For chiropractic, nutrition, IV, massage and therapy practices
A Local Healthcare program
You are the most clinical business on the street that cannot write a prescription. Offer a physician-led program under your own brand, prescribed by an independent clinician, entirely within your existing scope of practice.
49 of 50
states where a chiropractor cannot prescribe
40%
of chiropractic treatment already paid in cash
25-39%
of GLP-1 weight loss that is lean mass
$0
your cost to run it
Sources: state practice acts; ClinicMind 2026; Clinical Nutrition Report 2026.
Who this is built for
If your patients treat their visit as healthcare rather than a treat, this is written for you.
You hear these every week
Right now each of these ends in a referral, a shrug, or a patient going online to buy from someone who has never met them.
Patients arrive at your rooms with a health problem, not a treat. They describe symptoms, they expect assessment, and they ask medical questions. That credibility is the thing DTC brands spend fortunes trying to fake.
Every time the answer needs a prescription, your only move is to send the patient somewhere else. They wait weeks, they get seen by someone with no history with them, and the follow-on care goes to that practice.
You never diagnose, prescribe, dispense or advise on medication. An independent licensed clinician does all of it. You are the seller of the program, not the provider of the medicine, and that line is drawn on purpose.
Therapy payment was cut again in 2026 and telehealth eligibility lapsed for several therapy professions. A cash-pay monthly program earns outside the fee schedule entirely.
Sold under your brand, prescribed by someone else, wrapped in the care you already deliver.
GLP-1 therapy, semaglutide and tirzepatide
The question every practice now fields weekly. Delivered by an independent clinician, sold under your name, with your existing care wrapped around it rather than competing with it.
Vitamin B12, Lipo-B and Lipo-C injections
Lean mass loss accounts for a quarter to nearly two fifths of total weight lost on GLP-1 therapy, and protein and micronutrient intake is routinely inadequate. This is precisely the ground a dietitian or therapist already stands on.
Estradiol, micronized progesterone and related therapies
Around three quarters of women with menopause symptoms are never treated for them. They arrive in your rooms describing joint pain, sleep and fatigue, and the underlying cause goes unaddressed.
Testosterone therapy and enclomiphene, for diagnosed low testosterone
The fatigue, lost strength and poor recovery your male patients describe sometimes has a measurable cause. Confirmed by bloodwork, decided by a clinician, never assumed.
NAD+ and vitamin B12
Clinician-guided recovery and energy support, the natural extension of what an IV and wellness clinic already does, with a prescriber attached to it.
Bloodwork that personalises the program
The diagnostics that turn a general wellness conversation into a specific one. Testing is diagnostic and never a guarantee that treatment follows.
Sildenafil and tadalafil
Discreet, physician-prescribed care that your patients would otherwise buy from an online brand that has never examined them.
The part only you can do
Between a quarter and nearly two fifths of the weight lost on semaglutide and tirzepatide is lean mass. Current guidance points to 1.2 to 1.6 grams of protein per kilogram a day alongside resistance work, and names dietitians and physiotherapists as part of the treatment team.
A 2026 review found dietitians involved in only a handful of studies, with protein and micronutrient assessment rare. The nutrition and movement side of the biggest drug class in a generation is largely unstaffed. That is your work, and right now you are doing none of it for these patients because they bought the medication somewhere else.
Read the research →
Your branded storefront sits alongside the care you already deliver. You are the seller of record and set your own retail price.
The patient completes intake on your storefront. Licensed clinicians at Beluga Health evaluate and, where appropriate, prescribe, and a state-licensed pharmacy ships.
The manual work, the nutrition, the rehab, the recovery. We bill as your agent and remit your share every month.
New Mexico is the only state where a chiropractor has any prescribing authority, and even there it is a limited formulary requiring additional certification. Dietitians, massage therapists and physical therapists have none. The practical result is the same every time: the patient asks, you refer out, and the relationship goes with them.
State practice acts, summarised by LegalClarity
The 2026 fee schedule reduced physical therapy rates, took the conversion factor to $32.35 and added a permanent efficiency adjustment cutting work RVUs on certain services. From 31 January 2026 physical, occupational and speech therapists stopped being eligible Medicare telehealth providers absent new legislation. Denials are rising with it. Clinics are responding by adding cash-based services.
SPRY, Medicare policy changes 2026
About 40% of chiropractic treatment is paid in cash, and between 30% and 50% of chiropractic patients carry no insurance for it, against 10% to 20% in general medical practice. A cash-pay monthly program is not a foreign concept to this patient, it is how they already buy from you.
ClinicMind, chiropractic industry statistics 2026
In short
Yes, provided they sell it rather than prescribe it. Chiropractors have no prescribing authority in 49 of 50 states, and dietitians, massage therapists and physical therapists have none anywhere. Here an independent licensed clinician at Beluga Health prescribes, so the practice stays entirely within its own scope.
No. You never diagnose, prescribe, dispense, adjust a dose or advise on the medication. You introduce the program and an independent clinician takes it from there. Nothing about the arrangement expands your licence, and your own state board's rules continue to govern you.
Nothing to set up. The only charge is $50 per treatment, per month, on active programs. No prescriber to hire, no medical director, no software licence and no minimum. It is cash-pay revenue earned entirely outside the fee schedule.
Launch a branded program in days. No prescriber to hire, no scope to stretch, no software to license.
Become a partner