Updated September 2026Insurance first, Virginia physiciansTD Tele-Doc Weight Loss review
A Richmond weight-loss practice that runs its GLP-1 prescribing through insurance and weekly video visits rather than a cash price list.
The verdict
TD Tele-Doc is an insurance-billed medical weight-loss practice out of Richmond, Virginia, and a reader who arrives expecting a cash price for compounded semaglutide will not find one displayed anywhere on its pages. What it does publish is who the doctors are, what the visits look like, and that Medicare and Medicaid are not accepted.
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- Category
- GLP-1 telehealth
- Molecule
- Semaglutide
- Form
- Injection
- States
- 2
- Dose published
- No
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Not named
- Availability
- Virginia and Maryland
TD Tele-Doc Weight Loss is a telehealth medical practice at 1801 Libbie Avenue in Richmond, built around preventive medicine and weight management and set up, by its founder's own account, with the help of Privia Health. Its medications page lists Wegovy, Zepbound, Ozempic and Mounjaro alongside compounded semaglutide injections, and the practice says it is in-network with most commercial insurance plans.
Who writes the prescription, and what do they see?
Two physicians are named, each with a page of his own. Peter Wilbanks, MD, spent thirty years as an OB-GYN in Richmond before earning board certification in medical bariatrics, and Michael Perini, MD, is an internist certified by the American Board of Internal Medicine. The initial visit is a comprehensive evaluation with a licensed medical provider, held by video from the patient's home.
The first contact is a free consultation, booked by phone or through an insurance-eligibility check on the site, and the program that follows is built on weekly virtual visits and remote monitoring. A starter box can include a biometric scale, a tape measure and a first month of the practice's own supplement blend, with the scale feeding readings back to the care team between appointments.
What happens when the dose goes up?
Nothing on the site describes how a dose climbs or what a step up costs, and no milligram figure appears on the medications page. What the practice does describe is contact every week, so a patient in the third or fourth month would at least be seen by video before and after each change rather than messaging a queue.
What the price includes
The pages display no cash price for any GLP-1, and the medications page ties the choice of drug to medical history and insurance coverage. Commercial insurance is the stated path, and the practice says it may cover the virtual visits and the monitoring equipment as well. Medicare and Medicaid are excluded in so many words, so anyone relying on either plan should know that before the free consultation, not after it.
What it claims, and what it cites
Both brand-name GLP-1 drugs and compounded semaglutide are offered. The brands are FDA-approved; the compounded injections are prepared by a pharmacy, are not FDA-approved, and are not reviewed by the FDA before they are dispensed. No compounding pharmacy is named anywhere on the site.
Where it holds up, and where it does not
- Strength: Two physicians named with their training
- Strength: In-network with most commercial insurance
- Strength: Weekly video visits with remote monitoring
- Strength: A free first consultation
- Limitation: No cash price is displayed
- Limitation: Medicare and Medicaid are not accepted
- Limitation: Coverage limited to Virginia and Maryland
- Limitation: No compounding pharmacy is named
What the evidence says about this kind of treatment
The assessment above is about TD Tele-Doc Weight Loss. These are about the drugs it sells, and they are traced to the primary literature.
- Right for
- A Virginia or Maryland patient with commercial insurance who wants a physician-led program with a weekly video check-in rather than a prescription-only storefront.
- Wrong for
- Someone on Medicare or Medicaid, or a cash buyer who wants to compare a published monthly price before calling anyone.
How TD Tele-Doc Weight Loss compares
| Seller | Who it suits | Go |
|---|---|---|
 Care Clinics | Readers who will do the division themselves and want the week counts published to do it with | See Care Clinics → |
 SynergenX Health | Readers near a clinic metro who want a live video visit and can budget for visit fees | See SynergenX Health → |
 Belle Health | Buyers ready to commit to a longer supply in exchange for a lower monthly rate | See Belle Health → |
More GLP-1 telehealth sellers reviews: SnagRxSprout HealthStrut HealthSynergy RxTrimi Health1st Optimal
Sponsored alternative
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Check SkinnyRx availability →Frequently asked
- How much does compounded semaglutide cost here?
- No price is displayed on the site. The practice routes the choice of medication through a consultation and the patient's insurance coverage, so the figure comes out of that first call.
- Does TD Tele-Doc take Medicare?
- No. The site states that it cannot currently accept Medicare or Medicaid.
- Where does it operate?
- The medications page describes telemedicine for Virginia residents, and the locations page lists towns in both Virginia and Maryland.