Brello Health is a pharmacist-owned telehealth platform founded in 2023 that offers some of the lowest GLP-1 pricing in the market: $133/month for compounded semaglutide and $166/month for compounded tirzepatide. With 2,600+ Trustpilot reviews, in-house pharmacy quality testing, and an emphasis on coaching, Brello has built a significant customer base quickly. However, BBB complaints about auto-renewal confusion, refund difficulties, and customer service responsiveness temper the enthusiasm. Here's our complete analysis.
What Is Brello Health?
Brello Health is a telehealth wellness platform that connects patients with licensed healthcare providers for compounded GLP-1 medications. What sets Brello apart from many competitors is that it's pharmacist-owned and operated. Their pharmacy, Southend Pharmacy, conducts quality tests on each medication batch for potency, sterility, and dosage—providing a level of in-house quality control that most telehealth platforms can't match.
Founded in 2023 and based in Houston, Texas, Brello has grown rapidly with a focus on budget-friendly GLP-1 access. Their approach combines medication with personalized coaching, positioning themselves as more than just a prescription service. The pharmacist ownership is a genuine differentiator—it means the people running the company understand medication quality from the production side, not just the marketing side.
Brello sells GLP-1 medications in a 3-month package to get started, then bills every 10 weeks after that. This billing structure is unusual compared to standard monthly subscriptions and has caused some confusion among customers, as reflected in BBB complaints. Understanding the billing cycle upfront is important before committing.
What They Offer
- Compounded Semaglutide with B6 at $133/month
- Compounded Tirzepatide with B6 at $166/month
- Pharmacist-owned quality control via Southend Pharmacy
- Batch testing for potency, sterility, and dosage
- Personalized coaching alongside medication
- Licensed healthcare provider consultations
- Home delivery with cold-packed, secure shipping
- 3-month starter packages with 10-week billing cycles
- Ongoing support throughout treatment
The B6 (pyridoxine) addition to both medications is a common pairing that some providers offer to help with potential nausea side effects. The in-house pharmacy quality testing is Brello's strongest differentiator—few telehealth GLP-1 providers can point to their own pharmacy conducting batch-level quality assurance.
Brello Health Pricing
Brello Health offers some of the most competitive GLP-1 pricing available, with both semaglutide and tirzepatide significantly below industry averages.
Pricing Breakdown:
- Compounded Semaglutide (with B6): $133/month
- Compounded Tirzepatide (with B6): $166/month
- Initial Package: 3-month supply
- Recurring Billing: Every 10 weeks after initial package
- Consultation: Included
- Coaching: Included
- Shipping: Included (cold-packed)
Note: Brello bills in 3-month and 10-week cycles, not standard monthly. Make sure you understand the billing schedule before purchasing. Pricing may change.
Check Brello Health's website for the latest deals and pricing →At $133/month for semaglutide, Brello is $34/month more than CoreAge Rx ($99/month) but significantly cheaper than the industry average of $250-$350/month. The tirzepatide pricing at $166/month is particularly competitive—most providers charge $200-$400+ for compounded tirzepatide. If tirzepatide is your preferred medication, Brello's pricing is among the best available.
The 3-month initial purchase and 10-week billing cycle mean your upfront commitment is higher than a standard monthly subscription. For semaglutide, that's approximately $399 upfront for the first 3 months. This is worth knowing because some BBB complaints stem from customers not fully understanding the billing structure and feeling trapped in auto-renewals they didn't expect.
My Experience With Brello Health
I tested Brello Health to evaluate whether their budget pricing and pharmacist ownership translated to a quality experience. Here's what I found:
Sign-Up Process
The sign-up process was straightforward. Brello's website guided me through selecting a plan, completing a health questionnaire, and submitting for provider review. The interface was clean and the process felt efficient. A licensed healthcare provider reviewed my health information and provided a prescription recommendation.
One important detail: the initial purchase is a 3-month supply, so you're committing to approximately $399 for semaglutide upfront. This is clearly stated during checkout, but the shift from "monthly" pricing language to a 3-month package can feel like a bait-and-switch if you're not reading carefully. Make sure you understand you're buying a 3-month supply, not a single month.
Medication Quality and Delivery
The medication arrived cold-packed and securely packaged. Multiple Trustpilot reviewers confirm secure, cold-packed shipping. One reviewer who lost 108 pounds specifically praised the shipping quality. The 3-month supply arrives with escalating dosages, so you receive all three months' medication at once with instructions for each phase.
Knowing that Southend Pharmacy conducts batch testing for potency, sterility, and dosage added confidence in the medication quality. This is a tangible advantage over providers who simply order from third-party compounding pharmacies without disclosed quality assurance processes.
Customer Support
Customer support was the weakest part of the experience. While day-to-day questions were handled adequately, independent reviewers note that email responses can take over 24 hours. One review site tested Brello's support during business hours and didn't receive a full response within 24 hours. BBB complaints escalate the concern: customers report not being able to reach a human on the phone, receiving no callbacks despite voicemails, and struggling to process refunds.
The auto-renewal and refund issues are the most concerning. One BBB complaint described completing a "follow-up intake form" that unknowingly overrode a paused subscription, triggering an unwanted renewal. Another reported trying to get a refund since May 2025 with no resolution. Brello's "no refunds" policy makes this especially frustrating for dissatisfied customers.
Overall Experience: Brello Health offers genuinely competitive pricing with the added confidence of pharmacist-owned quality control. The medication and delivery are strong. However, customer support responsiveness, confusing billing cycles, and a strict no-refunds policy create real risks if things don't go smoothly.
Pros and Cons
Pros
- Very competitive pricing — $133/month semaglutide, $166/month tirzepatide
- Pharmacist-owned and operated — in-house quality control
- Batch testing for potency, sterility, dosage via Southend Pharmacy
- 2,600+ Trustpilot reviews with many success stories
- Personalized coaching included alongside medication
- Cold-packed, secure shipping
- B6 included with both semaglutide and tirzepatide
- Impressive weight loss results reported — 108 lbs, 62 lbs, and more
Cons
- $34/month more than CoreAge Rx ($133 vs $99 for semaglutide)
- 3-month upfront commitment — ~$399 initial purchase
- Confusing 10-week billing cycles after initial package
- BBB complaints about auto-renewal — forms triggering unwanted renewals
- Strict no-refunds policy — difficult to get money back
- Customer support responsiveness issues — slow email, hard to reach by phone
- Founded 2023 — relatively new company
- Compounded medications are not FDA-approved
Is Brello Health Legit?
Yes, Brello Health is a legitimate telehealth provider with stronger-than-average quality credentials. The pharmacist ownership and in-house Southend Pharmacy conducting batch-level quality testing set Brello apart from many competitors who rely entirely on third-party compounding pharmacies. This vertical integration provides more direct accountability for medication quality.
With 2,600+ Trustpilot reviews and many documented success stories (including dramatic weight loss results), there's substantial evidence that Brello delivers functional, effective medication. The company is BBB-listed in Houston, Texas, and prescriptions are reviewed by licensed healthcare providers with compounded medications clearly disclosed as non-FDA-approved alternatives.
The BBB complaints—while real—are more about business practices (billing, refunds, communication) than about medication safety or medical legitimacy. These are operational issues that impact customer experience but don't undermine the core legitimacy of the medical service.
- Pharmacist-owned with in-house pharmacy (Southend Pharmacy)
- Batch testing for medication quality
- 2,600+ Trustpilot reviews with many positive outcomes
- BBB-listed in Houston, TX
- Licensed healthcare providers review prescriptions
- BBB complaints focus on billing/refunds, not medical safety
Who Is Brello Health Best For?
Brello Health is a strong choice for budget-conscious patients who value medication quality assurance. If knowing your medication comes from a pharmacist-owned operation with batch-level testing matters to you, Brello's quality credentials are genuinely above average. The pricing is also competitive, particularly for tirzepatide at $166/month—one of the lowest prices available.
Brello also works well for patients who are comfortable with a 3-month commitment and 10-week billing cycles. If you've researched GLP-1 medications and are confident you want to commit to treatment, the bulk purchasing model can simplify your medication management.
Brello Health is not the best fit if: You want maximum flexibility (CoreAge Rx has simpler monthly billing), you're uncertain about GLP-1 treatment and want an easy exit (Brello's no-refund policy is unforgiving), or customer support responsiveness is a priority for you.
Final Verdict: Is Brello Health Worth It?
Brello Health is a solid budget option with genuine quality advantages, but billing and support issues hold it back.
The pharmacist ownership and batch-level quality testing are real differentiators that provide more confidence in medication quality than most competitors offer. The pricing is competitive ($133/month semaglutide, $166/month tirzepatide), and the thousands of Trustpilot reviews with many dramatic success stories demonstrate that the medication works and patients are getting results.
The drawbacks are operational: confusing billing cycles, auto-renewal gotchas, a strict no-refunds policy, and customer support that can be slow and hard to reach. These issues don't affect the medication quality but can significantly impact your experience if you need to change, pause, or cancel your subscription.
My recommendation: If you're committed to GLP-1 treatment and value pharmacist-backed quality assurance, Brello is a reasonable choice—just read the billing terms extremely carefully. For simpler billing and slightly lower pricing, CoreAge Rx at $99/month with straightforward monthly billing remains our top recommendation.
Simpler Alternative
CoreAge Rx offers semaglutide at $99/month with straightforward monthly billing and no confusing renewal cycles.
The Bottom Line
Brello Health stands out with pharmacist ownership, in-house quality testing, and competitive pricing—especially for tirzepatide. The medication quality credentials are above average. However, confusing billing cycles, a no-refunds policy, and support responsiveness issues mean you should read the fine print carefully before committing.