its distinction between Tennessee practice care and independent national care is especially important. The remaining weakness is transaction-level completeness, not a total absence of pricing. The supplied pages do not settle the first amount due, billing interval, inclusion of visits and supplies, take-home fee frequency, national-package cost or concrete cancellation rights. For a Tennessee patient, an itemized tier-specific quote could make the published menu meaningfully comparable. For a national applicant, the purchasing arrangement needs substantially more clarification. Neither the lowest weekly figure nor the membership discount alone is enough to judge the full cost.

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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.

Reflect Wellness and Aesthetics Review: Local Weekly Prices, Separate National Packages

At a glance

01Start with the Tennessee menu—not an assumed monthly bill

02The first payment needs its own written explanation

03National telehealth is a different purchasing arrangement

04Direct pay and membership are separate budget decisions

05Local extras have real prices, but are not all the same purchase

06Understand the practice and the care behind recurring spending

07Pharmacy language does not establish product approval or delivery coverage

08Get the exit terms before authorizing an ongoing charge

Questions & answers

Our assessment

Sources & documentation

Continue reading

Start with the Tennessee menu—not an assumed monthly bill

The first payment needs its own written explanation

National telehealth is a different purchasing arrangement

Direct pay and membership are separate budget decisions

Local extras have real prices, but are not all the same purchase

Understand the practice and the care behind recurring spending

Pharmacy language does not establish product approval or delivery coverage

Get the exit terms before authorizing an ongoing charge