Primary care, nurse practitioner and multi-specialty practices
The volume base. This is where most weight management and most hormone therapy is actually written, not in a specialty clinic, and it is the largest reachable group in your nine states by a wide margin. The important split inside it is ownership: an independent practice decides in one conversation, a practice owned by a hospital system or a private equity platform decides through a formulary or a group contract and takes months longer. That split is not in any register and has to be built.
Who decides: at an independent practice, the owning physician or the managing partner, usually the same person who signs. At a nurse practitioner led clinic, the owner directly.
Who blocks it: the practice manager, who owns the workflow the prescription has to survive, and who is the person most likely to have been burned by a slow compounder before.
About 27,000
organizations across the nine states. Family medicine, internal medicine, primary care clinics, nurse practitioner and physician assistant practices and multi-specialty clinics, each counted once.