GLP-1 Telehealth: What PMHNPs Need to Know in Pennsylvania

If you’re a psychiatrist watching the GLP-1 revolution unfold — Ozempic and Wegovy making headlines, patients asking about weight loss at every visit, colleagues quietly adding obesity care to their menu — you’re probably wondering: Is this actually an opportunity for my practice, or just another trend that’ll create more work?

Here’s the reality: demand for GLP-1 weight-loss treatment has exploded. By late 2025, an estimated 6% of Americans (roughly 20 million people) were actively taking GLP-1 medications, with half using them specifically for obesity. That’s a 600% increase in weight-loss usage over just six years. And here’s the kicker — there aren’t nearly enough providers to meet this demand.

As a psychiatrist, you’re uniquely positioned to capture this market. You already understand behavior change, mental health’s role in weight management, and how to support patients through long-term treatment. Many of your current patients are struggling with medication-induced weight gain or obesity that worsens their mental health. The question isn’t whether there’s an opportunity — it’s whether you can scale a GLP-1 practice in a way that grows your income without destroying your schedule or mental health.

Let’s talk about how to do this right.

Why Psychiatrists Are Actually Perfect for GLP-1 Care

The Patient Overlap You’re Already Seeing

Nearly half of psychiatrists are already prescribing or recommending GLP-1 medications like Ozempic, primarily to address medication-induced weight gain. If you prescribe antipsychotics, mood stabilizers, or certain antidepressants, you know the frustration patients express when they gain 20, 30, 50+ pounds as a side effect.

This isn’t just about vanity. Weight gain often leads to:

• Medication non-compliance (patients stop taking meds that help their mental health)
• Worsening depression and anxiety
• Development of metabolic syndrome, diabetes, and cardiovascular disease
• Social isolation and reduced quality of life

By offering GLP-1 treatment, you’re not adding a separate service line — you’re completing the care you’re already providing. You’re addressing the whole patient.

Your Behavioral Health Expertise Is the Secret Weapon

Here’s what primary care doctors and endocrinologists don’t have: expertise in motivation, behavior change, emotional eating, and the psychological barriers to weight loss. Weight management isn’t just about prescribing medication — it’s about helping patients navigate:

• Emotional eating patterns and food relationships
• Body image issues and shame around weight
• Anxiety about side effects or ‘failing again’
• The mental adjustment as they lose significant weight
• Potential mood changes during treatment (important, given the initial concerns about psychiatric side effects that the FDA later found no clear evidence for)

You’re trained to handle all of this. That’s worth something, and patients know it.

The Economics Make Sense

Unlike traditional psychiatric care where you’re fighting insurance denials and dealing with $60 reimbursement rates for complex medication management, GLP-1 weight-loss services are often cash-pay. Why? Because most insurance plans don’t cover GLP-1 medications for obesity. As of mid-2024, only 13 state Medicaid programs covered these drugs for weight loss, and many private insurers exclude them entirely.

This creates a market willing to pay out-of-pocket for both the medication and provider visits. Patients are already spending $200-400+ monthly on compounded semaglutide or $1,300+ on brand-name Wegovy. They expect to pay for visits too.

This means you can:

• Charge fair market rates ($150-300 for initial consults, $75-150 for follow-ups)
• Avoid insurance hassles and prior authorizations for visits
• Build predictable monthly revenue through subscription models
• Actually get paid what your time and expertise are worth

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How to Actually Get GLP-1 Patients (Without Wasting Money on Marketing)

The ‘Start With Who You Have’ Approach

The fastest path to building a GLP-1 practice is internal conversion. Look at your current patient panel. How many patients:

• Have gained weight on psychiatric medications?
• Have a BMI ≥30, or ≥27 with comorbidities like hypertension or prediabetes?
• Have mentioned wanting to lose weight or expressed frustration about their physical health?
• Would benefit from addressing obesity’s impact on their mental health?

During your next medication management appointments, bring it up: ‘I know the Seroquel has been helping with your sleep and mood, but I also know you’ve mentioned the weight gain. I’ve started offering medical weight management with GLP-1 medications as part of my practice. Would you want to talk about whether that might be an option for you?’

This approach requires zero marketing budget and builds on existing trust. Many providers report converting 20-30% of appropriate existing patients once they simply make the service known.

The Smart Way to Attract New Patients

For patient acquisition beyond your current practice, you have options — but not all are created equal economically.

DIY Marketing Reality Check:Let’s be honest about what it actually costs to acquire psychiatric patients through traditional marketing:

• SEO: Takes 6-12 months of consistent content creation, technical optimization, and backlink building before you see meaningful patient flow. Most solo psychiatrists don’t have the expertise or patience. Monthly agency costs: $2,000-5,000.

• Google Ads: Mental health and weight-loss keywords cost $15-40+ per click. Most clicks don’t convert to booked patients. Realistic cost per booked new patient: $200-400+, after accounting for ad spend, conversion optimization, and no-shows from cold leads.

• Directory Listings: Psychology Today, Zocdoc, and similar platforms charge monthly subscription fees ($30-100+) AND you compete with hundreds of other providers on the same page. Zocdoc also charges per booking ($35-100+). Total monthly cost adds up, especially when lead quality varies.

When you factor in ALL costs — agency fees, your time managing campaigns, staff time qualifying leads, failed experiments, and no-shows — the true cost to acquire a qualified psychiatric patient through DIY marketing is typically $200-500+.

The Platform Economics Alternative:

Instead of gambling $3,000-5,000/month on marketing with uncertain results, consider telehealth platforms that handle patient acquisition and use a pay-per-appointment model.

Platforms like Klarity Health work differently:

• No upfront marketing spend or monthly subscriptions — you only pay when you see patients
• Pre-qualified patients already matched to your specialty and availability
• No wasted ad spend on clicks that don’t convert
• Built-in telehealth infrastructure (no separate platform costs)
• Access to both insurance and cash-pay patient flow
• You control your schedule — only accept patients when you have capacity

The economic advantage is simple: instead of paying thousands upfront hoping for results, you pay a standard listing fee per new patient appointment. That’s guaranteed ROI vs. gambling on marketing channels you may not have expertise in.

Can DIY marketing eventually be cost-effective? Absolutely — IF you have the budget, expertise, and 6-12 month patience to build it. But for most psychiatrists, especially those starting out or scaling quickly, removing acquisition risk entirely makes more financial sense.

Other Acquisition Channels:

• Referral Relationships: Let local PCPs, therapists, and dietitians know you offer medical weight management. They’re often overwhelmed with patients asking about GLP-1s and will gladly refer to a trusted psychiatrist who understands the mental health piece.

• Social Media Education: Share content about the connection between mental health and weight, medication-induced weight gain solutions, and success stories (with permission). Position yourself as the expert who treats the whole person.

• Targeted SEO Content: If you do invest in content marketing, focus on high-intent searches like ‘psychiatrist prescribing Ozempic for weight gain’ or ‘GLP-1 medication management [your city]’ — these attract patients who already know what they want.

The key is leverage your unique positioning: ‘Psychiatrist offering medical weight management with mental health expertise’ differentiates you from every generic weight-loss clinic flooding the market.

The Telehealth Compliance Essentials (So You Don’t Get Tripped Up)

Licensure Rules: It’s Simpler Than You Think

Good news: GLP-1 medications are not controlled substances, which means the Ryan Haight Act’s in-person exam requirement doesn’t apply. You can legally prescribe semaglutide, tirzepatide, and other GLP-1s via pure telehealth.

The only requirement: You must hold an active medical license in the state where your patient is physically located at the time of the appointment.

For Psychiatrists (MD/DO): You have full prescriptive authority in all states. No special permissions needed for GLP-1s.

For PMHNPs: Scope of practice varies by state:

• California: NPs currently need physician supervision, but AB 890 creates a pathway to independence. After 3 years as a ‘103 NP’ (supervised), you can become a ‘104 NP’ (independent) starting in 2026. Until then, work under a collaborative agreement.

• Texas: Strict supervision required. You must have a Prescriptive Authority Agreement with a Texas physician to prescribe any medications. The supervising MD must review charts regularly.

• Florida: Requires physician protocol for psych NPs (the 2020 autonomous practice law only applies to primary care NPs, not psychiatric specialties). Out-of-state physicians can register for Florida telehealth practice, but NPs need full collaboration.

• New York: NPs with ≥3,600 hours of practice (roughly 2 years) can practice independently without physician oversight. Newer NPs need collaborative agreements.

• Pennsylvania: All NPs require physician collaborative agreements to prescribe — no independent practice pathway exists yet.

• Illinois: NPs can achieve Full Practice Authority after 4,000 hours of supervised practice plus 250 hours of additional education. Until then, collaboration required.

Interstate Practice Options:

• Interstate Medical Licensure Compact (IMLC): Expedites physician licensing across member states (Texas, Pennsylvania, Illinois, and Florida are members; California and New York are not). If you’re an MD/DO wanting to practice in multiple states, this can streamline the process.

Standard of Care Requirements

Just because it’s telehealth doesn’t mean you can cut corners. Every state requires you to meet the same standard of care as in-person practice:

Initial Evaluation Must Include:

• Comprehensive medical history (cardiovascular, GI, endocrine, psychiatric)
• Current medications and allergies
• Weight history and previous weight-loss attempts
• Eating patterns and relationship with food
• Mental health screening (depression, anxiety, eating disorders, body dysmorphia)
• Contraindication screening (history of medullary thyroid cancer, pancreatitis, etc.)
• BMI calculation and discussion of medical necessity
• Informed consent discussion covering off-label use (if applicable), potential side effects, expected outcomes, and cost

Ongoing Monitoring:

• Monthly follow-ups during dose titration phase (typically first 3-6 months)
• Weight and side effect tracking
• Metabolic monitoring (consider baseline and periodic A1c, liver enzymes, lipids)
• Mental health check-ins (especially important given your psychiatric expertise)
• Diet, exercise, and behavioral counseling
• Dose adjustments based on response and tolerance

Documentation Standards:Document everything as you would for in-person care. If you’re prescribing off-label (using Ozempic instead of Wegovy, for example), document the medical rationale and patient consent clearly.

The Cash vs. Insurance Decision

Most GLP-1 weight-loss practices lean heavily toward cash-pay models for good reason:

Why Cash Works:

• Insurance coverage for obesity medications is limited (only 13 state Medicaid programs covered GLP-1s for weight loss as of 2024)
• Patients expect to pay out-of-pocket since the medications aren’t usually covered
• No prior authorization hassles for visits
• Faster, cleaner revenue cycle
• You can charge fair rates for your expertise
• Patients who pay cash tend to be more committed

Cash-Pay Model Options:

• Per-visit fees ($150-300 initial, $75-150 follow-up)
• Monthly subscription packages (includes visits + support + medication guidance)
• Hybrid: charge for initial evaluation, then monthly membership for ongoing care

When Insurance Makes Sense:Some providers bill insurance for evaluation and management codes when appropriate, particularly if:

• The patient has documented obesity with comorbidities (diabetes, hypertension, sleep apnea)
• You can use obesity counseling codes (Medicare G0447, for example)
• The state Medicaid program covers GLP-1s (California, Pennsylvania, Illinois among them)
• You want to increase access for patients who couldn’t otherwise afford care

The trade-off: more paperwork, lower reimbursement rates, potential denials, and coordination on medication prior authorizations.

Bottom Line: Most psychiatrists find cash-pay simpler and more profitable, but a hybrid approach can work if you want to serve both populations.

How to Scale Without Burning Out: The Systems That Actually Work

Here’s the uncomfortable truth: if you just add GLP-1 patients to your existing schedule with no workflow changes, you will burn out. The volume is too high, and the administrative work will eat you alive.

The solution isn’t working harder — it’s building systems that leverage your expertise while delegating everything else.

Workflow Optimization That Saves Your Sanity

Standardize Your Intake Process:

Create digital intake forms that capture:

• Complete medical history
• Medication list and contraindication screening
• Weight history and goals
• Diet and exercise patterns
• Mental health screening questionnaires
• Consent forms and financial agreements

Have patients complete these before the first appointment. This saves 15-20 minutes of your appointment time and ensures you don’t miss critical information.

Develop Clinical Protocols:

Create standardized protocols for:

• Initial dosing (e.g., semaglutide 0.25mg weekly for 4 weeks)
• Dose titration schedules (0.5mg week 5-8, 1.0mg week 9+, etc.)
• Common side effect management (nausea, constipation, fatigue)
• When to order labs
• Red flags requiring urgent evaluation

Protocols don’t replace clinical judgment — they free up mental bandwidth so you’re not reinventing the wheel for every patient.

Template Your Documentation:

Use note templates with checkboxes and fill-in-the-blanks for routine follow-ups:

• Current weight and change from baseline
• Side effects checklist
• Medication adherence
• Diet and exercise discussion
• Mental health screening
• Plan (dose adjustment, labs, next visit)

A templated note takes 3-5 minutes to complete. A free-text note takes 10-15 minutes. That adds up fast when you’re seeing 20+ patients per week.

The Art of Delegation

You can’t do everything yourself. Here’s what to delegate:

Medical Assistants or Health Coaches:

• Conduct pre-visit weight checks and vital signs (can be done via telehealth with patient-reported data)
• Gather interim history between visits
• Provide diet and exercise education
• Answer routine questions via portal messaging (‘Is nausea normal?’ ‘Can I skip a dose if I’m traveling?’)
• Send appointment reminders and handle rescheduling

Dietitians or Nutritionists:

• Conduct comprehensive dietary assessments
• Create meal plans and provide ongoing nutrition coaching
• Lead group education sessions
• Help patients troubleshoot plateaus or dietary challenges

RNs or LPNs:

• Review and triage patient messages
• Coordinate lab orders and review routine results
• Manage prescription refills for stable patients
• Conduct brief check-in calls for medication tolerance

Your Role as the Psychiatrist:

• Initial medical evaluation and diagnosis
• Medication prescribing and dose adjustments
• Managing complex cases or side effects
• Mental health assessment and intervention
• Final decision-making on treatment plans

When you delegate appropriately, your time is spent on the 20% of tasks that actually require a psychiatrist’s expertise, while support staff handles the 80% that doesn’t.

Technology and Automation

The right tools can dramatically reduce administrative burden:

Essential Tech Stack:

• Integrated EHR with telehealth: One system for video visits, charting, e-prescribing, and billing (examples: SimplePractice, TherapyNotes, Headway)
• Patient portal: For messaging, form completion, appointment scheduling, and payment
• Automated reminders: Reduce no-shows with text/email appointment reminders and pre-visit prep instructions
• Remote patient monitoring: Connected scales or apps where patients log weekly weights, which you review asynchronously
• AI documentation tools: Ambient scribes or AI note-generation tools can draft your notes from the conversation, cutting documentation time in half

Efficient Scheduling:

• Batch similar appointments: Block specific days or times for GLP-1 initial consults vs. quick follow-ups vs. psychiatric patients
• Shorten follow-up appointments: Once patients are stable on medication, 15-minute check-ins every 2-3 months may suffice (with nursing triage in between)
• Use asynchronous options: Not every issue needs a synchronous visit. Portal messaging for routine questions, pre-recorded educational videos, and group Q&A sessions can reduce one-on-one appointment demand

The Mental Health of the Provider

You got into psychiatry to help people, not to be on a hamster wheel of endless appointments. Protecting your own well-being isn’t selfish — it’s required for sustainable practice.

Set Boundaries:

• Limit daily appointment volume: Maybe you see 6-8 GLP-1 patients per day max, not 15
• Define availability hours: No patient messaging after 6pm or on weekends (use auto-responders)
• Take real time off: Block vacation weeks in advance and stick to them
• Mix your caseload: Don’t abandon psychiatric practice entirely if it energizes you — balance keeps you fresh

Capacity Planning:

• Start slow (maybe 5-10 GLP-1 patients in month one)
• Add capacity gradually as you refine workflows
• When you hit your ceiling, hire help rather than overextending yourself
• Consider group practice models where you supervise PMHNPs who handle follow-ups while you focus on complex cases

Professional Support:

• Join obesity medicine or telehealth clinician communities for peer support and efficiency tips
• Pursue CME in obesity medicine to build confidence (reduces decision fatigue and second-guessing)
• Consider formal certification (American Board of Obesity Medicine) if you’re all-in on this direction

Research shows that flexible scheduling and virtual practice options significantly reduce provider burnout. Telehealth GLP-1 care, done right, can actually be less stressful than traditional psychiatric practice: shorter appointments, clearer treatment protocols, grateful patients seeing rapid results, and better compensation.

The key is intentional design. Don’t just bolt this onto an already overwhelming schedule. Build it as a separate, well-structured service line with systems that support you.

The Opportunity in Front of You

Let’s recap what we know:

• Massive, underserved demand: 20 million Americans on GLP-1s, tens of thousands starting every week, and not nearly enough providers to meet the need
• Perfect psychiatry overlap: Your current patients need this, and your behavioral health expertise makes you better equipped than most providers
• Favorable economics: Cash-pay market with patients willing to pay fair rates, unlike the insurance grind of traditional psychiatric billing
• Telehealth-friendly regulations: No controlled substance barriers, established across state lines, and you can practice from anywhere you’re licensed
• Scalable if you build systems: With proper workflows, delegation, and technology, you can serve high patient volume without sacrificing your sanity

You’re not trying to become a bariatric surgeon or endocrinologist. You’re leveraging your existing skills — medication management, behavior change, mental health — to meet a massive market need in a way that improves patient outcomes and your practice economics.

Ready to Start Building Your GLP-1 Practice?

If you’re a psychiatrist looking to add GLP-1 weight-loss services without the headache of patient acquisition and practice infrastructure, Klarity Health can help. Our platform connects you with pre-qualified patients seeking medical weight management, handles the telehealth technology, and operates on a straightforward pay-per-appointment model — no upfront marketing spend, no monthly fees, just revenue when you see patients.

You control your schedule, focus on providing excellent care, and let us handle the rest. Whether you’re looking to supplement your psychiatric practice or build a dedicated weight-loss service line, we support both cash-pay and insurance billing models.

Join Klarity Health’s provider network → and start seeing GLP-1 patients within weeks, not months.

FAQ

Can psychiatrists legally prescribe GLP-1 medications like Ozempic and Wegovy?

Yes. Psychiatrists (MD/DO) have full prescriptive authority for GLP-1 medications in all states. These medications are not controlled substances, so there are no special DEA restrictions. Psychiatric Nurse Practitioners (PMHNPs) can also prescribe GLP-1s in most states, though some states require physician collaboration agreements. Always ensure you’re licensed in the state where the patient is located and follow standard prescribing practices.

Do I need to see GLP-1 patients in-person, or can I treat them entirely via telehealth?

You can treat GLP-1 patients entirely via telehealth. Since these medications are not controlled substances, the Ryan Haight Act’s in-person exam requirement doesn’t apply. You must conduct a thorough evaluation via video (meeting your state’s standard of care), obtain informed consent, and document appropriately — but no in-person visit is required. Most states explicitly permit telemedicine relationships without prior in-person contact for non-controlled medications.

What’s the realistic patient volume I can handle without burning out?

This depends on your workflow efficiency and support staff. With optimized systems (templated documentation, delegated tasks, brief follow-up appointments), many psychiatrists comfortably see 15-25 GLP-1 patients per week on top of their regular practice, or 30-50+ if dedicating significant time to weight management. Initial consults take 30-45 minutes; follow-ups can be 15-20 minutes once patients are stable. Start small (5-10 patients) and scale as you refine your processes. The key is leveraging health coaches, RNs, and technology to handle routine monitoring so you focus on medical decision-making.

Should I offer GLP-1 services as cash-pay or bill insurance?

Most GLP-1 weight-loss practices operate primarily on cash-pay because insurance coverage for obesity medications is limited — as of 2024, only 13 state Medicaid programs and select private plans covered GLP-1s for weight loss. Patients often expect to pay out-of-pocket. Cash-pay simplifies operations, allows you to charge fair rates ($150-300 for initial visits, $75-150 for follow-ups), and avoids prior authorization battles. However, you can bill insurance for evaluation and management codes if the patient has documented obesity with comorbidities. A hybrid approach (cash for medication management, insurance for related mental health or medical services) is also common.

How do I handle the psychiatric side effect concerns with GLP-1 medications?

Early reports raised concerns about potential mood changes and suicidal ideation with GLP-1s, but by early 2026 the FDA reviewed data and found no clear causal link, even directing removal of suicide warnings from labels. As a psychiatrist, you’re uniquely positioned to monitor this: include mental health screening in every follow-up (ask about mood, anxiety, suicidal thoughts), document baseline mental health status, and be proactive about addressing any changes. Most patients have no psychiatric side effects, but your expertise in this area is a major value-add that differentiates you from other weight-loss providers.

What states have the easiest regulations for psychiatrists offering telehealth GLP-1 care?

States with full practice authority for experienced NPs (New York, Illinois, parts of California) offer more flexibility if you’re a PMHNP. For psychiatrists (MD/DO), states in the Interstate Medical Licensure Compact (Texas, Pennsylvania, Illinois, Florida) make it easier to obtain multi-state licenses quickly. Florida offers an out-of-state telehealth provider registration for physicians that doesn’t require full licensure. California and New York are not in compacts, so full state licensure is required. All states permit telehealth prescribing of GLP-1s with no special restrictions beyond standard telemedicine practice requirements.

How much can I realistically earn adding GLP-1 services to my practice?

Economics vary based on your model, but typical cash-pay rates are $150-300 per initial consultation and $75-150 per follow-up. If you see 20 GLP-1 patients monthly (4-5 new patients + 15-16 follow-ups), that’s roughly $3,000-5,000 in additional monthly revenue. Scale to 50 patients monthly and you’re adding $8,000-15,000. Some providers offer subscription models ($200-400/month per patient including visits and support), which creates predictable recurring revenue. Unlike traditional psychiatric billing where you might get $60-120 per session from insurance, cash-pay GLP-1 services let you capture your full value.

References

1. Axios. ‘Just how many Americans are taking GLP-1s now’ (Fair Health data on usage). Published May 27, 2025. Available at: https://www.axios.com/2025/05/27/american-glp1-use-weight-loss-increasing

2. ConfectioneryNews. ‘GLP-1 drugs like Ozempic are reshaping health, diet and the food industry.’ Published October 20, 2025. Available at: https://www.confectionerynews.com/Article/2025/10/20/glp-1-drugs-like-ozempic-are-reshaping-health-diet-and-the-food-industry/

3. Time. ‘The Heavy Cost of Using Weight-Loss Drugs to Get Skinny.’ Published August 22, 2025. Available at: https://time.com/7311517/cost-weight-loss-drugs-skinny/

4. Axios. ‘America’s doctors need more obesity medicine training.’ Published May 28, 2024. Available at: https://www.axios.com/2024/05/28/us-doctors-obesity-health-care-training

5. Axios. ‘States slow to cover GLP-1s for weight loss’ (citing KFF policy report). Published November 5, 2024. Available at: https://www.axios.com/2024/11/05/states-slow-to-cover-glp-1s-for-weight-loss

Source:

• https://www.axios.com/2025/05/27/american-glp1-use-weight-loss-increasing#:~:text=More%20than%202,their%20original%20approved%20use
• https://www.confectionerynews.com/Article/2025/10/20/glp-1-drugs-like-ozempic-are-reshaping-health-diet-and-the-food-industry/#:~:text=GLP,real%20number%20according%20to%20Kim
• https://forum.schizophrenia.com/t/psychiatrists-recommend-ozempic/311318#:~:text=Drugs%20pharmanewsintel
• https://www.medicaldirectorco.com/texas-weight-loss-clinic-telehealth-compliance-guide/#:~:text=equivalent%20to%20in,FDA%2C%20pharmacy%2C%20and%20board%20alerts
• https://www.medicaldirectorco.com/texas-weight-loss-clinic-telehealth-compliance-guide/#:~:text=,with%20chart%20review%2C%20plus%20meetings
• https://www.singleaimhealth.com/news/nurse-practitioner-collaborative-agreement-templates-50-state-guide#:~:text=In%20Pennsylvania%2C%20Certified%20Registered%20Nurse,the%20CRNP%20and%20the%20collaborating
• https://www.wheel.com/state-telehealth-regulations/florida#:~:text=Are%20There%20Online%20Prescription%20Restrictions,for%20Telehealth%20in%20Florida
• https://time.com/7311517/cost-weight-loss-drugs-skinny/#:~:text=most%20insurances%20cover%20the%20medication,A%20recent%20Annals%20of%20Internal
• https://www.axios.com/2024/11/05/states-slow-to-cover-glp-1s-for-weight-loss#:~:text=What%20they%20found%3A%20In%20all%2C,a%20primary%20concern%2C%20KFF%20found
• https://time.com/7311517/cost-weight-loss-drugs-skinny/#:~:text=But%20these%20medications%20were%20originally,diabetes%2C%20weight%20loss%20treatment%20is