Semaglutide is the active ingredient in Wegovy, Ozempic, and Rybelsus, and it is also the most widely compounded GLP-1. The important development for anyone shopping today is that the price gap between brand-name and compounded semaglutide has largely closed — which changes what the right choice is.
Four Routes to Semaglutide
1. Insurance-covered brand-name
The cheapest route if your plan covers it — potentially a copay of $25 or less. Requires a prescriber willing to pursue prior authorization. MDLIVE, Midi Health, and DrHouse all support this.
2. Manufacturer direct, cash pay
NovoCare Pharmacy — Novo Nordisk's own pharmacy — sells Wegovy and Ozempic from $149/month for the pill and $199 for the pen. FDA-approved product, no compounding questions. You supply the prescription.
3. Compounded, cash pay
From $99–$159/month depending on provider and fees. Not FDA-approved, not a generic. Best options are those that name their pharmacies and hold price flat across doses — see Precision Telemed and our compounded ranking.
4. All-inclusive brand-name programs
Everything bundled into one monthly price. Simplest, and by far the most expensive — Levity charges $1,199/month for Ozempic and $1,599 for Wegovy, all in.
The Price Gap Has Closed
The compounded semaglutide market grew because brand-name Wegovy was unaffordable without insurance — often quoted above $1,000 a month at retail. That is the premise the entire category was built on, and it no longer holds in the same way.
| Route | Published price | FDA-approved? |
|---|---|---|
| Compounded (Cora Health) | $99–$175/mo, all-inclusive | No |
| Compounded (Shapely) | $99/mo + $99 membership | No |
| Compounded (Precision Telemed) | $139.99/mo, no membership | No |
| Brand-name pill (NovoCare) | $149/mo | Yes |
| Compounded (Shed) | $159/mo | No |
| Brand-name oral (Imbue Health) | $149/mo + $29 membership | Yes |
| Brand-name pen (NovoCare) | $199/mo | Yes |
At $149/month, brand-name semaglutide from the manufacturer costs less than several compounded programs. And Imbue Health now bundles a prescriber with brand-name oral semaglutide for about $178/month all-in — which removes even the convenience argument for choosing compounded, since you no longer have to arrange a prescription separately to get an approved product.
What you give up with compounded semaglutide: FDA approval, manufacturer-standardized dosing and storage instructions, and the regulatory review that sits behind an approved product. What you get is often a bundled prescriber and, at some providers, a lower price. Our full comparison covers the trade-off in detail.
Oral Semaglutide Options
If injections are the barrier, oral semaglutide exists — but the distinction between approved and compounded matters more here than anywhere else.
- FDA-approved oral: the Wegovy pill and Rybelsus are formulations specifically engineered for oral absorption. Available from NovoCare at $149/month, and prescribed by Hello Alpha, ZipHealth, and others.
- Compounded oral: tablets, drops, and sublingual lozenges from providers like Shed and 24hrDoc. These do not have the absorption evidence the approved formulations do.
Given that approved oral semaglutide is available at $149/month, choosing a compounded oral formulation to avoid needles is a decision worth discussing with the prescribing clinician rather than assuming equivalence.
Providers Offering Semaglutide
All 126 providers below offer semaglutide in some form, ranked by our overall editorial rating.
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)
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
NovoCare Pharmacy
From $149/month — brand-name Wegovy or Ozempic pill; $199 for the pen
Our editorial rating: 4.5 / 5
Novo Nordisk's own direct-to-patient pharmacy selling brand-name Wegovy and Ozempic on a cash-pay basis.
Stands out for: FDA-approved brand-name semaglutide at a price that undercuts much of the compounded market.
Main caveat: You must bring your own prescription and prescriber; semaglutide only, no tirzepatide.
- Membership: None — pharmacy purchase, no subscription
- Insurance: Accepted
- Availability: Not published
Amazon One Medical
From $149/month — cash-pay for oral Wegovy or Foundayo, or from $25/month with insurance coverage; injectables from $299 cash. Ranked on the cash price for comparability
Our editorial rating: 4.5 / 5
Brand-name only, insurance accepted, and the prescription attached to real primary care - the strongest structural proposition we have reviewed.
Stands out for: Shows insurance and cash prices side by side at checkout, and clinicians can manage related conditions such as cardiovascular disease and diabetes rather than treating weight in isolation.
Main caveat: The $25 figure depends entirely on your plan covering GLP-1s for weight management, injectables at $299 cash are well above the compounded market, and the programme is too new to have a track record.
- Membership: None - One Medical membership is not required to start or schedule a visit
- Insurance: Accepted
- Availability: Not stated in the announcement we reviewed
Circle Medical
appointments $120 self-pay, or an average $0–$35 out of pocket with insurance; medication billed by your pharmacy
Our editorial rating: 4.4 / 5
An online and in-person primary care practice that accepts over 1,500 insurance plans.
Stands out for: Real insurance billing including Medicare, plus in-person clinics — unique in our review set.
Main caveat: Medication cost is separate and entirely plan-dependent; no compounded option.
- Membership: None — no memberships or other fees
- Insurance: Accepted
- Availability: Video nationwide plus 20+ physical clinics; full list not published
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
CVS Health Weight Management
From $149/month — self-pay for an FDA-approved GLP-1 using a manufacturer voucher; as low as $25 with eligible commercial insurance, or $50 on the CMS Medicare Bridge program through 31 December 2027. Clinic visits are $29 each with no membership.
Our editorial rating: 4.4 / 5
FDA-approved brand-name GLP-1 medication at prices that compete with the compounded market, with nothing to cancel.
Stands out for: At $149 self-pay it undercuts LillyDirect by half, drops to $25 for eligible insured patients, and puts a pharmacist behind a counter you can actually talk to.
Main caveat: The low prices depend on manufacturer programs with eligibility conditions, the Medicare route expires at the end of 2027, and CVS also owns the PBM that sets formulary preferences.
- Membership: None - $29 per MinuteClinic visit, no subscription
- Insurance: Accepted
- Availability: Nationwide via CVS Pharmacy and MinuteClinic
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
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
knownwell
stated $31 average cost per insured visit; medication cost depends entirely on your plan
Our editorial rating: 4.3 / 5
Weight-inclusive primary care that bills commercial insurance and employs obesity medicine certified clinicians.
Stands out for: One of the few services here inside the insurance system, with real clinics in five states and a stated $31 average insured visit.
Main caveat: Claims 16% weight loss at twelve months and 97% maintenance at two years with no denominator, definition or citation, and never names the medication or its price.
- Membership: None - an insurance-billed practice rather than a subscription
- Insurance: Accepted
- Availability: Virtual nationwide; in-person clinics in California, Georgia, Illinois, Massachusetts and New York, Texas listed as coming soon
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
Hello Alpha
$79/month membership; medication billed separately through insurance
Our editorial rating: 4.2 / 5
Brand-name-only telehealth with the widest FDA-approved formulary and 24/7 provider messaging.
Stands out for: Publishes specific eligibility exclusions and screens for eating disorder history.
Main caveat: The membership fee is non-refundable if your prior authorization is denied.
- Membership: $79/month (Alpha Plus+)
- Insurance: Accepted
- Availability: Not published
MDLIVE
primary care visits $0 with participating insurance; medication billed by your pharmacy
Our editorial rating: 4.2 / 5
A major Evernorth-backed telehealth network that prescribes anti-obesity medications through primary care.
Stands out for: $0 visits with a participating plan — the cheapest clinician access available.
Main caveat: Not available for weight medication in four states, and prescribing is at doctor discretion.
- Membership: None
- Insurance: Accepted
- Availability: US and Puerto Rico, except FL, LA, MS, NJ for anti-obesity medication
Fella Health
weight loss program pricing not published; medication is included in the program cost
Our editorial rating: 4.1 / 5
A men-focused GLP-1 program with free labwork, coaching, and a 6-month money-back guarantee.
Stands out for: Free labwork locally or at home, plus explicit HSA/FSA guidance including the letter-of-medical-necessity point.
Main caveat: Neither the price nor whether the GLP-1s are brand-name or compounded is published.
- Membership: Membership structure referenced; price not published
- Insurance: Not 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
Teladoc Health
access and cost depend on your employer or health plan; a discounted self-pay option is referenced
Our editorial rating: 4 / 5
A major telehealth network offering GLP-1 prescribing and support through employers and health plans.
Stands out for: A multidisciplinary team including dietitians and coaches, often at little or no cost to members.
Main caveat: Unavailable unless your employer or insurer offers it, and nothing is priced publicly.
- Membership: None direct — access comes through your employer or health plan
- Insurance: Accepted
- Availability: Not published
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
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
Sesame Care
From $149/month — FDA-approved oral Wegovy pill; Wegovy pen $199 for two fills then $349; plus a $99 programme fee every 28 days
Our editorial rating: 4 / 5
A telehealth marketplace letting you choose your own board-certified provider, prescribing FDA-approved GLP-1s only.
Stands out for: You pick your own doctor from profiles with patient feedback, use your own pharmacy, and get labs and insurance navigation included.
Main caveat: Billed every 28 days rather than monthly, the Wegovy pen jumps to $349 after two fills, and there is no compounded option for the uninsured.
- Membership: $99 every 28 days - 13 payments a year - covering video visits, labs and messaging
- Insurance: Accepted
- Availability: US nationwide
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
Enara Health
no pricing published; insurance accepted
Our editorial rating: 4 / 5
A genuinely multidisciplinary obesity programme - nutrition, exercise and behavioural support alongside medication - accepted by major insurers.
Stands out for: Reports outcomes separately for lifestyle, non-GLP-1 and GLP-1 treatment at 18 and 36 months rather than as one blended ceiling figure.
Main caveat: No citation, sample size or methodology for any outcome claim, a lifestyle-only result above the published literature, and no prices or state list.
- Membership: Not published
- Insurance: Accepted
- Availability: Stated as six states, which are not listed; based in San Mateo, California
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
Omada Health
GLP-1 program pricing not published; prevention programs are free through an employer or plan
Our editorial rating: 3.9 / 5
Employer and health-plan based GLP-1 support and medication access, built around coaching.
Stands out for: One-on-one health coaching and connected devices, often at no cost to members.
Main caveat: The support program does not get you a prescription — check which program your benefit includes.
- Membership: None direct — access comes through your employer or health plan
- Insurance: Accepted
- Availability: Not published
QuickMD
visit pricing not published; medication billed separately
Our editorial rating: 3.9 / 5
Same-day or scheduled visits with licensed doctors you choose yourself.
Stands out for: You pick your own doctor and can often book the same day.
Main caveat: Visit pricing is not published and insurance is not accepted.
- Membership: Not stated
- Insurance: Not accepted
- Availability: 45+ 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
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
ZipHealth
$79 consultation fee; medication priced separately and not published
Our editorial rating: 3.8 / 5
Its own US-based online pharmacy with a modern brand-name catalogue and next-day delivery.
Stands out for: Zepbound KwikPen and the Wegovy pill in one place, delivered discreetly as fast as next day.
Main caveat: Medication prices and state availability are not published.
- Membership: None
- Insurance: Not accepted
- Availability: Not published
WeightWatchers Clinic
membership $74/month on a 12-month term up to $149 month-to-month, plus a non-refundable $49 consultation; medication is separate at roughly $349-$935 cash
Our editorial rating: 3.8 / 5
FDA-approved brand-name GLP-1s wrapped in the strongest behavioural programme in the category, with published patient outcomes.
Stands out for: Publishes real-world outcome data - 21% average weight loss at 12 months - and includes a registered dietitian and free Quest labs.
Main caveat: Cash-pay medication of roughly $349-$935 a month makes it expensive without insurance, and the best membership rate needs a 12-month commitment.
- Membership: $74/month on a 12-month commitment, up to $149/month month-to-month
- Insurance: Accepted
- Availability: US nationwide
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
9amHealth
no pricing published for membership, labs, consultations or medication
Our editorial rating: 3.8 / 5
A virtual diabetes, weight and cardiometabolic clinic staffed by board-certified obesity medicine specialists, with at-home labs and connected devices.
Stands out for: The only provider in our set publishing outcomes with and without GLP-1s side by side - 17.6% against 9.3% over twelve months.
Main caveat: Never names a medication or says whether it is compounded, and publishes no pricing, insurance position or state list.
- Membership: Not published
- 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
Klinic
self-pay visits $99 initial and $75 follow-up; as low as $0 plus copay with insurance
Our editorial rating: 3.7 / 5
Nationwide telehealth stating it accepts all major insurance including Medicare and Medicaid.
Stands out for: One of the very few services claiming Medicaid and Medicare acceptance.
Main caveat: No medication list published, and its materials reference retatrutide, an unapproved drug.
- Membership: None
- Insurance: Accepted
- Availability: Nationwide
MEDvidi
consultations $195 initial and $159 follow-up; medication billed by your pharmacy
Our editorial rating: 3.7 / 5
A mental health practice offering video weight consultations across a very wide formulary.
Stands out for: The widest weight-medication list we catalogued, including non-GLP-1 and stimulant options.
Main caveat: The most expensive consultation fees we found, and no insurance accepted.
- Membership: None
- Insurance: Not accepted
- Availability: Varies; some states require an in-person visit
Ro
From $149/month — FDA-approved Wegovy pill; Zepbound KwikPen from $299; membership of $74–$149/month is charged separately
Our editorial rating: 3.7 / 5
Vertically integrated telehealth selling FDA-approved brand-name GLP-1s at prices that now undercut much of the compounded market.
Stands out for: FDA-approved medication from its own pharmacy operation, with the Wegovy pill at $149 and the prescriber included.
Main caveat: The membership is charged on top of medication, and difficulty cancelling auto-renewal is the most repeated complaint against it.
- Membership: $39 first month, then $149/month rolling or $74/month prepaid annually
- Insurance: Accepted
- Availability: Nationwide
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
The Virtual NP
$99 per visit or $75/month membership; medication billed separately by your pharmacy and plan
Our editorial rating: 3.7 / 5
A small named-clinician practice offering brand-name Zepbound and Wegovy with help getting them covered.
Stands out for: Assists with prior authorisation requests - the work that actually unlocks insurance coverage, and which cash-pay compounded services will not do.
Main caveat: Medication cost is set by your pharmacy and plan rather than published, so the model is poor value if your plan excludes weight-management drugs.
- Membership: $75 per month, or none on the $99 per visit option
- Insurance: Not accepted
- Availability: Texas, Florida, New York, Arizona, Nevada, New Mexico and Kansas
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
Hims
From $149/month — FDA-approved Wegovy pill; membership of $149/month is charged separately; Zepbound $299-$399
Our editorial rating: 3.6 / 5
A publicly listed telehealth giant now selling only FDA-approved GLP-1s, after retreating from compounded semaglutide.
Stands out for: A+ BBB accreditation at genuine scale, FDA-approved medication only, and Wegovy potentially $0-$25 with insurance and a savings card.
Main caveat: The $149 membership roughly doubles cash medication cost, and complaint responses are generic and templated.
- Membership: $39 first month, then $149/month
- Insurance: Accepted
- Availability: US nationwide
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
Evernow
no pricing published; insurance stated as accepted for video visits, not for medication
Our editorial rating: 3.6 / 5
A menopause-focused practice offering FDA-approved GLP-1s alongside hormone therapy for menopause-related weight gain.
Stands out for: Lists only approved products - Ozempic, Wegovy, Zepbound and Mounjaro - with no compounded option, and treats the hormonal transition alongside the weight.
Main caveat: Publishes no prices at all, and its insurance claim covers video visits rather than the medication, which is where the cost sits.
- Membership: Not published
- Insurance: Accepted
- Availability: Not published
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
Levity
From $1199/month — all-inclusive Ozempic; $1,299 Mounjaro; $1,599 Wegovy
Our editorial rating: 3.4 / 5
Brand-name GLP-1 bundled with care into one all-inclusive monthly price.
Stands out for: Completely transparent all-in pricing with no dose escalation or hidden fees.
Main caveat: By far the most expensive option — Wegovy costs roughly 8x the manufacturer direct price.
- Membership: None — the monthly price is all-inclusive
- Insurance: Not accepted
- Availability: 35 states
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
Hers
membership $39 first month then about $149/month, plus medication - branded Wegovy about $299, oral Wegovy $249, Zepbound $399, and $5 shipping
Our editorial rating: 3.4 / 5
A women-first telehealth brand now dispensing FDA-approved medication after settling with Novo Nordisk, at two to three times what the same drug costs elsewhere.
Stands out for: The move to branded Wegovy and Zepbound removes every compounded risk - unverified potency, unnamed pharmacies, unit-conversion overdoses and litigation-driven supply loss.
Main caveat: All-in cost runs $453-$553 a month for a drug CVS Health sells at $149, and the FDA issued a warning letter dated 9 September 2025 over compounded semaglutide marketing claims.
- Membership: $39 for the first month, then about $149/month - medication billed separately
- Insurance: Not accepted
- Availability: Nationwide, online
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
Luvo Health
From $299/month — semaglutide medication only, three-month minimum; tirzepatide $399; bundled programs $399 Bronze, $499 Silver, $599 Gold; initial consultation $199
Our editorial rating: 3.3 / 5
The most genuinely medical program in our review set - labs, counselling and scheduled provider contact - priced far above the market.
Stands out for: Orders labs and includes recurring nutritional counselling, biometric tracking and a monthly provider tele-visit from the Silver tier up; almost no competitor at any price orders labs at all.
Main caveat: At $399-$599 a month it costs four to six times the cheapest providers, charges $199 for the initial consultation on top, and does not clearly state whether its medication is compounded or brand-name.
- Membership: The program tiers are the fee: $399-$599/month
- Insurance: Not accepted
- Availability: All 50 states
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
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
Push Health
no prices published despite a 100% price transparency claim; provider fees are set individually and medication is priced by your pharmacy
Our editorial rating: 3.2 / 5
A platform connecting patients to independent providers, with prescriptions filled at ordinary retail pharmacies rather than a compounding pharmacy.
Stands out for: Retail fulfilment across 55,000+ pharmacies means insurance can apply and you receive approved manufacturer product, plus Quest Diagnostics integration for real lab work.
Main caveat: Claims 100% price transparency while publishing no prices, and care quality varies with whichever independent provider responds rather than following one protocol.
- Membership: Not published
- Insurance: Accepted
- Availability: Not published
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
Wondr Health
no pricing published; usually provided through an employer or health plan
Our editorial rating: 3.1 / 5
An employer-provided behavioural weight programme built on lifestyle change, with FDA-approved medication as an optional component.
Stands out for: Behaviour change is the programme rather than a garnish on a prescription, and it commits to approved medication rather than compounded.
Main caveat: Its headline average weight loss is a 5% to 20%+ range that no result could contradict, while the specific figure - 10.6 lbs in 14 weeks - sits in a footnote.
- Membership: Not published - typically employer-funded
- Insurance: Accepted
- Availability: Not published
Everlywell Weight Care+
membership $99/month on a 12-month commitment or $139 on three months - medication is billed separately and Everlywell states it may cost $900-$1,400 without coverage
Our editorial rating: 3 / 5
At-home lab panels and insurance navigation attached to the largest medication cost exposure in this review set.
Stands out for: More than 30 at-home lab test panels plus regular clinician consults - almost no GLP-1 provider orders any bloodwork at all.
Main caveat: The membership buys no medication; Everlywell states GLP-1 prescriptions may run $900-$1,400 a month without insurance, and the cheaper rate needs a twelve-month commitment.
- Membership: $99/month on a 12-month commitment or $139/month on three months; not covered by insurance
- Insurance: Accepted
- Availability: Nationwide, virtual
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
Marek Health
$299 consultation package plus a stated $450 minimum lab panel; medication price never published
Our editorial rating: 3 / 5
Lab-led optimisation practice that names tirzepatide and runs comprehensive testing before prescribing.
Stands out for: A real 25-minute consultation and comprehensive labs read by a provider before any prescription, with monthly coach check-ins.
Main caveat: $749 of compulsory prerequisites before any medication, the drug price never published, and pharmacies described as FDA-approved, which is not a thing the FDA does.
- Membership: Not published as a recurring membership
- Insurance: Not accepted
- Availability: US residents only; individual states 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
Way Less Weight Loss
From $225/month — tirzepatide from $225; semaglutide $275, advertised at $150 but only for the 0.25 mg and 0.5 mg doses in the first two months
Our editorial rating: 3 / 5
A clinic-based practice in Illinois and Indiana taking insurance, with a broader weight-medication menu than most.
Stands out for: Real in-person clinics, a long list of accepted insurers, free consultations and cheaper evidence-backed older drugs alongside the GLP-1s.
Main caveat: The $150 semaglutide rate covers only the two titration months before reverting to $275, and brand names are grouped with generics so you cannot tell what you would receive.
- Membership: None published - medication pricing is the stated cost
- Insurance: Accepted
- Availability: Two clinics - Oak Brook, Illinois and Merrillville, Indiana
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
Rex MD
no weight-loss pricing published on the pages we checked
Our editorial rating: 2.9 / 5
A mens telehealth brand offering brand-name GLP-1 options across all 50 states, with no published weight-loss price.
Stands out for: Nationwide coverage is unusually broad for GLP-1 telehealth, and the offering is brand-name rather than compounded.
Main caveat: No medication price, consultation fee, eligibility criteria, lab requirement or refund term is published anywhere we could find.
- Membership: Not published
- Insurance: Not accepted
- Availability: All 50 states, per the company
Invigor Medical
no pricing published of any kind
Our editorial rating: 2.9 / 5
Nationwide licensing and apparent scale, attached to a range where half the entries are micro-dosing tiers with no established protocol.
Stands out for: Licensed in all 50 states, with a claimed 35,000+ customers and a 4.7 average rating - broader coverage than most of this category.
Main caveat: Sells GLP-1 micro-dosing as a product line where no microdosing protocol exists, never names the active medication or says whether it is compounded, and publishes no prices.
- Membership: Not published
- Insurance: Not accepted
- Availability: Stated as licensed in all 50 states
Momentum Health
$50/month membership; medication price not published
Our editorial rating: 2.9 / 5
A small physician-led Texas practice offering continuity of care with one named doctor for $50 a month.
Stands out for: Reports an average 5-10% weight loss at six months rather than a ceiling figure - the most restrained outcome claim in our review set.
Main caveat: Never names the medication or its regulatory status, does not publish the drug price, and depends on a single physician with no published cover arrangements.
- Membership: $50 per month
- Insurance: Not accepted
- Availability: Texas only
Defy Medical
no pricing published for medication, consultations or the recommended blood testing
Our editorial rating: 2.9 / 5
A telemedicine practice offering three GLP-1 molecules with no subscription or contract, led by a named medical director.
Stands out for: No subscriptions or contracts in a category built on lock-in, with semaglutide, tirzepatide and liraglutide all named and blood testing recommended before treatment.
Main caveat: Publishes no prices at all, never says whether the medication is compounded or brand-name, and sells LIPO-C lipotropic injections beside drugs that have trials.
- Membership: None - the practice states no subscriptions or contracts
- 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
1st Optimal
no pricing published; advertises 25% off a first purchase against an undisclosed base
Our editorial rating: 2.8 / 5
A nurse-practitioner-led, functional medicine practice that runs labs and has a provider read them before prescribing.
Stands out for: Lab testing before treatment with at-home or local collection, and a membership that bundles oversight, consultations and shipping.
Main caveat: Publishes no prices at all while promoting a 25% first-purchase discount, applying retail urgency marketing to a prescription decision.
- Membership: Not published - stated to include medical oversight, consultations and shipping
- Insurance: Not accepted
- Availability: Described as across the United States; no state list published
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
Vida Health
no pricing published; sold principally through employers and health plans
Our editorial rating: 2.8 / 5
A virtual obesity and cardiometabolic programme sold to employers and health plans rather than direct to consumers.
Stands out for: Combines prescribing with behavioural health support and coaching, and is typically funded by an employer so carries no direct cost.
Main caveat: Claims clinically validated outcomes with no citation or figure, names no medication, and publishes no pricing, criteria or state list.
- Membership: Not published - typically employer or health-plan funded
- Insurance: 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
Metabolic TeleHealth
no pricing published for consultations, medication or labs
Our editorial rating: 2.7 / 5
A one-clinician California practice that frames treatment around metabolic markers rather than the scale alone.
Stands out for: Names semaglutide and tirzepatide, tracks insulin, HbA1c and inflammation, and gives you the same clinician at every appointment.
Main caveat: No pricing published for anything, no statement of whether medication is compounded, and the clinician’s stated years of experience differ between pages.
- Membership: Not published
- Insurance: Not accepted
- Availability: California only
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
Optima Tyler
no pricing published; insurance not accepted and Affirm, Klarna and CareCredit financing offered instead
Our editorial rating: 2.3 / 5
A single-location East Texas clinic offering free consultations and instalment financing, with almost nothing else published.
Stands out for: A genuinely free consultation with a board-certified provider, in person or by telehealth, from a named address.
Main caveat: Offers buy-now-pay-later financing on an indefinite recurring prescription while publishing no medication name and no price.
- Membership: Not published
- Insurance: Not accepted
- Availability: Texas only, from a single location in Tyler
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
Frequently Asked Questions
What is the cheapest way to get semaglutide?
With insurance coverage, a copay. Without it, brand-name Wegovy or Ozempic from NovoCare Pharmacy at $149/month for the pill is the cheapest FDA-approved route if you already have a prescriber, or Imbue Health at about $178/month all-in if you need one. Both beat most compounded programs once fees are included.
Is Ozempic or Wegovy better for weight loss?
Both contain semaglutide, but Wegovy is the formulation approved for chronic weight management while Ozempic is approved for type 2 diabetes. Which is appropriate is a clinical decision. See our explainer on the naming.
Is compounded semaglutide safe?
Compounded medication from a licensed, accredited pharmacy is legal and many people use it without incident. It is not FDA-approved, however, and quality depends on the compounding facility — which is why providers that name their pharmacies rank higher with us.
Should I switch from compounded to brand-name?
If cost was your reason for choosing compounded, the manufacturer direct price makes that worth revisiting. Do not switch products without talking to your prescriber — dosing between formulations is not necessarily interchangeable.
Semaglutide or tirzepatide?
They work differently and individual response varies substantially. See our side-by-side comparison and best tirzepatide providers.
Medical disclaimer: This page is general consumer information, not medical advice. Semaglutide is a prescription medication with serious contraindications including a boxed warning regarding thyroid tumors. Whether it is appropriate for you is a decision only a licensed healthcare provider who knows your history can make. Prices are from published materials as of August 5, 2026 and change frequently.