The best tirzepatide for moms — and what it really costs.

$99/mo semaglutide, $149/mo tirzepatide, one flat price with both medications in a single account — and an intake that walks you through it instead of cornering you with a quiz.

Semaglutide:

$99/mo

Tirzepatide:

$149/mo

States:

All 50 states

$69/mo semaglutide, $119/mo tirzepatide, all-in with no membership — advertised against struck-through $299 and $399 under a countdown clock, from pharmacies it never names.

Semaglutide:

$69/mo (was $299)

Tirzepatide:

$119/mo (was $399)

States:

Not published

$79/mo semaglutide, $129/mo tirzepatide, plus an unusual oral gum — but the price rides on a promo Embody calls permanent, and you pay before the eligibility review.

Semaglutide:

$79/mo

Tirzepatide:

$129/mo

States:

All 50 states

$99/mo semaglutide, $139/mo tirzepatide (sublingual $129, microdose $116), four flat posted prices and a written no-increase promise — but still no published state list.

Semaglutide:

$99/mo (flat)

Tirzepatide:

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

States:

Not published (confirm at signup)

$88/mo semaglutide, $157/mo tirzepatide, flat, including prescription, unlimited visits and shipping, with named medical groups and pharmacies — canceling means writing an email.

Semaglutide:

$88/mo

Tirzepatide:

$157/mo

States:

All 50 states (availability may vary by provider licensure)

From $99/mo semaglutide, $169/mo tirzepatide, physician-founded with cancel-anytime terms — the rates are a floor that only firms up after the eligibility check.

Semaglutide:

From $99/mo (starting rate)

Tirzepatide:

From $169/mo (starting rate)

States:

U.S. (availability varies by state)

$179/mo for either medication, flat across doses, with a genuinely gentle microdose tier — if you can live with an annual plan and a pharmacy it will not name.

Semaglutide:

$179/mo

Tirzepatide:

$179/mo

States:

All 50 states (as advertised)

It names four pharmacies and who prescribes, and carries brand Wegovy, Zepbound and Ozempic beside its compounded line from $179 a month.

Semaglutide:

From $179/mo (a floor)

Tirzepatide:

From $179/mo (a floor)

States:

All 50 states and DC, qualified in its own terms

$99/mo semaglutide, $183/mo tirzepatide on a 10-week protocol, with a named physician reviewing every intake — but no cancellation policy is published.

Semaglutide:

$99/mo

Tirzepatide:

$183/mo

States:

All 50 states

From $119/mo semaglutide, $185/mo tirzepatide, fully asynchronous with free delivery — the real monthly price and the cancellation terms only appear after you sign up.

Semaglutide:

From $119/mo (starting rate)

Tirzepatide:

From $185/mo (starting rate)

States:

~45 states (as reported; list not published)

From $199/mo semaglutide, subscription-free in all 50 states, with named clinicians and named pharmacies — tirzepatide is priced only after intake, and the review footprint is thin.

Semaglutide:

$199/mo (injectable, starting)

Tirzepatide:

Priced after intake (from a $199 weight-loss floor)

States:

All 50 states

From $129/mo semaglutide, $199/mo tirzepatide, flat across doses, in all 50 states with a 48-hour ship promise — "from" prices, and the pharmacies go unnamed.

Semaglutide:

From $129/mo (floor)

Tirzepatide:

From $199/mo (floor)

States:

All 50 states plus Washington D.C.

$179/mo semaglutide, $209/mo tirzepatide, flat at every dose and public before intake, with four named pharmacies — run by Dynamo Group LLC, not Bodybuilding.com.

Semaglutide:

$179/mo

Tirzepatide:

$209/mo

States:

All 50 states (as advertised)

$133/mo semaglutide or $209/mo tirzepatide on the 3-month plan, with one-click cancellation — and it names pregnancy and breastfeeding as exclusions in writing.

Semaglutide:

$133/mo

Tirzepatide:

$209/mo

States:

All 50 states

$175/mo semaglutide, $235/mo tirzepatide, flat and all-inclusive nationwide — the eye-catching $99 is the annual-prepay rate.

Semaglutide:

$175/mo

Tirzepatide:

$235/mo

States:

All 50 states

$147/mo semaglutide, $249/mo tirzepatide, with the oral tablet at the same price and 49 of 50 states covered — but no cancellation policy is published anywhere.

Semaglutide:

$147/mo starting

Tirzepatide:

$249/mo starting

States:

49 states (all but Louisiana)

$249/mo tirzepatide ($149 the first month) and a GLP-1/B12 combo from $149/mo, all pre-intake — but its own page contradicts itself on "FDA-approved" vs compounded.

Semaglutide:

$149/mo

Tirzepatide:

$249/mo

States:

48-49 states depending on the medication (not available in Alabama or Idaho for tirzepatide; also not in Alaska or Hawaii for the GLP-1/B12 combo)

About $199/mo semaglutide, $299/mo tirzepatide, flat across doses with no membership — but charged every 12 weeks in $597 and $897 blocks, and the pharmacy is never named.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

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

$299/mo month-to-month for either molecule ($169 on the 12-month prepay), flat across doses, insurance accepted in 49 states, brand access — plus a separate membership fee.

Semaglutide:

$299/mo month-to-month ($169/mo on the 12-month prepay)

Tirzepatide:

$299/mo month-to-month ($169/mo on the 12-month prepay)

States:

Not disclosed — no published state list

$199/mo semaglutide, $299/mo tirzepatide month-to-month, with coaching, unlimited follow-ups and a full Spanish site in 49 states — and a two-month minimum you cannot cancel out of.

Semaglutide:

$199/mo (month-to-month)

Tirzepatide:

$299/mo (month-to-month)

States:

All 50 states (not Puerto Rico)

$249/mo semaglutide, $299/mo tirzepatide, injection or sublingual — with a 2025 FDA warning letter and a run of BBB complaints about surprise 3-month charges.

Semaglutide:

$249/mo

Tirzepatide:

$299/mo

States:

Most states (not MS, LA, CA)

$199–249/mo semaglutide, $299–356/mo tirzepatide depending on plan — but you only see those numbers after the intake, and the 3-month plan costs more per month than monthly.

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:

Advertised nationwide (not confirmed on site)

$199/mo semaglutide, $299/mo tirzepatide month-to-month, dropping to $99 and $159 only on a full year prepaid. It names its pharmacies, its clinical group and its CMO.

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

$199/mo semaglutide, shot or daily pill; $299/mo tirzepatide with B12 and glycine, flat across doses — but no price appears until you have entered your height, weight and birth date.

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

$199/mo semaglutide, $299/mo tirzepatide, with a sublingual tablet option — and an FDA warning letter to its parent, Lean Rx, Inc., dated 02/20/2026 that its own site never mentions.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Not disclosed on the public site we reviewed

$149/mo injectable semaglutide, $99/mo oral lozenge, $325/mo tirzepatide ($199 on auto-refill) — with a February 2026 FDA warning letter you should read first.

Semaglutide:

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

Tirzepatide:

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

States:

Not published (confirm at signup)

$249/mo semaglutide, $329/mo tirzepatide with no commitment ($212 and $280 on the 12-month plan), a named Medical Director and a real video visit before anything is prescribed.

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)

$249/mo semaglutide, $329/mo tirzepatide, flat, with brand Zepbound, Ozempic and Wegovy sold alongside — and testimonials that still name a different company, CareGLP.

Semaglutide:

$249/mo

Tirzepatide:

$329/mo

States:

All 50 states (as advertised)

$249/mo semaglutide (tablets $279), $339/mo tirzepatide, microdose $179 — every price public before any intake. It never names the pharmacy that compounds it.

Semaglutide:

$249/mo

Tirzepatide:

$339/mo

States:

50 states (as advertised)

Brand only: Wegovy pill from about $149/mo, Zepbound about $349–$499/mo, with a real video visit — pricier and with more moving parts than a flat compounded plan, but transparent.

Semaglutide:

Brand only (Wegovy pill from ~$149/mo)

Tirzepatide:

Brand only (Zepbound ~$349–$499/mo)

States:

All 50 states

$199–299/mo semaglutide, $349–399/mo tirzepatide depending on form, plus brand options, all published on its products page with no consult required.

Semaglutide:

$199-299/mo depending on form

Tirzepatide:

$349-399/mo depending on form

States:

All 50 states

$299/mo semaglutide, $349/mo tirzepatide ongoing, flat across doses — but it advertises brand medications it cannot sell and carries an open FDA warning letter.

Semaglutide:

$299/mo (ongoing)

Tirzepatide:

$349/mo (ongoing)

States:

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

$279/mo semaglutide, $349/mo tirzepatide month to month, same price at every dose, with the prescriber and the pharmacy both named — but the "$199/mo" on the cards is an annual prepay.

Semaglutide:

$279/mo

Tirzepatide:

$349/mo

States:

No published state list

$299/mo semaglutide, $399/mo tirzepatide, both public before any questionnaire, with a name and a face on every prescribing doctor — 36 states only, and the cost climbs with your dose.

Semaglutide:

$299/mo

Tirzepatide:

$399/mo

States:

36 states (not AL, AK, AR, DE, KS, LA, MS, ND, NM, RI, SD, UT, VT, WV)

$239/mo semaglutide, $399/mo tirzepatide, flat regardless of dose and billed quarterly — only in the 23 states it serves, which exclude most of the big ones.

Semaglutide:

$239/mo

Tirzepatide:

$399/mo

States:

Only 23 states (not California, Washington, Oregon, Massachusetts, New Jersey, Pennsylvania, Ohio, Michigan, North Carolina, Virginia, or Minnesota, among others)

There is no monthly price here, and for once that is deliberate. You pay $39 for the visit — a provider reading your history and writing the prescription — and that is everything RxPepsDirect charges. The medication is billed to you directly by Optimal Balance Pharmacy at wholesale, usually $25 to $200 depending on what you order, plus $15 for shipping. It is the only arrangement where the people writing the prescription are not the ones selling you the medicine. The trade-off is that you cannot know your total until after you have ordered.

Semaglutide:

$39 for the visit; the medication is billed separately at wholesale

Tirzepatide:

$39 for the visit; the medication is billed separately at wholesale

States:

28 states

The cheapest medication I found, $59 and $69 a month — plus a $199 annual membership the headline never mentions. The first year is $907.

Semaglutide:

$59/mo plus a required membership

Tirzepatide:

$69/mo plus a required membership

States:

Not published

This is a general telehealth practice rather than a GLP-1 seller, and reading it as the latter gives a badly wrong number. The $39 and $69 are visit fees — "$39 for most visits, and $69 for weight loss consultations" — and there is no medication price anywhere on the site. Weight loss is one of some seventy conditions they treat, next to sore throat, birth control, hair loss and refills, across seventeen states with same-day appointments.

Semaglutide:

No medication price published; $69 is the consultation fee

Tirzepatide:

No medication price published; $69 is the consultation fee

States:

17 states

A nurse-practitioner-led telehealth clinic with a named founder (Sandra Jordan, MSN, APRN, FNP-C), with two ways to pay — $99 per visit or $75/mo membership — and access to brand-name Zepbound or Wegovy only, with the medication always billed separately.

Semaglutide:

$75/mo membership (Wegovy, medication separate)

Tirzepatide:

$75/mo membership (Zepbound, medication separate)

States:

Texas, Florida, New York, Arizona, Nevada, New Mexico, and Kansas

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

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

A personal-coaching membership running $89 to $169/mo depending on the coaching tier — with a named medical director, Dr. Henry Legere — but the medication is billed separately and its price isn't confirmed until after your consult.

Semaglutide:

$89/mo membership (medication separate)

Tirzepatide:

$89/mo membership (medication separate)

States:

Not disclosed on its site

A flat $99/mo for either semaglutide or tirzepatide — confirmed in its own FAQ, not just the ad — with a full refund if you don't qualify; just know its clinical review runs through the same outside network as OnlyRx.

Semaglutide:

$99/mo

Tirzepatide:

$99/mo

States:

Claims "nationwide" coverage, not confirmed by state

I want to be clear about what the $99 buys, because I read it wrong the first time. It buys the clinic: three named physicians, dietitians, an exercise physiologist and even cognitive behavioral therapy, across six states they do list. It does not buy the medication. They write you a prescription and what it costs is nowhere on the site. There is also a menu link reading "Pricing dummy" that somebody forgot to fill in.

Semaglutide:

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

Tirzepatide:

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

States:

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

One-time 30-day kits — as low as $99 for a single-dose-vial option, or $125-145 for the larger HomeKit — with a full refund if the reviewing physician doesn't approve, but GLP-1 is one line in a broad injectables catalog with no state list and nothing on pregnancy or breastfeeding.

Semaglutide:

$99/mo

Tirzepatide:

$99/mo

States:

Not disclosed — no published state list

$100 a month — $90 for the physician visit, $10 for fulfilment — with the medication billed separately at cost. FDA-approved pens only, and no medication price is published.

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 $25-a-week plan (about $100/mo) with no membership fee, and a partner pharmacy that's actually named — a rarity in this market — plus dietitian support and clinician check-ins included.

Semaglutide:

$100/mo

Tirzepatide:

$100/mo

States:

Not specified on the site

Lean Meds does one thing very well and one thing very badly, and both are visible before you spend a peso. The good: a single all-inclusive membership per molecule — visit, care plan, medication and shipping in one monthly charge — held flat whatever dose you reach, with the whole four-term ladder printed on the homepage. Month to month that is $79 for compounded semaglutide and $109 for compounded tirzepatide, dropping to $69 and $95 if you commit to a year; the flat-by-dose promise is worth more than either figure, because competitors who price by dose routinely double the bill between a starting and a maintenance dose. The bad: the $69 the homepage advertises runs under a live countdown timer, the pharmacy that compounds your medication is never named, no clinician is named either, and the operator behind the brand — Trinity HealthCare Supply, LLC, per its own Terms — is the company FDA wrote to on 8 June 2026 over its other brand, altRx, for putting its own label on vials it did not compound and calling compounded GLP-1s 'clinically proven.' That letter is about altrx.com and not this site, but it is the same legal entity at the same Miami office, and it is exactly the sort of thing a brand-name search will not show you.

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

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

Green Cap Health both prescribes and compounds under one roof in Texas — real, checkable vertical integration — with an aggressive $79 first-month semaglutide price, but the site never discloses what month two costs, and every other state is out of reach entirely.

Semaglutide:

$79/mo (first month)

Tirzepatide:

$119/mo

States:

Texas only

Plans starting at $120/mo with consultations and follow-ups at no extra charge, founded by a physician who lost 100 pounds himself — covers 44 states (not all 50) and charges $125 if you cancel within the first 24 hours.

Semaglutide:

$120/mo

Tirzepatide:

$120/mo

States:

44 states (not all 50)

Eighty-six dollars a month for compounded semaglutide is among the lowest anywhere on this page, and $125 for tirzepatide is genuinely cheap for the dual agonist. The problem sits right under those figures. Each card carries an average: "Average 15-20% body weight loss" on semaglutide and "Average 20-25%" on tirzepatide. The top of that second range is higher than tirzepatide achieved at its maximum dose in its own registrational trial, and these are compounded products that were never in it.

Semaglutide:

From $86/mo

Tirzepatide:

From $125/mo

States:

Not published on the site

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.

Semaglutide:

Starting at $99/mo

Tirzepatide:

Starting at $133/mo

States:

All 50 states

One of the lowest disclosed GLP-1 starting prices among the providers we review — from $99/mo semaglutide, $133/mo tirzepatide — with an explicit no-membership, no-hidden-fee claim, though the real ongoing rate at a working dose isn't confirmed.

Semaglutide:

Starting at $99/mo

Tirzepatide:

Starting at $133/mo

States:

All 50 states

The lowest new-patient price on this roster — $79/mo semaglutide, $133/mo tirzepatide — with the genuine rarity of charging the same for an oral tablet as for the injection, though it doesn't publish the refill rate or a verifiable state list.

Semaglutide:

$79/mo

Tirzepatide:

$133/mo

States:

Not confirmed (see note)

The cheapest sticker price we've reviewed — $100/mo semaglutide, $133/mo tirzepatide on the 3-month plans — but with no named pharmacy, no named clinician, no disclosed state list, and live video consults instead of a quick questionnaire.

Semaglutide:

$100/mo ($299 per 3-month program)

Tirzepatide:

$133/mo ($399 per 3-month program)

States:

Not disclosed — no state list found on the homepage checked

The regulatory record comes first, because it is about this website: in February 2026 the FDA wrote to Aspen Aesthetics, trading as Fifty 410, over false or misleading claims about the compounded semaglutide and tirzepatide sold on fifty410.com. Then the price: "$133/month" appears beside "$399 total (3 months)", so it is a prepaid quarter divided by three rather than a rate you can start and stop. The higher tier is $549 for three months. Semaglutide appears in every product heading but has no price of its own, and the site never says which states it covers.

Semaglutide:

No separate price published

Tirzepatide:

$133/mo, but only as a prepaid 3-month package

States:

Not stated on the site

The price does not go up when your dose does — $99 for semaglutide, $134 for tirzepatide, in all fifty states. But the site never says which company is behind it.

Semaglutide:

$99/mo

Tirzepatide:

$134/mo

States:

All 50 states

This is one of the few cases where the site's own code settles the argument. Every page advertises semaglutide "as low as $83/mo". The function that produces that figure takes each plan, divides the total by the months it covers, and prints the smallest result; and its price list says the twelve-month supply costs $999. Paying month to month it is $119. Which, to be fair, is still cheaper than almost every other provider reviewed here.

Semaglutide:

$119/mo paying month to month

Tirzepatide:

$139/mo paying month to month

States:

Not published; United States only, and you must be in the state being shipped to

A LegitScript-certified compounded GLP-1 platform advertising $89/mo semaglutide and $139/mo tirzepatide — but those are first-month-only promos, and the real month-two price is never published, only shown at checkout.

Semaglutide:

$89/mo first month (promo)

Tirzepatide:

$139/mo first month (promo)

States:

Not disclosed — no published state list

From $99/mo semaglutide, $140/mo tirzepatide — but the site's own note that pricing "may vary" means the ongoing cost is not locked in.

Semaglutide:

From $99/mo

Tirzepatide:

From $140/mo

States:

All 50 states

⛔ FDA warning letter #721472 (Feb. 2026), which names newself.com. Flat price at every dose: $99.97/mo semaglutide, $144.49/mo tirzepatide, three months upfront.

Semaglutide:

$99.97/mo

Tirzepatide:

$144.49/mo

States:

All 50 states

A flat $99.99/mo semaglutide, $144.97/mo tirzepatide compounded option bundling the visit, medication, and shipping into one price — offset by a disclosed 3-month minimum commitment before you can walk away.

Semaglutide:

$99.99/mo

Tirzepatide:

$144.97/mo

States:

Not disclosed — no published state list

Mondae answers the question almost this whole category dodges: who is compounding your medication. Its configurator names six pharmacies — Boudreaux, Rush, Hallandale, Greenwich, Align and VialsRx — and lets you choose one before you pay, a level of supply-chain transparency worth taking seriously. The money is simple where it matters: $115 a month for compounded semaglutide, $145 for compounded tirzepatide, no membership fee on top, and the rate stays fixed as you titrate, so the number you start with is the number you keep. That promise is worth more than the headline figure, because plans that charge by dose routinely double between a starting and a maintenance dose. Both figures were checked properly rather than copied from a card: the treatment pages are a live configurator that ships a '$NNN' placeholder in the raw HTML, so the page was rendered in a browser, the resolved price read from its own element, and then cross-checked against the homepage card and the structured data the page publishes — three sources agreeing on one number. What is missing is ordinary, not alarming: no clinician is named behind the contracted Bask Telehealth network, no labs are included, there are no refunds once the medication is dispatched, and nothing on the site speaks to postpartum recovery, breastfeeding or PCOS.

Semaglutide:

$115/mo (flat at any dose)

Tirzepatide:

$145/mo (flat at any dose)

States:

All 50 states

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

What you buy here is sixty milligrams of tirzepatide for $399.99, and they publish the ladder that makes it last twelve weeks: 2.5 mg, then 5, then 7.5. That is exactly sixty. So at the start it works out at about $145 a month. But once you reach 10 mg a week that same vial is gone in six weeks, and at 15 mg in four. Everything you need to work that out is on their page. So is a headline that is only true on the lowest step.

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

The cleanest flat pricing we've verified: the same cost at every dose, with the consult and shipping included and the pharmacy named down to the address and phone number — with three catches, a $179.99 banner that contradicts its own price, nothing in Spanish, and not one line telling you the medication is injected.

Semaglutide:

$99/mo (one flat price at every dose)

Tirzepatide:

$149/mo (one flat price at every dose)

States:

49 states (all but Alaska)

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

A cardiometabolic platform — not just weight loss — charging $149/mo self-pay (or free with insurance) for specialist access, brand-name GLP-1s, labs, and devices, with a team that includes board-certified obesity specialists and endocrinologists, though it doesn't say which states it serves.

Semaglutide:

$149/mo (Wegovy, all-inclusive) or free with insurance

Tirzepatide:

$149/mo (Zepbound, all-inclusive) or free with insurance

States:

Not disclosed on its site

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

Prices by FORM, not by medication — $149/mo for the injection or $249/mo for the tablet, regardless of whether you're prescribed semaglutide or tirzepatide — but it doesn't publish which states it serves and its compounding-status disclosure is thinner than category norms.

Semaglutide:

$149/mo

Tirzepatide:

$149/mo

States:

No state list disclosed (only a Sheridan, WY company address)

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)

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

The cheapest prices I saw, six figures on an open storefront from $99. But it advertises retatrutide, a drug that is not approved for anything.

Semaglutide:

$129/mo

Tirzepatide:

$149/mo

States:

Not published

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

Semaglutide:

$99/mo

Tirzepatide:

$149/mo

States:

Not disclosed — no published state list

One price whichever molecule you choose: $149.97 a month, $134.99 over six months, $112.50 over twelve, and I checked — the divisions come out exact. Then, above the selector, the same page promises plans "starting at $249.97 a month", a hundred dollars more than anything it sells. That loose figure turned out to be the important part: it appears word for word on Next Vial, contradicting that site too, and the two share a terms document and an IP address.

Semaglutide:

$149.97/mo

Tirzepatide:

$149.97/mo

States:

Not published

A three-molecule menu — semaglutide, tirzepatide, and the less commonly offered liraglutide at $150/mo — starting at $99/mo with 'all doses included' pricing and HSA/FSA accepted, though the homepage's combined banner and its separate tirzepatide listing don't clearly say which price is for which drug.

Semaglutide:

$99/mo

Tirzepatide:

$149/mo

States:

Not publicly disclosed

Credit where it is due: FormBlends says what almost nobody says — "FormBlends is not a medical practice and does not provide medical advice, diagnosis, or treatment. FormBlends does not employ healthcare providers." It is a platform and an intake funnel, and it admits it. What is confusing is the handoff: the pricing page carries another brand, FormScriptsRx, and the site warns that treatment may continue on a different domain. And that $99 is only for the first month. There is no figure for the second anywhere.

Semaglutide:

$99 first month only; no ongoing price published

Tirzepatide:

$149 starting price; no ongoing price published

States:

47 states

Its own semaglutide page gives two different prices for the same thing, $189 and $167. It lists thirty-six states, which is a genuine strength.

Semaglutide:

$189/mo

Tirzepatide:

$155.67/mo, only as a 3-month plan

States:

36 states, listed one by one

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

Two clear figures on the weight-loss page — semaglutide with B-6 from $109 a month, tirzepatide with B-6 from $159 — and a trap sitting right between them. The middle card says $129 and it is Bio-Boost Plus, a lipotropic fat-metabolism injection, not a GLP-1. Vita Bella sells a great many things that are not weight loss, so here it pays to read the label on the card and not just the number. And one detail that matters: provider visits are quarterly, not monthly.

Semaglutide:

From $109/mo with B-6

Tirzepatide:

From $159/mo with B-6

States:

Not published on the site

Clear prices published before the intake, a single charge with no subscription, and a named pharmacy — but you pay for twelve weeks up front before a clinician ever sees you, its own site contradicts itself about which states it serves, and the name promises a women's-health lens its content doesn't deliver.

Semaglutide:

$100/mo (a 12-week pack for $299)

Tirzepatide:

$166/mo (a 12-week pack for $499)

States:

45 states per its homepage; its own terms exclude three others

This is the first one in this group that accepts insurance: it says it is in network with Medicare and the major PPOs, and quotes brand co-pays of "typically $25 per month". If you have coverage, that changes the arithmetic completely against everything else on this page. What needs reading slowly is what the membership buys: $99 a month, $49 for the first, and it says expressly that it does not include medications or labs. So the $99 for semaglutide and the $166 for tirzepatide go on top of the membership, not instead of 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

Cheap headline numbers — $133/mo semaglutide, $166/mo tirzepatide — inside a men's-longevity brand with no visible entrance for women, a 3-month minimum commitment, and a LegitScript badge that's technically attached to a different domain.

Semaglutide:

$133/mo

Tirzepatide:

$166/mo

States:

Not disclosed — no published state list

Spanish from end to end, with six named physicians and its clinical group named — but the advertised $99 is the three-month plan, and the month-to-month rate appears nowhere.

Semaglutide:

From $99/mo on the 3-month plan; no month-to-month rate published

Tirzepatide:

From $169/mo; the plan it applies to is not specified

States:

No state list published; only "U.S.-licensed providers"

Two things you rarely see. Tirzepatide costs the same as semaglutide — both from $169 a month — when almost everyone else adds fifty to a hundred dollars for the dual agonist. And Lighter You names four compounding pharmacies in full, with website, address and phone: RedRock, Health Warehouse, Precision Compounding and Triad Rx. Most of these sites name none. Coverage: all fifty states plus Washington, D.C.

Semaglutide:

From $169/mo

Tirzepatide:

From $169/mo

States:

All 50 states plus Washington, D.C.

A flat $129/mo semaglutide, $169/mo tirzepatide compounded option with no membership fee and pricing that does not climb with dose — though its own assessment page discloses the intake alone does not create a doctor-patient relationship.

Semaglutide:

$129/mo

Tirzepatide:

$169/mo

States:

Not disclosed — no published state list

Two columns, one headed Program and the other Medication, and both have numbers in them. Ninety-nine dollars a month covers every visit, the check-ins, the coaching and a 3D body composition scan; the medication is separate and starts at $70. I have lost count of how many hide the fee inside the drug price or spring it on you at checkout. Budget about $169 a month, with the caveat that the $70 is a floor too.

Semaglutide:

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

Tirzepatide:

$169/mo on the same basis

States:

A Texas practice in The Woodlands

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

From $149/mo semaglutide, $175/mo tirzepatide — the lowest advertised floor here, and the thinnest disclosure: no state list, no named clinician, no pharmacy.

Semaglutide:

From $149/mo

Tirzepatide:

From $175/mo

States:

Not disclosed — no published state list

$114 a month for semaglutide is about as low as you will see, and SurpassMD tells you the catch — not beside the price, but down in the FAQ: those figures are "for eligible patients with a promotion". What it costs without one, it never says. Everything else is well covered: all fifty states plus DC, 503A compounding, cold-chain shipping within 48 hours. There is oral semaglutide too, with no price anywhere.

Semaglutide:

From $114/mo, promotional

Tirzepatide:

From $177/mo, promotional

States:

All 50 states and DC

No membership fee — semaglutide from $117.96/mo, tirzepatide from $178.98/mo — but Trava's own pages currently disagree with each other on its clinical-partner name and its cheapest semaglutide price.

Semaglutide:

$117.96/mo starting

Tirzepatide:

$178.98/mo starting

States:

All 50 states

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, unlike most of the async-start options on this roster.

Semaglutide:

From $139.99/mo

Tirzepatide:

From $179.99/mo

States:

Nationwide

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.

It lists twenty-six states by name and has in-person clinics. From $99 and $179, but those are floors: the real ladder asks for your name and email first.

Semaglutide:

From $99/mo (a floor)

Tirzepatide:

From $179/mo (a floor)

States:

26 states, listed one by one

Novi charges $149/mo for semaglutide and $179 for tirzepatide — those are the figures on its own product pages — with the price visible before intake, free shipping, unlimited clinician messaging and the same price at every dose. The hard part is in its paperwork. Its Terms require a minimum three-month commitment, charge all three months up front, call them non-refundable, and warn that anyone who disputes the charge will be sent to collections; its own help center says there are no contracts and you can cancel any time. Both sentences are published today, on the same site. And nearly every per-month figure it advertises is a term price divided by the months in the plan, not a monthly rate: the "from $88/mo" in its page title is a twelve-month commitment. Its intake also serves a higher price list than the page you read.

Semaglutide:

$149/mo

Tirzepatide:

$179/mo

States:

All 50 states + DC

Velvet Rx publishes three prices and almost nothing else, and the gap between those two facts is the review. The prices are real and stated plainly on its homepage: injectable semaglutide as low as $139 a month, injectable tirzepatide as low as $179, and an oral GLP-1 as low as $189 — which puts it in the cheaper half of this page and makes it one of the few providers here offering an oral formulation alongside the injections. The problem is the phrase 'as low as', which appears on all three and is never resolved. There is no dose ladder, no plan length, no billing cadence, and no pricing page at all: /pricing and /weight-loss both return 404, and the homepage is the only page on the site carrying a number. So $139 is a floor, and nothing published tells you how far above it a maintenance dose sits. The disclosure gaps compound from there. No compounding pharmacy is named, no clinician is named, coverage is not stated, and its own cancellation FAQ asks 'How do cancellations and refunds work?' and answers with 'our care team will guide you with personalized support' — which is not an answer. The operating entity is Rocket Health Inc.; FDA's warning-letter index is clean for both the brand and that entity, screened with a positive control. Treat the $139 as an opening bid rather than a price.

Semaglutide:

From $139/mo (its own 'as low as' floor)

Tirzepatide:

From $179/mo (its own 'as low as' floor)

States:

Not disclosed

Nothing here is sold by the month, and that changes how it compares. Tirzepatide is "$499 for a 12-week supply" and semaglutide "starting at $197 for ~10 weeks" — divide those out and you get about $181 and $86 a month, genuinely low figures, but payable only as whole packages up front. There is no way to take a single month and stop. The two medicines even run on different package lengths, so their per-month numbers do not line up with each other. In its favor: brand-name Zepbound from $139, and it names the pharmacies compounding for it, which hardly anyone does.

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

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, and both prices are 'From' starting prices rather than a guaranteed working-dose rate.

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 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)

A Dallas-area mobile wellness business, not a nationwide telehealth brand — $149/mo semaglutide and $189/mo tirzepatide, flat at every dose, after re-checking a pricing conflict the affiliate directory had flagged. No online quiz, no state list, and support runs through a single phone line.

Semaglutide:

$149/mo

Tirzepatide:

$189/mo

States:

Dallas/Fort Worth, TX area only — not shipped outside Texas

There is a table on this site headed "Transparent Monthly Pricing" which, if your browser is not running JavaScript, reads $0.00. The prices are count-up animations. Requested plainly, three of its four boxes say zero and the fourth says $195.82, which is not what a browser shows either. In a browser the two programs cost $114.99 and $191.99.

Semaglutide:

$114.99/mo

Tirzepatide:

$191.99/mo

States:

Not published

One flat $195 price for either compounded medication, with a needle-free sublingual option and brand-name access on the same platform — but the real price only shows up once you're inside the signup flow, not on the public page.

Semaglutide:

$195/mo

Tirzepatide:

$195/mo

States:

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

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

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

Pricing that genuinely scales with dose — $189 to $299 for semaglutide, $199 to $389 for tirzepatide — confirmed directly in the site's own data bundles, with 48 states covered and no hidden cancellation fee found. It's run out of Boca Raton, Florida (Mon-Fri, 9AM-6PM EST), and also sells sermorelin, NAD+, and several other wellness treatments under the same account.

Semaglutide:

$189/mo

Tirzepatide:

$199/mo

States:

48 states (all except AL and MS)

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

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 the oral tablet's own pricing wasn't fully itemized.

Semaglutide:

$149-219/mo depending on plan length

Tirzepatide:

$199-319/mo depending on plan length

States:

All 50 states + DC

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

A flat $199/mo (after a $149 first month) for semaglutide or tirzepatide, backed by a 100% refund if you don't qualify and a 90-day money-back guarantee — one of the strongest cancellation policies on this roster, though it doesn't publish which states it serves.

Semaglutide:

$199/mo

Tirzepatide:

$199/mo

States:

No state list disclosed

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

⛔ FDA warning letter #721479 (Feb. 2026), which names joinbliv.com. A no-video-visit intake, from $116/mo semaglutide and $199/mo tirzepatide.

Semaglutide:

As low as $116/mo

Tirzepatide:

As low as $199/mo

States:

Not disclosed — no published state list

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

A one-product shop — compounded tirzepatide microdosing only, $89 the first month then $199/mo all-in — and unusually candid on-site that the trial evidence for microdosing specifically is thin, with no semaglutide option at all.

Semaglutide:

Not offered — tirzepatide microdosing only

Tirzepatide:

$199/mo

States:

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

$149/mo semaglutide or $199/mo tirzepatide on its recommended Monthly Plan, from two named compounding pharmacies, with a real published cancellation policy (2 days' notice) — one of the more transparent compounders reviewed, 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

There are no needles here: DoctorAdam sells its GLP-1s only as daily tablets, which makes it genuinely different rather than another compounder with a slightly different number. Semaglutide tablets from $129 a month, tirzepatide tablets from $199, shipped to all fifty states on what they call flat monthly pricing. Do read the cards and not just the numbers, though: NAD+ injections also cost $129 and sit right beside them.

Semaglutide:

From $129/mo as a tablet

Tirzepatide:

From $199/mo as a tablet

States:

All 50 states

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

"The price you start with is the price you keep" — and directly above that sentence, on the same screen, a table reading "Intro rate (first quarter) $139/mo · Standard rate $199/mo." Both cannot be true. The bullets below suggest what was meant — that the price will not rise when your dose does — but that is me interpreting, not the site saying. Which is a shame, because the rest is well built: flat pricing at every dose, 47 states with the three exceptions named openly, and a pharmacy they are willing to name.

Semaglutide:

$199/mo standard rate, with no drug named

Tirzepatide:

$199/mo standard rate, with no drug named

States:

47 states — not California, South Carolina or New Jersey

Livea is one of the few here that existed before the GLP-1 boom: it operates as Livea Medical, PLLC under Minnesota Weight Control, Inc., a weight-control company rather than a telehealth startup. Compounded semaglutide starts at $99 a month and tirzepatide at $199 "when available", a caveat almost nobody else includes. And in its FAQ it does something uncommon: it puts its price next to the brand-name one, "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 with virtual care

The plan selector is one of the cleanest I have seen: $199 a month, or $169, $149 and $99 over three, six and twelve months, and I checked every division — they are exact. Semaglutide and tirzepatide cost the same. And then you look at the top of that same page: "Doctor-Led Weight Loss Plans as Low as $249.97/Month". That figure is nowhere in the selector, and it is two and a half times what its cheapest plan costs.

Semaglutide:

$199/mo paying month to month

Tirzepatide:

$199/mo paying month to month

States:

Not published

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)

BeyondMD publishes its price without asking you for anything first: from $125/mo for semaglutide and from $199 for tirzepatide, right there on every page. That alone puts it ahead of half this list. The fine print sits on a single page in the whole catalog, and it says the program cost runs from $139 to $449 a month, plus a $34 consultation fee. The start button isn't a cart either: it's a form for someone to call you, so your real number is quoted by phone. In its favor it has something almost nobody here offers: clinicians with names, credentials and bios, coaching and accountability included, access to a certified nutritionist, an order of Zofran for nausea, and brand-name Wegovy® and Zepbound® programs. Against it: its Terms contain not one word about refunds or about stopping.

Semaglutide:

From $125/mo

Tirzepatide:

From $199/mo

States:

Most U.S. states (no list published)

"$149 per 4 weeks, billed every 4 weeks; auto-renews until you cancel." I read it twice because I am not used to it. Price, billing period and renewal in a single sentence, which means you can count thirteen charges a year instead of assuming twelve. Then I went to read the terms of use, and what loaded was the homepage with a different name on the tab. There are no terms of use.

Semaglutide:

$149 every 4 weeks

Tirzepatide:

$199 every 4 weeks

States:

Not published

The lowest published starting price we found this round — $147/mo semaglutide, $199/mo tirzepatide, 'no membership costs, no hidden fees, same price all' — but you won't find that number on the site you land on first; it only appears after being routed to a separate signup app.

Semaglutide:

$147/mo

Tirzepatide:

$199/mo

States:

Not publicly disclosed

The product cards are better than most in this group: semaglutide from $149 a month, tirzepatide from $199 against a struck-through $299, each itemizing the visit, the prescription, delivery and follow-up. Then you open the policies and the company address appears three times as "123 Example Street, Suite 100, Your City, WI, 92308". That is the filler text you are meant to replace, still sitting there, on a site selling prescription medication. The state code is Wisconsin and the ZIP is a California one.

Semaglutide:

From $149/mo

Tirzepatide:

From $199/mo

States:

Not published; described only as "nationwide"

A $175/mo semaglutide, $199/mo tirzepatide compounded option carrying its own FDA warning letter (September 2025) for a 'same active ingredient as Wegovy & Ozempic' claim the FDA called misleading.

Semaglutide:

$175/mo

Tirzepatide:

$199/mo

States:

Not disclosed — no published state list

A $139/mo semaglutide or $199/mo tirzepatide standard rate (after a $69/$129 first-month promo), with a genuinely fair, worked-example refund policy for its multi-month plans — undercut by a pricing page with enough overlapping numbers that the real monthly cost takes real effort to pin down, and no named pharmacy.

Semaglutide:

$139/mo

Tirzepatide:

$199/mo

States:

Not verified live — no state list found anywhere on its site

From $149 and $199, but both are floor figures: no ceiling, no dose ladder, and no price for the membership tiers it does name.

Semaglutide:

From $149/mo (a floor)

Tirzepatide:

$199/mo

States:

Not published

I read this card three times and still could not work out what a year costs. It says "$149 first month. Then $199/mo on 8-week cycles." A price per month and an eight-week cycle are not the same unit, and nowhere does it explain how they convert. Right beside it sits "Tier 2 from $399", so the $199 is an entry tier and the bill climbs with your dose. The good part: B12 is included, and the consultation, dose adjustments and shipping are all inside the price, with cancellation stated as anytime.

Semaglutide:

$199 after the first month, on 8-week cycles

Tirzepatide:

$199 after the first month, on 8-week cycles

States:

Not stated on the site

On the semaglutide page there is a section headed "Transparent Pricing". Underneath it: four doses of low-dose naltrexone, twelve of methylene blue and thirteen testosterone combinations. Semaglutide is not in the table. Its price is further up — $99, for "your first 4 weeks", with no figure published for week five. Tirzepatide is the only number here that is usable: $199 a month, everything included.

Semaglutide:

$99 for the first four weeks; the following rate is not published

Tirzepatide:

$199/mo

States:

Not published

The prices are fine: $149 a month for compounded semaglutide, $199 for tirzepatide, injection or oral. What does not survive a look is everything printed around them. The "SAVE 58%" badge sits above a drop from $279 to $149, which is 47%. And in the same card, inside Rivo's own product listing, is the line "Fridays™ Membership Included ($0)" — and Fridays is an entirely different company. Keep the numbers; ignore everything attached to them.

Semaglutide:

From $149/mo

Tirzepatide:

From $199/mo

States:

Not published on the site

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 the advertised rate is a new-patient discount off a higher renewal price.

Semaglutide:

$165/mo

Tirzepatide:

$200/mo

States:

All 50 states + DC

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 the compounding pharmacy isn't named.

Semaglutide:

$170/mo ongoing (injectable), $140/mo first month

Tirzepatide:

$210/mo ongoing (injectable), $190/mo first month

States:

All 50 states + DC

It is not Nova MD, which is the one carrying an FDA letter. A required $99 membership plus medication, and its own pages give two different prices.

Semaglutide:

$198/mo all-in

Tirzepatide:

$210/mo all-in

States:

49 states — not California

Invyncible offers a first-time mom either cheaper compounded semaglutide ($192.50/mo against a $275.00 reference price) or tirzepatide ($210/mo against $300.00), or an FDA-approved Wegovy ($1,750/mo) or Zepbound ($1,540/mo) pen, on the same account — genuinely useful if your needs change — but it won't confirm your state's availability until you're already in the intake, and it discloses its corporate parent and street address rather than hiding behind a trade name, with a LegitScript seal displayed alongside them.

Semaglutide:

$192.50/mo

Tirzepatide:

$210/mo

States:

Not publicly disclosed; confirmed during intake

"Starting at $49/week — no hidden fees", and the unit is what matters. Forty-nine dollars a week is about $212 a month, which is mid-range rather than cheap, and the page never does that sum. The other figure I would stop on is "20% Avg body weight lost", placed in the statistics strip as though it were its own average across ten thousand members. Around 20% is what tirzepatide achieved at its highest dose in a controlled trial. No telehealth service has published an average like it.

Semaglutide:

$212/mo, billed as $49/week

Tirzepatide:

$212/mo, billed as $49/week

States:

Ships nationwide, per the site; no state list published

Every price on this site carries four words that change everything: "with annual prepay". Compounded semaglutide starts at $169 a month on that basis and tirzepatide at $214, with oral versions at $199 and $219 — and I looked for a monthly option and there is none: "month-to-month" appears nowhere. At $169 you are committing more than two thousand dollars before the first injection, which is a very different decision from a monthly bill. In its favor: the clinician, the medication and the shipping are all inside that figure, there are dissolvable tablets and troches if needles are not for you, and it does publish the states — 48 plus DC.

Semaglutide:

$169/mo, but only with annual prepay

Tirzepatide:

$214/mo, but only with annual prepay

States:

48 states plus DC

"Every price is on the site." I have read a great many of these pages today and PepHaus is one of the very few that can say that and mean it. Semaglutide from $152 a month, tirzepatide from $215, and a single monthly price covering the provider visit, the medication, needles, alcohol swabs and messaging with your team. They also put a Certificate of Analysis on every vial, which is the most direct answer anyone has given me to what actually worries people about compounded medicine. One detail: that "From $143/mo" at the top 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

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

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)

An $89/mo Direct Primary Care membership that unlocks a genuinely transparent wholesale price table — $174/mo all-in at the lowest semaglutide dose, $222/mo at the lowest tirzepatide dose — but only in 18 states and DC.

Semaglutide:

$174/mo all-in (membership + lowest-dose semaglutide)

Tirzepatide:

$222/mo all-in (membership + lowest-dose tirzepatide)

States:

18 areas: AZ, CO, DC, FL, GA, IA, ID, KS, MT, NE, NM, NV, NY, OK, OR, UT, VA and WA (more states coming soon)

After a stretch of sites where the "month" turned out to be four weeks or a prepaid quarter, this one simply means a month. Compounded semaglutide from $149, tirzepatide from $224, and I checked: no four-week or quarterly wording appears anywhere on the page. The discount is $99 off your first plan, a one-off rather than a starter rate that quietly resets higher in month two. All 50 states and free expedited shipping. What to keep in mind is the word "from": these are starting figures and it does not say what a higher dose costs.

Semaglutide:

From $149/mo

Tirzepatide:

From $224/mo

States:

All 50 states

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

As low as $99/mo semaglutide or $135/mo tirzepatide on the annual plan, with every tier itemized publicly — from a platform with only 36 Trustpilot reviews 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

Shows every price and names its pharmacy and its doctors — and every signup button still leads to a 404.

Semaglutide:

$175/mo

Tirzepatide:

$225/mo

States:

All 50 states (video visit required in some)

⛔ FDA warning letter #716501 (Sept. 2025) and, in April 2026, the FTC and DOJ moved to seize the company and freeze its assets. Read that first.

Semaglutide:

$135/mo

Tirzepatide:

$225/mo

States:

Most states

Coivas prints both prices on the same page, which is not common. The cards say semaglutide from $119 and tirzepatide from $199; further down, the comparison table says $149 and $229, marked "after intro period". That second pair is what you pay from month two, and it is the one to budget with. The price is flat at every dose, so moving up a dose does not raise the bill, and it covers all 50 states with the consultation, medication and shipping included. There is no brand-name Wegovy or Zepbound, no tablet, and no mention of blood work anywhere.

Semaglutide:

$149/mo after the intro period

Tirzepatide:

$229/mo after the intro period

States:

All 50 states

$139/mo month-to-month, or $299 every three months — both printed on the same line as the $99.67 headline. Its flat rate holds at $229 for 2.5 mg, 5 mg and 7.5 mg.

Semaglutide:

$139/mo paying month to month

Tirzepatide:

$229/mo paying month to month

States:

Not published; only "licensed US providers"

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

You cannot see any price until you apply and are approved. Behind the form: $149 and $229, and a microdose that costs more than the standard plan.

Semaglutide:

$149/mo once you are approved

Tirzepatide:

$229/mo once you are approved

States:

All 50 states, claimed but not listed

The homepage told me weight loss starts "for as little as $287/month". The weight-loss page prices compounded semaglutide at "as low as $167/Month". Same company, same day. For once the error runs the reader's way — the real floor is the lower one — but you only see it if you click past the front page. What is on offer is simple: a weekly injection or a daily sublingual tablet, same price either way. The brand-name pens have prices but say Coming Soon.

Semaglutide:

$167/mo for the compounded injection

Tirzepatide:

$229.99/mo for the compounded form

States:

Not published on the site

Something happens here that has not happened in this whole run: the seller's own figure is worse than the truth. Semaglutide is sold as two months plus one free for $420, and they advertise that as $210 a month, which is dividing by the two months you pay for. Spread across the three months you actually receive, it is $140. The catch is elsewhere: neither GLP-1 can be bought month to month.

Semaglutide:

$140/mo across the three months it covers

Tirzepatide:

$233/mo on the three-month plan

States:

Nationwide except North Carolina

⛔ FDA warning letter #721449 (Feb. 2026), which names goodgirlrx.com. From $134/mo, with injectable, microdose or a dissolving tablet and no required video call.

Semaglutide:

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

Tirzepatide:

$235/mo (annual plan)

States:

Not disclosed

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

Coby publishes its whole dose-scaling price ladder up front instead of a single teaser number — $159 to $249/mo for semaglutide, $239 to $439/mo for tirzepatide — with no membership fee, though it names four states it doesn't reach.

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