Last updated: July 28, 2026
When we opened, Gentle Health served two states: Arkansas and Kentucky. As of this month, we serve twenty-two.
The mechanism is worth explaining, because it says something about how the practice works. Gentle Health is not a network of contracted prescribers. Every patient, in every state we serve, is evaluated and treated by the same physician: James Simmons, MD. Dr. Simmons received approval through the Interstate Medical Licensure Compact, an agreement among participating state medical boards that allows a physician in good standing to obtain licenses in member states through a single, verified application. His Arkansas and Kentucky licenses were the beginning; the Compact made the rest possible.
One physician, licensed in each state where we practice. That model does not scale the way a roster of clinicians does, and that is the point.
Where we now operate
| State | Status |
|---|---|
| Alabama | Accepting patients |
| Arkansas | Accepting patients |
| Colorado | Accepting patients |
| Delaware | Accepting patients |
| Hawaii | Accepting patients |
| Indiana | Accepting patients |
| Kentucky | Accepting patients |
| Louisiana | Accepting patients |
| Maine | Accepting patients |
| Maryland | Accepting patients |
| Michigan | Accepting patients |
| Minnesota | Accepting patients |
| Montana | Accepting patients |
| Nebraska | Accepting patients |
| Nevada | Accepting patients |
| North Carolina | Accepting patients |
| North Dakota | Accepting patients |
| Oklahoma | Accepting patients |
| Tennessee | Accepting patients |
| Utah | Accepting patients |
| Washington | Accepting patients |
| West Virginia | Accepting patients |
More states are coming. This page will be updated as they arrive, and as we publish a detailed guide for each state, we will link it here.
What stays the same
Everything else. The evaluation is the same: a medical review by Dr. Simmons, and treatment only where it is appropriate - a prescription is never guaranteed. The medications are the same: compounded semaglutide (oral, $112 per month; injectable, $135 per month) and compounded tirzepatide ($169 per month), prepared by licensed compounding pharmacies. The pricing is the same in every state, cash-pay, with no insurance requirement and no membership fees. And the standard is the same: honest weight management, described plainly.
If you live in one of the states above and want to know whether this care is right for you, the evaluation is where to start.
Compounded medications are not FDA-approved. Treatment subject to medical evaluation.