Every comparison of price, medication and service quality is irrelevant if the provider cannot legally treat you where you live. It is the first question to settle and the one most of this market answers least clearly.
Why State Coverage Is the First Question
Telehealth prescribing is licensed state by state. A provider needs a clinician licensed in your state to write your prescription, which is why coverage maps are patchy and why nationwide availability is a genuine operational achievement rather than a marketing line.
It matters most if you live somewhere the market underserves. Several services we reviewed are single-state operations — Momentum Health serves only Texas, Metabolic TeleHealth only California, and MD365 only New York. Excellent providers, unavailable to most people.
The Vague-Coverage Problem
The most common answer in this market is no answer at all. Across the providers we have reviewed, a large share publish no state list whatsoever — the field simply reads “not published”.
Others use phrasing that sounds like coverage without being it. 1st Optimal refers to patients “across the U.S.”; Enara Health says six states without naming them; Elite Health Center NYC references “multiple states” with no list. None of those tells you whether you can be treated.
The good behaviour is a published list. The Virtual NP names its seven states outright — Texas, Florida, New York, Arizona, Nevada, New Mexico and Kansas — so you can answer the question in ten seconds instead of after an intake. That is more useful than a vague nationwide claim, even though it covers fewer people.
Worth noting one nuance: Curex serves all 50 states but restricts California to oral formulations only — so “available in your state” and “the product you want is available in your state” can differ.
The Providers
Ranked by our editorial rating. Every provider below states availability in all 50 states. These are the companies’ own claims — we have not independently verified licensure in each state.
Imbue Health
From $149/month — brand-name Foundayo or oral Wegovy, plus a flat $29/month membership; Zepbound KwikPen from $299
Our editorial rating: 4.6 / 5
100% brand-name FDA-approved GLP-1s at prices that compete with the compounded market.
Stands out for: Brand-name medication from $149/month, plus a published Medicare pathway at $79/month all-in.
Main caveat: The $299 Zepbound figure may be a starting-dose price — confirm before committing.
- Membership: $29/month, flat, no contracts
- Insurance: Not accepted
- Availability: All 50 states plus DC
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
DrHouse
visits $129, or $19 with a $9.99/month membership; medication billed by your pharmacy
Our editorial rating: 4.3 / 5
24/7 video visits with doctors, brand-name prescriptions, and your choice of pharmacy.
Stands out for: The most complete published eligibility criteria we found, at a very low visit cost.
Main caveat: No compounded option, so medication cost is high without insurance coverage.
- Membership: $9.99/month optional, first month waived
- Insurance: Accepted
- Availability: All 50 states
Amazon Pharmacy
GLP-1 pricing not published; manufacturer coupons applied automatically at checkout
Our editorial rating: 4 / 5
A fulfillment pharmacy for GLP-1 prescriptions, not a prescriber.
Stands out for: Applies manufacturer coupons automatically and participates in the Medicare GLP-1 Bridge Program.
Main caveat: Cannot prescribe, and publishes no GLP-1 prices.
- Membership: None to fill a prescription
- Insurance: Accepted
- Availability: All 50 states
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
Doctronic
$39 per video visit; medication billed separately
Our editorial rating: 3.8 / 5
Free AI symptom chat paired with $39 video visits with licensed doctors.
Stands out for: The cheapest paid route to a real clinician we found, with FSA/HSA accepted.
Main caveat: GLP-1 specifics — medication list, eligibility, labs — are barely documented.
- Membership: None — pay per visit
- Insurance: Accepted
- Availability: All 50 states plus DC
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
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
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
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
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
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
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
Two Things to Check Anyway
Confirm at intake, not from the marketing. Coverage changes as providers add and lose licensed clinicians, and a claim on a homepage may lag reality. The intake will tell you definitively before you pay.
Ask whether the specific product is available where you are. State rules can restrict formulations rather than the whole service — the California oral-only restriction above is a live example. Ask about the molecule and the format, not just the postcode.
Medical Disclaimer & Review Date
This review is general consumer information, not medical advice. GLP-1 medications are prescription drugs with serious contraindications, and whether any treatment is appropriate for you is a decision only a licensed healthcare provider who knows your medical history can make. Nothing here should be used to start, stop, or change a medication.
Details in this review come from the providers listed's own published materials as of the date below. Pricing, medication availability, state coverage, and policies in this category change frequently — verify current terms directly with the provider before purchasing.
Date reviewed: September 6, 2026