A Formulary Approved by Name
Every drip, dose and additive on your menu authorised specifically, with limits stated.
Wellness Clinics
Medical Director Services for Wellness Clinics
IV therapy, hormone programs, peptides and weight management sit under the same delegation, prescribing and documentation rules as anything else a clinic does. The framing is wellness; the obligations are clinical.
Where This Usually Starts
What We See in Wellness Clinics
Wellness clinics are often built by operators rather than clinicians, which is legal in much of the country and workable everywhere — provided the medicine sits with a licensed physician and the paperwork says so. The exposure is rarely the treatment itself; it is that nobody wrote down who authorised it.
What We Do FirstStep 01 Step 02 Step 03 Step 04 Step 05
The Order That Saves Rework
Prescribing Rules per Category
What may be prescribed, by whom, after what screening — including where a DEA registration is required.
Sourcing You Can Defend
Vendors that clear diligence, with research-use products kept out of patient care in writing.
A Director Comfortable With a Broad Formulary
IV additives, hormones, peptides and weight-loss prescribing all under one signature from a physician who is actually engaged with all of it, not just the piece they're most comfortable with.
Vendor Relationships That Distinguish 503A, PUO and RUO
Suppliers checked against what they're actually licensed to provide, so the sourcing question is answered before it becomes a chart-review finding.
Onboarding & Operations
Built for a Wellness Clinic
Scope varies with your state and what already exists. We tell you on the first call which of these you can skip.
Standing orders per formula, protocol and route
Screening, dosing and monitoring criteria
Sourcing rules: 503A, PUO and RUO boundaries made explicit
Mobile and event protocols where you treat off-site
Director engagement across the full formulary, not just one modality
Vendor sourcing checked against 503A, PUO and RUO boundaries specifically
Consent and adverse-reaction documentation
Member pricing across fluids, peptides and hormones
The MedGrid Standard
The Four R's of Medical Direction
How to find a medical director who actually holds up — for a med spa, a wellness clinic, or any practice in between — comes down to the same four checks every time.
Rights — An ownership structure that actually matches your state's CPOM posture.
Requirements — A director licensed in your state, with protocols written for your actual menu.
Review — A real, scheduled chart-review cadence — not a signature applied in arrears.
Reachability — Actually reachable when a treatment goes sideways, with an escalation route staff knows.
Watch
Where the Money Actually Goes
What This Covers
How money actually moves through a PC/MSO structure — patient revenue landing in the PC, the fixed management transfer to the MSO, MedGrid's retainer, and physician compensation — the same CPOM flow of funds covered on this page, walked through step by step.
This isn't just how we recommend running the accounts. In a state that enforces corporate practice of medicine, this exact flow is required to keep a PC structure compliant: revenue lands in the PC first, the MSO is paid a fixed, fair-market amount rather than a share of medical revenue, MedGrid is paid a fixed retainer by the MSO, and the accounts stay separate.
It's also why MedGrid only builds on a PC — never a PLLC — in every state we work in. A PLLC lets revenue flow straight into a member's account with no equivalent separation, which is exactly the structure this flow of funds is built to avoid. Why that distinction matters.
Where It Goes Wrong
Four Things Worth Checking Today
Research-Use-Only Products
RUO presentations are not cleared for patient use. Clinics that stock them are relying on the label nobody reads, and the prescriber carries that exposure rather than the seller.
Treating Off-Site
Mobile and event work is medical treatment wherever it happens, and usually needs extra protocol language covering emergency response and what travels with the team.
A Director Comfortable With Some of the Menu, Not All of It
A physician willing to sign off on IV hydration but hesitant about peptides or hormone prescribing leaves part of your formulary running on a signature that isn't really behind it.
Assuming Wellness Branding Changes the Rules
Calling a service "wellness" instead of "medical" doesn't change what a board considers it — the same standing-order and documentation rules apply regardless of the menu's framing.
General information about how these arrangements are structured, not legal advice. Your medical director and your counsel confirm what applies to your clinic.
FAQ
Questions From Wellness Clinics
Still not sure? Twenty minutes on the phone answers what a page can't.
Do I Need a Physician If I Only Run IV Drips?
In almost every state, yes. Placing a line and administering an infusion is medical treatment regardless of what the menu calls it.
Can I Own the Clinic If I Am Not a Clinician?
The business, generally yes. The entity that delivers the treatment, generally not in a CPOM state — which is what the MSO structure resolves.
Which Peptides Can We Actually Offer?
That turns on the FDA category lists and your state. We check it before you stock anything — see the peptide therapy page for how Category 1 and Category 2 differ.
Can One Medical Director Cover IV, Hormones and Peptides Together?
Often yes, if they're genuinely engaged across all three — we confirm that upfront rather than discovering a gap once one modality is already on the menu.
Does Mobile or Event-Based Wellness Work Need Separate Protocols?
Yes — off-site delivery needs its own protocol language covering location permissions, emergency response and field documentation, on top of whatever your in-clinic menu already requires.
Build It Around What You Treat
Practice type sets the structure; modality sets the protocols. Most clinics need both.
GLP-1 Weight LossPeptide TherapyHRT / TRTIV Drips & HydrationInjectables & NeurotoxinsTelehealth PrescribingSkin & ResurfacingHair RestorationOzone TherapyLongevity Diagnostics
Other Practice Types