Frequently Asked Questions

Our establishment offers Neurotoxins and Fillers from renowned companies such as Merz, Galderma, and Allergan. To ensure compliance, previous certification is required. For  Allergan and Galderma an office space is also required.  Familiarize yourself with the products offered by both vendors to appreciate the passion in aesthetics.

Merz can ship to a residence or business space.

Allergan/Galderma requires a business space in order to ship to, they need for your name to be on the lease or one of the following:

1. Full lease agreement with full business name, shipping address & signed by the Lessor and Lessee.
2.  Utility Bill with full business name & shipping address.
3. Invoice with full business name and shipping address (purchase order, moving invoice, business taxes, etc.)
4. Picture of outside of building that includes the business name, building number and/or suite number to confirm the shipping address

Please send an email to inventory@hydreight.com with your intended shipping address and filler/neurotoxin certifications for approval. 

*PLEASE ADVISE: All aesthetics packages must be signed for upon delivery.

Merz: Xeomin Reconstitution Video

Merz: Xeomin and Radiesse Educational Videos

Merz: Xeomin Educational Video

Merz: Belotero Educational Video

Merz: Belotero Promotional Reel

Merz: Xeomin Glabellar Injection Technique

Once we have approved your certifcations for neurotoxin/fillers please submit a tech support ticket to add aesthetics to your menu. 

Adults only. Patient must be 18 or older. 

The following items do not need approval or consultation. The following services can be added by a BA upon request by submitting a tech support ticket:

1. Chemical peels
2. Microdermabrasion
3. Facials
4. Dermaplaning
5. Waxing
6. Lash Tinting 

Log into your Ordering Portal and reach out to the chat bubble located in the bottom left corner of your screen. 

 Please review the tech support tab in the FAQ and try to log out and re-download the app if this does not rectify your issue please submit a tech support ticket. For all patient specific set up and flow please review your learning center for a step by step with photos. 

For NAD and GLP1 submit a tech support ticket to assist with process and set up. 

Review the shipping tab for specfic details regarding missing or damaged shipments and check your inbox/spam folder for tracking notifcations from Shopify. Email inventory@hydreight.com with the necessary details and PO# for your order. 

Review all the items in your cart including the vendor to ensure it is an approved shipment. If you are still unable to checkout please log into your Ordering Portal and reach out to the chat bubble located in the bottom left corner of your screen. We can see your cart in real time via chat. 

Prior to contacting us be sure to complete all the necessary webinars, quizzes, review the Ordering Portal FAQ and your Standing Orders Menu in full. If you still have additonal questions please email inventory@hydreight.com. 

If you sent an inquiry to the chat or inventory@hydreight.com please refrain from sending multiple inquiries and contacting other departments. This can cause delayed responses and confusion when rectifying concerns.  If you do not hear a response in 24-48 business hours please send a follow up to your orginal inquiry/email thread. 

Yes you can. Advise the patient to let the item thaw and come back to room temperature. As long as there's no precipitation post-thaw, the item won't be damaged. 

If the item does show precipitation, please send a photo of the vial with the precipitation to inventory@hydreight.com and indicate which patient this is for. 

Would recommend ordering preserved versus preservative free. Preservative free has to be used within 4 to 24 hours of puncturing. And preserved typically has 28 days after you puncture the vial. There will be a beyond use date stated on your vial or an expiration date meaning that you shouldn’t use it after that date or the 28 days, whichever comes first. It will save you money to get a preserved product. And you’ll have a greater profit margin as well. And unless a patient shows an actual reaction to a preservative, the main one is benzyl alcohol, then there’s no reason to order preservative free. If you do end up with a patient that needs preservative free I recommend advising them on the cost difference and having them cover the cost for you.

Benzyl alcohol is most common, with very few reactions.

Without a sterile hood- we follow the 3-2-1 rule (this is my way of remembering the USP 797 low risk compounding guidelines). 3 ingredients in the bag max (including the fluid), 2 bag sticks to get those ingredients into the bag, 1 hour to use the bag on a client. This keeps you at the lowest risk possible for any issues with bacterial growth, contamination etc.

Different therapies vary, but in general not more than one IV per "therapy" per week. I would not likely want to give more than 2 in a week of varying therapies either but there are always some exceptions. For example Hydration up to 3 times a week if someone is working outside in 115 degree heat might be warranted. Typically though 1-2 per week and probably not back to back days either. More 2-3 days apart or so.

1. Those that are written in the IV DRIP, or IV PUSH protocol as suggestions to allow you to tailor more to your client needs. 
   1. Example: In the Empower Athlete Recovery you can add on a slow push of Bplex. 
2. Those that are in the "add ons" section on the portal-
   1. Standalone IMs- Glutathione, Bplex, B12 IM - can be added to any drip. 
   2. Medications- ondansetron, ketorolac, famotidine can be added to any drip as long as an intake is completed and a medical prescriber approves dosing. 
3. Site specific add ons- Drips, IMs, Pushes
   1. 1. Example: MIC IM shots- These injections are paired with specific drips. However, to administer them as standalone injections, a site-specific order is necessary. Reach out to Dr. Lindsey at info@wellnesspharmdconsulting.com
4. For more information search "Add ons" in our FAQs or click here (linked to add ons questions on FAQs)

Sorry, no. The multi-dose bottles do not come in smaller sizes and it would be out of compliance to try to separate them. The vials themselves are sterilized at the pharmacy, these products are compounded in ​a USP 797 or 800 environment, one you cannot replicate. The testing for BUD (Beyond use dating) and sterility is based on testing done by third parties for each formula and batch respectively. Manipulating is unsafe. 

What about sulfa allergies and glutathione or B1 or methionine?

The patient would need to have a sulfur/sulfite allergy to have issues with B1 and actual SULFUR the
element to have any issues with glutathione or methionine. While Sulfur itself may be a part of the
chemical structure of sulfates, sulfites and sulfa drugs- it does not have cross reactivity or reactions as it
is a crucial element in the human body.

Per the allergy asthma and immunology glossary aka the AAAI-"Sulfa drugs, antibiotics and other
medicines that contain a sulfonamide molecule, are not the same thing as sulfites. Sulfates are salts of
sulfuric acid and are present in many medicines, supplements, and personal care products – they are
not the same thing as sulfites or sulfa drugs."
https://www.aaaai.org/tools-for-the-public/allergy,-asthma-immunology-glossary/sulfite-and-sulfa-
drugs

Please see this article for a visual on the difference between sulfa, sulfite, sulfate and sulfur and
explanation of allergies and products, medications and more. 
https://www.pacificcollege.edu/news/blog/2019/08/07/sulfa-sulfite-sulfate-and-sulfur-true-allergy-
cross-allergy-or-no-allergy

And this helps you distinguish sulfa and sulfites. 
https://www.webmd.com/allergies/sulfa-allergies

So we have

1.Sulfur- allergy needed to be reactive to Glutathione, B1 (thiamin)and/or methionine- this allergy is non existant-Sulfur is a chemical element is the third most abundant mineral in the human body. Sulfur is also found in many foods. While some individuals may be allergic to the action of sulfonamide antimicrobials and sulfites, they do not have true allergy to sulfur itself. True allergy to sulfur is virtually impossible, as sulfur is present in all living tissues and humans cannot survive without it.

2. Sulfa- allergy to antibiotics not related to the above-Though 3 to 4% of patients claim to allergic
to sulfa drugs, only 3% of these patients have a true allergy to sulfonamide antimicrobials.

3. Sulfite-allergy needed for B1 (thiamin)- Sulfites are present in many forms including bisulfite,
metabisulfite, and sulfur dioxide. Sulfites cause allergy in approximately 1% of population.

4. Sulfates are widely present in everyday life: sulfate-containing drugs, supplements, and personal
care products. Sulfate allergies are rare

2 times a week but ask yourself is this normal, why is this patient dehydrated so often? Should they really see a PCP?

No, they need to be 3-4 days apart

It depends on the exact products are you looking to infuse. The short answer is no- these drugs have to be prescribed by and infused by healthcare provider who bills Medicare part B unless dispensed thru the patient’s insurance by a pharmacy and then it is part D and we are not an insurance billing business provider. They are also extremely expensive.

We could create an iron support IV Infusion drip. Site specific drip development based on what products you can obtain are $300. 

For more detail on iron read on... Low iron is a complex medical issue that can result from many different processes in the body. It is usually discovered through extensive work up with the client's medical team which often is a primary care provider and sometimes also a specialist. 

Due to the many various reasons for low iron, helping someone with low iron is very patient specific. 

For example, if it is related to a GI issues (i.e. GI bleeding, chronic GI condition that results in malabsorption) vitamins such as Vitamin C, Folic Acid and B12 will be beneficial in helping their body produce red blood cells. 

Vitamin C in general is helpful when patients take oral iron, in helping the body absorb the iron from the oral supplement. Therefore, Vitamin C, is helpful to all clients who may have iron deficiency. 

B vitamins are also, in general, very helpful for our body to create new red blood cells. 

Given the increased demand for offerings that may help iron levels, we could consider what drip formulation makes the most sense and eventually creating a drip especially with this population in mind, but at the end of the day, it will also be very important for the client to also be getting iron into their body somehow, whether it be through diet, or oral supplement or an IV iron infusion. We will not consider IV infusions at the Hydreight level as it is a prescription, the Iron medications are quite expensive, and insurance often helps to cover this service.

https://www.usp.org/compounding?gclid=

Please check the Medscape reference checker first. If you need an individual consultation for a particular patient, you may reach out to Dr. Urbatchka for an interaction check for a fee of $25-50 for her time:info@wellnesspharmdconsulting.com

SDV are similar to the preservative free ones that have to be used within 4-24 hours. A SDV created by a pharmacy would exponentially increase the cost to the BP and to the client. This is not a scalable marketable item for compounding 503B pharmacies.

You may dilute your pushes with NS or LR. Normally a 1-1 ratio is used.

1. The age range is 15-17
2. GFE/MSE every time this is non negotiable for everyone's sake
3. Parent must be present every time a service is performed
4. Parental Consent and Signauture is required every time a service is performed.
5. Advise fluids only but the PRESCRIBER will decide every time if the minor is eligible for any ingredients and what doses. I have advised the prescribers not more than 200mg of ascorbic, yes only 200mg NOT 2000mg and 3mg or less of zinc. 

AESTHETICS is for Adults only. Patient must be 18 or older. 

The individual business partner will have to reach out to the pharmaceutical vendor directly that supplied the B12 with the lot number. The reason for this is that the pharmacy will have to check their MSDS sheets and may have to reach out to all the suppliers of ingredients in the vial. The B12 itself, the preservative, solution, and any other ingredient they use to balance pH, etc.

In addition, it can't be a one-time outreach because sometimes the supplier of the powder or ingredients change then another outreach may need to be made. You will not be able to tell by the label on the vial if the suppliers have changed. Each lot number could have different suppliers for the same ingredients. The ultimate answer is that, while we cannot absolutely guarantee there is no alumimum, there is not a measurable amount. And you may still happily reach out to the pharmacy who made your B12. 

Anazao - 800-995-4363 (Option 3, M-F 8am-5:30pm PST info@anazaohealth.com)
Empower - 877-562-8577 (M-F 7:30am - 7:30pm CST)
McGuff Medical - 800-854-7220 (M-F 7am-5:30pm PST answers@mcguff.com)
Olympia - 888-323-7788 / 407-673-2222 (M-F 9am-6pm EST inquiries@olympiapharmacy.com) 

Per our pharmacist consultant, Dr. Lindsey Urbatchka, see below.
 
“Cyanocobalamin is converted to hydroxocobalamin is converted to the active/bioavailable form - Methylcobalamin. Methyl is the preferred form. If you do not have access to Methyl, please proceed with hydroxocobalamin weekly IM and discuss getting methylfolate or methylcobalamin oral 3 times a week. 
 
Weekly is the maximum to give. Your standing order must be followed. Please do not exceed 1000mcg per week. 
 
IM is the preferred route of delivery due to the slower absorption over time for your body to use the vitamin. IV will cause a quicker peak and then there will be a drop off. Think of this as a hill vs a mountain." - Dr. Urbatchka

For High dose vitamin C (HDIVC)- You will need a hood. It requires 4 ingredients which is more than our low risk 3-2-1 rule.

Then comes all the questions with the hood-

What type of hood are you getting? What ISO Class? Will you be ventilating to the outside? Are you getting a clean room? Will you be garbing and gowning head to toe? How often are you testing your hood? How often does your state require testing? How often do they require you to do your glove fingertip test? Velocity measurements? HEPA filter tests? Air tests? Temp/humidity? and so on and so forth. Want to prep you as best I can😎

I would advise researching your state laws for brick and mortar as well.

Do you need an inspection by the BOP or any other board? What does the Nursing board say? Who's got jurisdiction over the location of the hood and when they visit what do they expect from you? Do you need PNPs? or SOPs? On the hood and mixing and testing, anything you are performing or on what to do if there is an incident etc.......

Here is some information on risk levels and compounding in effect currently- https://www.wolterskluwer.com/en/expert-insights/usp-797-a-breakdown-of-low-medium-and-high-risks

USP has been updated/amended and will be effective Nov. 1, 2023 - 
https://go.usp.org/2022_Revisions_795_797
Go to the FAQs and see the charts on CSP 1s....That is what the HDIVC would qualify as. 

Ultimately, you may want to hire a pharmacy/pharmacist/sterile compound lawyer to check all your boxes. 

Once you have the hood sorted out then we can talk about HDIVC. Education on HDIVC and how it causes shifts in electrolytes and a high amount of sodium and how at 15gm and above it becomes oxidative which is how it helps with cancer, acute infections, wounds etc. 

We need to have training on the contraindications, the labs that have to be done prior, then the telehealth with Dr. P to ok the patient and their frequency and dosing. You will need to be trained on administering, monitoring and step dosing. 

Then you will administer and you monitor blood glucose before and after. 

Currently- The highest we can go without all the above is 7.5gm. AND That is anti-oxidative not oxidative (which supports cancer) which is the purpose of high dose. 

We have an ALA (alpha lipoic acid protocol) that supports cancer, diabetics, neuropathy, neurodegenerative diseases and more. 
https://pubmed.ncbi.nlm.nih.gov/?term=alpha+lipoic+acid+intravenous

This requires, labs, telehealth, training and is considered a site specific request, and does come with an extra cost. Let me know if you have any questions.

https://cdn.shopify.com/s/files/1/0391/6975/3219/files/Needlesticks_SOP_FINALV2.pdf?v=1710267432

Yes, these are level 2 consult. Unless you are having an event and you submit a ticket to notify Hydreight of the event for proper staffing, then Vit B12 would require only a quick Level 4 consult ($6). Please note the Hydreight team will have to set this up for you.

First, Immediately reach out to Dr. Lindsey info@wellnesspharmdconsulting.com, Dr. Palumbo drpalumbo@hydreight.com , and inventory@hydreight.com. Attach a copy of the complaint/request to the email. In order to assist it is best to wait to respond as it is pertinent you communicate the correct information around your inquiry.  As a nurse on the Hydreight platform, you are an independent contractor of the medical practice Healthcare Prosoft, not an employee. It’s crucial to cooperate with the investigators and answer the questions with accurate information. As a reminder, all consents, services, and orders are documented and stored in the app. The prescriber must conduct a medical screening exam, and provide the patient’s order for the RN. The RN then executes the protocol pursuant to the prescriber’s authorization.  We recommend you seek legal advice anytime you are contacted by a professional board (ie Board of Nursing, Board of Pharmacy, Board of Medicine).

Chemotherapy is oxidative. When a patient is on undergoing chemotherapy, we must avoid anti-oxidants, such as low dose ascorbic acid (anything Hydreight dose is not high dose) and glutathione, certain B vitamins etc. When on chemotherapy - we can support patients with fluids, magnesium to help with the pain. When the patient is not on their chemotherapy- about a week off or away they may have ALA- all 3 ALA options are currently are site specific and require an order from Dr. Lindsey info@wellnesspharmdconsulting.com. The robust option is the best, and requires labs, consult and training. Another option, when the patient is off their chemo or about 1 time per month is a Myer's. Because while we recognize they are being depleted, and do not want to interfere with their chemo, we still want to support the wipe out of their nutrients and systems. We always recommend they discuss with their oncology team and Hydreight does require an exam for new and medical history changes. If you want to learn more about why Hydreight does not provide High Dose Vitamin C (HDIVC), please read that FAQ on HDIVC. 

Healthcare Prosoft Policies and Procedures

• Review items descriptions in full before adding to cart (Vitamins and Medications are non-refundable)
• Confirm the Vendor ships to your location before adding to your cart.
• Orders placed late on Thursday or Friday may not be processed or delivered until the following week. 
• Brick and Mortar Locations must be open and available to receive deliveries at risk of the package being returned to sender. 
• Order products 3-4 weeks in advanced prior to an event or scheduled patient to prepare for delays, missing items, or damaged items. 
• Order supplies in bulk to save on shipping costs as well as gurantee supplies on hand.
• Re-order supplies/vitamins/medications before your inventory is low.
• Review your Standing Orders for a list of suggested supplies, vitamins, and medications.
• Review the FAQ on the ordering portal in full before placing your order to set expectations.
• Utilize you search bar and type the Vendor/SKU/Item to locate supplies available to ship to your location.
• Reach out to the ordering portal chat for any questions regarding placing orders.
• On average an order should have 1-2 Vitamin/Medication vendors and 1-2 Supply vendors to save on shipping costs and minimize multiple shipments and delays. 
• Only submit your Approved address at checkout.
• If you are shipping to your medical office only add products to your cart that are going to the medical office. Place a seperate order for items going to your primary location. 
• Check your email often for updates on tracking, order issues, or unapproved address. 

Patient Specific Orders (503A)

• All patient specific orders must be completed through the Hydreight app. Please ensure you are completing the booking on your end.

• For Protocols, Quizzes, and Price Breakdown for all Patient Specific Services please reffer to the Updates Page

• If you are looking for tracking on a specific order, please email inventory@hydreight.com with your patient’s name in the subject line.

• Vendors and Estimate Shipping Times, excluding weekends and holidays

  • Hallandale: 2-3 business days

  • Southend: 2-3 business days

  • Anazao: 3-5 business days

  • Tailormade (TMC): 7-10 business days

  • Wells: 3-5 business days

  • SevenCells: 2-3 Business days
  • Perfectrx-3-5 Business Days 
  • Redrock (CA ONLY) 2-3 Business Days

• The vendor you will receive depends on availability, shipping location and dosage, we reserve the right to ship from your best available option. We cannot accommodate vendor requests, unless for medical reasons.

• PLEASE ADVISE* Medication Delivery & Vendor Selection Disclaimer: Please note that all medications will be delivered by vendors chosen by the Hydreight team. Businesses are not able to select their own vendors. For information on pricing specific to your state, please refer to the above price breakdown. Hydreight has worked diligently to ensure you receive the best available pricing.

Please review the webinars on the partner portal and the Updates page: https://hydreight.com/partnerportal/hydreights-educational-videos-2/

Updates Page

Yes. To protect our business partners from all liabilities, as per contract and insurance policies, all products must be purchased in the Healthcare Prosoft GPO Portal. The products used in the services must be processed through the app. Not doing so is putting liability on the PC Medical Network, Healthcare Prosoft and the Medical Director. 

If you do not see something in the store you would like to purchase please send a chat to inquire about adding addtional products to the ordering portal. 

Medication Delivery & Vendor Selection Disclaimer: Please note that all medications will be delivered by vendors chosen by the Hydreight team. Businesses are not able to select their own vendors. For information on pricing specific to your state, please refer to the above price breakdown. Hydreight has worked diligently to ensure you receive the best available pricing.

Yes.

To find the protocols: 

Click on the banner categories, look for Protocols and they are all listed there. 

The 3-2-1 rule is

Steps

Note- if you do not have a segregated area to spray down with 70% isopropyl alcohol or wipes, please use a blue paper sheet that you will dispose of and still use proper hand hygiene, mask, gloves, and cleaning of ingredients, needles, syringes, bag etc.

ONLY if added to the bag. The Push ingredients or IM shots do not count against the 3-2-1 rule.

Yes.

No, we recommend 2-4 products, including IM shots. The price of your service should reflect how many ingredients you utlize in your drip. 

• You’ll find standalone orders for the following IM injections under the “Add-Ons” section:
• B12
• B Complex
• Glutathione
• Topical Lidocaine (for numbing)
• These can be given independently (without a drip) or paired with a drip if the client opts for one.

• For each drip, there are specific add-ons listed in the signed protocols. These are tailored to complement the drip:
• Example: The Olympia Immunity Drip has an add-on for the Tri-Immune IM injection.
• If you’re administering the Immunity Drip, you can also give the Tri-Immune injection.
• If you only want to give the Tri-Immune injection (without a drip), a site-specific order is required.
• It is highly recommended to include an average cost of add ons in your drip prices because the add ons in the individual signed protocols aren't to be added to any drip, only the ones for the specific drip they are listed. 
• Example: The Empower Detox Hangover has add ons of Glutathione push and tralement and B12 
• if you added the Tralement you would have to omit either ascorbic acid or mag from the bag to keep to the 321 rule. 
• If you wanted to add on a glutathione or B12 push then that is allowed bc it is on the signed protocol. 
• You could not add on zinc as it is not on the signed protocol.

• These injections are paired with specific drips. However, to administer them as standalone injections, a site-specific order is necessary.
• NOTE: You can contact Dr. Lindsey for any creation- IM/Drip/PUSH- you want to add to your business as site specific. The cost for adding is $125 for IMs and $300 for Drips/PUSH

• These medications can be added to any drip, provided:
• The client completes the intake/screening tool.
• A prescriber conducts a consult and approves the medication.

You could, but it is not necessary.  Omission is always allowed, not addition. EXPLICITLY FOLLOW your signed protocol. Price of your service should reflect the amount of ingredients you are using. 

Please reach out to your medical director and our pharmacist.

You’d need a protocol. Please reach out to your medical director and our pharmacist. IM Glutathione shots are availabe: https://pharmacy-a.hydreight.com/collections/glutathione-im

Located on the pharmacy ordering site -> Under Add Ons -> click into Vitamin B12 Injection -> then click on “Add-on Menu Explanation” to view or download the protocol.

https://pharmacy-a.hydreight.com/collections/vitamin-b12-injection

There are multiple strengths out there. Please reach out to your Medical Team if you want to double check your math and give 1000mcg.

You can order from other supply vendors if it’s the same strength just follow whatever protocol it's being used in whether it be in the Empower or Olympia.

The menus were formulated so that if one pharmacy did not have product, a Business Administrator (BA) would not have to omit product from their protocol. That being said, it is pertinent to follow the protocols explicitly. This is for compliance.

If you have the same strength of product listed in the protocol then you may use it. For example, Ascorbic acid is 500mg/ml from multiple suppliers and so multiple suppliers could be used to fulfill the protocol. Another example is you may use glutathione
from Olympia on the empower protocols because the strengths match. The B complex is identical between Olympia and empower in strengths and B vitamins so that may be used for either set of orders.

It is important to make sure you adjust accordingly to the strengths.

Do not recommend. Please purchase flushes.

Within the specific drips and protocols UNLESS specified for IM use on the add ons. The ingredients for adding to the bag are compatible.

Adverse reaction is your emergency protocol. Please refer to the protocol page.

Add On Webinar

Medical supplies from Medline, McKesson, and ProMedical allows for returns as long as it is in it's original packaging. Vitamins and Medications from the pharmacies cannot be returned due to FDA regulations. 

Please provide of which PO # and which item that you wish to return back to vendor to inventory@hydreight.com and a return label will be sent to you for the return.

KEY TOPICS YOU NEED TO KNOW FOR YOUR BUSINESS

SHIPPING ADDRESS & ADDRESS CHANGES

• Do not change your approved shipping address on the ordering portal checkout page unless you are shipping to an APPROVED secondary vendor: Allergan, Anazao, Galderma, Merz, Anazao, or Olympia.

If you need to place an order for your primary vendors and your secondary vendors you will need to place two seperate orders and update the ship to location at checkout to ensure shipments will arrive safely to the correct location. 

We are not responsible for any charges that may be incurred if an order is processed without receiving approval of your address change.

All  primary address changes CAN TAKE UP TO A WEEK TO PROCESS and require APPROVAL BEFORE ORDERING by completing and submitting the “customer and shipping information form” here:

https://share.hsforms.com/1QjpdabzFTGOHxnOiEd_CDg4xgdc

***UPS ACCESS POINTS WILL NOT BE APPROVED FOR PRIMARY VENDORS OR AESTHETICS. (OLYMPIA ONLY) 

• Only 1 shipping location per vendor and per state. You can have 2 shipping locations per vendor ONLY if they are in two different states and you will need to have two seperate Hydreight subscriptions. 

• State rules and regulations are common with the vendors. BP’s should expect that updates from us are forwarded and implemented by the vendors and should expect such updates with some understanding and compliance to our requests.

Olympia Form:

https://share.hsforms.com/1NGT2sq-bQs2WDS_sJw8lFg4xgdc

Anazao Form (CA Only):

https://docs.google.com/forms/d/e/1FAIpQLSd_12zVGTmaD_NnxnZnakShCTO09XUU3WYhC-YY6L7caaAZeQ/viewform?usp=dialog

***PLEASE ADVISE: Please email inventory@hydreight.com with your address request for the following vendors: Allergan, Galderma, and Merz.

SHIPPING COSTS

•  Shipping costs are dependent on the number of vendors per order.

•  Multiple vendors may incur higher shipping costs and will be applied as necessary.

SHIPPING & DELIVERY

•  Shipping is usually multiple deliveries and never one delivery.

•  Multiple deliveries occur due to the vendor’s local warehouse inventory.

• Check your email and orders for delivery and fulfilment timelines. If for any reason an item is not fulfilled, notify us immediately at inventory@hydreight.com

RETURNS & EXPIRY DATES

•  All items shipped have a guarantee of 30 days BUD from the date of delivery.

•  All vitamins shipped are not returnable and require photo evidence of any claims for

damage, contamination of the vitamins, or any identifiable flaws.

MEDICAL QUESTIONS

• Medically related questions concerning the patients medical history and interactions of the vitamins should be and needs to be addressed with the HCP/MD

Empower-Vitamins and Medications (DOES NOT SHIP TO CA & AL)

Olympia-Requires a brick and mortar or UPS access point that accepts cold shipments. (NO RESIDENCES/DOES NOT SHIP TO CA&MS) 

Please complete this form for Olympia ONLY (2-6 weeks for account approval): https://share.hsforms.com/1NGT2sq-bQs2WDS_sJw8lFg4xgdc

Medline-Fluids, Supplies, Medications, and Vitamins (FLORIDA REQUIRES A HCCE PERMIT)

Pro Medical-Fluids and Supplies in Bulk

Fountain Medical-Fluids,Medications, VItamins, and Supplies

( CANNOT SHIP RX PRODUCTS TO : CT/DC/IA/IN/MD/ME/MS/ND/NH/OR/SC/VT/WI/WV/WY )

Anazao- Vitamins (REQUIRES A MD/NP/PA LICENSE AND A MEDICAL OFFICE TO SHIP TO. CALIFORNIA REQUIRES AN LLC)

For ANAZAO ONLY please complete the following form: 

https://docs.google.com/forms/d/e/1FAIpQLSd_12zVGTmaD_NnxnZnakShCTO09XUU3WYhC-YY6L7caaAZeQ/viewform?usp=dialog

McGuff-Vitamins (NO NEW ACCOUNTS/CA ONLY)

*PLEASE ADVISE: Utilize your search bar in the ordering portal and type in the vendor/product/SKU to locate vendors that will ship to you. If you order from an unapproved vendor this will cause delays and we will contact you via email for alternatives. 

After your address is approved, shipping takes from 1 – 7 business days depending on vendor, product and availability.

PLEASE ADVISE: These are average shipping times not including weather/vendor processing/shipping delays, holidays, backorders, or weekends.

If you have a patient or event scheduled order your supplies 3-4 WEEKS in advanced. 

OPEN packages same day to ensure quality, quantity, and accurate products. 

Here are the estimated times it takes for a vendor to ship products:

Medical supplies:

Medline: 2-5 Business days – Many backordered items, may ship with multiple boxes and at different times

McKesson: 1-3 Business days

Pro Medical: 2-3 Business days

Fountain: 3-5 Business Days (Multiple boxes shipped) 

Armhug: 3-5 Business Days

Pharmacy:

Anazao – 2 to 5 Business days – Testing normally done on some vitamins – will notify of any backordered vitamins

Empower: 4-6 Business days

McGuff Medical: 3-5 Business days

Olympia: 1-2 Business Days 

*PLEASE ADVISE*

1. Olympia will ONLY send tracking directly to the email address submitted to the Olympia form. 
2. If you do not receve tracking in 1-2 business days of placing your order or receiving a fulfilment email please email inventory@hydreight.com and contact your ship to location IMMEDIATELY to confirm if the pacakge has arrived. 
3. If you receve tracking and do not see tracking updates IMMEDIATELY contact your ship to location and the carrier for package delivery.
4. Olympia and the GPO ordering portal are not liable for cold shipments that are not picked up and stored in a timely manner. 
5. SUCCESSFUL AND ON TIME DELIVERIES WILL NOT BE COVERED FOR TEMP REPLACEMENT. Do not throw away any tiems that are damaged upon arrival as Olympia APPROVED calims require damaged items be shipped back for a complimentary replacement within 5 business days of claim approval. 

PLEASE ADVISE: These are FLAT RATE shipping costs. If you place an order for a vendor that you are not approved for we will hold your order and contact you for substitutions. 

Overnight shipping is for time sensitive/cold ship items and will be shipped overnight once the order has been processed and received by the vendor and transmitted to the carrier. 

On Average you should have 1-2 Vitamin/Medication vendors in your cart and 1-2 Supply Vendors. Utilize the search bar by searching vendor/sku/product to ensure all your items come from the same vendor in one delivery and to save on shipping costs. 

Empower-$41 (cold ship) $20 (non-cold ship)

Olympia- Depends on how far from Florida State - Range from $20 - $50 - Overnight shipping only

Mcguff-$35 ( CA ONLY/ NO NEW ACCOUNTS)

Anazao -$35 (ON HOLD FOR NEW ACCOUNTS) (REQUIRES AN MD/PA/NP LICENSE AND A MEDICAL OFFICE TO SHIP TO) 

Fountain Medical-$15 (DOES NOT SHIP RX PRODUCTS TO  AR/NJ/WI/AK/DE/ME/MS/NH/OR/RI/VT/WV/LA/CT/IA/IN/MD/ND/WY/DC/SC)

Medline-$15 

Mckesson-$15 

ProMedical-$19.99 (FREE SHIPPING OVER $200.00) 

Fountain Medical-$15

Olympia Tracking

*PLEASE ADVISE*

1. Olympia will ONLY send tracking directly to the email address submitted to the Olympia form. 
2. If you do not receive tracking directly to your email on file in 1-2 business days of placing your order or receiving a fulfilment email from the GPO ordering portal please email inventory@hydreight.com with your PO#/Order number and contact your ship to location IMMEDIATELY to confirm if the package has arrived. 
3. If you receive tracking and do not see tracking updates IMMEDIATELY contact your ship to location and the carrier for package delivery.
4. Olympia and the GPO ordering portal are not liable for cold shipments that are not picked up and stored in a timely manner. 
5. SUCCESSFUL AND ON TIME DELIVERIES WILL NOT BE COVERED FOR TEMP REPLACEMENT. Do not throw away any items that are damaged upon arrival as Olympia claims require damaged items be shipped back for a complimentary replacement within 5 business days of claim approval. 

ALL OTHER VENDORS

Tracking for all other vendors are updated to your order and emailed from the GPO ordering portal. You will also have access in your account in the ordering portal under "Order History." If you do not receive a tracking email or in your ordering portal "Order History" please email inventory@hydreight.com with your PO#/Order number. 

*Please allow 24-48 business hours to receive an update from inventory regarding your order. Refrain from multiple inquires as this can cause confusion and additonal delays rectifying your order. If you do not recieve an update in the alloted time please send a follow up email to your original inquiry. 

*While waiting for tracking updates check all points of entry to your ship to location. Ask neighbors, family members, co-workers, front desk, other suites, or offices if they have received your package.

Log into your ordering portal and select the account button. Under your account locate your ordering history to review previous orders and order number/PO#. 

If you come across a shipment that is missing items, please take a photo of your package and send to inventory@hydreight.com with a list of your missing items and place your Order Number/PO# in the title of your email. 

*Before Emailing check your tracking number and photo of proof of delivery. Check all points of entry into your home or building for packages. Ask neighbors, family members, apartment offices, or other suites if they have received your package for you. 

The photos are very important for us to send to carriers and vendors for a replacement. If this information is not provided there will be delays in processing the replacement request. 

*PLEASE ADVISE: DO NOT THROW AWAY DAMAGED PRODUCTS OR PACKAGING. THIS WILL CAUSE DELAYS AND AFFECT THE REPLACEMENT REQUEST. 

Olympia: 1-2 Business Days 

*PLEASE ADVISE*

1. Olympia will ONLY send tracking directly to the email address submitted to the Olympia form. 
2. If you do not receive tracking directly to your email on file in 1-2 business days of placing your order or receiving a fulfilment email from the GPO ordering portal please email inventory@hydreight.com and contact your ship to location IMMEDIATELY to confirm if the package has arrived. 
3. If you receive tracking and do not see tracking updates IMMEDIATELY contact your ship to location and the carrier for package delivery.
4. Olympia and the GPO ordering portal are not liable for cold shipments that are not picked up and stored in a timely manner. 
5. Do not throw away any items that are damaged upon arrival as Olympia claims require damaged items be shipped back for a complimentary replacement within 5 business days of claim approval. 

If you come across any items that are damaged, please send Order number/PO#, a photo of the item, the box with the shipping label, the invoice with LOT/serial number and send to inventory@hydreight.com. The photos are very important for us to send to carriers and vendors for a replacement. If this information is not provided there will be delays in processing the replacement request. 

*PLEASE ADVISE: DO NOT THROW AWAY DAMAGED PRODUCTS OR PACKAGING. THIS WILL CAUSE DELAYS AND AFFECT THE REPLACEMENT REQUEST. 

* IMMEDIATELY PLACE COLD SHIPMENTS IN THE FRIDGE IF THEY ARRIVE WARM.

For all Primary vendors please submit your new address to this form link:

https://share.hsforms.com/1QjpdabzFTGOHxnOiEd_CDg4xgdc

*PLEASE ADVISE: DO NOT SUBMIT FOR SECONDARY VENDORS

For Secondary Vendors: Allergan, Anazao, Galderma, Merz, Mcguff, and Olympia please email inventory@hydreight.com to update your address. 

*If you are revising to your residence, please notify inventory@hydreight.com after you have submitted your new address. The vendors may or may not approve of your request to revise and our team will reach out to you directly if an issue comes up or more documentation is required.

Olympia Delivery: 1-2 Business Days 

*PLEASE ADVISE*

1. Olympia will ONLY send tracking directly to the email address submitted to the Olympia form. 
2. If you do not receive tracking directly to your email on file in 1-2 business days of placing your order or receiving a fulfilment email from the GPO ordering portal please email inventory@hydreight.com and contact your ship to location IMMEDIATELY to confirm if the package has arrived. 
3. If you receive tracking and do not see tracking updates IMMEDIATELY contact your ship to location and the carrier for package delivery.
4. Olympia and the GPO ordering portal are not liable for cold shipments that are not picked up and stored in a timely manner. 
5. SUCCESSFUL AND ON TIME DELIVERIES WILL NOT BE COVERED FOR TEMP REPLACEMENT. Do not throw away any items that are damaged upon arrival as Olympia claims require damaged items be shipped back for a complimentary replacement within 5 business days of claim approval. 

In some states, certain services must be provided by licensed health care professionals practicing within a medical practice owned by a licensed health care provider.  We call these states the “corporate practice” states because they have certain laws that prohibit unlicensed individuals from owning and operating medical practices.  Business partners operating and health care professionals providing services in these corporate practice states are independent contractors of Hydreight’s friendly PC network.  Consequently, the services offered by these partners and providers are performed on behalf of a medical practice owned by a licensed physician as required under that state’s laws.   

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Certain services must be administered by a licensed medical professional.  Whether a service like Botox, fillers, or other cosmetic procedures, they must be administered by a licensed medical professional varies from state to state. Business partners should consult their medical director for oversight and contact their local state medical or nursing board or a health care attorney in their state to determine what activities constitute medical or nursing services under their state’s laws and whether there are any additional requirements for delivering such service (for example, a telemedicine consult prior to administering the service). 

Please reach out to Dr Palumbo (Chief Medical Officer) AND Lindsey PharmD  via email:

Dr. Palumbo: drpalumbo@hydreight.com 

Lindsey Urbatchka Pharmacy: info@wellnesspharmdconsulting.com

Please cc Dr.Palumbo, Lindsey, and the Ordering Portal team

* PLEASE ADVISE: You can also join the CMO Webinars on Mondays

BA's will not be provided the assigned Medical directors information. Please reach out to Dr Palumbo the Chief Medical Officer and Lindsey PharmD for any questions or concerns and they will determine if the medical director for that state needs to be contacted. 

*PLEASE ADVISE: Medical Directors are independent contractors, they are not employed full time by Hydreight or Healthcare Prosoft. Changes to assigned Medical Directors may occur due to provider turnover, so continuity cannot always be guaranteed.

• Every elective IV therapy session must have a consult and an order must be issued by a physician, PA, or APRN under a valid prescriptive authority agreement and adequate physician supervision. 
• Only physicians, PAs, APRNs, or RNs may administer elective IV therapy, and only under adequate physician supervision.
• Supervising physicians are responsible for ensuring that all delegated providers are properly qualified and that protocols and standard operating procedures are in place.

Please reach out to inventory@hydreight.com for details on tracking and update on missing items to your order.

Service provider is not live yet. Service provider needs to provide their documents to techsupport@hydreight.com. Once they provide tech support with all the required documents, they will be live and visible in the app.

Going forward, app is not accepting any cash payments. Please refrain from taking cash as payment.

The business name can be changed from the Backoffice. Below is the link. Please use the same credential as the app.

https://backoffice.hydreight.com/#/login

Below is the link; please use the same credential as the app.

https://backoffice-admin.hydreight.com/dashboard

If you have signed all the documents, filled the pharmacy form, and Ordered pharmacy, you can request to go live. You can raise a request from your app under the support tab or mail To go live to techsupport@hydreight.com.

Provide the documents to tech support to go live as a service provider: techsupport@hydreight.com

Please check your email ID. If that is correct, please try “forgot password” option. If it’s still not working, contact tech support: techsupport@hydreight.com

https://hydreight.com/partnerportal/video-learning/

These are the types of services available to be booked. "On the spot" is used typically for events or anything that is not booked in advance. Whereas "call out" is a mobile booking and is booked in advance.

Yes, Tech Support has their own FAQ section here: https://link.hydreight.com/hydreight-faq.

If you have any issues relating to the Hydreight App, please send a ticket to Tech Support.

Telehealth consults are valid for the time period below AS LONG AS NO MEDICAL HISTORY has changed.

1. Any standard IV an IM- valid for 6 months unless Specified by an HCP : MSE $25
2. NAD/ALA IV/ Sermorelin - 3 months: $40 PSF consult
3. Carnitine-3 months: $25  PSF consult
4. GLP1's- 3 months: $25  PSF consult
5. Any Prescription Medication (ketorolac, ondansetron, famotidine) needs prescriber approval EVERY TIME:  $6 

 Aesthetics: Services require pre-approval and consultation every 6 months for $25:

1. Microneedling with or without PRP -Topical or Injectable. Face and Neck ONLY
2. PRP-Topical or Injectable. Face and Neck ONLY
3. Neurotoxins
4. Fillers
5. Fat dissolvers- Face and Neck ONLY

Event Pricing: Usual and customary, with one exception for B12 IM. 

For an event where you are offering B12 IM ONLY any new clients may receive the B12 IM for a $6 dollar consult. This is only applicable for B12 services and no other service. 
For events, please submit a tech support ticket to get the access to add the service called "B12 event". In your Ticket to tech put in the information about the B12 event and include $6 consult. 

*Other services offered at the event will be Hydreight usual and customary.  Once the event concludes this service needs to be either deactivated or deleted.

No Consult Required: 

1. Chemical Peels
2. Microdermabrasion
3. Facials
4. Dermaplaning
5. Waxing
6. Lash tinting

We kindly request if you are able to find a medical office that has the Doctor or Nurse Practitioner on site to approve/sign off the shipment, and who will also provide them with the medical office’s business license. Anazao would like for the NP/MD license, business license, and NPI #.

Please submit this information to inventory@hydreight.com

To begin the process for Anazao you will need to locate a medical office and a MD,NP, or PA license that is affiliated with the office location. The office location must be medical related normally a dental office or a chiropractor is NOT considered a medical office. The MD/NP/PA does not need to be present at time of delivery. 

Reach out to friends, family, co-workers, or peers to see if anyone has a medical office and a MD/NP/PA license to ship to. You want to ensure you make a safe connection with someone who can store your vitamins and allow you access for pickup. 

Once you locate a medical office and a MD/PA/NP license please email inventory@hydreight.com with the information and we will send it to Anazao for approval. It can take up to a week for approval and they may ask for additional information for final approval. 

If you need anything outside of the menus, it’s a 1x1 consultation with Pharmacist Dr Lindsey Urbatchka and Dr. Joseph Palumbo.

Please know that this is in no way all-inclusive and there are many other steps in the process of isolating a vitamin or mineral in mass and then taking it from that powder form to a patient's body. Simply, not everything is derived from living matter aka organic. Vitamins are typically (b vitamins). But Minerals are not (magnesium).  Minerals can be isolated by chemical reaction. Here's some background:

1.  The pharmacies that compound your products are required to undergo state board inspection and most have undergone at least one FDA inspection. This ensures cGMP (current good manufacturing practice) are being followed.  
2. As for sourcing the ingredients come from suppliers such as pcca, medisca, letco, etc which are also required to undergo FDA inspection. 
        a) These suppliers source from multiple locations depending on the product world wide. 
        b) They have a certificate of analysis for each powder and and MSDS sheet (if necessary). 
             i) Meaning each powder has under gone testing for purity etc. 
            ii) Some powders have activity that has to be taken into account. 
           iii) Other powders are so potent that when a pharmacy receives them they must be aliquoted and then sent for a new testing in order to measure amounts that are safe for human consumption.
3. The suppliers have their own MSDS and certificates of analysis done on the products they source and are sent with the products to the pharmacy.
4. The pharmacy then compounds your product according to a recipe. After it is compounded, they send the product for their own testing for potency and sterility to a third-party lab (eagle analytical for example). 
     a) This sheet is kept on file at the pharmacy. 
     b) The batch cannot be released unless testing is passed.
5. Preservatives are required for beyond use dating to be more than 4-24 hours after puncturing a vial. The most common preservative is benzoyl alcohol. It RARELY causes any reaction. In fact, I haven't seen one yet. But never say never.
6. Most of these products have a variable shelf life 30-180 days from the date they are compounded. 90 is very common. 
     a) Beyond use dates are set by the pharmacies thru the third party testing company. They will pay to have each individual formula tested at 30, 60, 90 days etc.... to see if it holds potency greater than 95%. 
   Now, for the commercially available products that are not compounded a similar more rigorous process occurs. Powders of the said vitamin or mineral or substance are purchased in bulk, they are pharmaceutically manufactured in bulk in a lab, sometimes mixed together in a specific combo, made into an injection, tablet, capsule, etc..... and they may have more than just benzyl alcohol as a preservative (although it is still pretty popular). The injectables do not typically have any coloring but as you know tablets do.  They are required to go through FDA approved manufacturers and these products have actually gone through the FDA approval process. Meaning a pharmaceutical company paid at least 100s of thousands to patent their product for 20 years. It takes about 13-14 years to get through all the studies and onto the market. These products will typically have a longer shelf life from when they are made most are at least a year if not more. 
    Additionally, Chemical reactions may be used to isolate an ingredient (mineral typically), the mineral must be present to isolate it, for example you can't get magnesium from something that doesn't have magnesium. You can mix magnesium sulfate with hydrochloride and make magnesium chloride..... 
    The ingredients are pure unless they have to be diluted due to potency, like thyroid meds-levothyroxine and liothyronine, those are so potent we must dilute with something like microcrystalline cellulose to prevent an overdose that could kill someone. 
   Without asking every pharmacy on every chemical for their C of A's (cert of analysis') and MSDS sheets we will not be able to exactly answer which are derived from chemical reactions and which are extracted from plants/animals. And they do not HAVE to share that information with us. The most important piece for compounding something sterile that is going to be put into a vein, is that it is tested for purity, and after compounding sterility and potency. All of these boxes are to be checked before release for sale. We may have a recall or 2 down the line from the pharmacy. We have PNPs in place to manage this. This is not common but does happen, even with FDA approved products.

NAD is 503A patient specific medication for Mississippi, Albama, and California and 503 Office use for the rest of the states. You can add this service in the back office after completing the quiz. If you have trouble adding the service to your business, please raise a ticket with Hydreight Tech Support. 

Test if found on: https://pharmacy-a.hydreight.com/

Direct link to test:

https://link.hydreight.com/NAD_test

Yes, keep a log. Check your vials, they will say how they need to be stored and be sure to read them when you get them. Refrigerator Temperatures: 2-8 degrees celsius (36F to 46F)
Room Temperatures: 20-25 degrees celsius (68F-77F) depending on the pharmacy, they will allow excursions from 59F-86F degrees Fahrenheit for room temperature. 

Storage for cold sensitive items should be stored in a non-food refrigerator. A locked refrigertor is recommended to ensure vitamins are stored safely, securely, and to avoid tampering. 

If you are traveling with refrigerated items- take a cooler, or a refrigerator with a thermometer to track your temperature so that you do not let your meds go on excursions outside the pharmacy’s required temperatures.

Follow the instructions on the vial when you receive the product. Pharmacies can vary in their storage requirements and may also update or change them so always read the vial. Use a fridge that is only used for your vitamins.

They are as similar as they can be using the ingredients that are available at the pharmacy. For example, Biotin is 10mg/ml for Empower and 0.5mg/ml for Olympia. You may interchange the two brands, but pay attention to the dosage strength.

Located on the pharmacy ordering site and you can view or download it under "Full Drip menu"

Half-life.  It will oxidize if it is added to other nutrients and then you won't get the reduced form in the patient's body which is what it needs to use in the metabolic processes. 

You will not require anything other than a completed Sculptra training/certificate when a practice would like to order Sculptra. 

Beyond Use Date (BUD) is very different from expiration date. USP Chapter 797 defines BUD as the date or time after which a compounded sterile preparation (CSP) may not be stored or transported and is calculated from the date or time of compounding.The Beyond-Use Date is crucial in ensuring the safety and effectiveness of the medication, especially for compounded drugs where multiple ingredients are mixed to create a customized medication for a specific patient. It helps prevent the use of medications that may have deteriorated or become unsafe over time. The determination of the Beyond-Use Date takes into account factors such as the stability of the drug, storage conditions, and the specific formulation used.

 Then in order to fulfill a B12 order you would need to get hydroxocobalamin or cyanocobalamin. In your body cyano is converted to hydroxo and then to methylcobalamin. While some of the population has some form of a methylation mutation or deficiency, most of the population can convert and methylate at least some of the product. Furthermore, there are varying opinions each B12 has it's lane. Methyl may be more suited for mental health and hydroxo more for free radical removal. Please know that as long as you are getting a patient B12, you are helping them. Cyanocobalamin is not poisonous. 

The only methylated vitamin available in the US is methylcobalamin. 

All of these products work differently and help assist the body in energy, metabolism and overall health. Methionine may aid athletic performance by supporting bone strength and it's role in creatine synthesis. It acts as an antioxidant. It helps with metabolism and absorption of essential minerals. Inositol can help lower risk of metabolic syndrome by increasing insulin sensitivity, improving blood sugar, blood pressure and helping lower triglycerides. Assist in lowering cholesterol. It may help improve serotonin and dopamine as well. Choline can enhance muscle performance during exercise and improve stamina through its activity at a cellular level. Choline supports communication with muscle fibers and promotes muscle recovery following repetitive motion, resulting in better overall training output.

 Normal Saline is 0.9% Sodium Chloride while Lactated Ringer's is a solution including mineral salts- sodium chloride, sodium lactate, potassium chloride, calcium chloride. Normal Saline is required when diluting glutathione and mixing NAD. LR is not allowed for these 2 products. Always follow the orders and protocols, which typically will give you a range 500-1000ml of fluids NS or LR in order to ensure you have options especially during times of backorder.

 Vitamins and Medications are good for 28 days after puncturing unless specified otherwise in the item description and be sure to check the Best Use Date listed as well. Labels are available for purchase on the ordering portal: 

Labels

1. Follow the package insert. Omit the B12 from the drips and offer it in an IM shot at this time. 
2. Mix B12 into a bag and test it on one of your staff- while we do not believe it will cause any harm, we do not know if the lower pH (4.5) listed on the vial will cause any burning or tingling.