Semaglutide vs tirzepatide: which is right for you?

One flat price, both molecules on a single chart, and a prescriber who reads your history before writing — the most predictable place for a mother to start and, just as important, to pause.

Semaglutide:

$99/mo

Tirzepatide:

$149/mo

States:

All 50 states

A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it doesn't name.

Semaglutide:

$179/mo

Tirzepatide:

$179/mo

States:

All 50 states (as advertised)

One of the more oversight-forward compounded programs here — lab work and a live provider visit bundled into every plan, with a gentle microdosing tier — the catch is that the low '$212' headline you'll see quoted is the 12-month prepay rate, not the $249 you'd pay month to month.

Semaglutide:

$249/mo with no commitment ($212/mo on the 12-month plan)

Tirzepatide:

$329/mo with no commitment ($280/mo on the 12-month plan)

States:

40 states + DC (not AL, AR, GA, HI, LA, MS, MO, ND, SC, TN)

A real telehealth marketplace with a video visit and a clinician you pick — now brand-first, so you get on-label Wegovy or Zepbound with the manufacturer's own pregnancy labeling, if you can absorb a membership fee stacked on the drug price.

Semaglutide:

Brand from $149/mo + membership

Tirzepatide:

Brand (Zepbound/Mounjaro, self-pay)

States:

All 50 states + DC

Physician-founded and genuinely cheap, with both molecules in a lozenge or a shot and a free MD visit — but a February 2026 FDA misbranding letter is a caveat a mother should read before signing up.

Semaglutide:

$149/mo (injectable) · $99/mo (oral lozenge)

Tirzepatide:

$325/mo standard ($199/mo on auto-refill)

States:

Multi-state (state list not published)

The price-first pick: some of the lowest flat, all-inclusive compounded pricing we track, nationwide — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.

Semaglutide:

$175/mo

Tirzepatide:

$235/mo

States:

All 50 states

A clean, all-50-states compounded option with named pharmacies, no membership and the consult included — reasonable and transparent on price, though it's a newer platform with thin public detail beyond the $199 headline.

Semaglutide:

$199/mo

Tirzepatide:

Offered (price not published on-site)

States:

All 50 states (as advertised)

Cheap compounded injections with free coaching and no membership — a fair budget pick if you read past the multi-month 'from $119' headline and accept unnamed pharmacies and a no-refund-after-shipping policy.

Semaglutide:

$235/mo

Tirzepatide:

$285/mo

States:

~45 states (as reported; list not published)

The widest menu on our roster — injections, sublingual lozenges, daily drops, four brand-name pens and the approved oral GLP-1 — with three compounding pharmacies named, a flat price at any dose, and cancellation terms among the most restrictive we have read.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

All 50 states (not Puerto Rico)

Now confirmed to publish real GLP-1 prices — compounded semaglutide from $199, tirzepatide from $349, plus brand options — right on its products page, no consult required, contrary to what an earlier check found.

Semaglutide:

$199-299/mo depending on form

Tirzepatide:

$349-399/mo depending on form

States:

All 50 states (as advertised)

A low-entry, all-in compounded program with both molecules and a clean cancel-anytime policy — appealing if the starting price holds, but the ongoing rate isn't published and the outcome claims are unverified marketing.

Semaglutide:

From $99/mo

Tirzepatide:

From $169/mo

States:

US (availability varies by state)

Four flat, posted price points across semaglutide and three tirzepatide formats, with a written promise the cost won't climb with your dose — a real step up in clarity from what we found last check — undercut by a state list it still won't publish.

Semaglutide:

$99/mo (flat)

Tirzepatide:

$139/mo for the weekly injection, flat at every dose ($129/mo sublingual, $116/mo microdosed)

States:

US (state list not published)

The most complete set of routes on this roster — a real branded lane through insurance or LillyDirect, a compounded lane that charges the same for tirzepatide as for semaglutide, and a non-GLP-1 generics lane — undercut by a three-day refund window and a complaint pattern that sits squarely on billing.

Semaglutide:

$299/mo

Tirzepatide:

$299/mo

States:

Not disclosed — no published state list

Both molecules have confirmed, tiered pricing, which appears only inside the signup flow — the public site carries no price at all — with a real gotcha: the 3-month plan costs more per month than month-to-month.

Semaglutide:

$199/mo month-to-month ($185/mo on the 12-month plan)

Tirzepatide:

$299/mo month-to-month ($293/mo on the 12-month plan)

States:

All 50 states + Puerto Rico (as advertised)

Injection or sublingual, both molecules — but we list it only with full disclosure: a 2025 FDA warning letter and a BBB complaint pattern around surprise 3-month charges make cancellation the real risk here.

Semaglutide:

$249/mo

Tirzepatide:

$299/mo

States:

Most states (not MS, LA, CA)

Unusually open about its clinicians and pharmacies — a named CMO, roughly forty-five named physicians, three named compounding pharmacies — and unusually loose about its advertising, having dropped 'comparable to FDA-approved semaglutide' claims only after the National Advertising Division referred it to the FTC.

Semaglutide:

From $299/mo

Tirzepatide:

From $399/mo

States:

36 states

Pallas Health carries both routes at once — compounded semaglutide at roughly $199 a month and tirzepatide at $299, alongside genuine FDA-approved Zepbound at $1,069, Ozempic at $1,299 and Wegovy and Mounjaro at $1,349, all cash-pay on one platform. The price is flat at every dose, answered directly in its own FAQ, and the clinician, dose adjustments, check-ins and messaging are inside that figure with no membership fee layered on. Two clinicians are named and both verify as active in the federal NPI registry, the LegitScript seal is genuine rather than a self-hosted image, and there is a real refund policy — full refund if a clinician declines you, a $5 processing fee on a qualifying cancellation. Two caveats matter for a household budget: billing lands every 12 weeks in $597 and $897 blocks rather than monthly, so the advertised per-month figures are Pallas's own averages, and the compounding pharmacy is never named. There is also no postpartum, breastfeeding or PCOS content on the site at all.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

All 50 states + D.C. (async in 43)

Flat pricing through every dose escalation, named partner pharmacies and a state list it actually publishes — undercut by an open FDA warning letter, an F rating at the BBB, and brand-name pens advertised on its site that you cannot buy.

Semaglutide:

$299/mo

Tirzepatide:

$349/mo

States:

44 states (not AL, AR, CA, LA, MS, ND)

Bodybuilding Health+ does the disclosure part better than most of this market and the branding part more loosely. It names four compounding pharmacies outright with phone numbers, and it names two lead physicians with their NPI numbers — both of whom check out as active MDs in the federal registry. Pricing is flat at every dose and public before any intake: $179 a month for compounded semaglutide and $209 for tirzepatide, dropping to $139 and $159 only if you buy a year up front. The looser part is the name. The operator is Dynamo Group LLC of Boca Raton, not Bodybuilding.com, and the 'trusted by millions since 1999' line on the page is the licensor's heritage rather than the clinic's. It's compounded-only, so there's no FDA-approved Wegovy or Zepbound route, the bundle discounts come with no published refund terms, and a prominent '4.8 (200+ reviews)' badge sits above a Trustpilot widget I couldn't verify because Trustpilot blocks automated checks.

Semaglutide:

$179/mo

Tirzepatide:

$209/mo

States:

All 50 states (as advertised)

From $133/mo semaglutide, $209/mo tirzepatide, dropping further on a 12-month prepay — with a genuinely itemized exclusion list that explicitly screens out pregnancy, planned pregnancy, and breastfeeding rather than staying silent on it.

Semaglutide:

$133/mo

Tirzepatide:

$209/mo

States:

All 50 states

RxSpan MD is a genuinely well-disclosed service wrapped in marketing that undercuts it. The disclosure: four compounding pharmacies named with phone numbers, two lead physicians named with NPI numbers that verify as active MDs, flat pricing posted before any intake, both compounded and real FDA-approved brand GLP-1s on one platform, and oral capsules for anyone who won't inject. Compounded semaglutide is $249 a month and tirzepatide $329, with brand Zepbound at $1,069, Ozempic at $1,299 and Wegovy at $1,349. The marketing is the problem. Its testimonials still name a different company — one patient describes what she 'expected from CareGLP' — and the doctors quoted in them are not the clinicians the same page names as its medical team. The homepage is built around a board-certified plastic surgeon who founded the practice but is licensed in California only and isn't the prescriber. Its compounded prices also sit above the roster median, and the oral capsules cost the same or more than the injections.

Semaglutide:

$249/mo

Tirzepatide:

$329/mo

States:

All 50 states (as advertised)

Compounded semaglutide from $129 a month and tirzepatide from $199, held at the same price at every dose, plus a separate microdose line from $109 for anyone who wants a gentler metabolic effect rather than maximum weight loss. Lttl covers all 50 states and Washington D.C., says it prescribes and ships within 48 hours, and attributes compounding to U.S.A.-licensed pharmacies it does not name. The catalog runs well past weight loss into NAD+, sermorelin, glutathione and B12 from $79, so read the longevity menu as a separate business from the GLP-1 you came for. Prices are published as starting points rather than a single rate, and the first-order discount of up to $140 is promotional.

Semaglutide:

From $129/mo (floor)

Tirzepatide:

From $199/mo (floor)

States:

All 50 states plus Washington D.C.

Compounded semaglutide at $69 a month and tirzepatide at $119, one flat price that SnagRx says covers the medication, the supplies, the doctor review and shipping, with no membership fee and cancellation by email or phone. Both figures are advertised against struck-through list prices of $299 and $399 under a live countdown clock, and the promise to lock that rate for life is marketing rather than a published term. It ships from licensed US pharmacies it never names, and publishes no list of the states it serves.

Semaglutide:

$69/mo (was $299)

Tirzepatide:

$119/mo (was $399)

States:

Not published

Try Ageless publishes its full pricing table before any intake — a real transparency advantage — and then leads with a figure that is not a monthly price. Month to month, compounded semaglutide is $279 and tirzepatide is $349, flat at every dose, with B12 and all injection supplies included; the '$199/mo' on the product card is the yearly plan, $2,388 charged up front. Tirzepatide is also sold as daily sublingual drops at $199 a month for patients who will not inject. Unusually for this category it names both its prescribing practice (Wasef Health, PC, with Michael Wasef, MD — NPI 1417261926, internal medicine, active in NPPES) and its compounding pharmacy (The Pharmacy Hub LLC, NPI 1316684616, active), and both verify independently in the federal registry. Against that, the terms of use publish no refund policy, no cancellation policy and no auto-renew disclosure despite marketing 'cancel anytime', no state list is published anywhere, and there is no postpartum, breastfeeding or PCOS guidance on the site at all — a real gap for the readers this site is written for.

Semaglutide:

$279/mo

Tirzepatide:

$349/mo

States:

No published state list

Semaglutide is $199 a month either as the weekly shot or a daily pill, tirzepatide is $299 bundled with B12 and glycine, and every plan includes a body-composition scale that tracks whether you are losing fat or muscle — a genuinely different question from what the bathroom scale answers. Two things to read closely: no price appears anywhere on the public site until you have handed over your height, weight and date of birth, and the money-back promise on the homepage is not the one written into the terms.

Semaglutide:

$199/mo, injection or oral

Tirzepatide:

$299/mo, bundled with B12 and glycine

States:

46 states and Washington, D.C. — not Alabama, Arkansas, Louisiana or Mississippi

The cheapest headline numbers in this batch — $99/mo semaglutide, $183/mo tirzepatide, each a 10-week protocol — from a named physician who personally reviews every intake, inside a much broader peptide-and-longevity menu where GLP-1 is two SKUs among many.

Semaglutide:

$99/mo

Tirzepatide:

$183/mo

States:

All 50 states

Semaglutide runs $199/mo month-to-month and tirzepatide $299, falling to $99 and $159 only if you prepay a full year — and the platform names its pharmacies, its clinical group and its chief medical officer, which most of this roster does not. The catch is the middle of the ladder: the 6-month rates are introductory and renew higher, and there is no postpartum or PCOS content anywhere on the site.

Semaglutide:

$199/mo month-to-month, $99/mo on the 12-month plan

Tirzepatide:

$299/mo month-to-month, $159/mo on the 12-month plan

States:

49 states — everywhere except Louisiana

A flat $239/mo semaglutide, $399/mo tirzepatide with one-click cancellation and a free L-Carnitine add-on at every dose — but it's only licensed in 23 states, and most of the country's biggest population centers aren't on the list.

Semaglutide:

$239/mo

Tirzepatide:

$399/mo

States:

23 states — excludes California, Washington, Oregon, and most other high-population states

Four named pharmacies, a named prescribing partner and brand-name Wegovy, Zepbound and Ozempic alongside the compounded line — that is a fuller disclosure than most of this roster manages. Compounded GLP-1 injections start at $179 a month and daily dissolvable tablets at $249, and the price attaches to the form rather than the molecule: the product page never says whether you are getting semaglutide or tirzepatide, and the terms confirm both are in scope. Two things deserve a mother's attention before she enrolls. The brand products are priced as a membership plus an undisclosed medication cost, and that membership is quoted at two different figures on one page, $99 beside Zepbound and Wegovy and $171 beside Ozempic. And the terms state that if a provider decides a different molecule suits you better, staying enrolled is itself your consent to the switch and the charges continue. It also discloses, unusually plainly, that people shown in its advertising may be actors or artificial intelligence rather than clinicians.

Semaglutide:

From $179/mo (floor)

Tirzepatide:

From $179/mo (floor)

States:

All 50 states and DC, qualified in its own terms

Starting at $147/mo semaglutide or $249/mo tirzepatide, in your choice of injection or an oral dissolving tablet at the same price, with the widest state coverage in this batch (49 states) — but no cancellation policy is published anywhere.

Semaglutide:

$147/mo

Tirzepatide:

$249/mo

States:

49 states — excludes only Louisiana

The lowest advertised flat rate we checked this pass — $79/mo semaglutide, $129/mo tirzepatide, plus an unusual oral gum option — but the price rides on a 'locked forever' promo that real Trustpilot reviews say hasn't always held, and you pay before the eligibility consult happens.

Semaglutide:

$79/mo

Tirzepatide:

$129/mo

States:

All 50 states

A flat $199/mo semaglutide and $299/mo tirzepatide, with a real non-injection option most of this batch skips: sublingual tablets for both molecules — but the FDA issued its parent entity, Lean Rx, Inc., a warning letter on 02/20/2026 (ref. 717989) for mislabeling itself as the compounder on its own product images and for marketing language implying its compounded products share FDA-approved status with Mounjaro and Zepbound, which they don't. Confirmed directly on FDA.gov; SkinnyRx's own site never mentions it.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Not disclosed on the public site we reviewed

Real pre-intake pricing on its GLP-1 pages ($149/mo semaglutide-class B12 combo, $249/mo tirzepatide billed quarterly) inside a much broader TRT-and-men's-health platform — with the strictest cancellation policy in this batch and a live FDA-approved/compounded contradiction on its own glp1-b12 page.

Semaglutide:

$149/mo

Tirzepatide:

$249/mo

States:

Most states — not available in Alabama or Idaho; its GLP-1/B12 combo also excludes Alaska and Hawaii

⛔ FDA warning letter #728279 (June 2026), which names tryeden.com. The most oversight-forward compounded program here — visible clinician involvement and lab framing — at $196/mo semaglutide or $296/mo tirzepatide, flat and nationwide.

Semaglutide:

$196/mo

Tirzepatide:

$296/mo

States:

All 50 states

The closest thing here to a real obesity-medicine clinic online — board-certified physicians and registered dietitians, monthly video visits, and a real effort to work brand-name drugs through insurance. The $299 self-pay fee is for that clinical team, not the medication.

Semaglutide:

$299/mo self-pay membership (medication billed separately)

Tirzepatide:

$299/mo self-pay membership (medication billed separately)

States:

Most states

The most polished route to on-label Wegovy or Zepbound, with a dedicated insurance concierge — powerful if the branded product is the goal, though the membership fee and the medication cost are always two separate charges.

Semaglutide:

From $74/mo membership (medication billed separately)

Tirzepatide:

From $74/mo membership (medication billed separately)

States:

Multi-state

A flat-fee compounded pioneer with a simple, predictable model and an async option in states that allow it — dependable and widely known, but now sitting at the higher end of the price band with no mother-specific angle, and a cancellation clause that can bind a multi-month plan.

Semaglutide:

$297/mo

Tirzepatide:

$449/mo

States:

Multi-state

AskRx is the most transparent pricing model on this page and it is still not a cheap one, which is worth understanding before you compare it to anything else here. It prescribes FDA-approved drugs only — it says 'No compounded meds' in as many words — so the menu is the Wegovy pen, the Wegovy pill, Zepbound in pen or KwikPen form, and Foundayo, the new oral tirzepatide. What it charges for that is a care fee, itemized in its own footnote rather than buried: $90 a month for the physician visit plus $10 a month fulfilment, $100 in total, with the medication billed separately through AskRx's own pharmacy and, it says, 'at cost — never a markup'. That last claim is the interesting one. Most providers on this page bundle an unknown medication margin into a single number; AskRx unbundles it and shows you both halves at checkout. The catch is the same one that applies to every brand-only route: nobody publishes what a Wegovy pen actually costs you, so $100 is a floor and the real total depends on the drug and on whatever insurance does. For a mother comparing this to a $79 or $115 compounded membership, those are not the same product — one is a manufacturer-made finished drug, the other is compounded — and this is the honest version of the expensive option.

Semaglutide:

$100/mo care fee (Wegovy billed separately, at cost)

Tirzepatide:

$100/mo care fee (Zepbound/Foundayo billed separately, at cost)

States:

All 50 states

A real cardiometabolic care team — physicians, DABOM-certified obesity specialists, endocrinologists, dietitians and pharmacists — bundled into one $149/mo self-pay fee (or free with insurance) that covers brand GLP-1 medication, labs and devices together, though the platform's own branding and content skew toward diabetes management and it publishes no state list. Eligibility follows the standard FDA-label bar — a BMI over 30, or over 27 with a weight-related comorbid condition — to qualify for Wegovy, Zepbound or Saxenda, and 9amHealth states it will help navigate an insurance approval even though one isn't required to enroll.

Semaglutide:

$149/mo self-pay (or free with insurance)

Tirzepatide:

$149/mo self-pay (or free with insurance)

States:

Does not disclose a state list

Gaya is a women's practice that treats weight as a hormone problem, which is a genuinely different starting point — and its price ladder rewards reading closely. The $149 tier is "GLP-1 Access", meaning physician oversight without the medication. Premium at $349 is the one that includes it. Concierge at $549 adds hormone therapy for women whose weight and menopause symptoms need handling together. A named physician runs it, Dr. Patel, from a published Florida address.

Semaglutide:

$349/mo on the tier that includes medication

Tirzepatide:

$349/mo on the tier that includes medication

States:

Not published; a Winter Garden, Florida practice offering virtual care

The Edit is one of the very few providers on this page that names both the medical practice writing your prescription and the pharmacy compounding it — Arora Health & Aesthetics, LLC and The Pharmacy Hub — rather than gesturing at 'licensed US providers'. Compounded semaglutide is $209 a month and tirzepatide $309, the same price at every dose, with the prescription, all injection supplies, the clinician visit and temperature-controlled two-day shipping inside that one number and no membership fee on top. First orders are $100 off, and three- and six-month plans bring the per-month equivalent down to $192 and $178 for semaglutide. It covers all 50 states and, unusually for this market, runs a complete Spanish-language version of the site rather than a machine-translated shim. The limits are real but narrow: it is compounded-only, so there is no FDA-approved Wegovy or Zepbound here, and there is no postpartum, breastfeeding or PCOS guidance anywhere on the site.

Semaglutide:

$209/mo

Tirzepatide:

$309/mo

States:

All 50 states

AurenRx names both the practice that prescribes and the pharmacy that compounds, with addresses — Wasef Health, PC c/o Michael Wasef MD in Pinellas Park, Florida, and VialsRX in Houston, Texas — and the prescriber's details match the federal NPI registry exactly. It charges the same for either molecule, which is genuinely unusual: $259 a month on a recurring plan or $299 with no commitment, for semaglutide or tirzepatide alike, plus a low-and-slow microdose track at $229/$250. Everything is included in that price, the online visit is free, and the LegitScript badge it displays is real. The problem is its own front page. AurenRx advertises its GLP-1 and Microdose programs at 'from $129/mo' on the homepage, while the cheapest thing you can actually buy on the product page is $229 — nothing costs $129. That is not a promotion that expired or a plan you have to hunt for; it is roughly half the real price, sitting on the page most readers see first.

Semaglutide:

$259/mo

Tirzepatide:

$259/mo

States:

All 50 states

$183/mo semaglutide or $268/mo tirzepatide, with quarterly labs and coaching genuinely bundled into that price and four named compounding pharmacies — well-documented, though nothing here is written specifically for postpartum or PCOS.

Semaglutide:

$183/mo

Tirzepatide:

$268/mo

States:

All 50 states + DC

Trellis Vitality is the cheapest genuinely-disclosed option on this page: $150 a month for compounded semaglutide and $199 for tirzepatide, month to month, with every dosage available at the same price and no membership fee, no consult fee and a $0 assessment. Commit for three or six months and those fall to $140/$133 and $189/$179. It names the pharmacy that compounds the medication — Vials Rx, described as a US state-licensed, cGMP-compliant facility — which is the disclosure most of its cheaper competitors skip, and it covers all 50 states with board-certified clinicians reviewing intake. The caveats are about what it doesn't sell and doesn't say. There is no FDA-approved brand option, no oral formulation, and none of its pricing appears on the homepage at all — you have to reach the GLP-1 product page to find a single number, which makes it look more opaque than it actually is. There is also no postpartum, breastfeeding or PCOS content anywhere.

Semaglutide:

$150/mo

Tirzepatide:

$199/mo

States:

All 50 states

Hello Alpha is the only provider on this page that was built as a women's health service first and a weight-loss service second, and that shows in what it will and will not do. It prescribes FDA-APPROVED products only — its own words are 'we only prescribe FDA-approved medications' — which means the Zepbound and Mounjaro pens and Rybelsus tablets, and no compounded semaglutide at all. For a mother weighing the compounding question that is the whole argument in one sentence: you are getting a finished drug made by the manufacturer, with the trade-off that you are also getting manufacturer pricing. What Hello Alpha publishes is $79 a month for its Alpha Plus+ membership, which buys appointment-free online visits, unlimited provider messaging and free shipping — the medication is billed on top of it, 'insurance or cash pay', and Hello Alpha says it will work with your plan to bring the cost down. No cash price for any medication appears anywhere on the site, so the honest reading is that $79 is your floor and the drug is the unknown. It is also candid that membership does not guarantee a prescription. If you have coverage, this is one of the few routes here that tries to use it; if you do not, the total is unknowable from the outside, and the compounded providers on this page will almost certainly be cheaper.

Semaglutide:

$79/mo membership (Rybelsus® billed separately)

Tirzepatide:

$79/mo membership (Zepbound®/Mounjaro® billed separately)

States:

All 50 states

Pepti publishes the lowest semaglutide price in this entire roster — $99 a month, flat at every titration dose, with the medication, physician review, shipping, refill management and unlimited messaging with your prescribing doctor all inside it. Tirzepatide is $199 on the same all-in, flat-at-every-dose basis. That number is low enough to deserve skepticism, so it is worth saying exactly where it comes from: Pepti states it on a dedicated cost page, repeats it in its FAQ ('we keep pricing flat and transparent at $99/mo all-in'), and prices the comparison against Hims, Henry Meds and Mochi on the same page. It names two prescribing physicians and says its medication is compounded by FDA-registered 503A or 503B pharmacies, though it never names which. The real limits are reach and format: it ships to 36 states rather than 50, it is cash-pay only and bills no insurance, and its needle-free oral GLP-1/GIP drops cost $349 — well above its own injection.

Semaglutide:

$99/mo

Tirzepatide:

$199/mo

States:

36 states

No compounded anything. PrideRx charges a service fee — $25 the first month, $99 after — and the manufacturer bills you for the drug: $299 for the Zepbound starter pen, $149 for the Wegovy pill, both straight from LillyDirect and NovoCare. It publishes those totals next to two competitors with a verification date on them. For a mother who wants an FDA-approved product and a clear fee, that is an unusually legible structure.

Semaglutide:

$248/mo all-in for the Wegovy pill

Tirzepatide:

$398/mo all-in for Zepbound

States:

Multiple states, not enumerated

Compounded semaglutide from $99 a month and tirzepatide from $149, with no membership fee, a dietitian attached to every plan, and a genuinely deep FAQ library that has a whole section on pregnancy — rarer here than it should be. Read two promises carefully before you sign. Every page says 'No price increases — ever', while the billing consent you actually click to accept reserves Harbor's right to change pricing on thirty days' notice. And 'No results? No charge' is a twelve-month guarantee with eight conditions attached, including staying enrolled for all twelve months and taking no other weight-loss medication in the year before you start. Every price on the site is a floor, so what you pay after the first month is not published anywhere.

Semaglutide:

From $99/mo — a floor; no ongoing rate is published

Tirzepatide:

From $149/mo — a floor; no ongoing rate is published

States:

Does not publish a service area

Rylo leads with $99.67 a month, which is a quarterly total divided by three — the same arithmetic that makes another entry on this page misleading. The difference is what sits next to it. On the same line it prints "$299 every 3 months · $139 monthly", and under the pricing block it says plainly that the figure reflects the quarterly rate. Then it demonstrates its flat pricing instead of asserting it: month one 2.5 mg, $229; month two 5.0 mg, $229; month three 7.5 mg, $229.

Semaglutide:

$139/mo month to month

Tirzepatide:

$229/mo month to month

States:

Not published; described only as licensed US providers

"Compounded Semaglutide & Tirzepatide from $145/mo" is the homepage line, and one of those two costs $315. Open the weight-metabolism page and the molecules are priced separately — semaglutide $145 on subscription, tirzepatide $315, or $161 and $350 without it. The "from" is doing more work than a mother comparing options can see, and the site's own header adds to the confusion by claiming treatments start at $157.

Semaglutide:

$145/mo on subscription

Tirzepatide:

$315/mo on subscription

States:

All 50 states

A concierge weight-loss and hormone clinic with lab-guided dosing and a named PA-C, at $200/mo semaglutide or $250/mo tirzepatide — undercut by a narrow 5-state telehealth footprint and homepage copy that inaccurately calls its compounded product 'FDA-approved.'

Semaglutide:

$200/mo (compounded)

Tirzepatide:

$250/mo (compounded)

States:

Telehealth in MO, IA, KS, UT, WA; in-person in Joplin, MO

Compounded semaglutide at $199 a month and tirzepatide at $299, the same price at every dose, and the daily tablet costs the same as the injection on both — all of it on an open pricing page you reach without a quiz. Brand-name prices are published too, which is rare: Wegovy $999, Ozempic $899, Mounjaro $999, cash. Two things to know before you enter a card. The badge at the top of every page says no subscription, and its own FAQ then asks whether you can cancel your subscription and tells you to call before your next billing date — so it does recur, whatever the badge says. And nothing anywhere on the site says how many weeks of medication one $199 charge actually buys. It ships to all 50 states, and it carries a June 2026 FDA warning letter for false or misleading claims, which it has since fixed.

Semaglutide:

$199/mo, same price at every dose

Tirzepatide:

$299/mo, same price at every dose

States:

All 50 states

This is the only provider on the page that prices by the week, and it is the most expensive by some distance — $115 a week for semaglutide is about $500 a month, three or four times what the telehealth sellers charge. It is also not the same product. That price is all-inclusive and buys a weekly in-person visit with a provider, vitals and a weigh-in, fifty-two times a year, at one of fifteen clinics across Maryland and Virginia.

Semaglutide:

$500/mo — $115 a week, all-inclusive with a weekly in-person visit

Tirzepatide:

$717/mo — $165 a week on the same terms

States:

Fifteen locations across Maryland and Virginia

One of the very few providers here that names both its pharmacies and its medical director on purpose — and does not mention that the pharmacy it names for GLP-1 fills has been on California Board of Pharmacy probation since 2023. Written throughout for men.

Semaglutide:

$189/mo

Tirzepatide:

$249/mo

States:

48 states (not AK or HI)

One of the most transparently priced compounded shops in this batch — $230/mo semaglutide or $330/mo tirzepatide month-to-month, down to $120/mo and $170/mo on the annual plan, with an explicit no-membership-fee guarantee, though no postpartum or PCOS-specific content.

Semaglutide:

$230/mo standard

Tirzepatide:

$330/mo standard

States:

All 50 states

A twenty-year weight-loss operator rather than a telehealth startup, selling compounded semaglutide at $149 a month to month and tirzepatide at $239, medication and clinical care in one price with no separate membership fee. The cheaper $116 and $159 figures it leads with are three-month plans, and there is a catch its own FAQ spells out: those plans bill every ten weeks, not every twelve. That is 5.2 charges a year instead of 4, which turns an advertised $116 a month into roughly $151 a calendar month. Read it as a real discount, just a smaller one than the number suggests. It ships to all 50 states, holds a BMI floor of 26, and excludes anyone pregnant or breastfeeding.

Semaglutide:

$149/mo month-to-month ($116/mo on a 3-month plan)

Tirzepatide:

$239/mo month-to-month ($159/mo on a 3-month plan)

States:

All 50 states

A menopause clinic that treats GLP-1 weight care as a menopause problem, which almost nothing else on this roster does. Four routes are published with prices attached: semaglutide injection at $199 a month, semaglutide dissolving tablets at $279, tirzepatide injection at $249 and tirzepatide sublingual drops at $229, flat at every dose, with anti-nausea support included free for the first two months. The catch is a real one and it is not hidden in the small print so much as split across two pages. The weight page promises no membership and one all-in price; the Terms you actually agree to describe membership plans, recurring charges, and medication billed separately on top. Get which one applies to you in writing before you subscribe.

Semaglutide:

$199/mo injection ($279/mo oral tablet)

Tirzepatide:

$229/mo sublingual ($249/mo injection)

States:

Does not disclose — availability is described only as varying by state

Three pages of this site quote three different prices for the same treatment: the homepage says semaglutide starts at $169 a month, the packages page shows $169 for month one and $199 from month two, and the semaglutide page says the program "typically ranges from $200-$550 per month" — a ceiling nothing on the site comes near. The packages page is the one to trust, and to its credit every plan total on it recomputes to the exact dollar. It also, on the oral semaglutide cards, tells you that what you will receive is tirzepatide.

Semaglutide:

$199/mo

Tirzepatide:

$259/mo

States:

Not published; describes itself as serving patients nationwide

There is no month-to-month option for either GLP-1 here, and that is deliberate rather than technical — the glutathione and hair-loss products both have one. Semaglutide is sold once: two months plus a third free, $420. And then something that has not happened once in this screen. The site divides that by the two paid months and advertises $210. Across the three months it actually covers, the rate is $140. Its own number is the higher one.

Semaglutide:

$140/mo across the three months it covers

Tirzepatide:

$233/mo on a three-month plan

States:

Nationwide except North Carolina

Telehealth GLP-1 programs in all 50 states from $149 a month, including a dedicated microdose protocol alongside standard semaglutide and tirzepatide. That figure is a floor rather than a rate, it is labeled a limited-time offer, and no treatment page publishes a price for any specific molecule, so the real cost is not knowable until you finish a two-minute eligibility check. Superior Remedies charges nothing if you are not approved, titrates the dose to how you respond rather than shipping a fixed refill, and attributes its compounding to state-licensed pharmacies it does not name.

Semaglutide:

From $149/mo (floor)

Tirzepatide:

From $149/mo (floor)

States:

All 50 states

Compounded semaglutide at $249 a month and tirzepatide at $297, held flat across every dose from the starting 0.25 mg all the way to the top of the ladder — and, unusually, priced identically whether you take it as an injection or an oral. TMates publishes its full commitment ladder up front rather than revealing it at checkout: three, six and twelve-month terms at $217, $175 and $158 a month for semaglutide and $267, $217 and $167 for tirzepatide, each shown with the total you actually pay. Every advertised saving checks out against the month-to-month rate. What it does not publish anywhere is the list of states it serves, so you cannot confirm availability before starting.

Semaglutide:

$249/mo

Tirzepatide:

$297/mo

States:

Not published

A small, physician-led practice — Dr. Tran Le personally, capped at ~500 patients — $199/mo semaglutide, $249/mo tirzepatide, all-inclusive, but limited to Texas and Utah only, with no content addressing postpartum or PCOS.

Semaglutide:

$199/mo, all-inclusive

Tirzepatide:

$249/mo, all-inclusive

States:

Texas & Utah only

A flat price at every dose and a safety page that quotes the label properly — filed under Terms of Use that belong to a different company, since the contract on brightmeds.com names Shed Holdings, its prices, its support address and its pharmacies, and never once says Brightmeds.

Semaglutide:

$289/mo

Tirzepatide:

$389/mo

States:

Not disclosed — no published state list

The most transparently tiered pricing found in this batch — as low as $99/mo semaglutide or $135/mo tirzepatide on the annual plan, with every tier itemized publicly — from a platform with a thin 36-review Trustpilot count so far.

Semaglutide:

$175/mo month-to-month ($99/mo on the annual plan)

Tirzepatide:

$225/mo month-to-month ($135/mo on the annual plan)

States:

All 50 states

Names three compounding pharmacies in three separate documents, which is more than most of this market manages — on a site 103 days old that also advertises 2,400 patient reviews we can find no trace of, four different monthly prices, and prepay discounts worth exactly nothing.

Semaglutide:

$130/mo

Tirzepatide:

$180/mo

States:

All 50 states (DC not offered at signup)

A flat-fee solo-provider program — $249/mo semaglutide, $379/mo tirzepatide, Quest labs included, with an explicit 'no increases as you continue' promise — but coverage is limited to 20 named states and no content addresses postpartum or PCOS.

Semaglutide:

$249/mo, flat

Tirzepatide:

$379/mo, flat

States:

20 states (AZ, CO, CT, FL, ID, IA, KS, MD, MA, MI, NE, NH, NM, NY, OR, UT, VT, WA, WI, WY)

The plan selector is clean: $199 a month, or $169, $149 and $99 on three-, six- and twelve-month plans, and every one of those divisions checks out to the dollar. Semaglutide and tirzepatide cost exactly the same, which is unusual. Then look at the top of the same page, where the headline reads "Doctor-Led Weight Loss Plans as Low as $249.97/Month" — a figure the selector never shows, and two and a half times the cheapest plan it offers.

Semaglutide:

$199/mo month to month

Tirzepatide:

$199/mo month to month

States:

Not published

A straightforward three-plan menu — semaglutide, tirzepatide, and a needle-free oral option — priced all-inclusive with no hidden membership fee, but with none of the pregnancy, breastfeeding, or named-clinician disclosure some mothers will want.

Semaglutide:

$249/mo

Tirzepatide:

$339/mo

States:

All 50 states + D.C. (self-reported; some services may vary)

A fully itemized pricing table — as low as $96/mo semaglutide or $142/mo tirzepatide on the annual plan — from the same medical group behind Cora Health, another new addition this batch.

Semaglutide:

$149/mo month-to-month ($96/mo on the 12-month plan)

Tirzepatide:

$219/mo month-to-month ($142/mo on the 12-month plan)

States:

All 50 states

This is the most detailed price ladder on the page, and reading it carefully changes what you conclude. Semaglutide runs $195, $225, $265, $290, $310 as the dose climbs — except levels three and four cover five weeks rather than four, which makes level three cheaper per week than level two despite the higher dose. And the sentence above the table says the prices cover four weeks, which is wrong for two of its own five rows.

Semaglutide:

$195 per 4 weeks at the lowest dose, rising to $310

Tirzepatide:

$280 per 4 weeks at the lowest dose, rising to $525

States:

Published per provider, not site-wide; one is listed for Michigan and Ohio

The $99 a month buys the doctor, not the drug. This is a Chicago practice with three named physicians, dietitians, an exercise physiologist and cognitive behavioral therapy, and it publishes exactly which six states it serves — both rare on this page. What it does not publish, anywhere, is what the medication costs. The subscription tiers run from $99 a month down to $75 on an annual plan, and the prescription sits outside all of them.

Semaglutide:

$99/mo for the clinic; medication priced separately and not published

Tirzepatide:

$99/mo for the clinic; medication priced separately and not published

States:

Illinois, plus Texas, Colorado, Michigan, Pennsylvania and Arizona

Flat-rate pricing with a real dietitian included ($119/mo semaglutide, from $175/mo tirzepatide) from a nine-year-old operator — carrying an open FDA warning letter over how it described its own compounded products.

Semaglutide:

$119/mo flat, all doses

Tirzepatide:

From $175/mo

States:

All 50 states

Compounded semaglutide and tirzepatide at one price whatever your dose, which is the part worth having: $149 and $229 a month once you are past the introductory period. The numbers on the cards are lower — $119 and $199 — and those are the intro rates. Coivas is unusual in printing both on the same page rather than making you find the second one on a renewal invoice, and the ongoing figure is the one to budget against. What it does not offer is brand-name Wegovy or Zepbound, an oral option, or any mention of bloodwork, and the word "from" in front of every price is the seller telling you your dose can move it.

Semaglutide:

$149/mo after the intro period, same price at every dose

Tirzepatide:

$229/mo after the intro period, same price at every dose

States:

All 50 states

"As low as $83/mo, all-in" is $999 paid up front, divided by twelve. That is not an inference — the site's own code takes the cheapest tier's total, divides by its month count, and prints the smallest result it finds, and its price API returns $999 for the twelve-month semaglutide supply. Month to month is $119. The honest thing to say next is that $119 is still cheaper than most of this roster, so the problem is the advertised number rather than the price behind it.

Semaglutide:

$119/mo month to month

Tirzepatide:

$139/mo month to month

States:

Not published; U.S. only, and the patient must be in the state they ship to

Two columns, headed Program and Medication, and both filled in. The program is $99 a month and covers every visit, the check-ins, the coaching and 3D body composition testing; the medication is separate and starts at $70. Almost everything else on this page either folds the fee into the drug price or leaves you to discover it. The honest total is about $169, and the only soft edge is that $70 is itself a starting figure.

Semaglutide:

$169/mo — $99 program plus medication from $70

Tirzepatide:

$169/mo on the same basis

States:

A Texas practice in The Woodlands

A women-facing telehealth brand selling compounded semaglutide and tirzepatide, with the only public figure a floor: starting at $269 a month. No page prices either molecule specifically, and the formats it advertises — injection, oral, orally disintegrating tablet and a microdose option — are never individually costed, so what you actually pay is unknown until you are through the quiz. ⚠ The banner reading Get $140 Off Today is a discount amount rather than a price, and at least one industry directory has misread it as a $140 introductory rate. It publishes no list of the states it serves and no ongoing rate, so the $269 should be treated as the lowest number the brand is willing to advertise rather than as what a month costs.

Semaglutide:

From $269/mo (floor)

Tirzepatide:

From $269/mo (floor)

States:

Not published

BeyondMD publishes its prices before intake and names eleven clinicians with real bios, both of which are uncommon — but 'Starting at $125' is the floor of a $139-to-$449 band that appears on exactly one page, plus a $34 consultation fee and unpriced shipping, and the number you would actually pay is quoted on a phone call because every GLP-1 button leads to a lead form rather than a cart. Its Terms of Service contain no refund policy, no cancellation policy and no auto-renewal terms at all — the word 'refund' does not appear once in 44 KB.

Semaglutide:

From $125/mo

Tirzepatide:

From $199/mo

States:

Most U.S. states (no list published)

An MD-led, budget-friendly compounded shop that names its pharmacy partners — around $165/mo semaglutide or $200/mo tirzepatide standard — though pricing is packaged in 12-week blocks and there's no postpartum or PCOS-specific content.

Semaglutide:

$165/mo (12-week package)

Tirzepatide:

$200/mo (12-week package)

States:

All 50 states + DC

Clear, all-inclusive compounded pricing for both molecules plus a real FDA-approved Wegovy path — but that brand-name option is sold as a membership with the drug's own cost not clearly itemized, and state coverage is only documented for a handful of states.

Semaglutide:

$299/mo

Tirzepatide:

$399/mo

States:

CA, MA, VT confirmed (RI pending); other states not disclosed

A flat ~$100/mo ('$25/week') program covering either semaglutide or tirzepatide, with dietitian support and clinician check-ins bundled in, and a named 503B pharmacy partner — genuinely more pharmacy transparency than most peers. It doesn't publish which states it serves.

Semaglutide:

$100/mo flat

Tirzepatide:

$100/mo flat

States:

Not disclosed

A comprehensive-care-focused shop — $130-160/mo semaglutide, $163-199/mo tirzepatide — that bundles unlimited provider messaging and a broader longevity menu (NAD+, Sermorelin, B12) alongside the core GLP-1 pricing.

Semaglutide:

$160/mo on the 1-month plan ($130/mo on the 3-month plan)

Tirzepatide:

$199/mo on the 1-month plan ($163/mo on the 3-month plan)

States:

All 50 states

"As low as $140/mo" carries an asterisk, and to this seller's credit the asterisk says what it means: with purchase of an annual plan. Month to month is $214.95 for semaglutide and $259.95 for tirzepatide — 53% higher, the same ratio for both. It also does something no other seller here does: it holds your card rather than charging it, and only takes payment if a doctor writes the prescription.

Semaglutide:

$214.95/mo month to month

Tirzepatide:

$259.95/mo month to month

States:

Not published

Compounded semaglutide at $299 and tirzepatide at $399, quoted as a monthly program but sold as a FOUR-WEEK supply — a distinction that costs you an extra cycle roughly every year and is easy to miss because the site itself writes it as per month. The price is reachable without finishing the quiz, but only inside a collapsed FAQ rather than on any pricing page. Prime Health is a platform rather than a practice: it states plainly that it does not provide medical services, with clinicians supplied through the OpenLoop professional corporations, and its own copy still refers in places to the Remedy Meds platform it is built on. It covers every state except Louisiana and backs the program with a stated money-back guarantee tied to losing at least 10% of body weight in four months.

Semaglutide:

$299 per 4-week supply

Tirzepatide:

$399 per 4-week supply

States:

All US states except Louisiana

A genuinely transparent tiered-pricing shop — as low as $149/mo semaglutide or $199/mo tirzepatide on the annual plan — with press mentions and bilingual support, though no postpartum or PCOS-specific content.

Semaglutide:

$149-219/mo depending on plan length

Tirzepatide:

$199-319/mo depending on plan length

States:

All 50 states + DC

A nurse-practitioner-led clinic with a named, board-certified founder (Sandra Jordan, MSN, APRN, FNP-C), brand-only Zepbound or Wegovy, and a flexible $75/mo membership or $99 pay-as-you-go visit — limited to seven states, mostly in the South and Southwest. Both medications are named explicitly as coming 'from Eli Lilly or Novo Nordisk' rather than a compounding pharmacy, and the site accepts HSA/FSA funds with self-pay options stated plainly on its homepage.

Semaglutide:

$75/mo membership

Tirzepatide:

$75/mo membership

States:

TX, FL, NY, AZ, NV, NM, KS

A clean, all-inclusive flat-price shop — $179/mo semaglutide, $249/mo tirzepatide, unlimited follow-ups included — with no brand-name fallback and no postpartum or PCOS-specific content.

Semaglutide:

$179/mo all-inclusive

Tirzepatide:

$249/mo all-inclusive

States:

Nationwide

A no-membership-fee, quarterly-billed program — $167/mo semaglutide, $267/mo tirzepatide — bundling a GLP-1 fitness app, meal plans, and 1-on-1 nutrition coaching that most compounded-only competitors don't offer, though no content addresses postpartum or PCOS.

Semaglutide:

From $167/mo

Tirzepatide:

From $267/mo

States:

All 50 states

This is a real surgical practice rather than a telehealth brand — a Hollywood, Florida bariatric center with a named surgeon, doing gastric sleeves and bypasses alongside the injections. Semaglutide runs $69 a week or $179 a month; tirzepatide starts at $279. Two things need care. Its package labels overstate their own length — "2.5-Month (10 Weeks)" is 2.3 months and "5-Month (20 Weeks)" is 4.6 — and the practice markets retatrutide, a drug that is not approved anywhere for anything.

Semaglutide:

$179/mo for the monthly program

Tirzepatide:

From $279/mo

States:

A Florida surgical practice offering telehealth; no state list published

A multi-category telehealth shop with some of the lowest disclosed GLP-1 starting prices in this batch — from $99/mo semaglutide, $140/mo tirzepatide — though the site's own disclosure that pricing 'may vary' means the real ongoing cost isn't fully locked in, and there's no postpartum or PCOS-specific content.

Semaglutide:

From $99/mo

Tirzepatide:

From $140/mo

States:

All 50 states

Every price on the front page of this Spanish-language practice ends in the same three words: con plan anual. The $179 a month it advertises for injectable semaglutide is $2,148 paid up front; month to month the same treatment is $269. What makes it worth reading anyway is that the pricing page publishes both, and that every savings figure on it survives recomputation — on this roster, a discount badge whose arithmetic is honest is the exception rather than the rule.

Semaglutide:

$269/mo month to month

Tirzepatide:

$359/mo month to month

States:

Not published; providers described as licensed in the patient's state

A flat $174/mo semaglutide and $264/mo tirzepatide with a named physician (Beluga Health's Dr. Jonah Mink) and a named compounding pharmacy (F&F Pharmacies) behind it — undercut by a real arithmetic mismatch on its own page, where a claimed 44-state coverage area doesn't reconcile with its own 10-state exclusion list.

Semaglutide:

$174/mo

Tirzepatide:

$264/mo

States:

Claims 44 states; excludes CA, NV, NJ, NC, TX, MA, MS, NH, WV, DE — though 50 minus those 10 is 40, not 44, a real arithmetic mismatch on its own page

A $49/mo membership plus medication billed separately — compounded semaglutide or tirzepatide both land around $348/mo all-in, brand-name Ozempic ($1,199/mo) and Wegovy ($1,599/mo) are available at their real cash price if you'd rather skip compounding, and dedicated PAs handle Kansas, New Jersey and Texas while LMND Medical Group covers everyone else — but nothing on-site addresses pregnancy, breastfeeding, or PCOS.

Semaglutide:

$348/mo all-in

Tirzepatide:

$348/mo all-in

States:

All 50 states

A same-day-provider-access platform offering compounded tirzepatide from $189/mo alongside brand-name Ozempic/Zepbound/Mounjaro access — but no compounded semaglutide option, so semaglutide-specific readers pay brand-name prices starting at $345/mo.

Semaglutide:

Ozempic® from $345/mo

Tirzepatide:

Compounded from $189/mo

States:

48 states (not AL or MS)

Compounded semaglutide at $149 a month and tirzepatide at $279, flat across every dose the site lists, from a women's clinic that treats weight as one lane among hormones, perimenopause, gut and skin rather than the whole product. There is a genuine 2.5mg microdose tirzepatide line at $249, which is worth reading twice: it costs only $30 less than the full-dose plan. The prices are on open pages with no quiz in the way, and the BMI floor of 27 is stated up front. Two things to know before you commit. Its own semaglutide page describes the same plan as both month-to-month and four-week, so ask which one your card is on. And the cancellation page linked twice in the top navigation is completely blank.

Semaglutide:

$149/mo

Tirzepatide:

$279/mo ($249/mo microdose)

States:

49 states — not Mississippi

The homepage advertises semaglutide "starting at $179". The Terms and Conditions publish the actual schedule, and it says the follow-up months cost $299 — and that $179 is the price this program used to charge, superseded by a first month of $199. A rise written in the grammar of a discount. The tirzepatide figure is worse: the $279 on the homepage does not appear in the schedule at all, in any position.

Semaglutide:

$299/mo

Tirzepatide:

$399/mo

States:

All 50 states

⛔ FDA warning letter #728291 (Jun. 2026), which names orderlymeds.com. One of the few sites in this round to publish real cash prices for both compounded ($149/mo semaglutide, $299/mo tirzepatide) and FDA-approved brand-name options (Wegovy® $1,839/mo, Zepbound® $1,498/mo) — a named Chief Medical Officer, licensed in all 50 states, though no content addresses postpartum or PCOS.

Semaglutide:

$149/mo standard

Tirzepatide:

$299/mo standard

States:

All 50 states

This clinic sells milligrams, not months, and it is honest enough to show you the sum. Sixty milligrams of tirzepatide costs $399.99 and lasts twelve weeks — at 2.5, then 5, then 7.5 mg a week, which is exactly sixty. Stay on the ladder and that is about $145 a month. Reach a maintenance dose of 10 mg and the same vial is gone in six weeks; at the 15 mg ceiling, four. The mechanism is published. The headline is the number that only holds at the bottom.

Semaglutide:

$87/mo at the starting dose; about $250 at maintenance

Tirzepatide:

$145/mo at the starting dose; about $435 at the ceiling

States:

A Utah practice, in clinic and by telehealth

A month-to-month, no-subscription compounded shop — from $139.99/mo semaglutide, $179.99/mo tirzepatide — that requires a separate $50 Zoom video consultation before treatment begins, and offers no postpartum or PCOS-specific guidance of any kind on its public pages.

Semaglutide:

From $139.99/mo

Tirzepatide:

From $179.99/mo

States:

Nationwide

A broader wellness platform with GLP-1s starting from $179/mo semaglutide and $255/mo tirzepatide, alongside a longevity catalog — though the 'From' pricing means the real ongoing cost isn't fully confirmed, and there's no postpartum or PCOS-specific content anywhere on the site's public pages, which is worth knowing before you start.

Semaglutide:

From $179/mo

Tirzepatide:

From $255/mo

States:

Nationwide

Compounded semaglutide at $199 a month and tirzepatide at $249, with daily oral dissolving tablets at $149 and $199 for anyone who would rather not inject. The price is genuinely flat across every dose and the billing cycle is a true calendar month, which is less common on this roster than it sounds. The catch is the headline: the $99 and $149 figures the site leads with are a first-order discount only, and the second month is the full rate. Subscription is mandatory despite the site advertising a one-time purchase option, and the injectable products are not browsable — they are reachable only through the quiz or a direct link.

Semaglutide:

$149/mo oral ($199/mo injection)

Tirzepatide:

$199/mo oral ($249/mo injection)

States:

45 states — not Alaska, Arkansas, Mississippi, North Carolina or New Jersey

Shapely is the first provider in this batch that takes insurance — it says it is in network with Medicare and major PPO plans, and quotes brand-name co-pays of "typically $25 per month". That genuinely changes the arithmetic for anyone with coverage. What has to be read carefully is what the membership buys: $99 a month, $49 for the first, and it explicitly does not include medications or labs. So the compounded prices, $99 for semaglutide and $166 for tirzepatide, sit on top of the membership rather than replacing it.

Semaglutide:

$99/mo cash-pay, on top of the membership

Tirzepatide:

$166/mo cash-pay, on top of the membership

States:

Not published on the site

A straightforward compounded-only shop with real prices for every tier posted on the public site — no intake gate — but the 'Starter Pack' name is a trap if you assume it behaves like the regular 3-month plan.

Semaglutide:

$159/mo (1-month), $119/mo effective on the 3-month plan

Tirzepatide:

$249/mo (1-month), $200/mo effective on the 3-month plan

States:

All 50 states + Puerto Rico

A science-forward compounded shop with a broad peptide catalog and flat dosing — $170/mo semaglutide, $210/mo tirzepatide ongoing — but the homepage 'as low as' price is a promotional rate, and there's no postpartum or PCOS-specific content.

Semaglutide:

$170/mo ongoing (injectable)

Tirzepatide:

$210/mo ongoing (injectable)

States:

All 50 states + DC

One flat $195/mo price for compounded GLP-1 therapy, injection or sublingual, regardless of which molecule — plus a brand-name lane (Ozempic, Wegovy, Mounjaro) for mothers who want an on-label pen instead. Its full pricing only renders inside the signup flow, and the state list isn't published.

Semaglutide:

$195/mo flat

Tirzepatide:

$195/mo flat

States:

Multiple states (not fully enumerated — confirm yours before signing up)

A sublingual (under-the-tongue), not injectable, GLP-1 program — $189/mo semaglutide and $319/mo tirzepatide on a 6-month prepay plan, $209/mo and $359/mo on a shorter 2-month plan — serving 34 states plus DC, with no content addressing postpartum or PCOS.

Semaglutide:

$189/mo on a 6-month plan

Tirzepatide:

$319/mo on a 6-month plan

States:

34 states + DC (AK, AL, AZ, CO, CT, FL, GA, HI, IA, ID, LA, MD, MI, MN, MO, MT, ND, NE, NH, NJ, NM, NV, OH, OR, PA, RI, SD, TN, TX, UT, WA, WI, WV, WY + DC)

A recently-rebranded provider (formerly Piper, now Join Polly) with a flat, dose-independent price for both molecules — $135/mo semaglutide, $199/mo tirzepatide — and one of the few among the providers we track to publicly name its compounding pharmacies (Hallandale Pharmacy, VialsRx).

Semaglutide:

$135/mo

Tirzepatide:

$199/mo

States:

All 50 states

One of the lowest disclosed GLP-1 starting prices in this round — from $99/mo semaglutide, $133/mo tirzepatide — with an explicit no-membership, no-hidden-fee claim, and no postpartum or PCOS-specific content.

Semaglutide:

Starting at $99/mo

Tirzepatide:

Starting at $133/mo

States:

All 50 states

One price for either molecule — $149.97 a month, $134.99 on six months, $112.50 on twelve — and the arithmetic is exact. Then the same page tells you its plans start at $249.97, which is a hundred dollars above the most expensive thing it sells. That figure turns out to be the interesting part: the identical orphan number appears on Next Vial, where it contradicts that site's prices too.

Semaglutide:

$149.97/mo

Tirzepatide:

$149.97/mo

States:

Not published

A named-Medical-Director program licensed in all 50 states, from $99/mo semaglutide and $183/mo tirzepatide, with no membership required — but it carries a 2025 FDA warning letter over how it described its compounded medication, both prices are 'From' starting prices, and no content addresses postpartum or PCOS.

Semaglutide:

From $99/mo

Tirzepatide:

From $183/mo

States:

All 50 states

Compounded semaglutide at $149 and tirzepatide at $183, both advertised as sale prices against $299 and $399, with no membership fee and pharmacies described only as USA-based. ⚠ NativeMed carries an FDA warning letter of its own — issued to NativeMed LLC dba NativeMed on 8 June 2026, MARCS-CMS 728287, for false and misleading claims and misbranding in telehealth. We list it and disclose the letter rather than dropping it, because a letter tells you something a reader should weigh and only a shutdown ends a listing. The storefront also sells NAD+ injections and generic sildenafil, tadalafil and trazodone alongside the GLP-1s, so it is a general telehealth catalog rather than a weight-loss practice.

Semaglutide:

$149/mo (sale, regular $299)

Tirzepatide:

$183/mo (sale, regular $399)

States:

Not published

A flat $249/mo semaglutide and $339/mo tirzepatide program with a genuine oral tablet option at $279/mo, all-inclusive of consult, oversight, and shipping by its own account — and a previously-flagged price inconsistency that resolves cleanly on today's own pricing page.

Semaglutide:

$249/mo

Tirzepatide:

$339/mo

States:

All 50 states (as advertised)

Rehydra+ Wellness is the one provider added here that charges more as your dose goes up, and it is unusually open about it: its storefront publishes a complete dose-by-duration matrix, so you can see before signing up that compounded semaglutide runs $149 for four weeks at the 0.25 mg starting dose and $289 at 2.5 mg, while tirzepatide runs $219 at 2.5 mg and $649 at 15 mg. That transparency is genuinely useful, and it also means the entry price is the least representative number on the page — if you titrate to an effective dose, your cost roughly doubles. Six-month tier plans bring the per-month figure down to $119 and $169, but they are six-month commitments rather than rolling plans. It is a small San Antonio operation founded in 2023, offering a free 15-minute telehealth call and free shipping. The two real gaps: it names no pharmacy and no individual clinician, and its own pages disagree on coverage — the weight-loss landing page says 19 states and lists 19, while the homepage says 20.

Semaglutide:

$149/mo

Tirzepatide:

$219/mo

States:

19 states (its own pages disagree — one says 20)

A microdose-or-full-strength compounded shop — starting at $149/mo semaglutide, $249/mo tirzepatide — with a 4.9-star Google rating and a stated 15,000+ clients served, though the compounding pharmacy itself isn't named and there's no postpartum or PCOS-specific content.

Semaglutide:

From $149/mo

Tirzepatide:

From $249/mo

States:

All 50 states

A rare compounded-plus-brand shop with five real price points disclosed up front — $179/mo compounded semaglutide up to $1,086/mo brand Zepbound — though the oral tablet's exact molecule split isn't fully clear, and there's no postpartum or PCOS-specific content.

Semaglutide:

$179/mo compounded

Tirzepatide:

$239/mo compounded

States:

Nationwide

An outlier-low, locked-rate flat price — $83/mo for tirzepatide, $250/mo for semaglutide — stated with no promotional hedge, though notably below every comparable compounded-tirzepatide price elsewhere among the providers we track and worth confirming carefully before signing up.

Semaglutide:

$250/mo

Tirzepatide:

$83/mo

States:

Not disclosed — no published state list

Dose-scaling compounded pricing starting at $189/mo semaglutide or $199/mo tirzepatide and rising with each dose tier, verified directly from the site's own production data — including an exact 48-state list (all but Alabama and Mississippi) and a confirmed cancel-or-pause-anytime policy with no hidden fee.

Semaglutide:

$189/mo starting

Tirzepatide:

$199/mo starting

States:

48 states (all except AL and MS)

Compounded semaglutide at $249 a month and tirzepatide at $349, both flat at every dose and both genuinely month-to-month. Every cheaper number on the site is a prepaid block rather than a rate: the advertised 'as low as $159' is $477 charged once for three months, shipped together, and restricted to first-time patients in selected states. Zappy also arranges brand Wegovy and Zepbound as a $99 care plan with the medication billed separately, which is a different kind of purchase entirely. It received an FDA warning letter in February 2026 and has since removed the claims that were cited.

Semaglutide:

$249/mo month-to-month

Tirzepatide:

$349/mo month-to-month

States:

49 states — not available in Hawaii

A major, highly recognizable brand — Amazon's own One Medical plus Amazon Pharmacy channel — offering FDA-approved Wegovy from $149/mo with a manufacturer coupon, plus the new oral Foundayo pill, though the $149 price depends on coupon eligibility and there's no postpartum or PCOS-specific content.

Semaglutide:

$149/mo with manufacturer coupon (Wegovy)

Tirzepatide:

Zepbound offered per the site's own FAQ — exact starting price not itemized on the page checked

States:

All 50 states

Three clearly labeled commitment tiers per molecule — Monthly at $297/mo semaglutide and $390/mo tirzepatide, with cheaper Quarterly and Annual prepay options — undercut by homepage marketing that headlines the deepest-commitment $150/mo annual rate, a named clinician's title that doesn't match her own bio, and a 450,000-patient reach claim that's self-reported rather than verified.

Semaglutide:

$297/mo

Tirzepatide:

$390/mo

States:

50 states (self-reported; no exclusion list published)

A 3-month starter-bundle model — $99/mo semaglutide, $133/mo tirzepatide, medication plus shipping, consult and an injection kit included — serving all 50 states with no membership fees, though no content addresses postpartum or PCOS.

Semaglutide:

Starting at $99/mo

Tirzepatide:

Starting at $133/mo

States:

All 50 states

A concierge functional-medicine platform that bundles a 91-biomarker lab panel into GLP-1 care — $189/mo semaglutide, $339/mo tirzepatide (both $149 the first month) — with real hormone-optimization options, but nothing built specifically for PCOS or postpartum metabolic changes.

Semaglutide:

$189/mo

Tirzepatide:

$339/mo

States:

45 states for tirzepatide (not AK, AR, IN, MN, SC); semaglutide state list not separately disclosed

A coaching-tiered membership ($89-$169/mo depending on support level) built around brand Ozempic, Mounjaro or Zepbound, LegitScript certified — but the medication price isn't disclosed until after a consult, no state list is published, and we could not independently confirm a named medical director. The base membership fee is stated to include medical visits, daily monitoring and coaching access, with the higher tiers buying more direct 1-on-1 coach support rather than a different medication or dose.

Semaglutide:

$89/mo membership (medication confirmed after consult)

Tirzepatide:

$89/mo membership (medication confirmed after consult)

States:

Does not disclose a state list

⛔ FDA warning letter #721472 (Feb. 2026), which names newself.com. A flat, dose-independent price for both molecules — $99.97/mo semaglutide, $144.49/mo tirzepatide, same price at every dose — nationwide, though it requires 3 months upfront. The site also publishes its own named competitor-comparison pricing chart, claiming access to '1000+ physicians' across all 50 states and a signup-to-treatment window of as little as 4 days.

Semaglutide:

$99.97/mo

Tirzepatide:

$144.49/mo

States:

All 50 states

Publishes its entire price ladder and names both its compounding pharmacy and its prescribing practice — and, as of August 21, 2026, every signup button on the site leads to a 404, so none of that is reachable.

Semaglutide:

$175/mo

Tirzepatide:

$225/mo

States:

All 50 states (video visit required in some)

The manufacturer's own channel for brand Wegovy — $149/mo self-pay or as low as $25/mo with commercial insurance — but it requires your own existing prescription and offers no tirzepatide, since that's a different company's drug.

Semaglutide:

$149/mo self-pay (Wegovy)

Tirzepatide:

Not offered — Novo Nordisk does not manufacture tirzepatide

States:

All 50 states

Names four specific 503A compounding pharmacy partners directly — from $150/mo semaglutide, $241/mo tirzepatide on a 6-month plan, available as injection, drops, or pills — though state coverage isn't published and no content addresses postpartum or PCOS.

Semaglutide:

From $150/mo

Tirzepatide:

From $241/mo

States:

Not disclosed — no published state list

This one tells you plainly that the advertised number is a floor. Semaglutide starts at $199 a month and tirzepatide at $399, and then the FAQ says the cost "will vary depending on the specific plan and the level of support you need, so we encourage you to contact us to discuss." That is more honest than most of this roster manages, and it also means neither figure can be compared with anything. A third product on the same row, phentermine at $149, is not a GLP-1 at all.

Semaglutide:

From $199/mo, with an unpublished ceiling

Tirzepatide:

From $399/mo, with an unpublished ceiling

States:

Not published; a clinic network with virtual care

A granular GLP-1 menu — microdose from $129/mo, semaglutide from $149/mo, tirzepatide from $249/mo, plus an exclusive combined 'GLP-Squared' injection at the same $249/mo — all stated as all-inclusive, with no postpartum or PCOS-specific content.

Semaglutide:

Starts at $149/mo, all-inclusive

Tirzepatide:

Starts at $249/mo, all-inclusive

States:

All 50 states

Compounded semaglutide at $169 and tirzepatide at $249, with genuine microdose lines beneath both at $149 and $199, all on an open pricing page you reach without an intake quiz. It names its clinical group and its pharmacy outright, which most of this roster will not do. Two cautions before you compare it with anything else here. Its pricing page puts a per-month suffix on its three-month and six-month columns, where the number is actually the whole period's total — its own product pages divide those same figures by six. And nowhere does it say how long a billing period is, so the prices above are per period, not per calendar month.

Semaglutide:

$169 per billing period — length not disclosed

Tirzepatide:

$249 per billing period — length not disclosed

States:

Does not disclose a service area

A tirzepatide-only (no semaglutide) provider with an all-inclusive, 4-week-cycle dose ladder starting at $224 and now offering a needle-free oral dissolvable tablet option — cash-pay, with no state list or named pharmacy published.

Semaglutide:

Not offered

Tirzepatide:

$224/4wks starting

States:

Not disclosed — no published state list

A named, NPI-verifiable physician (Dr. Michael Mimlitz, MD) backs a standard $199/mo semaglutide and $299/mo tirzepatide rate — the ad copy leads with a $50-off first-month promo, but the page itself discloses the real ongoing number. It also runs a separate brand-name-access pathway, though that one publishes no price.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Nationwide, per its own site

⛔ FDA warning letter #721449 (Feb. 2026), which names goodgirlrx.com. Six formats across two molecules — injectable, microdose, and oral dissolving tablets — all-inclusive of medication, supplies, and shipping, starting at $134/mo; nothing on-site addresses pregnancy, breastfeeding, or PCOS.

Semaglutide:

$179/mo on the 1-month plan ($134/mo on the 12-month annual plan)

Tirzepatide:

$235/mo (annual plan)

States:

Not disclosed

The telehealth weight-management arm of WellNow Urgent Care, an established regional chain, at a flat $279/mo covering medication, supplies and unlimited virtual visits with no hidden fees — compounded semaglutide only, in just five states, and honest on-page about the drug's non-FDA-approved status. Eligibility is stated plainly as 18 and older with a BMI of 30 or above, or 27 or above alongside a weight-related condition such as hypertension or high cholesterol, and the program does not bill insurance at all — every member pays the same flat cash price.

Semaglutide:

$279/mo (all-inclusive)

Tirzepatide:

Not offered — compounded semaglutide only

States:

IL, IN, MI, NY, PA

Both molecules priced identically under the same tiered structure — $249/mo standard, dropping to $199/mo on a 3-month plan or $165/mo on a 6-month plan — nationwide, with a $179 first-month promotional rate.

Semaglutide:

$249/mo standard

Tirzepatide:

$249/mo standard

States:

All 50 states

One of the cheapest flat rates on this list — $99/mo for either molecule, inclusive of consult and shipping by its own FAQ — but clinical review runs through a third-party 'Lion MD' network it shares with at least one other seller, and it doesn't publish a state list.

Semaglutide:

$99/mo

Tirzepatide:

$99/mo

States:

Does not disclose a specific state list

Compounded semaglutide at $99 and tirzepatide at $149, and unusually for this roster the renewal price is identical to the advertised one, so the promise that the rate will not rise is actually borne out in the checkout data. The number to read carefully is the cycle: a plan month is four weeks, and the '12-month plan' at $999 buys 48 weeks rather than a year. The larger caveat is corporate. Trinity Meds is operated by the same company as Lean Meds, altRx and NextMeds, so listing them would present one business as four independent choices, and that operator holds an open FDA warning letter.

Semaglutide:

$99 per 4 weeks

Tirzepatide:

$149 per 4 weeks

States:

All 50 states

"$149 per 4 weeks, billed every 4 weeks; auto-renews until you cancel." That sentence does something almost nothing else on this page manages: it names the billing period in the same breath as the price, so you can see that a year is thirteen charges rather than twelve. Then you go looking for the terms of use, and find that the link returns the homepage with a different title on it. There is no terms of use.

Semaglutide:

$149 per 4 weeks

Tirzepatide:

$199 per 4 weeks

States:

Not published

A broader Alan Health platform offering both compounded and FDA-approved brand-name GLP-1s — compounded semaglutide standing at $315/mo (currently discounted to $158/mo under an active BOGO promotion) and tirzepatide at $325/mo on a 6-month plan — with a menopause-care menu but nothing specific to postpartum or PCOS.

Semaglutide:

$315/mo standard

Tirzepatide:

$325/mo on a 6-month plan

States:

Not disclosed — no published state list

⛔ FDA warning letter #721479 (Feb. 2026), which names joinbliv.com. An explicitly no-video-visit, fully async intake — as low as $116/mo semaglutide, $199/mo tirzepatide — with CareCredit and Klarna pay-later options, though no content addresses postpartum or PCOS. It also runs a member community on Skool, with dietitian-led nutrition guidance folded into that access rather than billed separately.

Semaglutide:

As low as $116/mo

Tirzepatide:

As low as $199/mo

States:

Not disclosed — no published state list

A dose-by-dose price ladder Coby publishes outright — $159/mo semaglutide climbing to $249/mo at full dose, $239/mo tirzepatide climbing to $439/mo — with no membership fee and free shipping, but four states (Arkansas, Louisiana, Mississippi, New Mexico) it names as excluded and no maternal-health framing anywhere on the site.

Semaglutide:

From $159/mo

Tirzepatide:

From $239/mo

States:

Most states and major metros; excludes Arkansas, Louisiana, Mississippi and New Mexico per its own site

The pelvic-floor brand that a lot of women already own a set of Kegel weights from, now selling compounded semaglutide at $299 a month and tirzepatide at $399, injection or oral at the same price either way. Billing is a genuine calendar month, which is rarer here than it sounds, and prepaying drops the rate to $183 a month on a year of semaglutide. Two things the landing page will not tell you. It advertises treatment 'as low as $169/MONTH' and that figure is not reachable anywhere in the catalog — the cheapest actual monthly rate is $299. And it carries an FDA warning letter from September 2025 about this drug line specifically, which it does not mention anywhere on its own site.

Semaglutide:

$299/mo

Tirzepatide:

$399/mo

States:

49 states plus DC for semaglutide (not Louisiana); tirzepatide also excludes Alabama

LegitScript-certified and available in all 50 states at $149/mo ongoing (after a $124 first month) for compounded semaglutide, with a 3-months-paid-in-full option that brings the equivalent rate to $132/mo — but it's a broad IV-therapy-and-hormone platform first, its own homepage banner prices the same program differently than its product page, and tirzepatide isn't offered as a compounded option. Its wider catalog runs well beyond GLP-1s: women's hormone therapy (estrogen and progesterone), hair regrowth, a Texas-only mobile IV therapy service, and a large general wellness-supplement line all sit on the same site, which is worth knowing if you're looking for a single-purpose GLP-1 program rather than a broad wellness platform whose GLP-1 offering is one line among many.

Semaglutide:

$149/mo

Tirzepatide:

Not offered as compounded — branded Zepbound/Wegovy available on request, price not shown

States:

All 50 states

Livea is one of the few names here with a history that predates the GLP-1 boom — it operates as Livea Medical, PLLC under Minnesota Weight Control, Inc., a weight-management business rather than a telehealth startup. Compounded semaglutide starts at $99 a month and tirzepatide at $199 "when available", a qualification most sellers leave out. It also does something unusual in its own FAQ: it puts its price next to the brand-name alternative, "compared to $1,000+ per month for brand-name Ozempic or Wegovy".

Semaglutide:

From $99/mo

Tirzepatide:

From $199/mo, when available

States:

Not published; a Minnesota company offering virtual care

Mondae is the rare provider on this page that will tell you who compounds your medication, and then let you choose. Its configurator names six pharmacies — Boudreaux, Rush, Hallandale, Greenwich, Align and VialsRx — and you pick one before checkout, which is a level of supply-chain disclosure most of this category treats as a trade secret. The pricing is straightforward in the way that matters: $115 a month for compounded semaglutide and $145 for compounded tirzepatide, no membership fee on top, and fixed as you titrate, so the number you start at is the number you keep. That last point is worth more than the sticker, because dose-priced plans routinely double between a starting dose and a maintenance dose. Both figures were checked properly rather than copied: the treatment pages are a live configurator that ships a '$NNN' placeholder where the price belongs until the page's scripts run, then cross-checked against the homepage card and the structured data the page publishes — three sources, one number. The gaps are the ordinary ones. Clinicians come through a contracted network, Bask Telehealth LLC, and none is named individually; there are no labs in the plan; nothing on the site speaks to postpartum, breastfeeding or PCOS; and Mondae warns that formulations differ between its six pharmacies and 'may contain additional additives,' which is a fair question to put to whichever one you pick.

Semaglutide:

$115/mo (flat at every dose)

Tirzepatide:

$145/mo (flat at every dose)

States:

All 50 states

Compounded semaglutide starting at $119/mo — one of the lower headline prices in this batch — from a multi-category telehealth brand that also runs a dedicated Women's Health line, though tirzepatide is no longer part of its catalog and no state list is published. It claims FDA-regulated pharmacy fulfillment, no membership requirement, and 100,000+ patients served, none of which we could independently verify beyond the site's own copy, and shipping is described as free and discreet at every order. Support is reachable by phone or email seven days a week, per its own posted hours (weekdays 7am-10pm EST, weekends 8am-5pm EST).

Semaglutide:

$119/mo

Tirzepatide:

Not offered — dropped from the catalog

States:

Not published on the site we reviewed

An established longevity-telehealth brand with a microdose-first GLP-1 menu — starting at $99/mo microdosing semaglutide, $159/mo microdosing tirzepatide — plus brand-name Wegovy/Zepbound access-and-monitoring for a separate $50–$65 fee (drug cost billed apart).

Semaglutide:

Starting at $99/mo (microdosing)

Tirzepatide:

Starting at $159/mo (microdosing)

States:

Not disclosed — no published state list

Shopify storefront pricing you can see and adjust before you buy — $295/mo flat for semaglutide, $295-$595/mo for tirzepatide — but nothing addresses pregnancy, breastfeeding, or PCOS.

Semaglutide:

$295/mo flat (any dose)

Tirzepatide:

$295/mo starting (scales with dose)

States:

Not disclosed

A flat-price compounded shop — $179/mo semaglutide, $259/mo tirzepatide, same price at any dose — though the site doesn't itemize what's actually bundled into that number, and offers no postpartum or PCOS-specific content.

Semaglutide:

$179/mo, same price any dose

Tirzepatide:

$259/mo, same price any dose

States:

Nationwide

One of the few programs on this list selling both compounded semaglutide/tirzepatide (from $192.50/$210 a month) and the FDA-approved brand pens (Wegovy, Zepbound) itself — plus real transparency about who runs it — but it doesn't publish a state list, so you won't know if it reaches you until you start the intake.

Semaglutide:

$192.50/mo

Tirzepatide:

$210/mo

States:

Not publicly disclosed; confirmed during intake

PepHaus writes a sentence most of this roster cannot: "Every price is on the site." Semaglutide from $152 a month, tirzepatide from $215, and the site is explicit that one flat monthly price covers the provider visit, the medication, needles, alcohol swabs and messaging with the care team. It also does something almost nobody does — a Certificate of Analysis on every vial. One thing to watch: the "From $143/mo" in the hero is sermorelin and glutathione, not a GLP-1.

Semaglutide:

From $152/mo, all-inclusive

Tirzepatide:

From $215/mo, all-inclusive

States:

Not published on the site

Compounded semaglutide at $190 a month and tirzepatide at $275, the same price at every dose, medication and clinician access included — and then something no one else here does: the price drops the longer you stay consistent. Its own pricing page publishes the whole ladder, 10% off at a ten-day streak, 20% at twenty, 30% at thirty, which takes semaglutide down to $133 and tirzepatide to $192. Two things to weigh. The $190 and $275 are what you actually start on, so treat the low numbers as a discount you have to earn and keep. And nowhere on that page does it say what counts as a streak or what breaks one, which is the first thing worth asking.

Semaglutide:

$190/mo standard, before streak discounts

Tirzepatide:

$275/mo standard, before streak discounts

States:

50 states (claimed)

The whole price ladder is on the page before you enter anything, which almost nothing else here does: compounded semaglutide at $199 a month, $549 for three months, $999 for six and $1,788 for twelve, and tirzepatide at $299, $797, $1,494 and $2,748. Read the long plans as what they are. Each is a single upfront charge rather than a smaller monthly bill, so the advertised $149 semaglutide means paying a full year before the first box ships. Disclosure is better than average in the places that matter: Andrew Meds LLC is named with a Houston address, and the practice that actually writes the prescription is named separately as Dr Tel X, with its own address in Kennewick, Washington. Coverage is all fifty states and the District of Columbia, listed out rather than claimed as a number. It also sells an oral tirzepatide. The gaps are the compounding pharmacy, which is never named, and the refund policy, which returns nothing on a period you have partly used.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

All 50 states and DC, enumerated

iThriveMD is a real clinic with two San Diego addresses and a named medical director, and its discount math is honest in a way most of this roster's is not — $399 a month list, less 25%, 35% or 50% depending on how long you prepay, and every figure it prints is exactly that arithmetic. The catch is the same one those discounts create: packages are "paid in full at the time of purchase and automatically renew at the interval associated with the selected package". A 48-week plan renews as another 48-week plan.

Semaglutide:

Not priced separately from the tirzepatide program

Tirzepatide:

$399/mo list, before a package discount

States:

Not published; two physical clinics in San Diego

Its pricing table is headed "Transparent Monthly Pricing" and, to anything that does not run JavaScript, it reads $0.00. The figures are count-up animations. Fetch the page the way a search engine does and the semaglutide program costs nothing and the tirzepatide program costs $195.82 — a number that is not what the page shows a human either, which sees $114.99 and $191.99.

Semaglutide:

$114.99/mo

Tirzepatide:

$191.99/mo

States:

Not published

A Texas-only practice, and it is unusually careful about one distinction most sellers blur: its Wegovy Pill tier is listed as "$99/mo + medication cost", saying outright that the fee is the service and the drug is extra. Compounded semaglutide is $149 a month as either a weekly vial or a needle-free daily tablet. Brand-name Wegovy and Zepbound are offered alongside, which is rare at this price point, though their medication costs are not published.

Semaglutide:

$149/mo for the compounded vial or tablets

Tirzepatide:

Brand-name Zepbound offered; price not published

States:

Texas only

One of the network's longer-established telehealth operators (since 2008) — as low as $99/mo semaglutide, $269/mo tirzepatide — though state coverage isn't itemized and no content addresses postpartum or PCOS. Its menu extends well beyond GLP-1s into ED treatment, testosterone, hormone optimization, and hair regrowth, all on the same account.

Semaglutide:

As low as $99/mo

Tirzepatide:

As low as $269/mo

States:

Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)

No membership fee — semaglutide starts at $117.96/mo, tirzepatide at $178.98/mo — but Trava's own pages currently disagree with each other on its clinical-partner name and its cheapest semaglutide price, and nothing addresses pregnancy or PCOS.

Semaglutide:

$117.96/mo starting

Tirzepatide:

$178.98/mo starting

States:

All 50 states

A one-product shop — compounded tirzepatide microdosing only, $89 the first month then $199/mo all-in, covering consults, the protocol itself, shipping, and monthly check-ins — and unusually candid on-site that the trial evidence for microdosing specifically is thin, with nothing offered for semaglutide, pregnancy, or postpartum timing. Optional add-ons (NAD+, L-carnitine, B12, inositol) are priced separately, and cancellation is stated plainly as anytime-before-your-next-cycle with no early-termination fee, though no individual physician, pharmacy, or state list is named anywhere on the site checked.

Semaglutide:

Not offered — tirzepatide microdosing only

Tirzepatide:

$199/mo

States:

Not disclosed — its own FAQ poses the states question and leaves it unanswered

Compounded semaglutide advertised from $149 and tirzepatide from $179, flat at every dose, with the consultation, the medication and shipping in one price. Two things decide whether that is actually cheap. The price buys four weeks of medication rather than a calendar month — its own terms say so in as many words — so a year runs about thirteen cycles, not twelve. And those figures require committing to a three-month plan, a condition that appears in the intake funnel and not on the homepage cards a reader sees first. It covers all 50 states and D.C., prescribing runs through named clinician entities, and the FDA screen came back clean.

Semaglutide:

From $149 per 4 weeks (floor, 3-month plan)

Tirzepatide:

From $179 per 4 weeks (floor, 3-month plan)

States:

All 50 states and Washington D.C.

A flat-priced provider naming several individual physicians (including a specifically-credited Medical Director) — $125/mo semaglutide, $145/mo tirzepatide as currently displayed — though the site's own strikethrough pricing presentation leaves it unresolved whether that's a standing rate or a promotional one, so confirm at signup.

Semaglutide:

$125/mo (promotional)

Tirzepatide:

$145/mo (promotional)

States:

Not disclosed — no published state list

Fetch this site the way a search engine or a screen reader might and you get one character of text. Every price here — $299 a month for semaglutide, $449 for tirzepatide, $1,289 for the brand-name Zepbound program — had to be read out of a rendered browser session. The $200 the homepage shouts about is a discount code, not a price. And the company you pay is, in its own words, a patient management platform that does not employ healthcare providers.

Semaglutide:

$299/mo

Tirzepatide:

$449/mo

States:

Not published

A flat-price program ($149 first month, then $199/mo, or $165/mo on a 3-month plan) that doesn't split pricing by molecule, with dose adjustments and clinician messaging included and a genuinely strong 100%-refund-if-not-approved, 90-day money-back guarantee — though it publishes no state list.

Semaglutide:

$199/mo (flat program price, not split by molecule)

Tirzepatide:

$199/mo (flat program price, not split by molecule)

States:

Does not disclose a specific state list

Two things here are genuinely unusual. Tirzepatide costs the same as semaglutide — both from $169 a month — where nearly every other seller charges a premium of fifty to a hundred dollars for the dual-agonist. And Lighter You names four compounding pharmacies in full, with street addresses and phone numbers: RedRock, Health Warehouse, Precision Compounding and Triad Rx. Most of this roster names none. Coverage is all fifty states plus Washington, D.C.

Semaglutide:

From $169/mo

Tirzepatide:

From $169/mo

States:

All 50 states plus Washington, D.C.

Not a telehealth clinic — a manufacturer-direct pharmacy for Foundayo (orforglipron), the oral GLP-1 pill, priced on a four-tier dose ladder from $149/mo (0.8mg) up through $199/mo (2.5mg) and $299/mo (5.5mg and 9mg) to $349/mo (14.5mg and 17.2mg) self-pay, or as low as $25/mo with commercial insurance and the Lilly Savings Card, but only once your own doctor has already written the prescription and sent it to LillyDirect Pharmacy or a pharmacy of your choosing.

Semaglutide:

Not offered — Foundayo (orforglipron) only

Tirzepatide:

Not offered — Foundayo (orforglipron) only

States:

All 50 states + DC

Compounded semaglutide at a standard $199 a month and tirzepatide at $299, medication included, with a genuine microdose line underneath at $79. The promotional rates it leads with are $119 and $219. Two things worth knowing before you compare it with anything else here. It serves 26 states rather than all 50, and it does not publish which. And the '$49/mo' on most of its medication cards is a membership fee with the medication paid separately — that lane covers Wegovy, Ozempic, Zepbound and Mounjaro, and the drug cost is never shown. It carries a February 2026 FDA warning letter, cited partly for putting its own name on the pictured vial, which it has since fixed. What it does better than most: a registered dietitian is included for every patient.

Semaglutide:

$199/mo standard, medication included

Tirzepatide:

$299/mo standard, medication included

States:

26 states — the list is not published

Neuve's homepage says "Plans from $127/mo". Its pricing page says "GLP-1 from $138/mo". Neither is the real number, because the page that carries them is titled "Transparent pricing, for members" and asks you to create an account to see it: "Every protocol, dose, and lab panel with its real price — unlocked the moment you create a free NEUVÉ account." The coverage claim disagrees with itself too, 40-plus states in one place and all fifty in two others. Labs start at $45, and membership fees are billed separately from the medication.

Semaglutide:

GLP-1 from $138/mo per the pricing page

Tirzepatide:

Not priced separately on the site

States:

Its own pages disagree — "40+ states" on one, all 50 on two others

Compounded semaglutide at $199/mo and tirzepatide at $299/mo once the first-month promo ends, from a named legal entity (NiceRx LLC, Boca Raton FL) with a live LegitScript verification badge and batch sterility/potency testing — one of the more transparently run compounded programs we've checked, though it says nothing about pregnancy, breastfeeding, or PCOS specifically.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

46 states — not available in Alaska, Mississippi, New Jersey, or Kansas

Two sentences on the same homepage, a few lines apart: "In Network with Medicare and Most Major Insurance Plans", and then "Please note, we are currently unable to accept Medicare or Medicaid." For a mother on Medicare that is the difference between a covered program and none at all. What sits underneath is a real Virginia practice with two named physicians, an athenahealth portal and commercial insurance billing — a shape almost nothing else on this page has.

Semaglutide:

From $199

Tirzepatide:

Offered as brand-name Zepbound and Mounjaro; no price published

States:

Virginia only

A flat $299/mo semaglutide or $399/mo tirzepatide that never changes as your dose is titrated, bundling 24/7 coaching and community access — priced above most of this batch, and with no published state list. It's LegitScript certified, fills through U.S.-based 503A pharmacies per its own copy, requires a BMI of 25 or higher to qualify, and doesn't accept insurance though HSA/FSA funds are usable.

Semaglutide:

$299/mo

Tirzepatide:

$399/mo

States:

Not published on the site we reviewed

⛔ FDA warning letter #716508 (Sept. 2025), which names gobioverse.com. A broader longevity-telehealth platform (also TRT, sexual health, hair loss, skin) pricing GLP-1s at a genuinely low, consistently-stated $129/mo semaglutide and $399/mo tirzepatide — undercut by a real defect on its own homepage, which publishes two different state-coverage lists in two different FAQ answers that don't agree with each other.

Semaglutide:

$129/mo

Tirzepatide:

$399/mo

States:

Two conflicting lists on its own homepage FAQ — 10 states in one answer, 18 in another; confirm your own state directly before paying

Rare for showing compounded AND brand-name pricing on the same page — semaglutide from $149/mo, tirzepatide from $249/mo on 3-month plans, flat $1,499/mo brand options — but nothing addresses PCOS or postpartum metabolic changes, and its own FAQ quotes a stale price the live checkout has already undercut.

Semaglutide:

$249/mo month-to-month ($149/mo on the 3-month plan)

Tirzepatide:

$349/mo month-to-month ($249/mo on the 3-month plan)

States:

Not disclosed — no published state list

Two prices for the same vial are live on this site right now. The homepage comparison table says compounded semaglutide is $129 a month; the product page, the cart and the product page's own title tag say $199, and add that a $25 monthly membership is required to buy at all. The vial itself is a genuinely good structure — a full four-week supply at one flat price from 0.25 mg up to 2.5 mg, with refills you request rather than get charged for. It is the price tag that cannot make up its mind.

Semaglutide:

$224/mo all-in

Tirzepatide:

$324/mo all-in

States:

Not published

One of the few genuinely flat prices on this list — $99/mo semaglutide and $134/mo tirzepatide that do not rise as your dose does, in all fifty states — from a company that never names itself anywhere on its own website.

Semaglutide:

$99/mo

Tirzepatide:

$134/mo

States:

All 50 states

A broader wellness platform (GLP-1s plus NAD+, sermorelin, HRT, hair growth) offering both compounded ($199/mo semaglutide, $299/mo tirzepatide) and brand-name Ozempic/Zepbound access — though the site shows three different, unreconciled price claims across its own pages, so confirm the real number at signup. The three are the $199/mo standing tier, a $169/mo three-month prepay plan badged 'Best Value', and a countdown-timer banner advertising 'as low as $119/mo' that matches neither. Brand-name access is listed only as 'also available', with no price shown on any page we checked, so the compounded tiers are the only figures you can plan around.

Semaglutide:

$199/mo standard

Tirzepatide:

$299/mo

States:

Nationwide (stated on homepage)

Two businesses are described on this one site. The homepage sells a flat program — "as low as $225 per month, which includes telemedicine visits, nutrition and exercise coaching, and medication." The FAQ says it accepts most major insurance, that your cost depends on your plan, and explains how to fax your insurance details in. Nothing reconciles them. The same page also carries two different Miami addresses and two different support addresses.

Semaglutide:

From $225/mo including medication, plus a $50 consultation

Tirzepatide:

Not priced separately

States:

Not published

Novi's month-to-month prices are the ones on its product pages — $149 semaglutide, $179 tirzepatide — and every cheaper figure it advertises is a prepay term price divided by its term, including the "from $88/mo" in its own page title. Its homepage headlines "$133/mo" beside a "Was $299" anchor and a countdown claiming the price rises within 24 hours, and its intake serves a higher variant again, so what leaves your account may not be the number you shopped from. Its intake screens for pregnancy, breastfeeding and birth within the last six months — genuinely more than most. But its Terms require a three-month non-refundable commitment while its help center and every marketing page promise you can cancel anytime, and that contradiction is unresolved.

Semaglutide:

$149/mo

Tirzepatide:

$179/mo

States:

All 50 states + DC

Before the price: this is a multi-level marketing business. The navigation carries "Brand Partner" and "Login to Back Office", the footer links an income disclaimer, and every product page opens with "Welcome! You were referred by:" — blank, on a direct visit. The medication is $299 a cycle, $897 for twelve weeks, and a cycle is four weeks, so a year is thirteen charges. Semaglutide and tirzepatide cost exactly the same, which almost nothing else here does.

Semaglutide:

$299 per 4-week cycle

Tirzepatide:

$299 per 4-week cycle

States:

Not published

Prices by FORM rather than molecule — $149/mo for a compounded injection or $249/mo for a dissolvable tablet, either drug, no membership fee — built on the OpenLoop telehealth backbone, though it doesn't itemize semaglutide vs. tirzepatide separately or publish a state list.

Semaglutide:

$149/mo (form price, not split by molecule)

Tirzepatide:

$149/mo (form price, not split by molecule)

States:

Does not disclose a specific state list

The cheapest advertised sticker price of any owner-named candidate this pass, but the thinnest disclosure too — no state list, no named clinician, no pharmacy — so treat the floor price as a starting point to confirm, not a guarantee.

Semaglutide:

From $149/mo

Tirzepatide:

From $175/mo

States:

Not disclosed — no published state list

This is Bryan Johnson's longevity company, and it sells GLP-1s the way it sells everything else: as a stocked catalog with a price on each item. Compounded semaglutide with glycine and B12 is $167 a month at a microdose and $196 at a personalized dose; tirzepatide is $180 and $255. Brand-name sits alongside it — Zepbound KwikPen $600, Wegovy $1,550, Foundayo $750. The condition is in a footnote on the same card: "Billed quarterly with a three-month commitment paid up front." So the first charge is three months, not one.

Semaglutide:

$196/mo for the personalized dose, billed quarterly

Tirzepatide:

$255/mo for the personalized dose, billed quarterly

States:

Not published as a list; some states require a video consult

Tampa-based and unusually transparent about price for this category — $279/mo semaglutide or $399/mo tirzepatide with the actual dollar figures sitting right on the product page, no intake wall required to see them — though a same-page $199/$275 first-fill rate means the number you see first isn't the one you'll pay every month after.

Semaglutide:

$279/mo

Tirzepatide:

$399/mo

States:

All 50 states

Compounded semaglutide at $199 a month to month, the same price at every dose, with medication, clinician support and two-day shipping in the one price and no membership fee. The $139.99 the site advertises everywhere is not that rate: its own product page shows it is the three-month plan, and first-time-patient pricing on top of that. A returning patient on a monthly plan pays $199. Tirzepatide starts at $199 but its month-to-month rate is not published anywhere. Worth knowing too that the same figure appears three different ways across the site — $139.99, $140 and $139 — and that the $249 and $469 shown beside them are struck-through anchors rather than prices it charges.

Semaglutide:

$199/mo month-to-month, same price at every dose

Tirzepatide:

From $199/mo — a floor; the month-to-month rate is not published

States:

Does not publish a service area

One of only two sellers in this group that publishes the states it actually serves, and the only one that also runs in-person clinics rather than working entirely by mail. Twenty-six states are listed by name, which is a stronger claim than the all-fifty assertion most of this list makes. Semaglutide with B12 starts at $99 a month and tirzepatide with B12 at $179, on monthly or quarterly plans, and both numbers are floors rather than rates: the per-dose ladder appears only after the intake has asked for a name and an email, so the price at a maintenance dose is the one thing the public pages do not give you. Labs are billed on top at $89 for the essential panel or $189 for the comprehensive one, disclosed in the FAQ rather than beside the price. The operating company, Magnolia Regenerative Medicine Health, LLC, is named with a phone number. The terms are strict on the way out: no refunds on medications at all, and cancellation requires written notice at least 24 hours before the monthly renewal.

Semaglutide:

From $99/mo (floor)

Tirzepatide:

From $179/mo (floor)

States:

26 states, enumerated

The lowest published starting price we found this round — $147/mo semaglutide, $199/mo tirzepatide, stated plainly as 'no membership costs, no hidden fees, same price all' — but you won't find that number on the marketing site itself; it only shows up once you're routed into the separate signup funnel.

Semaglutide:

$147/mo

Tirzepatide:

$199/mo

States:

Not publicly disclosed

The unusual thing about ZipHealth is what it does not sell: there is no compounded anything here. It carries brand-name Zepbound, the Wegovy pen and pill, and Foundayo — orforglipron, Lilly's once-daily tablet — with a dose-by-dose price table published for each. That transparency is rare. So is the fee it sits beside: $79 per fill, charged to new and repeat patients alike, and excluded from every price on the table. The cheapest real month here is $149 plus $79; Zepbound at its top doses is $449 plus $79.

Semaglutide:

Wegovy pen from $199/mo, rising with dose

Tirzepatide:

Zepbound from $299/mo, rising with dose

States:

Not published on the site

A cash-pay compounded program with FDA-registered-facility and 503A-pharmacy badges and a real 6-month-plan discount ($199/mo semaglutide, $299/mo tirzepatide down to about $176/mo) — undercut by a genuine self-contradiction on its own site about which states it actually serves.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Ascend Vitality's own site contradicts itself

$149/mo semaglutide or $199/mo tirzepatide on its recommended Monthly Plan, from two named compounding pharmacies, with a real published cancellation policy (2-day notice) — genuinely one of the more transparent compounders in this batch, though its oral-tablet price wasn't cleanly confirmed.

Semaglutide:

$149/mo

Tirzepatide:

$199/mo

States:

Not published — no state list found anywhere on the site

The lowest medication price on this list by a wide margin, and a headline that still leaves something out. Compounded semaglutide is $59 a month and tirzepatide $69, flat at every dose and cancellable at any time — but both require a $199 annual membership that the pricing line does not mention. Counted honestly the first year comes to $907 for semaglutide, about $76 a month, and $1,027 for tirzepatide, about $86, which remains among the cheapest anywhere here even after the fee. It is run by Health For Everyone Inc., trading as CollectiveOS, and sells itself on being brought to you by the founder of Thrive Market and on GLP-1s without the 500% markup. There is a 21-day free trial before the membership is charged, and after that the fee is non-refundable with no partial periods returned. The compounding pharmacies are described only as independent third-party licensed pharmacies and never named, and no state list is published.

Semaglutide:

$59/mo plus a required membership

Tirzepatide:

$69/mo plus a required membership

States:

Not published

A concierge medicine practice (in-person in LA, NY, and 25+ cities, plus nationwide mail) offering compounded semaglutide at $199/mo (90-day shipments) and tirzepatide at $299/mo (60-day shipments), each locked to a 4-month minimum commitment — and, unusually for this roster, brand-name Ozempic, Wegovy, Mounjaro, and Zepbound at $1,999/mo for mothers who want the FDA-approved product instead of a compound.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Not disclosed as a list — ships nationwide via its "Shipped To You" mail program; in-person concierge visits in LA, NY, and 25+ cities

A three-molecule menu — semaglutide, tirzepatide, and the less commonly offered liraglutide (a compounded, $150/mo third option distinct from either tracked drug) — starting at $99/mo, with 'all doses included' pricing and HSA/FSA accepted, from a St. Petersburg, FL multi-vertical telehealth practice with a named address (Address: St Petersburg, FL) and phone number (305-930-8817) rather than an anonymous storefront, plus a rotating 'save $75 on your first order' promo that runs alongside the standing rate.

Semaglutide:

$99/mo

Tirzepatide:

$149/mo

States:

Not publicly disclosed

Compounded semaglutide advertised from $149 and tirzepatide from $196, flat at every dose, with the consultation, the medication and shipping bundled into one price. Two things have to be read carefully before that sounds cheap. The price buys four weeks of medication rather than a calendar month, in Harper's own words, and the figure is conditioned on committing to a three-month plan — a qualifier that appears in the intake software but nowhere on the marketing site. Harper received an FDA warning letter in June 2026 and, unlike others on this roster, is still running the claims it was cited for.

Semaglutide:

From $149 per 4 weeks (floor)

Tirzepatide:

From $196 per 4 weeks (floor)

States:

Not published anywhere on the site

The semaglutide page has a section headed "Transparent Pricing". It prices low-dose naltrexone, twelve strengths of methylene blue and thirteen testosterone combinations. It does not price semaglutide. The semaglutide figure, $99, sits further up and covers "your first 4 weeks" — an intro price with no published successor, over a period that is not a month. Tirzepatide is the one number here that is fully specified: $199 a month, including consultation, medication, supplies and shipping.

Semaglutide:

$99 for the first four weeks; ongoing rate not published

Tirzepatide:

$199/mo

States:

Not published

⛔ FDA warning letter #719809 (Sept. 2025), which names healthon.com. Semaglutide starting at $189/mo and tirzepatide at $290/mo, both on a 12-month prepaid plan — but that's the deepest-discount rate, not necessarily what you'd pay month-to-month, and neither a state list nor a LegitScript badge appears on either product page. Both products are billed as FSA/HSA-eligible with free shipping in 1-2 business days, and the same platform also sells NAD+ and other longevity add-ons alongside its GLP-1 catalog.

Semaglutide:

$189/mo

Tirzepatide:

$290/mo

States:

Not published on the pages we reviewed

Standing monthly rates of $199 for compounded semaglutide and $299 for compounded tirzepatide, each fronted by a $99 first-month promotion that is the number the marketing actually leads with. Read live on August 21, 2026, the plan cards say it plainly — "Starting at $99 / 1st Month (Originally $199 / month)" — so the discount is real and it lasts exactly one month. Two things sit alongside it that a reader should see. Quarterly plans are also offered at $297 and $449 and are labeled per month on the card, which cannot be reconciled against the cheaper monthly plans from the public page alone, so those figures are not asserted here. And the page was running a Cyber Week banner with a fifty-percent-off countdown reading zero hours, zero minutes and zero seconds — in August. Against that, its disclosure is better than most: three operating entities are named, including the prescribing practices Beluga Health, P.A. and Pennsylvania Medical, P.C., and none of the three has an FDA warning letter.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Not stated on the site

One of the more straightforward entries on this list, which after a run of sellers quoting months that are not months is worth saying. Compounded semaglutide is from $149 a month and tirzepatide from $224, billed monthly with no four-week cycle hiding behind the wording, and there is $99 off your first treatment plan rather than a rate that doubles later. Coverage is all 50 states and expedited shipping is free. The caveat that remains is the word "from": both figures are floors, medication is prescribed only if a clinician judges it appropriate, and the site does not spell out what a higher dose costs.

Semaglutide:

From $149/mo

Tirzepatide:

From $224/mo

States:

All 50 states

Prices every medication publicly and by dose count — eight semaglutide tiers, seven tirzepatide, brand Zepbound alongside them — which is more disclosure than most of this market manages. The catch is that the advertised "from $60" excludes a $79 monthly membership the site says medications are not included in, so the real floor for a first month is closer to $139, and $60 is the lowest of eight dose tiers whose ladder is published nowhere.

Semaglutide:

From $60/mo + membership

Tirzepatide:

From $90/mo + membership

States:

Not stated as a list — the site says availability and pricing vary by state

Starting prices of $197/mo semaglutide and $297/mo tirzepatide, compounded in the USA with free shipping and no hidden fees stated directly — verified by pulling the site's own compiled app data since its pricing doesn't render in a plain page fetch. No state list is published anywhere we could find.

Semaglutide:

From $197/mo

Tirzepatide:

From $297/mo

States:

Not disclosed on the public marketing page we reviewed

An $89/mo Direct Primary Care membership unlocks metered GLP-1 pricing here — $174/mo all-in for the lowest semaglutide dose, $222/mo for the lowest tirzepatide dose, rising to $272/$347 at the top doses — bundling in unlimited primary care, direct clinician texting, same-day virtual visits, and routine labs across 18 confirmed service areas. No stated refund policy on the membership itself, and nothing written for postpartum or PCOS specifically. Its real pricing tiers appear only once the page's scripts run, never in the marketing copy itself.

Semaglutide:

$174/mo all-in

Tirzepatide:

$222/mo all-in

States:

AZ, CO, DC, FL, GA, IA, ID, KS, MT, NE, NM, NV, NY, OK, OR, UT, VA, WA (18 areas; more coming per its own FAQ)

A multi-vertical telehealth platform offering both injectable ($199/mo semaglutide, $299/mo tirzepatide) and a cheaper oral option for each molecule — a genuinely uncommon needle-free path — but with ambiguous FDA-adjacent marketing language, inconsistent self-reported customer counts, and no published state list.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Does not disclose a specific state list

The first charge here is two months, not one: "Semaglutide: $650 ($325 per month), Tirzepatide: $750 ($375 per month)", with a reassessment at six weeks. After that the model changes entirely — maintenance is sold by the vial, 1ML to 5ML, and the site's "as low as $60 per month" figure describes a vial that "may last up to one year", so it is a year bought at once. A team of board-certified nurse practitioners runs it, and it is the most expensive entry price in this batch.

Semaglutide:

$325/mo, charged as $650 up front

Tirzepatide:

$375/mo, charged as $750 up front

States:

Not published on the site

Compounded semaglutide from $149 a month and tirzepatide from $199, with a genuine microdose line at $129 and a dissolving oral tablet at $169 — a wider catalog than most, and it includes hormone therapy for women from $69. The number to ignore is the one it leads with. 'Starting at $99/mo' runs across every page, and no GLP-1 on the site costs $99: the cheapest is the $129 microdose. The $99 belongs to its NAD+ nasal spray. Two more gaps worth knowing. Every price is a floor, with no ongoing rate published. And it names no company anywhere — no LLC, no address, nothing in the terms or privacy policy.

Semaglutide:

From $149/mo — a floor; no month-to-month rate is published

Tirzepatide:

From $199/mo — a floor; no month-to-month rate is published

States:

50 states (claimed)

A named-founder telehealth program ($179/mo semaglutide, $249/mo tirzepatide regular price) with no consultation or membership fees, 24/7 provider messaging and free 2-day shipping — undercut by a countdown-timer intro-rate tactic and a state-coverage claim that's actually its pharmacy's licensing, not its own.

Semaglutide:

$179/mo

Tirzepatide:

$249/mo

States:

Does not disclose its own state list (only its pharmacy's licensing)

It names four dispensing pharmacies outright and tells you who prescribes, which almost nothing else on this list does, and it charges the same price whichever molecule you pick — $259 a month on the full-dose Signature program and $219 on the maintenance and microdosing one, semaglutide or tirzepatide, oral or injectable. For anyone who wants the dual agonist that is worth real money, since most sellers here add $80 to $150 a month for it. The pricing you meet first is the problem. Clume's homepage advertises programs starting at $199 and $159 a month, nothing on the site is priced at either figure, and the asterisks beside both lead to no footnote anywhere on the page. The cheaper rates it does publish are prepaid terms rather than monthly bills: $186 a month means committing 52 weeks, and $200 means twelve. Canceling needs 72 hours' notice before the next billing date or that cycle is charged anyway, and no refund is given for the month you cancel or any month before it.

Semaglutide:

$259/mo

Tirzepatide:

$259/mo

States:

Not published

Now operating as Try Invigor after invigormedical.com's domain redirect, this one prices its two mechanism-based tiers — GLP-1 from $225/mo, GLP-1+GIP from $350/mo — without ever naming semaglutide or tirzepatide directly, or disclosing compounded-vs-brand status. It claims licensing in all 50 states with no exclusions list, and uses a phone consultation rather than live video.

Semaglutide:

From $225/mo

Tirzepatide:

From $350/mo

States:

"50 States Licensed" per its own site; no state-by-state list published

A real, named 27-state list instead of a vague nationwide claim — $247/mo semaglutide, $296-396/mo tirzepatide depending on the dose tier — but it's a general longevity/performance-medicine platform with nothing addressing PCOS or postpartum metabolic changes, and its FAQ and Terms pages both 404'd.

Semaglutide:

$247/mo

Tirzepatide:

$296/mo

States:

27 states

A named-physician compounded program — $199/mo ongoing semaglutide after a $99 six-week intro, and a $330 one-time six-week tirzepatide supply — that includes self-administration supplies in the price, but doesn't publish a state list and still shows a stale 2023 copyright in its footer.

Semaglutide:

$199/mo

Tirzepatide:

$330 one-time (6-week supply)

States:

Not disclosed

Compounded semaglutide at $79 a month and tirzepatide at $119, month to month, with no dose-based increase and — checked in its own checkout data rather than taken on trust — a renewal price identical to the joining price. That last part is rarer than it should be. Two things the homepage will not tell you. The $49 and $99 it advertises are the twelve-month totals divided by twelve, not a monthly rate you can start on, and the countdown beside them is not a real deadline: it read August 15th and then August 20th within the same hour. The larger caveat is corporate. NextMeds is operated by Trinity HealthCare Supply, LLC, which also runs Lean Meds, altRx and Trinity Meds, and that operator holds an open FDA warning letter.

Semaglutide:

$79/mo, same price at every dose

Tirzepatide:

$119/mo, same price at every dose

States:

All 50 states

Nothing here is sold by the month, and that is the thing to understand before comparing it with anything else. Tirzepatide is "$499 for a 12-week supply" and semaglutide "starting at $197 for ~10 weeks" — which work out to roughly $181 and $86 a month, but only if you can pay the whole package up front. Quoted as monthly figures those are among the lower numbers you will find, and quoted as the $499 they actually charge, they are not. It also sells brand-name Zepbound from $139, which most compounded sellers cannot, and it names its compounding pharmacies. What it does not publish is which states it serves or how you cancel.

Semaglutide:

$86/mo equivalent, sold as a ~10-week package

Tirzepatide:

$181/mo equivalent, sold as a 12-week package

States:

Not stated on the site

Compounded semaglutide at $99 a month and tirzepatide at $149, with the provider visit, two-day shipping and injection supplies all included — genuinely cheap for what is in the box. The catch is in what 'no subscription, ever' actually means here. Those rates are six-month programs, paid as one payment up front. The shortest commitment on offer is three months at $165 a month, and maintenance afterwards runs $199. There is no month-to-month option at all, so the flexibility the phrase implies is the opposite of what is on sale. It also names no company anywhere — an address in Dallas and a phone number, but no legal entity.

Semaglutide:

$99/mo on a 6-month program — no month-to-month option

Tirzepatide:

$149/mo on a 6-month program — no month-to-month option

States:

All 50 states (claimed)

One of the few candidates verified this pass offering both a cheap compounded entry point ($99/mo semaglutide) and a real brand-name Wegovy/Zepbound fallback, billed upfront per plan length rather than as a monthly subscription — text-only consults, no video visit.

Semaglutide:

$99/mo

Tirzepatide:

$149/mo

States:

Not disclosed — no published state list

Compounded semaglutide + B12 and tirzepatide + B12, with a true standing rate of $249.97/mo and $349.97/mo once the first-month promo ends — an app whose pricing appears only once its scripts run, on a page that never names its medical group or pharmacy and whose own ad-tracking treats a 12-month prepay rate as the real price.

Semaglutide:

$249.97/mo

Tirzepatide:

$349.97/mo

States:

Not disclosed — no published exclusion list found; a full 50-state selector appears at intake

Lean Meds sells one all-inclusive membership per molecule — the telehealth visit, the care plan, the medication and shipping in a single monthly charge, at the same price whatever dose you end up on — and it publishes the whole price ladder on the homepage before you answer a single question. That is the good part, and the flat-by-dose promise matters more than the sticker: providers that charge by dose routinely double between a starting dose and a maintenance dose, and this one does not. The sticker itself needs reading carefully, because the $69 the homepage headlines under a countdown timer is the twelve-month tier; month to month it is $79 for compounded semaglutide and $109 for compounded tirzepatide, with $76/$105 at three months and $73/$100 at six. Two things temper it. The clinical and pharmacy layers are thin on names — clinicians come from the OpenLoop network, fills go to unnamed 503A pharmacies 'within the Lean Meds pharmacy network,' and no individual pharmacy or clinician appears anywhere. And the operator named throughout its own Terms, Trinity HealthCare Supply, LLC, is the company FDA wrote to on 8 June 2026 under its other brand, altRx, for putting its own name on vials it did not compound and calling compounded GLP-1s 'clinically proven.' That letter is about altrx.com, not this site — but it is the same legal entity at the same Miami suite, and a search for 'Lean Meds' alone would never surface it.

Semaglutide:

$79/mo month-to-month ($69/mo on the 12-month plan)

Tirzepatide:

$109/mo month-to-month ($95/mo on the 12-month plan)

States:

All 50 states

⛔ FDA warning letter #714755 (Sept. 2025), which names mystarthealth.com. A flat $299/mo all-inclusive program — consults, medication, and shipping bundled at one price-locked rate for either semaglutide or tirzepatide — from a Delaware-registered LLC with a real disclosed address, undercut by no LegitScript certification we could confirm and a refund policy that is non-refundable once an order ships, no exceptions.

Semaglutide:

$299/mo

Tirzepatide:

$299/mo

States:

Not disclosed as a list

Starting From $190/mo semaglutide and $239/mo tirzepatide, with two named compounding pharmacies and a genuine self-serve cancel-anytime policy — but no published state list and nothing addressing pregnancy or breastfeeding.

Semaglutide:

$190/mo

Tirzepatide:

$239/mo

States:

US only — no published state list; the site says restrictions vary by the specific therapy prescribed