Terms of Service

Direct Reta is not a healthcare provider, clinic, or medical practice. We are a technology platform that facilitates connections between registered users and licensed healthcare providers (including physicians, nurse practitioners, and physician assistants who are licensed and contracted with us) for the purpose of:

• Telehealth consultations
• Medical assessments
• Prescription recommendations
• Pharmacy fulfillment coordination

Direct Reta does not provide medical advice, treatment recommendations, diagnoses, or treatment independently. We do not own, operate, or control the medical practices with which we contract, nor do we control the clinical practice of our contracted healthcare providers.

You acknowledge that you are not entering into a physician-patient relationship with Direct Reta. You are entering into a healthcare provider relationship exclusively with the licensed healthcare provider with whom you consult through the Platform. Direct Reta acts as a technology intermediary only.

Direct Reta is not liable for:

• Any medical advice, guidance, or recommendations provided by contracted healthcare providers
• Any diagnosis or treatment recommendations
• Any medication prescribed or recommended
• Any adverse effects, side effects, complications, or harm resulting from medical consultations, prescriptions, or treatments provided by healthcare providers
• Any outcome of your care, whether positive or negative

Except for information you receive directly from a licensed healthcare provider during your individual consultation related to your specific medical condition, all content available through the Services, including educational materials, articles, FAQs, and general health information, is for informational purposes only and does not constitute professional medical advice, diagnosis, treatment, or recommendations.

You should not disregard, avoid, or delay obtaining in-person care from your primary care physician, cardiologist, endocrinologist, or other healthcare professional because of information available on the Platform.

The Services are available only to individuals who are 18 years of age or older. By using the Services, you represent and warrant that you are at least 18 years old.

The Services are currently available only in select U.S. states. Direct Reta does not operate in, and does not provide services to residents of or individuals located in, jurisdictions outside this list.

You are responsible for determining whether you are located in an authorized jurisdiction. If you are not located in an authorized state, you are not authorized to use the Services.

You agree to use the Services only in compliance with all applicable federal, state, and local laws, regulations, rules, and healthcare practice standards. This includes compliance with:

• State telehealth regulations
• State prescribing laws and regulations
• DEA regulations (for controlled substances)
• HIPAA and other privacy laws
• State insurance and pharmaceutical regulations
• Federal and state compounding pharmacy laws, including those applicable to 503A compounding pharmacies

By creating an account and using the Services, you represent and warrant that you are capable of forming a binding legal contract with Direct Reta and are not restricted, barred, or prohibited by law from accessing the Services.

Direct Reta contracts with licensed healthcare providers who are authorized to prescribe within their respective states. Each provider's credentials are verified prior to engagement.

All prescription recommendations and treatment plans must originate from a licensed healthcare provider who:

• Holds an active, unencumbered license to practice in the state(s) where you reside
• Is credentialed and contracted with Direct Reta
• Has reviewed your medical history, current health status, and presenting condition
• Has determined that the recommended treatment is clinically appropriate for you

Before any prescription can be issued, you must complete:

1. A detailed health intake form and medical history questionnaire
2. A real-time or asynchronous telehealth consultation with a licensed healthcare provider
3. A clinical assessment by that provider
4. Informed consent documentation

Prescriptions will not be issued if the healthcare provider determines you are not an appropriate candidate for the requested treatment.

Direct Reta facilitates the following services:

• Telehealth Consultations: Real-time video, audio, or asynchronous consultations with licensed healthcare providers
• Medical Assessments: Evaluation of your health status, medical history, and suitability for retatrutide and related GLP-1, dual-agonist, and triple-agonist medications
• Prescription Fulfillment: Coordination with contracted pharmacies (including licensed U.S. 503A compounding pharmacies and retail pharmacies) to fulfill prescriptions written by licensed providers
• Follow-up Care: Ongoing monitoring, medication management, and dose adjustments
• Health Education: Educational materials and resources (informational only)

Direct Reta focuses on physician-prescribed retatrutide, a triple-agonist medication that acts on GLP-1, GIP, and glucagon receptors, for weight and metabolic care. Services may also involve clinical discussion of related therapies such as semaglutide (a GLP-1 receptor agonist) and tirzepatide (a dual GLP-1/GIP agonist) as background or alternative context, where clinically relevant. Services include consultations, assessments, prescriptions, and ongoing monitoring.

Important medication disclosures:

• Retatrutide and related GLP-1, dual-agonist, and triple-agonist medications are not for everyone; not all individuals are medically appropriate candidates
• These medications carry potential risks, including but not limited to gastrointestinal side effects, pancreatitis, thyroid concerns, gallbladder disease, and others
• Some medications available through Direct Reta may be compounded formulations prepared by licensed U.S. 503A compounding pharmacies, not FDA-approved branded medications
• Compounded medications have not undergone the same rigorous FDA safety and efficacy review as branded versions
• Regular medical monitoring and follow-up are required
• You must meet specific medical criteria and BMI requirements to be eligible
• These medications require ongoing medical supervision and periodic provider consultations

By proceeding to use the Services, you acknowledge that:

1. You understand the nature of telehealth services, including their benefits and limitations
2. You understand that telehealth consultations are not equivalent to comprehensive in-person medical evaluations
3. You understand that a healthcare provider may recommend in-person evaluation or may decline to provide certain services via telehealth
4. You provide informed consent to receive medical consultations and prescriptions through a telehealth platform
5. You understand the risks associated with retatrutide and related GLP-1, dual-agonist, and triple-agonist medications, as disclosed by your healthcare provider
6. You have disclosed your complete and accurate medical history, including all medications, supplements, allergies, and health conditions
7. You have discussed your personal and family medical history with your healthcare provider

You are responsible for:

• Providing accurate, complete, and truthful information about your medical history, current health status, medications, supplements, and allergies
• Informing your healthcare provider of any changes to your health, symptoms, or medications
• Following all instructions provided by your healthcare provider
• Attending required follow-up appointments and monitoring visits
• Reporting any adverse effects, concerning symptoms, or side effects immediately
• Maintaining the confidentiality of your account credentials
• Using the Services in a lawful and ethical manner

Direct Reta will not be liable for any damages, losses, complications, or harms arising from:

• Incomplete, inaccurate, or dishonest information you provide
• Your failure to disclose material health information
• Your failure to report new symptoms or health changes
• Your non-compliance with healthcare provider recommendations
• Your failure to attend follow-up appointments or monitoring visits

Once a healthcare provider has written a prescription, you may:

1. Fill through a Direct Reta-affiliated pharmacy: Your prescription will be fulfilled by one of our contracted pharmacies (which may include licensed U.S. 503A compounding pharmacies), and the cost will be included in your monthly Subscription Fee (if applicable), plus any applicable taxes and fees
2. Transfer to an outside pharmacy: You may request your prescription be sent to a pharmacy of your choice (subject to state pharmacy regulations and prescriber approval)

Some medications available through Direct Reta, including compounded retatrutide and related formulations, may be obtained from licensed U.S. 503A compounding pharmacies. Please understand:

• Compounded medications are not FDA-approved. They have not undergone the same rigorous FDA safety and efficacy review as branded, FDA-approved medications
• Compounded formulations may contain different ingredients, different manufacturing processes, or different potency than branded versions
• You assume all risks associated with compounded medications
• Quality, consistency, and efficacy of compounded medications may vary
• The FDA does not guarantee the safety, efficacy, or quality of compounded drugs
• 503A compounding pharmacies prepare patient-specific prescriptions under applicable federal and state law; they are not the same as FDA-approved manufacturing of branded drug products
• You acknowledge and accept this risk by proceeding

If you choose to fill your prescription with a pharmacy outside the Direct Reta network:

• You are solely responsible for verifying the pharmacy's legitimacy and licensing
• Direct Reta is not liable for any errors, omissions, contamination, misrepresentation, or harm caused by your selected pharmacy
• You are responsible for paying the pharmacy directly for the cost of medications
• You assume all risk related to medication quality, identity, and potency
• Direct Reta does not verify or endorse outside pharmacies

Certain medications, including some compounded retatrutide formulations, may only be dispensed by compounding pharmacies due to formulation requirements or supply considerations. In such cases, your outside pharmacy may not be able to fill the prescription. You will be notified of this limitation.

Direct Reta cannot accept returns of pharmaceutical products for safety, regulatory, and public health reasons. All medication sales are final, with limited exceptions as outlined in Section 9 and Section 10 of these Terms.

To use the Services, you must:

1. Register for an account through the Platform
2. Provide accurate, complete, and current information
3. Create a password
4. Verify your identity through means we specify (including government-issued ID verification)
5. Accept the informed consent disclosures specific to the Services you are requesting

You are solely responsible for maintaining the confidentiality of your password and account credentials. Direct Reta cannot and will not be liable for any loss, damage, or unauthorized access resulting from your failure to secure your password.

You agree to:

• Use a strong password (combination of upper and lowercase letters, numbers, and symbols)
• Never share your password with anyone
• Never use your password on multiple accounts
• Log out of your account after each session, especially on public or shared computers
• Immediately notify Direct Reta of any unauthorized access or suspicious account activity

Many Services are provided on a monthly subscription basis. Your Subscription Fee includes:

• Access to the Platform
• Initial and ongoing telehealth consultations (subject to availability)
• Healthcare provider time and clinical assessment
• Prescription fulfillment through affiliated pharmacies
• Pharmacy processing and dispensing fees
• Shipping and handling costs
• Applicable taxes

• Prices for Services are subject to change at any time, in Direct Reta's sole discretion
• Price changes will be communicated to you in advance
• Continued use of the Services after a price change constitutes acceptance of the new price
• You may cancel your Subscription at any time before a price increase takes effect

By providing payment information and submitting your registration, you:

• Authorize Direct Reta and our third-party payment processors to charge the Subscription Fee to your account
• Authorize automatic renewal of your Subscription on a monthly basis
• Authorize billing of applicable taxes and fees
• Authorize charging of any additional fees incurred (e.g., expedited shipping, additional consultations)

• All products and services are subject to availability
• Direct Reta reserves the right to impose quantity limits, reject orders, or cancel orders in our sole discretion
• In the event of a billing error, Direct Reta reserves the right to correct the error and bill the correct amount
• Delivery dates and times are estimates only and are not guaranteed

Your Subscription Fee is not covered by Medicare, Medicaid, or other government health programs. You are solely responsible for the full cost of Services. Direct Reta, the contracted healthcare providers, and affiliated pharmacies do not submit claims to insurance companies or government programs on your behalf.

If you have insurance coverage, you may be able to claim portions of the Services on your own, but Direct Reta does not facilitate this process.

Except as described in Section 10 of these Terms, all charges are non-refundable. This includes:

• Subscription Fees (no prorated refunds)
• Consultation fees
• Pharmacy charges and medication costs
• Shipping and handling fees

You acknowledge and agree that you are fully liable for all charges to your account.

You may cancel your Subscription at any time by:

1. Logging into your account and selecting “Cancel Subscription,” or
2. Emailing support@directreta.com with your cancellation request

Cancellation will take effect at the end of your current billing cycle. We will not provide refunds for the current billing cycle.

Direct Reta reserves the right to suspend or terminate your account and access to the Services at any time, with or without cause, and with or without prior notice, including if:

• You violate these Terms
• You provide false, inaccurate, or incomplete information
• Your behavior violates laws or regulations
• You pose a risk or legal liability to Direct Reta
• The healthcare provider determines you are not an appropriate candidate for ongoing Services
• Your associated healthcare provider or pharmacy discontinues services
• We determine the Services are no longer commercially viable for you

Upon termination or cancellation:

• Your access to the Services will be discontinued immediately
• Your right to use the Platform will cease
• You will not receive a refund, except as required by law
• These Terms will survive termination, including liability limitations, indemnification, and arbitration provisions

If your account is terminated, Direct Reta will assist in transferring your medical records to another healthcare provider upon your request, in compliance with HIPAA.

Direct Reta is committed to protecting your privacy and securing your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and state health privacy laws.

This Terms of Service should be read in conjunction with our Privacy Policy and Notice of Privacy Practices. Those documents contain detailed information about:

• What health information we collect
• How we use your information
• Who we share your information with
• Your privacy rights under HIPAA
• How we protect your data
• Breach notification procedures

Direct Reta contracts with business associates (including telehealth platforms, pharmacies, data processors, and IT vendors) who may access or process your PHI. All business associates are required to execute Business Associate Agreements (BAAs) that ensure they:

• Maintain strict confidentiality and security measures
• Use PHI only for the purposes specified in their agreement
• Report any unauthorized access or breaches immediately
• Comply with all HIPAA requirements

Your PHI is encrypted:

• In transit: All data transmitted between your device and Direct Reta servers is encrypted using TLS/SSL protocols
• At rest: All stored PHI is encrypted using industry-standard encryption

Additional security measures include:

• Multi-factor authentication
• Role-based access controls
• Audit logs and access monitoring
• Regular security assessments
• Secure data backup and disaster recovery procedures

You acknowledge and accept the inherent risks of electronic health communication:

• Email and text message communications may not be completely secure
• Unencrypted communications may be intercepted by unauthorized parties
• Third-party email or messaging providers may access your communications
• You may receive communications from Direct Reta via unencrypted channels as part of routine account management

You consent to receiving electronic communications from Direct Reta, including email and SMS, regarding your account and the Services, despite these inherent risks.

Important Notice on Tracking Technologies:

Direct Reta may use cookies, web beacons, pixels, and similar tracking technologies on our website. These technologies are used for:

• Website analytics
• Improving user experience
• Marketing and advertising optimization

If you are located in a state with strict health privacy laws (including California, Washington, or Florida), please note:

• We do NOT use tracking pixels that transmit your PHI to third parties
• We comply with all state-specific restrictions on the use and sharing of health data
• We do not sell, trade, rent, or share your health information with unaffiliated third parties for marketing purposes
• Any tracking technologies that could transmit health information require your explicit opt-in consent

Under HIPAA and applicable state laws, you have the right to:

• Access your PHI and receive a copy
• Request corrections to inaccurate information
• Request restrictions on how we use or share your information
• Request a list of all disclosures we have made
• Request confidential communications (e.g., to a different address or phone number)
• File a complaint if you believe your privacy rights have been violated

To exercise these rights, contact: privacy@directreta.com

Your use of the Services is at your own risk. Direct Reta provides the Services on an “AS-IS” and “AS-AVAILABLE” basis without warranties of any kind, whether express or implied, including:

• Warranties of merchantability
• Fitness for a particular purpose
• Non-infringement of third-party rights
• Accuracy, completeness, or timeliness
• Uninterrupted or error-free operation

Direct Reta explicitly disclaims liability for:

1. Medical advice and healthcare provider actions: Any medical advice, recommendations, treatment plans, prescriptions, or clinical decisions made by contracted healthcare providers
2. Medication efficacy and safety: The safety, efficacy, quality, or appropriateness of any medication prescribed or recommended, including retatrutide and related therapies
3. Compounded medications: The quality, potency, identity, or safety of any compounded medications prepared by 503A or other compounding pharmacies
4. Pharmacy errors: Any errors, omissions, delays, or inaccuracies caused by pharmacies or pharmacy fulfillment
5. Third-party actions: The actions, omissions, conduct, or negligence of healthcare providers, pharmacies, or other third parties
6. Data completeness and accuracy: Information provided on the Platform may be incomplete, outdated, or inaccurate
7. Technical issues: Website outages, system failures, data loss, or technical interruptions
8. Adverse effects and side effects: Any adverse effects, side effects, allergic reactions, or complications arising from prescribed medications or treatments
9. Harm or injury: Personal injury, death, disability, or harm arising from use or non-use of the Services
10. Consequences of non-compliance: Any negative outcomes resulting from your failure to follow healthcare provider recommendations

To the maximum extent permitted by law, you hereby release and hold harmless Direct Reta, its parents, subsidiaries, affiliates, related companies, officers, directors, employees, agents, representatives, partners, and licensors from any and all liability for:

• Medical care or treatment provided by contracted healthcare providers
• Medication prescribed or recommended by healthcare providers
• Any adverse effects, side effects, complications, or harm arising from such care or medication
• Any personal injury, death, disability, or economic loss arising from your use of the Services
• Any claim by you or a third party related to the Services

To the maximum extent permitted by law, Direct Reta's total liability to you for any claim arising from or related to the Services shall not exceed the greater of:

• One Hundred U.S. Dollars ($100.00), or
• The total amount you paid Direct Reta in the past six (6) months for Services

This limitation applies regardless of the nature of the claim, including:

• Contract claims
• Negligence or gross negligence
• Strict liability
• Product liability
• Warranty violations
• Breach of duty
• Medical malpractice (claims are limited to this cap unless state law does not permit such limitations)

To the maximum extent permitted by law, Direct Reta shall not be liable for any:

• Indirect, incidental, special, or consequential damages
• Punitive or exemplary damages
• Lost profits, revenue, or business opportunity
• Loss of data or information
• Loss of goodwill
• Emotional distress
• Reputational harm
• Any other damages beyond direct damages

Some states do not permit the disclaimer or exclusion of certain warranties, implied warranties, or the limitation or exclusion of certain types of damages. If you reside in such a state, some of the above limitations may not apply to you to the extent prohibited by state law. However, Direct Reta will apply these limitations to the maximum extent permitted under your state's laws.

You agree to indemnify, defend, and hold harmless Direct Reta and its related entities from and against any and all third-party claims, liabilities, damages, costs, and expenses (including reasonable attorneys' fees) arising from or related to:

• Your use of the Services
• Information you provide to Direct Reta or a healthcare provider
• Your violation of these Terms
• Your violation of any law or regulation
• Your failure to comply with healthcare provider recommendations
• Your interactions with healthcare providers, pharmacies, or other users
• Your disclosure or misuse of information obtained through the Services

Before initiating any formal dispute resolution procedure, you agree to attempt to resolve any dispute with Direct Reta informally by sending a written notice to:

Your notice should describe the nature of the dispute, the relief sought, and proposed resolution. Direct Reta will respond to your notice within thirty (30) days.

If your dispute cannot be resolved informally within thirty (30) days, you and Direct Reta agree that the dispute will be resolved by binding individual arbitration, NOT through litigation or class action.

This means:

• You waive the right to a jury trial
• You waive the right to pursue claims in court (except as noted below)
• You waive the right to participate in class action lawsuits
• Any arbitration will be individual and confidential
• Any arbitrator award is final and binding

Arbitration does not apply to:

1. Small claims court: You and Direct Reta retain the right to bring individual claims in small claims court (if the claim meets small claims court jurisdiction requirements)
2. Intellectual property protection: Either party may seek injunctive or equitable relief in court to prevent intellectual property infringement, misappropriation, or violation

Any binding arbitration will be administered by the American Arbitration Association (AAA) under the AAA's Commercial Arbitration Rules and Supplementary Procedures for Consumer-Related Disputes, with the following modifications:

• The arbitration will be conducted on an individual basis (no class actions)
• The arbitrator will be selected from AAA's roster of arbitrators
• The arbitration may be conducted by video conference, phone, or in person
• Unless your claim exceeds $10,000, the arbitration will be decided solely on submitted documents unless you request an in-person hearing
• The arbitrator's award must be consistent with the limitations of liability in these Terms

Direct Reta will pay all AAA filing fees and arbitrator fees for any arbitration you initiate, provided your claim is not frivolous. You are responsible for your own attorneys' fees and costs, unless applicable law provides otherwise.

You may opt out of arbitration by sending Direct Reta written notice (including by email to support@directreta.com) within thirty (30) days of your first use of the Services. Your notice must include:

• Your name
• Your account email address
• A clear statement that you are opting out of arbitration

If you do not opt out within thirty (30) days, you will be deemed to have agreed to arbitration.

These Terms and any dispute arising from or related to the Services shall be governed by the laws of the State of Delaware, without regard to conflicts of law principles.

Direct Reta owns and retains all right, title, and interest in:

• The Platform and website
• All software, code, and technology
• All content, materials, graphics, photos, videos, and educational materials
• All trademarks, logos, and branding
• All patents, copyrights, trade secrets, and other intellectual property rights

You may not copy, reproduce, modify, distribute, display, or transmit any content without our prior written permission.

Any content you upload, submit, or provide through the Services (including photos for ID verification, symptom descriptions, or other information):

• Remains your property
• You grant Direct Reta a license to use and disclose such content as necessary to provide the Services
• You represent and warrant that you own or have the right to provide such content
• You consent to Direct Reta using such content in connection with your medical care and treatment coordination

Any feedback, suggestions, or comments you provide to Direct Reta regarding the Services or Company:

• Are entirely voluntary
• Become the property of Direct Reta
• May be used by Direct Reta without obligation or compensation to you
• Direct Reta is free to use such feedback for any purpose

These Terms, along with our Privacy Policy and Notice of Privacy Practices, constitute the entire agreement between you and Direct Reta regarding the Services and supersede all prior understandings, agreements, or communications.

If any provision of these Terms is found to be invalid, unenforceable, or prohibited by law, that provision shall be modified to the minimum extent necessary to make it valid and enforceable, or if not possible, shall be severed. The remaining provisions shall continue in full force and effect.

Direct Reta may provide notices to you via:

• Email to your registered email address
• Text message (SMS) to your registered phone number
• Posting on the Platform
• U.S. Mail to your registered address

Any email or SMS notice will be deemed received within twenty-four (24) hours of transmission.

You may provide notices to Direct Reta by:

• Emailing: support@directreta.com
• Through the Platform's customer support interface