What happens between your assessment and your first dose

The gap between finishing an assessment and holding a medicine is the part patients ask about most, and the part most services describe least. Here is the whole sequence, including the bits that can take longer than you expect.

Step 1 — You submit the assessment

The medical questionnaire takes about three minutes. It covers your history, current medicines, goals, and the specific conditions that affect whether GLP-1 treatment is safe for you. You will get a confirmation email once it is in.

Nothing is charged at this stage. You are not buying anything yet.

Step 2 — A physician reviews it

A PRC-licensed physician reads your case, typically within 24–48 hours. They are deciding two things: whether treatment is clinically appropriate for you at all, and if so, which medicine and starting dose.

Three outcomes are possible:

• **Approved** — the physician prescribes, and you move to the next step.
• **More information needed** — something in your answers needs clarifying before they can decide safely. You will be asked directly, and you can respond from your dashboard. This pauses the clock but is a good sign, not a bad one.
• **Not appropriate** — treatment is declined. You are not charged for medication, and the physician explains why. See what disqualifies you for the common reasons.

Step 3 — Payment

Only after approval do you see your specific treatment and price and choose to pay. This ordering is deliberate: you are never charged for a medicine a doctor has not confirmed is right for you. Payment runs through PayMongo’s secure checkout — card, GCash, Maya or GrabPay.

More on how this is structured in how Vive prices treatment.

Step 4 — Dispatch and delivery

Once payment clears, the partner pharmacy prepares and dispatches your order, typically within 24–48 hours of approval. You get a tracking link the moment it ships, and delivery timing from there is the courier’s to report — which is why we quote dispatch times rather than invent a delivery-day promise we do not control.

Everything arrives in plain, unbranded packaging with no visible medical labelling.

What actually causes delays

In practice, the two common ones are: an incomplete profile (your physician cannot review what is not there), and a “needs more information” request sitting unanswered in your dashboard. Both are quick to clear once you know to look.

After your first dose

This is where treatment starts rather than ends — dose adjustments, check-ins, and access to your care team. See what your care team actually does.

Ready to start? Take the assessment. Read the Important Safety Information first.