Advertised GLP-1 prices are frequently misleading — quoted at a starting dose, tied to a quarterly commitment, or shown as a permanent "sale" with a membership fee stacked on top. This page ranks providers by the lowest monthly medication price they actually publish, then explains the four costs that routinely change which one is really cheapest for you.
The single biggest saving is not on this page. If your insurance covers a GLP-1 for weight management, a covered copay beats every cash price listed below — often by hundreds of dollars a month.
Check coverage first using our insurance guide. The second-biggest saving is paying with pre-tax dollars — see our HSA/FSA guide. Both usually matter more than the differences below.
The Ranking
Ordered by the lowest monthly medication price each provider publishes. Only providers that publish a figure appear here — the rest are listed further down. Read the price note carefully: some figures require a quarterly commitment, and some exclude a separate membership fee.
Shapely
$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
Precision Telemed
$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
NovoCare Pharmacy
$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
24hrDoc
$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
Zealthy
$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
Shed
$159/month — compounded semaglutide; $239 compounded tirzepatide
Our editorial rating: 4 / 5
The widest range of GLP-1 delivery formats, with a full care team and a 120-day guarantee.
Stands out for: Needle-free options — oral drops and lozenges — alongside injections and brand-name pens.
Main caveat: Compounded oral drops and lozenges have a thinner evidence base than injections.
- Membership: Not published separately
- Insurance: Not accepted
- Availability: Not published
Levity
$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
Four Costs That Change the Answer
1. Membership fees stacked on medication
Shapely's $99/month compounded semaglutide is the lowest published medication price here — but the standard membership is a separate $99/month, making the real total closer to $198. Precision Telemed at $139.99 with no membership is cheaper all-in. Always add the membership before comparing.
2. Dose-based price escalation
Most people titrate up over several months. If a program raises the price at each dose step, the entry price is not what you will pay at maintenance. Precision Telemed publishes flat pricing at every dose; many competitors do not say either way. Ask.
3. Quarterly commitments
Zealthy's $151/month applies to a quarterly purchase; the month-to-month rate is higher and not published prominently. Multi-month plans are cheaper per month and much harder to exit — and cancellation terms are frequently unpublished.
4. Promotional pricing that expires
24hrDoc lists every price as a discount off a higher figure, and Shapely's headline membership rates are explicitly first-month offers. A price that is only true in month one is not the price of treatment.
The Genuinely Cheapest Route
Once you account for membership fees, dose escalation, and commitments, the cheapest reliable options fall into three tiers.
Tier 1: You have insurance coverage
A covered copay plus a $0 visit through MDLIVE — if your plan includes it — or a no-membership-fee visit through Midi Health. Nothing on the cash market competes.
Tier 2: Cash-pay, brand-name
NovoCare Pharmacy at $149/month for the Wegovy or Ozempic pill, or $199 for the pen — FDA-approved medication direct from the manufacturer. Add a $19–$39 prescriber visit if you need one and you are still competitive with the compounded market, with none of the compounding uncertainty.
Tier 3: Cash-pay, compounded
Precision Telemed at $139.99/month with no membership, flat dose pricing, and named pharmacies. It is the cheapest all-in compounded option here once fees are accounted for, and the price you see is the price at every dose.
The most useful thing on this page may be the tier 2 comparison. Brand-name semaglutide at $149/month direct from the manufacturer costs less than several compounded programs — which substantially weakens the case for accepting a non-FDA-approved product to save money. Our compounded vs brand-name guide covers what you are trading away.
Providers That Do Not Publish Prices
These 11 providers cannot be ranked on price because they do not publish a monthly medication figure. That is not evidence they are expensive — but it does mean you cannot comparison-shop without entering their funnel, which is itself a reason to be cautious.
| Provider | What they do publish |
|---|---|
| Midi Health | compounded doses cited from $34/week for eligible patients; medication cost depends on your plan |
| DrHouse | visits $129, or $19 with a $9.99/month membership; medication billed by your pharmacy |
| Hello Alpha | $79/month membership; medication billed separately through insurance |
| MDLIVE | primary care visits $0 with participating insurance; medication billed by your pharmacy |
| Alloy Women's Health | no prices published |
| QuickMD | visit pricing not published; medication billed separately |
| Doctronic | $39 per video visit; medication billed separately |
| ZipHealth | $79 consultation fee; medication priced separately and not published |
| Klinic | self-pay visits $99 initial and $75 follow-up; as low as $0 plus copay with insurance |
| MEDvidi | consultations $195 initial and $159 follow-up; medication billed by your pharmacy |
| BrightMeds | no prices published |
Note that several of these — MDLIVE, Midi Health, DrHouse, Doctronic — are unbundled or insurance-based, so a single monthly figure would not be meaningful. Their visit costs are published, and their medication cost is whatever your pharmacy charges. Alloy and BrightMeds publish nothing at all, which is a different situation.
Frequently Asked Questions
What is the cheapest GLP-1 program?
By published medication price, Shapely at $99/month — but its standard $99 membership roughly doubles the real total. Once fees are included, Precision Telemed at $139.99/month with no membership is the cheapest all-in compounded option. With insurance, a covered copay beats both.
Is cheaper compounded medication as good as brand-name?
Compounded medications are not FDA-approved and are not generic equivalents. With brand-name Wegovy available from $149/month direct from the manufacturer, the cost argument for compounded products is much weaker than it used to be.
Why do prices vary so much — $99 to $1,599?
Three different business models. Compounded cash-pay programs sit at the low end, unbundled prescribers charge for care only, and all-inclusive brand-name programs like Levity charge close to retail drug prices. You are not comparing like with like.
Will my price go up as my dose increases?
At many providers, yes — and most do not say so on their pricing page. Precision Telemed publishes flat pricing at every dose. Ask this question of any provider before committing.
Should I buy a 3-month plan to save money?
It is cheaper per month, but check two things first: that the beyond-use dates on compounded medication cover the whole period, and what the cancellation terms are. Multi-month plans are frequently non-refundable once shipped. See our storage guide.
Medical disclaimer: This page is general consumer information, not medical advice. Prices are taken from each provider's published materials as of August 5, 2026 and change frequently — verify current pricing directly before purchasing. Cost should not be the only factor in choosing a prescription treatment; discuss options with a licensed healthcare provider.