With a brand-name medication, the manufacturer is a known quantity and every pill or pen meets the same approved specification. With compounded medication, none of that applies — the compounding pharmacy is the manufacturer, and quality varies with it. That is why this ranking weights pharmacy disclosure above price.
What Actually Matters With Compounded
Compounded GLP-1s are not FDA-approved and are not generic equivalents of Wegovy, Ozempic, Zepbound, or Mounjaro. They are prepared by compounding pharmacies against a prescription. Because there is no approved product specification behind them, the things that determine what you actually receive are different from what you would evaluate for a brand-name drug.
Our ranking criteria for compounded providers
- Pharmacy disclosure. Does the provider name the compounding pharmacy, or at minimum state the facility category?
- Price stability across doses. Does the advertised price hold as you titrate up, or is it a starting-dose figure?
- Clinical screening. Published eligibility criteria, contraindication screening, and whether a real consultation happens.
- Policy clarity. Cancellation and refund terms, especially on multi-month plans.
- Support during titration. Access to a clinician when a dose increase goes badly.
The Pharmacy Question
Compounding pharmacies operate under two different regulatory regimes, and the distinction is worth understanding before you buy.
503B outsourcing facilities
- Register with the FDA
- Subject to federal inspection
- Must follow current good manufacturing practice requirements
- Can compound in larger batches
503A compounding pharmacies
- Regulated by state pharmacy boards
- Compound patient-specific prescriptions
- Different oversight standards from 503B
- Not subject to the same federal manufacturing requirements
Both are legal routes and both are used widely. They are not equivalent in oversight, however, which is why a provider that tells you which one your medication comes from is giving you something meaningful.
Who discloses what: Precision Telemed names its pharmacies outright (Rush Pharmacy and Greenwich Pharmacy, described as NABP-accredited and FDA-registered). BrightMeds states the facility categories without naming pharmacies. The rest of the providers here disclose neither.
Should You Choose Compounded at All?
This deserves an honest answer before the ranking, because the case for compounded medication has weakened considerably.
The compounded GLP-1 market exists because brand-name drugs were unaffordable without insurance. That premise held when Wegovy cost over $1,000 a month at retail. It holds much less well now that NovoCare Pharmacy sells brand-name Wegovy and Ozempic from $149/month — a price that undercuts several compounded programs outright.
Where compounded still makes sense:
- You want tirzepatide and lack insurance coverage. There is no cheap manufacturer-direct route for tirzepatide, so compounded at $166–$239/month is a genuine cost saving over brand-name.
- You want the prescriber and medication bundled. If arranging a separate prescription is a real barrier, an all-in program has practical value.
- You need a formulation the approved products do not offer. Some patients need a delivery format or dose that is not commercially available.
Where it makes less sense: paying more than $149/month for compounded semaglutide, when the FDA-approved product is available at that price. Our full comparison covers the trade-offs.
Compounded GLP-1 Providers Ranked
All 87 providers below offer compounded GLP-1 medication, ranked by our overall editorial rating. Note that several also offer brand-name options, which is a point in their favour rather than against.
RenewMD
From $179/month — semaglutide on a 12-month plan, or $249 per 28 days standard; labs and coaching included
Our editorial rating: 4.7 / 5
All-inclusive compounded GLP-1 with labs and coaching bundled into every plan.
Stands out for: The most complete disclosure we found: 503A status, published age and BMI criteria, named clinical partner, and a full refund if declined.
Main caveat: The fulfillment pharmacy is not named, and 28-day billing means 13 payments a year.
- Membership: None — one price per 28 days
- Insurance: Not accepted
- Availability: 49 states plus DC (not Louisiana)
Cora Health
From $99/month — all-inclusive compounded semaglutide, up to $175; tirzepatide $135–$225
Our editorial rating: 4.5 / 5
All-inclusive compounded GLP-1 with named PCAB-accredited pharmacies and 24/7 clinical support.
Stands out for: Names both compounding pharmacies, publishes a price ceiling, and states plainly that compounded medication is not FDA-approved.
Main caveat: Compounded only, injectables only, and what determines your position in the price range is unexplained.
- Membership: None — pricing is all-inclusive
- Insurance: Not accepted
- Availability: All 50 states
Midi Health
compounded doses cited from $34/week for eligible patients; medication cost depends on your plan
Our editorial rating: 4.4 / 5
An insurance-based midlife and menopause practice with real 30-minute clinician visits and pharmacy choice.
Stands out for: Genuinely insurance-billed care with no membership fee for qualifying patients.
Main caveat: Your actual cost depends entirely on your plan, and "qualifying" is not defined publicly.
- Membership: None for qualifying insured patients
- Insurance: Accepted
- Availability: Offered by employers in all 50 states
Precision Telemed
From $139.99/month — compounded semaglutide; $179.99 tirzepatide; same price at every dose
Our editorial rating: 4.4 / 5
Cash-pay compounded GLP-1 with flat dose pricing, named pharmacies, and a live Zoom visit.
Stands out for: Names its compounding pharmacies and charges the same price at every dose.
Main caveat: Compounded only, injectables only, and a $50 consultation fee on top.
- Membership: None — no subscription required
- Insurance: Not accepted
- Availability: All 50 states
Shapely
From $99/month — compounded semaglutide; $166 tirzepatide; membership is separate
Our editorial rating: 4.3 / 5
Insurance verification first, with a cheap compounded fallback and monthly dietitian visits.
Stands out for: Checks your coverage before you commit, and includes a credentialed dietitian.
Main caveat: Only four states, and the membership fee stacks on top of medication.
- Membership: $99/month standard, promotional rates advertised
- Insurance: Accepted
- Availability: California, Florida, New York, Texas only
Thrivelab
From $175/month — compounded semaglutide injections, rising to $250 with dose; oral from $225 then $300+
Our editorial rating: 4.2 / 5
Compounded semaglutide with 40-minute provider appointments and registered dietitian coaching.
Stands out for: The longest consultation in our review set, plus dietitians and a money-back guarantee.
Main caveat: Semaglutide only, and compounded oral pricing is open-ended at $300+.
- Membership: None — no platform fees stated
- Insurance: Accepted
- Availability: Not published
Zealthy
From $151/month — compounded semaglutide on a quarterly plan; brand-name from $25 with insurance
Our editorial rating: 4.1 / 5
Runs both an insurance pathway to brand-name GLP-1s and a cash-pay compounded option.
Stands out for: 24/7 licensed provider access included at no extra cost, on either pathway.
Main caveat: The lowest price requires a quarterly commitment, and cancellation terms are unpublished.
- Membership: Bundled into the monthly price
- Insurance: Accepted
- Availability: Not published
Alloy Women's Health
no prices published
Our editorial rating: 4 / 5
Menopause-focused telehealth with an unusually broad brand-name and compounded GLP-1 lineup.
Stands out for: Six medication options including compounded liraglutide, plus HSA/FSA cards accepted directly.
Main caveat: No prices published anywhere on the site.
- Membership: Not published
- Insurance: Not accepted
- Availability: Not published
Measured
From $149/month — Wegovy pill $149-$299 plus $49/month membership; Wegovy $199-$349, Zepbound $299-$449; a microdose tier is listed from $79
Our editorial rating: 4 / 5
Publishes prices for FDA-approved medication as well as compounded, including the approved oral semaglutide tablet.
Stands out for: Brand-name Wegovy and Zepbound prices published up front, usable with or without insurance, HSA/FSA eligible, with dietitian support included.
Main caveat: Sells a $79 microdose tier with no established protocol, frames efficacy as ceiling figures rather than trial means, and publishes no state list.
- Membership: From $49 per month, with medication billed separately
- Insurance: Accepted
- Availability: Not published
Heally
From $299/month — tirzepatide as a new-patient offer; other pricing not published
Our editorial rating: 3.9 / 5
Brand-name and compounded GLP-1s plus liraglutide, metformin, B12, and CGM prescriptions.
Stands out for: CGM prescriptions alongside GLP-1s — almost no weight service offers glucose monitoring.
Main caveat: Only one price is published and it is described as a new-patient offer.
- Membership: Not stated
- Insurance: Not accepted
- Availability: All 50 states
24hrDoc
From $149/month — compounded injectable semaglutide on sale; $179 oral; $239 tirzepatide
Our editorial rating: 3.9 / 5
Injectable and oral compounded semaglutide plus tirzepatide, with unlimited provider chat.
Stands out for: Publishes real eligibility criteria including the thyroid cancer contraindication.
Main caveat: Every price is framed as a discount off a higher list price, with no clarity on the ongoing rate.
- Membership: None stated
- Insurance: Not accepted
- Availability: Most US states
Direct Meds
From $197/month — compounded semaglutide injections, up to $249; sublingual drops also offered; tirzepatide around $497
Our editorial rating: 3.9 / 5
An all-in-one compounded GLP-1 service with the best-stated cold-chain shipping and one of the largest review bases in the category.
Stands out for: Free cold-chain packaging on injectables with 1-2 day delivery, and 4.6 out of 5 across more than 7,500 verified reviews.
Main caveat: Tirzepatide at around $497 is the highest compounded price we have catalogued - above FDA-approved Zepbound self-pay - and there is no coaching or progress tracking.
- Membership: None - consultation, prescription and delivery are bundled
- Insurance: Not accepted
- Availability: Not published; US only
Sunlight
From $88/month — advertised compounded semaglutide including labs, unlimited telehealth and shipping; $157 tirzepatide; independent coverage reports rates up to $299
Our editorial rating: 3.8 / 5
The most completely disclosed compounded GLP-1 service we have reviewed, with lab work and unlimited telehealth included.
Stands out for: Names six partner compounding pharmacies and its prescribing physicians with verifiable NPI numbers, and includes required lab work.
Main caveat: The advertised $88 conflicts with independently reported rates of $150-$299, and refunds stop once a prescription reaches the pharmacy.
- Membership: None - no membership cost or hidden fees stated
- Insurance: Not accepted
- Availability: All 50 states, varying by state regulation
Enhance.MD
From $212/month — compounded semaglutide on an annual plan, $249 monthly; tirzepatide $322 annual or $379 monthly
Our editorial rating: 3.8 / 5
An established compounded GLP-1 provider trading since 2019 with an exceptionally clean complaint record.
Stands out for: An A+ BBB rating with a single resolved complaint in three years, plus 4.1 on Trustpilot - the cleanest service record in our review set.
Main caveat: Premium pricing above FDA-approved brand-name semaglutide, an unnamed pharmacy, and recurring reports of medication arriving warm after long transit.
- Membership: None published separately
- Insurance: Not accepted
- Availability: Most US states; full list not published
HealthRX
From $99/month — compounded semaglutide on the 12-month plan; $133 on 3 months, $189 monthly - and the same price at every dose. Tirzepatide reported anywhere from $149 to $349.
Our editorial rating: 3.8 / 5
One of the very few providers whose advertised price is still the price at your maintenance dose.
Stands out for: The same price at every dose, so titrating from 0.25mg to 2.4mg does not change the bill - and holding or reducing a dose costs nothing.
Main caveat: The money-back guarantee terms are not published, reported tirzepatide pricing conflicts between $149 and $349, and the compounding pharmacy is not named.
- Membership: None - one price covering consultation, medication and delivery
- Insurance: Not accepted
- Availability: Not published; US only
Zappy Health
From $149/month — brand-name Wegovy pills; compounded semaglutide $159, Wegovy vials $199, compounded tirzepatide $279, Zepbound vials $349. No membership fee
Our editorial rating: 3.8 / 5
Publishes brand-name and compounded prices side by side, with no membership fee - and its FDA-approved Wegovy pills undercut its own compounded semaglutide.
Stands out for: States plainly that compounded drugs are not FDA-approved and have not been evaluated for safety or effectiveness, disclosure most competitors omit.
Main caveat: Publishes no eligibility criteria, states served, lab requirements or refund terms, and every price is a from figure with dose-escalation cost unclear.
- Membership: None stated - no insurance and no membership needed
- Insurance: Not accepted
- Availability: Not published
Emerge Weight Loss
From $224/month — compounded tirzepatide from $224 per four weeks all-inclusive - thirteen billing cycles a year, about $2,912
Our editorial rating: 3.8 / 5
All-inclusive compounded tirzepatide with doctor review, refills and overnight shipping folded into one price.
Stands out for: Names the molecule, states plainly that compounded medication is not FDA-approved, identifies the pharmacy type as 503A and names the prescribing physician.
Main caveat: Billed per four weeks rather than monthly, which adds a thirteenth payment a year, and the pharmacy itself is never named.
- Membership: None - the medication price covers doctor review, refills and overnight shipping
- Insurance: Not accepted
- Availability: Not published
Shed
From $199/month — compounded semaglutide; $299 tirzepatide; brand-name available on a separate $99/month subscription; coaching +$49.99
Our editorial rating: 3.7 / 5
The widest range of GLP-1 delivery formats we have catalogued, including sublingual drops and lozenges.
Stands out for: Needle-free drops and lozenges alongside injections, plus a brand-name pathway and a 10% weight-loss guarantee.
Main caveat: Sublingual absorption is not established, and a former BBB pattern-of-complaints warning was remediated but reports of charges without delivery continue.
- Membership: None on compounded plans; $99/month for the brand-name pathway
- Insurance: Not accepted
- Availability: All 50 states
Ivy Rx
From $165/month — compounded semaglutide on longer commitments, $175-$197 otherwise; tirzepatide $275-$297; flat at every dose
Our editorial rating: 3.7 / 5
Pharmacist-founded provider with named 503B compounding partners, flat dose pricing and a large review base.
Stands out for: Publicly names Greenwich RX and ERXHub as its compounding partners, holds price flat at every dose, and includes temperature-controlled shipping.
Main caveat: A persistent minority of customers report orders that never arrive, and it costs more than named-pharmacy rivals.
- Membership: None published separately
- Insurance: Not accepted
- Availability: Not published; US only
Oak Longevity
From $133/month — compounded semaglutide with no subscription; $199 tirzepatide; a customer reports the rate rising above 1mg doses
Our editorial rating: 3.7 / 5
Cheap, subscription-free compounded GLP-1 with free delivery nationwide and physician review of every prescription.
Stands out for: No subscription at all - nothing to cancel - plus $133 semaglutide, $199 tirzepatide and free delivery in all 50 states.
Main caveat: Pricing appears to scale with dose, with one customer reporting $190 rising to $229 above 1mg, and the pharmacy is not named.
- Membership: None - Oak operates without subscriptions
- Insurance: Not accepted
- Availability: All 50 states
Ivim Health
From $150/month — all-in on a 12-month prepay - $75 membership plus $75 medication; tirzepatide about $208 all-in; six-month terms cost $25-$50 more per month
Our editorial rating: 3.7 / 5
The largest review base and widest brand-name formulary in this review set, carrying an FDA warning letter.
Stands out for: Roughly 4.0 across 35,000+ reviews with an A+ BBB rating, eight FDA-approved medications, and unlimited provider access plus coaching in the membership.
Main caveat: Received an FDA warning letter in February 2026 for misbranding compounded GLP-1 medications, and the headline medication prices require a twelve-month prepay.
- Membership: About $74.99/month, first month free - medication billed separately
- Insurance: Not accepted
- Availability: Not published; US only
BrightMeds
no prices published
Our editorial rating: 3.6 / 5
Compounded GLP-1s with dedicated microdosing products, plus FDA-approved Zepbound pens and vials.
Stands out for: Discloses its 503B and 503A facility categories and refunds in full if you are not approved.
Main caveat: No prices published, and microdosing has limited clinical evidence.
- Membership: Not stated
- Insurance: Not accepted
- Availability: Not published
Trimi Health
From $99/month — compounded semaglutide on an annual plan, flat at every dose; $125 tirzepatide; no month-to-month rate published
Our editorial rating: 3.6 / 5
The best-disclosed cheap compounded GLP-1 provider we have reviewed, with flat dose pricing and named pharmacies.
Stands out for: Names both compounding pharmacies and its medical leadership, publishes 50-state coverage, and states the non-FDA-approved status correctly.
Main caveat: Headline rates require a 12-month plan, the independent review sample is only tens of reviews, and there is no BBB profile.
- Membership: None — one membership covers medication, clinician visits, check-ins and shipping
- Insurance: Not accepted
- Availability: All 50 states
SkinnyRx
From $249/month — compounded semaglutide; injectable tirzepatide around $399; tirzepatide tablets advertised as low as $299
Our editorial rating: 3.6 / 5
One of the best-reviewed compounded GLP-1 services on a large sample, at a premium price, with tirzepatide tablets available.
Stands out for: Around 4.8 out of 5 across more than 4,300 Trustpilot reviews, with fast shipping and responsive support the recurring praise.
Main caveat: The refund window closes the moment a provider reviews your intake, which drives most of its BBB complaints, and it costs 2.5x the cheapest rivals.
- Membership: None published separately
- Insurance: Not accepted
- Availability: Not published; US only
RNK Health
From $197/month — all-inclusive injectable semaglutide; $198 oral; $297 tirzepatide; medication, coach, oversight and shipping included
Our editorial rating: 3.6 / 5
An all-inclusive GLP-1 clinic that bundles a dedicated personal coach at no extra cost, month-to-month.
Stands out for: A dedicated coach included in every plan with no minimum commitment - Shed charges $49.99/month for the equivalent.
Main caveat: The compounding pharmacy is not named, coaches’ credentials are unpublished, and there is little independent review record.
- Membership: None - one all-inclusive monthly price
- Insurance: Not accepted
- Availability: All 50 states
BreezeMeds
From $199/month — compounded semaglutide injection; oral semaglutide $299; tirzepatide $399; 3, 6 and 12-month plans discounted
Our editorial rating: 3.6 / 5
A compounded GLP-1 platform that names its four partner pharmacies, then attaches clinical trial results it did not earn.
Stands out for: Names four partner compounding pharmacies, which the large majority of competitors refuse to do.
Main caveat: Advertises 15-20% weight loss as mirroring major trials - those studied FDA-approved products, not any compounded preparation. Tirzepatide at $399 is well above market.
- Membership: None - consultation, prescription and expedited delivery are bundled
- Insurance: Not accepted
- Availability: Not published; US only
Try Ageless
From $119/month — all-in - clinician care, medication and unlimited messaging in one monthly fee
Our editorial rating: 3.6 / 5
A well-structured all-in program with unlimited clinician access, sold inside a longevity story it does not need.
Stands out for: One $119 fee covering clinician care, medication and unlimited messaging - the messaging matters most during dose titration, when cheaper providers leave you alone.
Main caveat: Anti-ageing framing around a weight-loss medication, an NAD+ offering with no credible evidence, and Cora Health does the same thing for $99 with a named accredited pharmacy.
- Membership: None separate - one bundled monthly fee
- Insurance: Not accepted
- Availability: Not published; US only
Bodybuilding Health+
From $139/month — compounded semaglutide on a 12-month bundle; $179 for a single month; tirzepatide $159–$209 across the same tiers
Our editorial rating: 3.5 / 5
The telehealth arm of Bodybuilding.com, selling compounded GLP-1 bundles with every price tier published up front.
Stands out for: Publishes all four pricing tiers before sign-up with no membership fee and no countdown timers — rare in this market.
Main caveat: Compounded only, the pharmacy is not named, state coverage is unpublished, and the best rate needs a 12-month commitment.
- Membership: None — no membership or consultation fee, cancel anytime
- Insurance: Not accepted
- Availability: Not published
AgelessRx
From $139/month — compounded semaglutide, commonly cited at $289; brand-name is a flat $50 prescription fee plus manufacturer pricing for the drug
Our editorial rating: 3.5 / 5
A longevity-first platform with the smartest brand-name pricing in the category and a troubling service record.
Stands out for: A flat $50 prescription fee with no markup on the medication - the cheapest telehealth route to an FDA-approved GLP-1 we have found.
Main caveat: A Trustpilot score around 4.5 sits against a BBB rating of D-, with complaints on delays and billing; compounded semaglutide at $289 is poor value.
- Membership: None published as a recurring fee; $50 flat for a brand-name prescription
- Insurance: Not accepted
- Availability: Not published; US only
Curex
From $199/month — stated ongoing price $199/month; introductory first month from $49 semaglutide, $149 tirzepatide
Our editorial rating: 3.5 / 5
Compounded semaglutide and tirzepatide as injections or oral tablets nationwide, with independent testing behind the preparations.
Stands out for: Third-party tested for potency, sterility, pH and endotoxicity - the strongest substantiation available to a compounded seller, and rare in this market.
Main caveat: The price roughly quadruples after the introductory month, intake is a two-minute questionnaire, and Californian patients can only get the oral route, which has the weakest absorption data.
- Membership: None stated
- Insurance: Not accepted
- Availability: All 50 states, but California is limited to oral tablet formulations only
MD365
no pricing published for either route; the compounded option is described only as aggressively priced
Our editorial rating: 3.5 / 5
A Long Island practice offering brand-name GLP-1s through insurance alongside compounded alternatives from a 503B facility.
Stands out for: Publishes real contraindications - medullary thyroid carcinoma, MEN2, active pancreatitis and severe liver disease - and handles benefits checking and prior authorisations.
Main caveat: No pricing published for any route including the compounded one it controls, and it describes a registered 503B facility as FDA-approved.
- Membership: Not published
- Insurance: Accepted
- Availability: New York only - 11 locations across Nassau and Suffolk Counties, Long Island
Aspire Health
no prices published
Our editorial rating: 3.4 / 5
Compounded GLP-1s with lab facilitation and unusually detailed published terms.
Stands out for: States plainly that compounded medications are not FDA-approved, and publishes its commercial terms.
Main caveat: Consultation fees are non-refundable and risk of loss passes on delivery to the carrier.
- Membership: Not published
- Insurance: Not accepted
- Availability: Varies by provider licensure; list not published
TrimRx
From $179/month — oral semaglutide; $199 injectable semaglutide, $330 oral GLP-1/GIP, $349 tirzepatide — flat at every dose
Our editorial rating: 3.4 / 5
Oral and injectable compounded GLP-1 at an all-inclusive price that stays flat at every dose, plus brand-name access.
Stands out for: Lifetime price protection at every dose, and oral GLP-1 and GLP-1/GIP options for people who will not inject.
Main caveat: Multi-month plans are charged as one upfront sum, there is no self-service cancellation, and the compounding pharmacy is not named.
- Membership: None — consultation, medication, supplies and shipping are included
- Insurance: Not accepted
- Availability: Not published; US only
Found
From $129/month — GLP-1 access self-pay, or $49 with insurance; compounded semaglutide from $169 on a 12-month plan; brand-name also offered
Our editorial rating: 3.4 / 5
One of the original telehealth weight platforms, pairing GLP-1 access with behavioural and nutritional coaching.
Stands out for: Operating since 2019 with coaching built into the programme rather than sold as an add-on, plus both compounded and brand-name options.
Main caveat: A $99 cancellation fee applies if you leave before six months - unique among providers we review.
- Membership: Programme pricing rather than a separate membership
- Insurance: Accepted
- Availability: US; state list not published
Yucca Health
From $175/month — semaglutide first month, then $275/month or about $206 on a six-month plan; tirzepatide $285 then $385
Our editorial rating: 3.4 / 5
A mid-to-premium compounded GLP-1 service with a real onboarding call and strong customer sentiment.
Stands out for: A scheduled onboarding call with the actual prescribing provider, plus 4.6 out of 5 across 989 Trustpilot reviews.
Main caveat: The price jumps $100 after the first month, and the rolling rate exceeds FDA-approved semaglutide bought direct.
- Membership: None separately - the plan price is the charge
- Insurance: Not accepted
- Availability: Not published; US only
JRNYS
membership $89-$169/month, HSA/FSA eligible - medication billed separately, so no all-in figure is published
Our editorial rating: 3.4 / 5
A membership that buys insurance navigation rather than medication - excellent if your plan has a GLP-1 benefit you cannot unlock, expensive if it does not.
Stands out for: Pursues insurance coverage for brand-name Ozempic, Wegovy, Mounjaro and Zepbound including prior authorisation, in all 50 states.
Main caveat: The membership includes no medication, so self-pay compounded ends up at $288-$368 a month all in, and no total cost is ever quoted.
- Membership: $89-$169/month by tier, HSA/FSA eligible
- Insurance: Accepted
- Availability: All 50 states
MadeMed
From $169/month — sublingual semaglutide tablets; injectable semaglutide $179, injectable tirzepatide $189, sublingual tirzepatide $229 - all starting-dose prices
Our editorial rating: 3.4 / 5
Publishes a price against each specific dose - unusually clear - and sells a semaglutide that is not plain semaglutide.
Stands out for: Per-dose pricing across four formulations, with injectable tirzepatide at a competitive $189.
Main caveat: The injectable semaglutide is compounded with added L-carnitine, a combination with no evidence behind it that the FDA has flagged as a concern; quoted prices cover starting doses only.
- Membership: Not published separately
- Insurance: Not accepted
- Availability: Not published; US only
Coby Health
published on individual product pages rather than the main site; monthly and 3- or 6-month plans available
Our editorial rating: 3.4 / 5
A no-membership programme that includes unlimited provider messaging and an at-home injection kit, and publishes the terms most competitors hide.
Stands out for: Names the four states it cannot serve and states its $50 cancellation fee and no-refunds-after-shipment rule before you buy - almost unique in this category.
Main caveat: Medication pricing sits off the main page, the $50 clinical fee is non-refundable even if you never receive medication, and eligibility and lab requirements are not published.
- Membership: None - no subscription or membership required
- Insurance: Not accepted
- Availability: Most states and metro areas except AR, LA, MS and NM
Ozari Health
From $86/month — compounded semaglutide from $86/month and tirzepatide from $125; starting prices that rise with dose
Our editorial rating: 3.4 / 5
The lowest published GLP-1 prices in our review set, nationwide, with free expedited delivery and honest compounding disclosure.
Stands out for: Compounded semaglutide from $86 and tirzepatide from $125 across all 50 states, with both molecules named and both prices published openly.
Main caveat: A two-minute intake with no published BMI criteria or baseline labs, and instalment financing offered on an indefinite recurring prescription.
- Membership: None stated - medication pricing is the cost
- Insurance: Not accepted
- Availability: All 50 states
Medi-Weightloss
no pricing published; programme fees stated to vary by individual and location, with a free initial assessment
Our editorial rating: 3.4 / 5
A physician-supervised clinic network offering both brand-name and compounded GLP-1s, with labs and body composition analysis at the first visit.
Stands out for: The clearest brand-versus-compounded labelling we have found - Wegovy and Zepbound named as brand-name, semaglutide and tirzepatide as compounded - inside a real in-person clinical workup.
Main caveat: Publishes no prices at all, and a stated 10-pound entry criterion sits well below GLP-1 prescribing thresholds without distinguishing programme from medication eligibility.
- Membership: Not published
- Insurance: Accepted
- Availability: Stated as 139 locations across the US; specific states and cities not listed
PRIME Medical Group
weight-management visit $149 including bloodwork, or $349 comprehensive; ongoing medication cost not published
Our editorial rating: 3.4 / 5
A physician-supervised weight and hormone practice bundling comprehensive bloodwork into a $149 consultation.
Stands out for: The cheapest lab-inclusive intake we have found - a visit plus overall health, vitamin and thyroid testing for $149 - alongside a stated in-person physical requirement almost no GLP-1 telehealth imposes.
Main caveat: Ongoing medication cost is never published despite a no-hidden-fees claim, and a required in-person physical is hard to square with 50-state telehealth from two clinics.
- Membership: None stated - no contracts
- Insurance: Not accepted
- Availability: Clinics in Chicago, Illinois and Tampa Bay, Florida, with telehealth stated in all 50 states; an in-person physical is also stated as required
TRAVA
From $89/month — compounded semaglutide as low as $88.65 and tirzepatide as low as $178.98, consultation included; no ceiling published for higher doses
Our editorial rating: 3.4 / 5
A fully online compounded GLP-1 service priced near the bottom of the market with the consultation included.
Stands out for: Cites USP safety and sterility standards and state licensing accurately, avoiding the FDA-approved pharmacy phrasing several competitors misuse, and states plainly that its medications are not FDA-approved.
Main caveat: Prices are floor figures with no published ceiling as the dose escalates, and no states served, lab requirements, refund policy or third-party testing appear.
- Membership: None stated - consultation described as included
- Insurance: Not accepted
- Availability: Not published
Embody
From $69/month — promotional compounded semaglutide reduced from $299; $119 tirzepatide; independent trackers list a higher ongoing rate
Our editorial rating: 3.3 / 5
The cheapest provider we track that actually names its compounding pharmacies, with next-day shipping and no membership fee.
Stands out for: Names four US 503A partner pharmacies and publishes its state coverage — both rare at this price point.
Main caveat: The $69 headline is promotional, and the most common complaint is that the locked price was not honoured at renewal.
- Membership: None — medication, supplies, doctor review and shipping are included
- Insurance: Not accepted
- Availability: All states except Louisiana; Nebraska limited to ages 19+
Fridays
From $150/month — all-inclusive compounded semaglutide on an annual plan; around $249 month-to-month; medication, consultations, coaching and messaging bundled
Our editorial rating: 3.3 / 5
A genuinely all-inclusive GLP-1 subscription with coaching and 24/7 messaging in the price, let down by its delivery record.
Stands out for: One bundled price covering medication, consultations, lifestyle coaching and 24/7 messaging, with 4.5 out of 5 across 4,000+ reviews.
Main caveat: An F BBB rating, with complaints of shipping delays, dosing errors and one customer reporting six weeks chasing an undelivered order.
- Membership: None - everything is bundled into one subscription
- Insurance: Not accepted
- Availability: Not published; US only
Telos Rx
From $129/month — oral tirzepatide; standard injectable tirzepatide from $139 ($99 first month); the advertised $49 is a microdose on a 12-month prepay, with the real range reported as $129-$449
Our editorial rating: 3.3 / 5
A fast, well-run asynchronous service with excellent shipping, marketed behind a headline price almost nobody pays.
Stands out for: Free 48-hour delivery, clinician review usually within hours of a five-minute intake, and no charge at all if you are not approved.
Main caveat: The $49 headline requires a microdosed tirzepatide - a dose with no weight-loss evidence - on a twelve-month prepay; the process is fully asynchronous with no live clinician conversation.
- Membership: None separate; plan length determines the price
- Insurance: Not accepted
- Availability: Not published; US only
SynergenX
medication pricing not published; free initial consultation and a $100 Full Weight Loss Evaluation
Our editorial rating: 3.3 / 5
An in-clinic programme whose $100 evaluation includes an InBody body composition scan - the measurement that actually matters on a GLP-1.
Stands out for: Measures fat mass and lean mass rather than scale weight, which almost no telehealth competitor does, and allows in-person examination and vitals.
Main caveat: Medication pricing is not published, clinic locations are not listed, and it sells lipotropic injections that have essentially no evidence for weight loss.
- Membership: Not published
- Insurance: Not accepted
- Availability: In-clinic locations; specific states not listed
Hone Health
From $160/month — compounded liraglutide $160/month plus $25 or $155 membership; generics from $60
Our editorial rating: 3.3 / 5
Lab-led weight care with every price published, built around a 50-biomarker panel at $65.
Stands out for: Cheap, evidence-supported generics from $60 a month with real lab monitoring included on the lowest tier.
Main caveat: Its GLP-1 is compounded liraglutide - a daily injection with roughly half semaglutide’s trial result - offered with no clinical rationale given.
- Membership: Basic $25/month or Premium $155/month
- Insurance: Not accepted
- Availability: Not published
Blue Sky MD
From $173/month — compounded semaglutide $39.99 weekly in office - about $173/month - or $595 per vial at home, with the vial contents and duration never stated
Our editorial rating: 3.3 / 5
A North Carolina clinic practice pairing compounded GLP-1s with weekly in-person coaching and hormone and metabolic testing.
Stands out for: Requires an in-depth hormone and metabolic lab panel before treatment, and includes weekly wellness coach meetings and provider checkups in the weekly rate.
Main caveat: Quotes the same drug per vial and per week without ever stating what a vial holds, and claims an average 13% loss at 12 weeks with no sample size or methodology.
- Membership: Not published separately from medication pricing
- Insurance: Accepted
- Availability: Seven North Carolina locations - Asheville, Hendersonville, Greensboro, Winston-Salem, Mooresville and two in the Charlotte area
Genesis Lifestyle Medicine
no pricing published for consultations, medication or labs
Our editorial rating: 3.3 / 5
A multi-state clinic practice offering brand-name Zepbound and Wegovy separately from compounded alternatives.
Stands out for: Publishes an explicit eligibility criterion - a BMI over 25 with metabolic symptoms, or over 30 - which almost no provider in this category does.
Main caveat: That lower threshold sits two points below the approved indication, and the labs that would establish the metabolic finding are described as optional.
- Membership: Not published
- Insurance: Not accepted
- Availability: 16 locations across Tennessee, Texas, Nevada, Utah, Indiana, Colorado and Florida, plus telehealth via a separate platform
NexLife
From $139/month — compounded semaglutide from $139/month and tirzepatide from $169, or as low as $119/month on a twelve-month plan
Our editorial rating: 3.3 / 5
A compounded GLP-1 service priced mid-market, distinguished by publishing independent laboratory testing.
Stands out for: One of only two providers we have found publishing third-party testing for potency, sterility, pH and endotoxins, with accurate regulatory language throughout.
Main caveat: Advertises no minimum commitment while requiring thirty days notice to cancel, and publishes no certificates of analysis or guarantee terms.
- Membership: None stated
- Insurance: Not accepted
- Availability: Not published - stated only as adults in the US
Rixa Health
all-inclusive monthly plan covering the visit and medication; price not published
Our editorial rating: 3.2 / 5
Compounded and oral GLP-1s with required monthly follow-ups for the first six months.
Stands out for: Required monthly follow-ups and no charge if you are disqualified before the visit.
Main caveat: Lists retatrutide, an investigational drug that is not FDA-approved for any indication.
- Membership: None — the monthly plan is all-inclusive
- Insurance: Not accepted
- Availability: 48 states
yourEra
From $99/month — compounded GLP-1 on a six-month plan; month-to-month is $149 for the first month then $179
Our editorial rating: 3.2 / 5
A weight-loss-only telehealth platform that owns the pharmacy compounding its medication, at the cheapest price in the market.
Stands out for: Owns and names its dispensing pharmacy, Galleria Medical Pharmacy — a stronger accountability structure than naming a third-party partner.
Main caveat: Almost no independent review record exists, and the $99 rate requires a six-month commitment with unpublished cancellation terms.
- Membership: None published separately
- Insurance: Not accepted
- Availability: All 50 states
Wellorithm
From $147/month — compounded semaglutide; $249 tirzepatide; pricing beyond the entry rate is not published
Our editorial rating: 3.2 / 5
A physician-supervised nationwide GLP-1 platform built around an algorithmic behavioural protocol.
Stands out for: Competitive $147 entry pricing with physician supervision, nationwide access and simple onboarding.
Main caveat: Limited pricing transparency beyond the entry rate, and the "algorithmic protocol" differentiator is asserted rather than described.
- Membership: Not published separately
- Insurance: Not accepted
- Availability: Nationwide
Live Vital
From $99/month — compounded semaglutide; $183 tirzepatide; dose-based pricing not published
Our editorial rating: 3.2 / 5
A physician-guided cash-pay practice offering some of the cheapest compounded tirzepatide we have catalogued.
Stands out for: $99 semaglutide matches the cheapest tier, $183 tirzepatide undercuts most of the market, and HSA/FSA may apply.
Main caveat: Essentially no independent review record, no named pharmacy, and no published dose pricing or cancellation terms.
- Membership: Not published
- Insurance: Not accepted
- Availability: All 50 states, adults only
CareBareRX
From $199/month — weight loss from $199; NAD+ $199; hair and sexual health from $99; detailed per-dose pricing not published
Our editorial rating: 3.2 / 5
Better disclosure than most of the category - named physicians and pharmacies - from a company too new to have proved any of it.
Stands out for: Names the Lion MD physician group and four licensed compounding pharmacies in AZ, CA and TX, offers brand-name options, and states HSA/FSA eligibility throughout.
Main caveat: Almost no independent customer review data, published pricing stops at "from $199", and the $199 NAD+ program has no credible evidence behind it.
- Membership: Not published separately
- Insurance: Not accepted
- Availability: Not published; US only
Joi + Blokes
$0 membership and $0 consultation fees, but no medication price published for any option
Our editorial rating: 3.2 / 5
Paired brands for women and men offering brand-name Zepbound, liraglutide and compounded GLP-1 preparations with no membership or consultation fee.
Stands out for: Brand-name Zepbound alongside compounded options, no membership trap, and an unusually precise HSA/FSA disclosure naming the Letter of Medical Necessity requirement.
Main caveat: The two advertised zeros apply to the smallest line items while the medication price is published nowhere, and compounded products are named by mechanism rather than molecule.
- Membership: $0 - no membership charge
- Insurance: Not accepted
- Availability: Not published
Red Mountain Weight Loss
From $149/month — GLP-1 advertised from $149/month plus a $99 consultation waived on premium enrolment; labs extra and explicitly not waived
Our editorial rating: 3.2 / 5
A regional Arizona and Texas clinic practice with telemedicine reach, offering GLP-1 medication from $149 a month.
Stands out for: States plainly that lab costs are not included and not waived - an extra charge most competitors leave ambiguous - and names every clinic while separating telemedicine-only states.
Main caveat: Never names the GLP-1 molecule behind the $149 price, does not quantify the lab charge, and neither prices nor differentiates its three programme tiers.
- Membership: Not published - three programme tiers are named but not priced
- Insurance: Not accepted
- Availability: In-person clinics at seven Arizona locations and two in Texas; telemedicine in Arizona, Texas, Oklahoma and Florida
Elite Health Center (New Jersey)
From $187/month — semaglutide packages $299 for 1 month up to $1,199 for 6; the 4-month plan is the cheapest per month at $187.25
Our editorial rating: 3.2 / 5
A small New Jersey practice publishing its entire semaglutide price ladder rather than a single starting figure.
Stands out for: All five programme tiers priced openly, with a blunt statement that the medication is not FDA-approved.
Main caveat: The six-month plan costs more per month than the four-month plan, per-month rates are never shown, and consultation and lab costs are not published.
- Membership: None separate - programme pricing is the cost
- Insurance: Not accepted
- Availability: A single named address in Washington Township, New Jersey; wider coverage not published
MEDVi
From $179/month — compounded semaglutide at entry dose; $299 tirzepatide; brand-name GLP-1s need a separate $99/month membership
Our editorial rating: 3.1 / 5
A large, well-liked operator offering compounded GLP-1s as injections or tablets, carrying an FDA misbranding letter.
Stands out for: 4.4 out of 5 across more than 11,000 Trustpilot reviews, with individually written replies to negative feedback.
Main caveat: FDA warning letter of 20 February 2026 for misbranding, an F BBB rating, and widespread complaints of a price rise at month two.
- Membership: None on compounded plans; $99/month for the brand-name route
- Insurance: Not accepted
- Availability: Not published; US only
LIV Body
From $179/month — brand-stated starting price for compounded semaglutide; $279 tirzepatide
Our editorial rating: 3.1 / 5
A fitness supplement brand with a prescription GLP-1 arm, prescribed by an independent licensed medical group.
Stands out for: Publishes its BMI eligibility thresholds and names its clinical partner, OpenLoop Healthcare Partners, PC.
Main caveat: The compounding pharmacy is not named, tirzepatide at $279 is more than double the cheapest equivalent, and the GLP-1 arm has little independent record.
- Membership: None published separately
- Insurance: Not accepted
- Availability: Not published; US only
Meto
From $175/month — peptide protocols $175-$319/month plus a $29 membership and a $149 lab panel; no GLP-1 offered
Our editorial rating: 3.1 / 5
A compounded peptide therapy service - not a GLP-1 provider - with unusually clear pricing and independent batch testing.
Stands out for: Publishes every price, states greater than 99% lab-verified purity with independent batch testing, and correctly says FDA-registered rather than FDA-approved.
Main caveat: Does not sell semaglutide or tirzepatide despite ranking for GLP-1 searches, never names the individual peptides, and peptide therapy has a far weaker evidence base.
- Membership: $29 per month or $320 annually
- Insurance: Not accepted
- Availability: Not published
Fifty410
From $133/month — compounded tirzepatide starter, but paid as $399 for a 3-month supply; high dose $183/month ($549 per 3 months). Semaglutide price not published
Our editorial rating: 3 / 5
Among the lowest published compounded tirzepatide pricing, with dose tiers stated and no membership fee - but the monthly rate is a quarterly prepayment.
Stands out for: Publishes both dose tiers, so the cost of titration is visible rather than appearing later, and charges no membership or consultation fee.
Main caveat: The advertised monthly price requires paying $399 up front, and FDA-registered 503A and 503B pharmacies means registration rather than any FDA approval of the medication.
- Membership: None required, and no separate consultation fee
- Insurance: Not accepted
- Availability: Not published
Wisp
From $225/month — sublingual semaglutide drops $225/month after a $99 consult; branded injectable pricing not published
Our editorial rating: 3 / 5
An established, fast, transparently priced telehealth brand whose flagship weight product is sublingual rather than injected.
Stands out for: Publishes prices, offers branded Wegovy, Zepbound and Saxenda, and sends most prescriptions within three hours.
Main caveat: Sublingual semaglutide has the weakest published absorption of any route - oral bioavailability is roughly 0.02% to 0.9% of a subcutaneous dose - and this formulation has no published pharmacokinetics.
- Membership: None - the $99 weight care consult is the entry cost
- Insurance: Not accepted
- Availability: Not published - the site states only that care is restricted by state
Independent Wellness
From $99/month — compounded semaglutide $99/month and tirzepatide $199 including labs and unlimited visits, with the price stated never to increase; oral drops $249 and $379
Our editorial rating: 3 / 5
A nurse-practitioner-led telehealth practice offering compounded GLP-1 injections and oral drops with a locked monthly price.
Stands out for: Locks the monthly price against dose escalation and includes labs and unlimited provider visits at $99 - the escalation cost almost every competitor leaves open.
Main caveat: Markets its microdosing tier to patients who do not qualify for full-dose programmes on BMI, and prices oral drops at roughly 2.5x the injections for the weakest-absorption route.
- Membership: None separate - plan pricing is the cost
- Insurance: Not accepted
- Availability: Stated as multiple approved states including New York; no list published
Willow
From $299/month — compounded semaglutide flat at every dose; tirzepatide from $399; both available as daily tablets or weekly injections
Our editorial rating: 2.9 / 5
Flat-rate compounded GLP-1 with a genuinely rare needle-free tablet option, priced well above cheaper rivals.
Stands out for: Both semaglutide and tirzepatide available as daily tablets, at a price that does not rise with your dose.
Main caveat: Referred by the National Advertising Division to the FTC and state attorneys general in December 2025 over unsubstantiated compounded semaglutide claims; 49% of Trustpilot reviewers give one star.
- Membership: None — the monthly medication price is all-inclusive
- Insurance: Not accepted
- Availability: Not published; 18 states listed as restricted
Gala
From $149/month — microdosed GLP-1/GIP on a 3-month plan; standard dosing around $179/month; no price list published on the site
Our editorial rating: 2.9 / 5
Mid-market compounded GLP-1 with a cheaper microdosed option, well rated by customers but sold on no-refund terms.
Stands out for: Roughly 4.4 out of 5 across more than 975 Trustpilot reviews, at mid-market rather than premium pricing.
Main caveat: Published terms state no refund will be issued on cancellation in any event, and it holds an F BBB rating with dosing-consistency complaints.
- Membership: None published separately
- Insurance: Not accepted
- Availability: Not published; US only
PlushCare
$19.99/month membership plus consultations at about $30 with insurance or $129 without; medication billed separately
Our editorial rating: 2.9 / 5
An insurance-first telehealth service that handles prior authorization, with a badly compromised subscription-billing record.
Stands out for: In-network with 100+ plans including Aetna, Cigna and UnitedHealthcare, with prior authorization handled - around $75/month all-in when covered.
Main caveat: A 2.09 out of 5 BBB rating across 404 complaints, and a California class action alleging deceptive subscription enrolment and charges after cancellation.
- Membership: $19.99/month, separate from consultations, labs and medication
- Insurance: Accepted
- Availability: US nationwide; Medicare and Medicaid not accepted
SynergyRx
From $199/month — compounded semaglutide injectable; $299 oral; tirzepatide $349-$399; brand-name Ozempic $499, Wegovy and Mounjaro $947
Our editorial rating: 2.9 / 5
A telehealth technology platform publishing a complete GLP-1 price list, at prices beaten on every line.
Stands out for: Publishes all six medication prices with formats attached, and states plainly that it is a platform and a prescription is not guaranteed.
Main caveat: Every price is beaten elsewhere - compounded semaglutide is double the cheapest equivalent, and brand-name Wegovy at $947 is roughly six times the manufacturer-direct price.
- Membership: Not published separately
- Insurance: Not accepted
- Availability: Not published
bmiMD
From $99/month — compounded semaglutide on rolling "closeout" promotional pricing; $139 tirzepatide; higher standard rates reported
Our editorial rating: 2.8 / 5
Competitively priced compounded GLP-1s with published potency testing, sold behind a permanent countdown promotion.
Stands out for: Publishes third-party potency and quality testing results, and locks your rate through renewals while membership stays active.
Main caveat: Complaints describe charges hundreds above the agreed amount, ignored cancellations and undelivered medication; not available in nine states including California.
- Membership: Membership structure; the published medication rate is the headline figure
- Insurance: Not accepted
- Availability: Not available in AL, AR, CA, KY, LA, MS, NC, ND or SC
MyDrHank
From $171/month — oral semaglutide; $178 injectable semaglutide; $240 tirzepatide; free consultation and delivery included
Our editorial rating: 2.8 / 5
A men's health telehealth platform with clearly published GLP-1 pricing across oral and injectable formats.
Stands out for: Publishes three separate prices by format, with free consultations, free delivery and unlimited care-team messaging.
Main caveat: Headlines a "20.9% body weight loss in clinical trials" figure that belongs to a branded product it does not sell, and discloses no state coverage or cancellation terms.
- Membership: None published separately
- Insurance: Not accepted
- Availability: Not disclosed
MangoRx
no price published at any dose - quoted only after you complete an eligibility questionnaire and medical intake
Our editorial rating: 2.8 / 5
A newer GLP-1 line from an established mens health brand, sold without publishing any price.
Stands out for: Both compounded semaglutide and tirzepatide, with reported shipping and service ratings around 4.5 on the wider business.
Main caveat: You must disclose your medical history before learning the cost, around a dozen states are excluded, and Eli Lilly has sued the company over its weight-loss products.
- Membership: Not published
- Insurance: Not accepted
- Availability: US only, with around a dozen states excluded
Recovery Delivered
no weight-loss pricing published; the $89/month figure on the site is for its Suboxone programme
Our editorial rating: 2.8 / 5
An addiction-medicine telehealth service that has added compounded semaglutide and tirzepatide as a side line.
Stands out for: References accepted insurance carriers varying by state, which is rare in GLP-1 telehealth, and states delivery in as little as 24 hours.
Main caveat: No weight-loss pricing, eligibility or screening detail is published, and we could not confirm whether the insurance relationship covers weight loss at all.
- Membership: Not published for the weight-loss line
- Insurance: Accepted
- Availability: Multiple states shown; states served for weight loss not specified
Valhalla Vitality
pricing shown only to registered patients inside the portal, described as reducing hard advertising
Our editorial rating: 2.8 / 5
A telehealth service selling products labelled GLP-1 and GLP-1+, with pricing gated behind account registration.
Stands out for: Cites LegitScript certification and NABP accreditation - externally verifiable credentials, unlike the self-reported ratings most of this category uses.
Main caveat: Neither the molecule nor the price is visible without creating an account and completing an eligibility assessment, a policy it frames as reducing hard advertising.
- Membership: Not published - shown only inside the patient portal
- Insurance: Not accepted
- Availability: Not published
Maximus Tribe
From $99.99/month — starter pack pricing that rises on a sliding scale with every dose increase; video consultations $28-$35 extra
Our editorial rating: 2.7 / 5
A men's health platform pairing GLP-1 weight loss with testosterone protocols, priced on a dose-based sliding scale.
Stands out for: No membership fee, board-certified physicians and 24/7 portal messaging, with 4.5 out of 5 across 312 verified reviews.
Main caveat: Pricing climbs with every dose increase - one analysis put the true cost at 3x the advertised figure - and it holds an F BBB rating for unresolved complaints.
- Membership: None - medication cost plus consultation fees as used
- Insurance: Not accepted
- Availability: Not published; US only
Revibe Health
no pricing published anywhere
Our editorial rating: 2.7 / 5
An established practice combining compounded GLP-1 treatment with hormone therapy across eight states.
Stands out for: The clearest compounding disclosure we have read - states its treatments are not FDA-approved and not equivalent to any FDA-approved drug, and that approved versions exist.
Main caveat: Promises an unconditional 30-day refund of an undisclosed amount, qualified by terms apply elsewhere, over a window that closes before titration reaches a therapeutic dose.
- Membership: Not published
- Insurance: Not accepted
- Availability: Contact forms indicate Arizona, Hawaii, Utah, Oregon, Washington, Oklahoma, Texas and California
WellMedr
From $59/month — promotional compounded semaglutide tied to a 12-month plan; $99 tirzepatide; no standard non-promotional rate published
Our editorial rating: 2.6 / 5
The cheapest published compounded GLP-1 pricing we have catalogued, from a company carrying an F BBB rating and an open pattern-of-complaints alert.
Stands out for: Compounded semaglutide from $59 a month with free shipping, unlimited clinician messaging and no separate membership fee.
Main caveat: The advertised "90 days or 100% refund" promise is contradicted by its own policy, which makes orders non-refundable once intake is approved.
- Membership: None published — the medication subscription is the only stated charge
- Insurance: Not accepted
- Availability: Not published; US only
Strut Health
From $99/month — advertised sublingual semaglutide lozenges with auto-refill; $149 injectable; independent coverage reports $249-$349
Our editorial rating: 2.6 / 5
A physician-founded Dallas company specialising in sublingual GLP-1 lozenges, carrying an FDA misbranding letter.
Stands out for: Sublingual lozenges are a genuinely rare needle-free format, with no membership fee and free consultations.
Main caveat: FDA warning letter of 20 February 2026 finding Strut is not the compounder despite its name on the label, plus a D+ BBB rating.
- Membership: None - free consultations and free shipping
- Insurance: Not accepted
- Availability: Not published; US only
RxSpan MD
From $249/month — compounded semaglutide; $329 tirzepatide; what the price includes is not published
Our editorial rating: 2.6 / 5
A telehealth platform connecting patients with third-party physicians and compounding pharmacies, at the top of the compounded price range.
Stands out for: States plainly that a prescription is never guaranteed and that compounded medication is not FDA-approved.
Main caveat: The most expensive compounded pricing we have catalogued - more than FDA-approved brand-name semaglutide - with no named pharmacy, no published states and no review record.
- Membership: Not published
- Insurance: Not accepted
- Availability: Not published
Belle
From $119/month — compounded semaglutide; compounded tirzepatide from $175. Dose increases, nutrition guidance and nurse support included
Our editorial rating: 2.6 / 5
Low headline pricing with dose increases and nurse support included, sold alongside an eligibility policy advertised as having no BMI restrictions.
Stands out for: Dose increases at no extra cost closes the most common hidden cost in this category, and nutrition guidance plus nurse support are bundled in.
Main caveat: Advertises no BMI restrictions where accepted criteria are BMI 30+, or 27+ with a comorbidity, and sells microdose tirzepatide and MIC+B12 alongside the GLP-1s.
- Membership: None stated
- Insurance: Not accepted
- Availability: Not published
Elite Health Center NYC
vials $549 for 5 mg up to $1,399 for 20 mg, plus a $199-$249 consultation; no dosing schedule published, so monthly cost cannot be derived
Our editorial rating: 2.6 / 5
A New York practice selling a compounded three-ingredient injection combining semaglutide with glycine and vitamin B12.
Stands out for: Publishes a complete vial price ladder with milligram strengths and names every ingredient rather than hiding the formulation.
Main caveat: The combination has never been studied in a trial, so published semaglutide results do not describe it, and larger vials cost more per milligram rather than less.
- Membership: Not published
- Insurance: Not accepted
- Availability: Based in New York City, with multiple states referenced but not listed
Renew Vitality
no pricing published for medication, consultations or labs
Our editorial rating: 2.6 / 5
A testosterone and hormone replacement practice offering semaglutide alongside its core hormone business.
Stands out for: States plainly that compounded medications do not go through FDA approval, describes its facility as FDA-inspected rather than FDA-approved, and presents benefits as potential rather than promised.
Main caveat: Says it dispenses both approved and compounded medications without ever stating which its semaglutide is, and publishes no pricing, criteria or state list.
- Membership: Not published
- Insurance: Not accepted
- Availability: Not published - a general locations page and telemedicine are referenced without a state list
DudeMeds
no pricing published beyond "from $149+ / month"
Our editorial rating: 2.5 / 5
A men's health telehealth brand that has added GLP-1s, with oral and injectable options but no published pricing.
Stands out for: No membership or doctor fee, free shipping within 48 hours, and both drugs in oral and injectable form across all 50 states.
Main caveat: No published price, no BBB listing, roughly six independent reviews, and complaints of a broken patient portal and a five-month wait for paid-for medication.
- Membership: None stated — no membership fee and no doctor fee
- Insurance: Not accepted
- Availability: All 50 states
Hello Dose
From $395/month — compounded semaglutide $495/month and tirzepatide $695 standard; microdose $395 and $595; maintenance $199; sold only in 4, 8 or 12-month terms
Our editorial rating: 2.4 / 5
A virtual weight-loss service for men with clear pricing, honest compounding disclosure and rates far above the market.
Stands out for: Names its medications, publishes every tier price, and states plainly that compounded drugs are not FDA-reviewed, with video consultations and contraindication screening.
Main caveat: Two to three times the going rate, sold only on a four-month minimum with no published cancellation or refund policy, and a microdose tier priced above rivals’ full doses.
- Membership: None separate - medication pricing is the whole cost
- Insurance: Not accepted
- Availability: Not published
Sprout Health
From $149/month — advertised compounded semaglutide with a $99 first month; $199 tirzepatide; independent trackers report $249 and $299 as standard
Our editorial rating: 2.2 / 5
Dose-locked compounded GLP-1 pricing and a monthly clinician check-in, undone by the worst customer record we have documented.
Stands out for: Dose-locked pricing, a clinician check-in before every refill, and automatic cancellation if you are declined.
Main caveat: Around 2.2 out of 5 on Trustpilot with roughly 84% one-star reviews, an F BBB rating, and complaints of medication paid for and never received.
- Membership: None stated separately
- Insurance: Not accepted
- Availability: Not available in California, Alabama, Arkansas, Louisiana, Mississippi or North Dakota
VITAstir
From $99/month — Semaglutide HomeKit SDV; the standard HomeKit is listed at $599 struck through to $125. Quantity and concentration not published
Our editorial rating: 2.2 / 5
Semaglutide sold as a retail product with a struck-through discount price, dispensed from a PCAB-accredited sterile pharmacy.
Stands out for: PCAB accreditation is a genuine third-party credential for sterile compounding, which is where the real risk in injectable compounding sits.
Main caveat: A $599 price struck through to $125 on a prescription drug, and the listing never states whether the semaglutide is compounded or brand-name.
- Membership: None - sold as one-off products rather than a subscription
- Insurance: Not accepted
- Availability: Not published
TMates
From $199/month — compounded semaglutide; tirzepatide from about $297 - though other sources quote $99-$167 and we could not reconcile them
Our editorial rating: 2.1 / 5
Ordinary mid-market pricing behind an advertised review base that independent reporting cannot locate.
Stands out for: States that it accepts insurance, which is uncommon among compounded-only platforms.
Main caveat: Reportedly advertises 4.9 stars from 4,700+ Trustpilot reviews against a live profile carrying one one-star review, with a second profile removed for guideline violations and BBB billing complaints. Verify before paying.
- Membership: Not clearly published
- Insurance: Accepted
- Availability: Not published; US only
PeterMD
From $165/month — all-inclusive after $270 covering the first two months; medication, consult, shipping and supplies included; HSA/FSA accepted
Our editorial rating: 2 / 5
Competitively priced all-inclusive compounded GLP-1 from a Florida clinic with a badly compromised reputation record.
Stands out for: All-inclusive $165/month with HSA and FSA accepted, which is uncommon among compounded providers.
Main caveat: An F BBB rating, a complaint reporting expired medication, and a 4.9-star Trustpilot badge displayed for a profile reportedly removed by the platform.
- Membership: None - the subscription is all-inclusive
- Insurance: Not accepted
- Availability: Not available in AL, AR, CA, ID, IA, KY, LA, MA, MI, NC, SC or TX
Pre-Purchase Checklist
Before you buy compounded GLP-1 medication from anyone, get written answers to these:
- Which pharmacy compounds my medication, and is it a 503A or 503B facility? If they will not say, that is your answer about how much scrutiny they expect.
- What is the beyond-use date on the vial I will receive? Compounded medication expires much sooner than manufactured product — critical if you are buying a multi-month supply.
- Does the price change as my dose increases? Titration means most people end up above their starting dose.
- What happens if my shipment arrives warm? Ask about the cold-chain replacement policy and the reporting window. See our storage guide.
- What are the cancellation and refund terms? Particularly on quarterly plans.
- Is anything added to the formulation? Some compounded products include additional ingredients that are not in the approved drug.
Frequently Asked Questions
Is compounded semaglutide legal?
Compounding by a licensed pharmacy against a valid prescription is a legal practice. That is different from saying a compounded product is FDA-approved — it is not, and it has not been through the approval process.
Is compounded medication the same strength as brand-name?
Not necessarily, and dosing is not automatically interchangeable. Never switch between compounded and brand-name products, or between compounding pharmacies, without your prescriber managing the change.
Which compounded provider is cheapest?
WellMedr publishes the lowest figure at $59/month, but it is a promotional rate on a 12-month plan from a provider with an F BBB rating. Shapely is next at $99/month but adds a separate membership. Precision Telemed at $139.99/month with no membership is typically cheaper all-in than Shapely, and names its pharmacies. See our cheapest programs ranking.
Are compounded oral drops or lozenges effective?
They have a thinner evidence base than injections. The FDA-approved oral semaglutide products are formulations specifically engineered for oral absorption, which compounded drops and lozenges are not. Discuss with a prescriber before choosing one.
Can I use HSA or FSA funds for compounded medication?
Generally yes — FDA-approval status is not the eligibility test. A prescribed medication dispensed by a licensed pharmacy qualifies. The obstacle is usually documentation and merchant coding. See our HSA/FSA guide.
Medical disclaimer: This page is general consumer information, not medical advice. Compounded GLP-1 medications are not FDA-approved. Whether any GLP-1 treatment is appropriate for you, and in what form, is a decision only a licensed healthcare provider who knows your medical history can make. Prices are from published materials as of August 5, 2026 and change frequently.