To choose a GLP-1 provider, confirm who approves your prescription, which pharmacy makes the medication, and what you will pay at your maintenance dose. Most telehealth sites look alike, so this guide gives you 12 checks you can run yourself, then applies them to ten online GLP-1 providers with verified prices, Trustpilot records, and the themes that come up in customer reviews and on Reddit.
Last updated: Sep 24, 2026
Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH · Medical Content Reviewer
Clinically checked Checked · Author: Top Weight Loss Research Team · Our review process
Some links on this page earn us a commission, which has no effect on how providers rank (our editorial independence).
Confirm these three points before paying any online GLP-1 provider:
Every provider we reviewed describes licensed-clinician review in its published care model. The amount of contact you get with that clinician after approval differs a lot from one provider to the next, which makes it the fourth point to check.
The question most people ask is “which ones have real doctors?”. A better question is “can the clinician stop the sale, and can I reach them afterward?” Legitimate telehealth does not require a video appointment with an MD. Depending on the service and state law, your prescriber may be a licensed physician, physician associate, nurse practitioner or another qualified prescriber. Because semaglutide is prescription-only, a licensed clinician must still review your medical intake and be able to decline you. What changes between providers is how much contact you have with that clinician.
Two points are worth separating. First, most legitimate GLP-1 telehealth is asynchronous: you send the intake, a clinician reviews it, and follow-up happens by message. That model is standard and lawful. Medvi describes live video visits and scheduled monitoring, and embody’s reviewers describe booked provider appointments and video calls; the other providers in our table describe intake-and-messaging models, some adding a follow-up call when the clinician needs more information. Second, the prescriber and the pharmacy are different checks. The prescriber decides whether treatment is appropriate for you; the pharmacy determines what goes into the vial. Verify each one.
Five questions to ask about clinician involvement:
Who reads my medical intake?
The how-it-works page should name the role (physician, physician associate or nurse practitioner), and the intake should ask about thyroid cancer or MEN 2 history, pancreatitis, pregnancy plans and current medications.
Is the clinician licensed where I live?
The prescriber should be licensed in your state. HealthRx says an independent US-licensed clinician in your state reviews you; other providers describe licensed providers without mentioning the state, so ask.
Can the clinician refuse treatment?
Look for "if appropriate" wording and a refund for patients who are not approved. embody refunds in full when a provider declines treatment, and Medvi says it turns away patients for whom treatment is not appropriate.
How do I contact a clinician after approval?
Options include messaging, check-ins or video. TrimRx promotes unlimited check-ins, Medvi describes monitoring visits and HealthRx describes care-team check-ins. ro reviewers report message-only support with replies in 2-3 days.
Who handles dose changes and medical questions?
Ask how you request a higher dose and who signs off on it. Medvi includes adjustments in its monitoring, embody reviewers describe appointments for dose increases, and one embody user on Reddit had the dose raised at a check-in three weeks in.
For each check you get what to look at, a way to verify it yourself in a few minutes, and the warning sign that should prompt a question before you pay. A red flag means do more homework; it is not a judgment on the provider.
What to look at: The role of the person who reads your intake (physician, physician associate or nurse practitioner) and whether that person can refuse to prescribe.
How to confirm it: On the provider's how-it-works page, look for phrases such as "licensed provider reviews" and "if appropriate". A published refund when you are not approved, which embody offers, shows that declines are part of the process.
Red flag:Look closer if approval seems instant or if the payment screen appears before a single health question.
What to look at: Whether the health questionnaire covers personal or family history of medullary thyroid carcinoma or MEN 2, pancreatitis, current or planned pregnancy, and the medications you already take.
How to confirm it: Begin the free assessment and stop at the payment step. If none of those topics come up, no one is screening you for the contraindications listed on the FDA label.
Red flag:A form that wants only height, weight and a card number deserves questions before you pay.
What to look at: Asynchronous care is the standard model for telehealth GLP-1 treatment: you send an intake, a clinician reviews it, and follow-up happens by message. It is lawful and common. A few providers also offer live video.
How to confirm it: Medvi describes video visits and scheduled monitoring, and embody reviewers describe booked appointments and video calls. The other providers in our table describe an intake-plus-messaging model, sometimes with a follow-up call when the clinician needs more detail.
Red flag:A page that promises a doctor "consultation" but never explains how to contact a clinician once you have the prescription. Ask how follow-up works.
What to look at: Compounded semaglutide and tirzepatide are made by a compounding pharmacy, not by the brand manufacturer. Find out whether it is a US state-licensed 503A pharmacy or a 503B outsourcing facility, and whether the provider tells you which one.
How to confirm it: Check the site for the pharmacy type or ask support before you check out. LegitScript certification is an independent confirmation that the pharmacy relationships exist; embody and HealthRx both display theirs.
Red flag:Look closer if a provider will not disclose where the medication is made or ships it from outside the US.
What to look at: The FDA has issued warnings about compounded products that use semaglutide sodium or semaglutide acetate. FDA-approved semaglutide uses the base form, and reputable compounders use the base form too.
How to confirm it: Ask which form the pharmacy uses. A legitimate provider can answer in a sentence.
Red flag:Look closer if the answer about the form is vague, or if the marketing never uses the word "compounded".
What to look at: Add the medication, membership, consultation, shipping and supplies. Then compare the introductory price with the price you pay after that.
How to confirm it: Our price index lists each provider's published rate alongside the condition that comes with it. For example, ro charges for medication and membership separately, while embody's $69 covers the whole bill.
Red flag:A headline price tied to a condition you cannot pin down before checkout. Ask for the complete monthly figure.
What to look at: GLP-1 doses are stepped up over several months. A provider that prices by dose can advertise the starter dose and charge more later, at the point where you are most invested in continuing.
How to confirm it: Ask: "What will I pay at my maintenance dose?" altRx, welludr, TrimRx, DirectMeds, embody, HealthRx and Medvi each publish one price that holds at every dose.
Red flag:A "From $X" price with no maintenance-dose figure published anywhere. Ask what the maintenance dose costs.
What to look at: The process for requesting a dose change, how quickly refills go out, and how a transfer from another provider mid-treatment is handled.
How to confirm it: Read the refill and shipping terms. TrimRx promotes unlimited check-ins, HealthRx and embody publish shipping windows, and Medvi folds dose adjustments into its monitoring.
Red flag:No published refill schedule, or a contact form as the only route to support. Ask before you pay.
What to look at: Whether you can stop at any renewal date, whether a minimum term applies, and what is returned if the clinician does not approve you.
How to confirm it: embody gives a full refund if you are not approved and requires no commitment. TrimRx has no long-term contract. welludr's $49 rate requires a 12-month plan. HealthRx collects $1,188 upfront. Each model is legitimate; the point is to know which one you are agreeing to.
Red flag:Auto-renewal terms that appear only in checkout fine print. Read them before paying.
What to look at: A star average says little until you know how many reviews sit behind it. The repeated themes in low-star reviews tell you more than the headline score.
How to confirm it: We list the rating and review count for each provider whose profile we have verified. Medvi at 4.3 from 14,987 reviews and embody at 3.8 from 9,604 are both substantial records, and they describe different experiences.
Red flag:A perfect 5.0 from a handful of reviews, or no public review profile. Neither one proves a problem, but both give you less to go on.
What to look at: Skip the overall verdict and look for issues that show up across separate posts: shipping delays, access to higher doses, unexpected charges and results.
How to confirm it: We quote only threads we have verified. Where they exist for a provider, they appear on that provider's review page and in the summary further down this page.
Red flag:A provider mentioned only in its own promotional posts. That means there is no independent evidence yet, not that the provider is bad.
What to look at: Compounded drugs are not FDA-approved. A trustworthy provider states this on the page, close to the price, and does not market its vials as "generic Ozempic".
How to confirm it: Search the provider's site for the disclosure. Each provider in our table displayed one on the pages we reviewed.
Red flag:The phrase "FDA-approved" applied to a compounded vial. That description is wrong; ask the provider to explain exactly what it sells.
Regulatory sources behind checks 4, 5 and 12: FDA guidance on 503A and 503B compounding, FDA warning on semaglutide salt forms, FDA concerns about unapproved GLP-1 drugs, and BeSafeRx for checking any online pharmacy.
Each cell comes from our verified provider research or the price index (prices verified 2026-10-16), and any cell we could not verify is labeled that way. The table applies the checklist to public provider information; it is not an independent audit of medical quality. Rows follow our ranking, not price order. Mochi Health and Henry Meds are outside our coverage, so we omit them rather than guess.
| Provider | Who approves | Care model | Pharmacy | Semaglutide / mo | Price by dose | Trustpilot |
|---|---|---|---|---|---|---|
| ro | A qualified doctor reviews the assessment | Online assessment, then doctor follow-up (reviewers mention an MD video call plus messaging support) | ro's in-house pharmacy; brand-name medication (Wegovy pill, Zepbound) | Not in the price index | Membership and medication billed separately; insurance may apply | 3.97,105 reviews |
Praised for: ro's 5-star Trustpilot reviews from the same week focus on enrollment ("quick and easy", "exceptional in every respect"), and one describes an NP appointment that started on time. In the Reddit threads we verified, users report losing 22 to 60 pounds, and one called the process seamless. Recurring complaints: ro's low-star Trustpilot reviews from the past week return to three issues. First, the $39 initial fee pays for the consultation rather than the medication, and a separate subscription charge sits on top of the monthly one. Second, support is message-only, with replies taking 2-3 business days and no phone line. Third, delivery, including a shipment 4 days late with melted ice packs. One 2-star reviewer was charged after choosing a medication but before speaking to a physician. On Reddit, price is the repeated sticking point: the most upvoted commenter quit over cost despite an otherwise good experience. | ||||||
| altRx | Licensed provider (physician, physician associate or NP) who can decline | Online assessment, clinician review and messaging; pause or cancel at any time | Licensed pharmacies for both compounded plans and brand-name medication (Ozempic, Zepbound, Wegovy) | $89reg. $199; flat at every dose | One price at every dose; Buy Now, Pay Later offered | Unverified |
Praised for: altRx has no public Trustpilot aggregate. The individual 4- and 5-star reviews we captured credit quick enrollment and support that answers. In the verified Reddit thread, the poster was approved in roughly four hours, received cold-shipped vials in two days and gave the experience 10/10. Recurring complaints: In that same Reddit thread, one user's compounded blend with an additive caused dehydration that eased as levels fell, and another user waited more than a day for a prescription. On structure: altRx is self-serve, with no coaching and no money-back promise. | ||||||
| embody | A licensed medical practitioner reviews the intake, usually within a day | Online intake; reviewers mention scheduled provider appointments, including video calls and appointments for dose increases | US 503A compounding pharmacies; LegitScript-certified | $69reg. $79; month-to-month | One flat monthly price, no commitment; full refund if not approved | 3.89,604 reviews |
Praised for: embody's recent 5-star Trustpilot reviews mention providers who listen, doses that were adjusted, and an account manager who repaired a broken portal. On Reddit, users report same-day approval, a vial within a week, and a switcher whose first order matched the dose from their previous provider. Recurring complaints: embody's low-star Trustpilot reviews from the past week are detailed: a doctor missed three video appointments and called four days late; a first dose took 8 days despite a 3-5 day promise, and a refill then ran 3 days late; a billing dispute passed between several support agents. On Reddit, a common summary is "great if you don't need to actually talk to anyone": one user could not locate the refill flow, and another described support replies as AI-generated. | ||||||
| TrimRx | Licensed clinician review that can result in a decline | Online assessment; follow-up call when needed; unlimited check-ins | Compounded medication only; pharmacy not identified in our research | $149same price at every dose; $140 discount applied | One price at every dose; no long-term contract; optional discounts for multi-month plans | 3.85,392 reviews |
Praised for: TrimRx's 5-star Trustpilot reviews from the same week praise careful screening, an easy intake, transparent pricing, quick support responses and clearly stated 2-3 day shipping. Recurring complaints: TrimRx's 2-star reviews from the same week concern fulfillment and billing rather than the clinical side: a box that arrived three days late with warm cold packs; a prepaid 6-month plan whose second shipment was 30 days overdue while chat and phone went unanswered; a cancelled prescription that Affirm continued trying to bill; and a first order that showed another person's prescription in the portal. At 3.8 from 5,392 reviews, TrimRx has the lowest aggregate in our table. Its $149 is above the budget tier for the same molecule and comes with no guarantee. | ||||||
| SHED | A licensed clinician reviews the intake and can decline | Fully online visit and checkout; health coaching included on every plan | Compounded semaglutide or tirzepatide; pharmacy not identified in our research | $19920% off month one | Billed monthly, 20% off the first month; HSA/FSA accepted | 4.61,134 reviews |
Praised for: The recent SHED Trustpilot reviews we captured mostly credit named support staff who resolved problems and a personal tone in communication. SHED's 4.6 from 1,134 reviews is among the highest aggregates in our table. Recurring complaints: A 1-star review from September describes months of charges after stopping treatment, chat support handled only by AI, and a $1,200 refund that was refused and is now a card dispute. At $199, SHED is the premium option in the compounded market: the higher price pays for coaching and a results guarantee, not a different drug. | ||||||
| welludr | A licensed provider reviews the intake and approval is not automatic; every plan includes a Medical Weight-Care Coach | Online intake, clinician review and coach support | Regulated US pharmacy; Reddit commenters identify it as a Florida pharmacy | $4912-month plan; locked for life | One price at every dose; lowest rate on a 12-month plan billed monthly | 4.62,188 reviews |
Praised for: welludr's 5-star Trustpilot reviews credit getting a person on the line within minutes, fast answers from named agents, and an easy switch from another provider. Several low-star reviewers raised their rating after an operations manager phoned them. Reddit verdicts are short: "legit", a named Florida pharmacy, and annual-plan prices that match what welludr publishes. Recurring complaints: welludr's low-star Trustpilot reviews from September nearly all concern reaching a person: an order stuck on "delay in shipping" for 8 days while support could not locate the account; a request still unanswered after 24 hours; chat and phone unanswered until a manager got involved; a shipment held at the pharmacy for more than a week. An August reviewer says they were billed every 21 days instead of monthly; we have not verified welludr's billing cycle. On Reddit, one detailed post reports losing only 1 pound in 8 weeks despite good service. The $49 rate is tied to the 12-month plan. | ||||||
| Medvi | Licensed providers who can and do turn away patients for whom treatment is not appropriate | Video visits with providers, scheduled monitoring, a dietician and care coaching | Compounded; pharmacy not identified in our research | $99promo; reg. $199 - all-inclusive | All-inclusive pricing with no increase by dose; HSA/FSA accepted | 4.314,987 reviews |
Praised for: Medvi's 5-star Trustpilot reviews from the same week center on the video visits and nurse practitioners: thorough calls, complete answers, and a provider who "took her time". Two Reddit write-ups covering a full year report losses of 40 pounds and just under 15% of body weight, with dose adjustments when progress slowed. Medvi's 4.3 from 14,987 reviews is one of the two largest verified review bases in our table. Recurring complaints: Medvi's 1-star Trustpilot reviews from September are serious and detailed. A prepaid annual plan renewed after 11 shipments with no notice and was refunded only after complaints to the BBB, the FTC and a state attorney general. Another customer was charged before any clinician contact, then received the wrong dose and was refused a refund. A transferring patient kept receiving the starter dose, and another reviewer says communication stopped after five months. One reviewer claims tirzepatide is capped at 11.125 mg; we have not verified that. The 4-star reviews are gentler: cancelling took effort, and one reviewer wanted an every-other-month option because plans are monthly only. The $99 rate is a promotion against a regular $199, and Reddit users flag the ongoing monthly cost as the main caveat. | ||||||
| Sprout | A licensed provider reviews you before any prescription is written | Online intake; ships within 2 days after approval | Compounded plans plus brand-name Wegovy; pharmacy not identified in our research | $149starting price | Billed monthly; $200 off the first month | 4.1188 reviews |
Praised for: Sprout's recent 5-star Trustpilot reviews praise live, named support staff ("a LIVE CS rep. No bots"), simple pausing and plan changes, and one 20-pound result. Sprout's 4.1 from 188 reviews is the smallest review base in this comparison. Recurring complaints: Sprout's 3- and 4-star reviews mention missing tracking notifications on most shipments, a charge with no shipment after a skipped monthly check-in, and sparse injection instructions. One 1-star reviewer reports significant hair loss on compounded tirzepatide. We have not verified any Reddit threads for Sprout yet. | ||||||
| DirectMeds | A licensed physician reviews the intake and can decline | Online intake and physician review; no membership; cancel at any time | Compounded; pharmacy not identified in our research | $147flat at every dose | $147 flat for either medication at any dose, as injections or sublingual drops | 4.616,390 reviews |
Praised for: DirectMeds holds a Trustpilot 4.6 from 16,390 reviews, the largest review base in our table. Its 4- and 5-star reviews from the past week focus almost entirely on named support agents: an easy sign-up, quick answers and a rep who solved a problem during the call. A 3-star reviewer says the company "came through" after some issues and describes the prices as reasonable. Recurring complaints: A 2-star review from September describes an order stuck at "Label Created" until three phone calls, which then arrived damaged while the AI chat said it had been delivered. A 4-star reviewer could not open the doctor's message and prefers speaking to reps over using the online account. A 3-star NAD customer received a two-week supply without syringes. On structure: DirectMeds has no coaching and no brand-name medication, and its needle-free drops are a format used at the clinician's discretion, since the major trials studied injections. | ||||||
| HealthRx | An independent US-licensed clinician in your state reviews your full history before you are charged | Free two-minute assessment, clinician review and care-team check-ins | Licensed 503A pharmacies; LegitScript certificate 50087439 | $9912-mo prepaid - $1,188 at checkout | Plan price stays the same at every dose; $99/month is billed as $1,188 prepaid for the year | Unverified |
Our note: We have not verified a Trustpilot aggregate for HealthRx and have captured no reviews; it is a newer brand with little public record. The main structural trade-off is paying for twelve months before you know how well you tolerate the medication. | ||||||
A single review describes one customer’s experience, not every patient’s. When a line repeats a reviewer’s claim that we have not confirmed, it says so.
Below is each provider’s Trustpilot average and review count where we verified the profile, plus the star mix of the individual reviews we captured, good and bad. Trustpilot measures customer experience, not the medical quality of care. Each provider’s review page carries the full set of captured reviews.
23 reviews captured: 11 5-star, 3 4-star, 5 3-star, 4 2-star, latest dated Sep 24, 2026.
16 reviews captured: 9 5-star, 7 4-star, latest dated Sep 7, 2026.
41 reviews captured: 25 5-star, 12 4-star, 3 3-star, 1 2-star, latest dated Sep 23, 2026.
23 reviews captured: 17 5-star, 1 4-star, 1 3-star, 4 2-star, latest dated Sep 24, 2026.
10 reviews captured: 9 5-star, 1 1-star, latest dated Sep 23, 2026.
33 reviews captured: 17 5-star, 10 4-star, 4 3-star, 2 1-star, latest dated Oct 4, 2026.
40 reviews captured: 30 5-star, 5 4-star, 5 1-star, latest dated Sep 25, 2026.
19 reviews captured: 14 5-star, 3 4-star, 1 3-star, 1 1-star, latest dated Sep 21, 2026.
13 reviews captured: 7 5-star, 3 4-star, 2 3-star, 1 2-star, latest dated Sep 23, 2026.
We have not captured individual reviews yet.
Two reviews per provider, picked the same way each time: the latest 4- or 5-star review we captured and the latest review of 3 stars or fewer. Sorted newest first, with reviewer names shortened.
The agent helped me cancel an old plan...
“The agent helped me cancel an old plan that was not showing active in my portal but was due to bill on 10/9. He also paused my plan due to a surplus of medication. He was kind, patient and professional.”
adrienne A.
US
welludrSee all 33
Keep your appointment
“Very helpful information. Theresa was thoughtful and explained all of her observations.”
Eric B.
US
MedviSee all 40
Priced fairly and easy to use
“Priced fairly and easy to use”
Jerald W.
US
TrimRxSee all 23
1 / 18
Each review is quoted word for word from a public Trustpilot page, with the reviewer’s name shortened. It reflects one customer’s experience: a weight-loss result someone mentions is personal, not typical, and your results may differ. Trustpilot is a trademark of Trustpilot A/S, which has no affiliation with Top Weight Loss.
We re-checked the Trustpilot aggregates for ro, embody, TrimRx, SHED, welludr, Medvi, Sprout and DirectMeds against their public profiles in September 2026. When a provider has no published aggregate, we state that instead of estimating.
Five takeaways based only on the provider table and the price index.
All ten describe licensed review; clinician access after approval is what differs
Each provider in the table says a licensed clinician reviews the intake before prescribing. The difference is the follow-up: Medvi describes live video visits and scheduled monitoring, TrimRx promotes unlimited check-ins, embody reviewers describe booked appointments, and the remaining providers use intake-and-messaging models. The complaints about ro, embody and welludr concern reaching someone, not the initial review.
Most headline prices come with a condition
welludr's $49 depends on a 12-month plan. HealthRx's $99 is collected as $1,188 upfront. Medvi's $99 and altRx's $89 are promotions against a regular $199. ro charges membership and medication separately. The condition matters as much as the number, so the price index records both.
Seven of the ten providers charge one price at every dose
altRx, welludr, TrimRx, DirectMeds, embody, HealthRx and Medvi publish a single price that does not change with dose. ro prices medication separately from membership, and SHED and Sprout list monthly rates without a stated every-dose price in the material we reviewed. Doses rise over time, so ask for the maintenance-dose price.
Pharmacy disclosure varies more than clinician claims
embody and HealthRx identify 503A pharmacies and show LegitScript certification. ro fills through its own pharmacy. altRx says it uses licensed pharmacies without naming them. welludr says a regulated US pharmacy, and only Reddit commenters name it. For TrimRx, SHED, Medvi, Sprout and DirectMeds, our research did not identify the pharmacy, so ask support before paying.
A large review count steadies a score but does not make experiences uniform
Medvi's 4.3 from 14,987 reviews coexists with serious 1-star accounts about renewals and refunds. DirectMeds, welludr and SHED all average 4.6, from 16,390, 2,188 and 1,134 reviews respectively. Sprout's 4.1 rests on 188 reviews, while TrimRx and embody (both 3.8) have large, mixed records. For every provider, the repeated complaints are operational (shipping, billing, reaching support) rather than about the clinical review.
We read public Reddit threads about the providers in this comparison. A single Reddit post is one person’s story, not proof that every patient will have the same experience, so we focused on themes that repeat across threads.
Each card shows the provider, the thread’s topic, a link to the original thread when we have it, and the vote count at the time we captured it. Providers with no verified Reddit material are left out of this section.
Excerpts come from public Reddit posts and are trimmed for length; vote and comment counts are as they stood when we reviewed each thread. Every post is one person’s experience, so any weight-loss result mentioned is individual, not typical, and yours may differ. Reddit is a trademark of Reddit, Inc., which has no affiliation with Top Weight Loss.
Four providers whose published model matches a particular need identified in the research above. This list is not a ranking; the full ranked comparison is linked below. We may earn a commission when you sign up through a provider link, and that does not affect what the table shows.
Clear flat pricing and disclosed pharmacies
embody charges one flat monthly price at every dose with no commitment, refunds in full if a clinician does not approve you, and names LegitScript-certified US 503A pharmacies on its site.
Flat compounded pricing plus brand-name options
altRx prices compounded semaglutide and tirzepatide the same at every dose and also lists cash prices for Ozempic, Zepbound and Wegovy. There is no public Trustpilot aggregate, so rely on the individual reviews and the Reddit thread.
Lowest verified semaglutide price, with a 12-month plan
welludr's semaglutide costs $49 a month at every dose on the 12-month plan, billed monthly. Every plan includes a weight-care coach, and welludr holds 4.6 from 2,188 Trustpilot reviews.
Live clinician visits and a large review base
Medvi offers video visits with providers, scheduled monitoring and a dietician, and holds 4.3 from 14,987 Trustpilot reviews. The $99 rate is a promotion against a regular $199.
See all ten providers from the table ranked and scored, each linked to its full review.
See the full GLP-1 provider rankingAsk about clinician involvement rather than doctors specifically, because a legitimate prescriber can be a licensed physician, physician associate or nurse practitioner depending on the service and state law. Before paying, confirm three things: the intake asks the FDA-label contraindication questions (thyroid cancer history, MEN 2, pancreatitis, pregnancy), the provider says a licensed clinician reviews the intake and can decline you, and there is a stated way to contact a clinician after you are prescribed. A refund policy for patients who are not approved, such as embody's, signals that declines really happen.
Yes. Most legitimate GLP-1 telehealth is asynchronous: you fill out a medical intake, a licensed clinician reviews it, and you message the care team afterward. Live video visits, which Medvi offers, add a real-time conversation but are not what makes a prescription valid. The essentials are a licensed reviewer who can decline you and a way to reach a clinician later.
Compounded semaglutide and tirzepatide are not FDA-approved, and the FDA has raised concerns about some compounded GLP-1 products, including dosing errors and unapproved salt forms. Much of the risk depends on the pharmacy: a US state-licensed 503A pharmacy or 503B facility that compounds the base form, working with a licensed prescriber. Ask the provider which pharmacy it uses and which form it compounds, and talk with a clinician about whether a GLP-1 medication suits you.
Based on the verified published prices in our index, compounded semaglutide costs $49 to $199 a month and compounded tirzepatide $89 to $299, usually including the consultation and shipping. Brand-name Wegovy, Zepbound and Ozempic cost four figures a month when paid in cash. Always ask for the maintenance-dose price rather than the starter price, and add any membership fee billed separately.
Mochi Health, Henry Meds and Hims are not part of our weight loss coverage, so we leave them out instead of guessing at their details. You can run the same 12 checks on any of them before signing up.
Ask support directly before you pay, and if you get no clear answer, consider another provider. Every provider in our table either states its pharmacy type or is marked as not identified in our research. The FDA's BeSafeRx program applies the same rule to any online pharmacy: confirm the license instead of assuming.
Keep reading: the GLP-1 price index, the lowest-cost GLP-1 options online, where to get semaglutide, where to get tirzepatide, compounded vs brand-name semaglutide, how to switch providers, our wider guide to picking a telehealth weight loss provider, and our ranking method.
Every other weight loss medication guide on Top Weight Loss, each built on prices we have checked ourselves.
The medication facts on this page rest on FDA guidance and peer-reviewed clinical trials, while prices and plan terms come from what each provider publishes. Use this page as general information, not medical advice, and speak with a licensed clinician before you start any weight loss treatment.