The best tirzepatide for women — the questions no one answers.

$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

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)

$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

$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)

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

$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)

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)

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)

$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)

$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)

$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)

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.

$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)

$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

$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

$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

$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)

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

$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

$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

$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

$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)

$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

$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)

A physician-led obesity medicine program paired with a registered dietitian, with monthly video visits and a real effort to work your insurance — the $299 self-pay fee is for that clinical team, not the medication.

Semaglutide:

$299/mo membership (medication billed separately)

Tirzepatide:

$299/mo membership (medication billed separately)

States:

Most states

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

Semaglutide:

$259/mo

Tirzepatide:

$259/mo

States:

All 50 states

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

$183/mo semaglutide or $268/mo tirzepatide, with quarterly labs and coaching genuinely bundled into that price and four named compounding pharmacies — one of the better-documented options we've reviewed, though pricier than the rock-bottom tiers unless you commit to the annual plan.

Semaglutide:

$183/mo

Tirzepatide:

$268/mo

States:

All 50 states + DC

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)

The GLP-1 arm of the habit app millions of moms already know — it works mostly without a video visit and aims at brand-name medication through insurance, but it doesn't say which molecule you're getting or your real quarterly cost up front.

Semaglutide:

$249-299/mo (molecule unspecified; microdose $199)

Tirzepatide:

$249-299/mo (molecule unspecified; microdose $199)

States:

Most states — Noom doesn't say which are excluded

$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

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)

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

$146/mo semaglutide and $258/mo tirzepatide with no commitment, the same price at every dose, and all three plans published before the intake — but it names no pharmacy.

Semaglutide:

$146/mo month-to-month

Tirzepatide:

$258/mo month-to-month

States:

All 50 states, stated on the plan page itself

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 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

⛔ 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

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

FDA-approved brand medication only, and its pricing page says the quiet part out loud: two separate charges, membership and medication, with the benchmark named.

Semaglutide:

$149/mo medication + $74 to $149/mo membership, billed separately

Tirzepatide:

$299/mo medication + $74 to $149/mo membership, billed separately

States:

No state list on its pricing page

It publishes the whole ladder before intake: $199 and $299 month to month, down to $149 and $229 for a year paid up front. It names who prescribes.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

All 50 states and DC, listed one by one

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

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

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

A named, checkable physician (Dr. Michael Mimlitz, MD) backs a $199/mo semaglutide, $299/mo tirzepatide standard rate — the ads lead with a $50-off first month, but the real ongoing number sits right on the same page.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Nationwide, per its own site

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

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

A flat $174/mo for compounded semaglutide and $264/mo for tirzepatide (with a 3-month plan that knocks off 15%), and it names both its physician (Dr. Jonah Mink, of Beluga Health) and its pharmacy (F&F Pharmacies Inc.) — but its own page can't do the math on its own state coverage: it claims 44, names 10 exclusions, and 50 minus 10 is 40, not 44.

Semaglutide:

$174/mo

Tirzepatide:

$264/mo

States:

44 states per the page — doesn't reconcile with its own list of 10 exclusions (which works out to 40)

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

Four clear price points — injection or needle-free oral tablet, semaglutide or tirzepatide — with confirmed all-50-states coverage, though the $179 semaglutide price is a summer promo and its "15-22% weight loss" figures are the company's own data, not a clinical study.

Semaglutide:

$179/mo

Tirzepatide:

$249/mo

States:

All 50 states

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 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

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

Semaglutide:

$249/mo

Tirzepatide:

$297/mo

States:

Not published

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

Semaglutide:

From $167/mo

Tirzepatide:

From $267/mo

States:

All 50 states

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

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 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

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

Semaglutide:

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

Tirzepatide:

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

States:

All 50 states + Puerto Rico

A clean, all-inclusive flat-price shop — $179/mo semaglutide, $249/mo tirzepatide, unlimited follow-ups included — with no brand-name fallback and no published clinical-oversight detail.

Semaglutide:

$179/mo all-inclusive

Tirzepatide:

$249/mo all-inclusive

States:

Nationwide

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)

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

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)

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

Semaglutide:

$190/mo standard, before streak discounts

Tirzepatide:

$275/mo standard, before streak discounts

States:

50 states (claimed)

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

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

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

Semaglutide:

$249/mo standard

Tirzepatide:

$249/mo standard

States:

All 50 states

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

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

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

⛔ FDA warning letter #728291 (Jun. 2026), which names orderlymeds.com. Publishes real cash prices for compounded and brand, with a named CMO and all 50 states.

Semaglutide:

$149/mo standard

Tirzepatide:

$299/mo standard

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)

Founded by a husband-and-wife team who previously owned a Florida weight-loss clinic, with no consultation or membership fee and micro-dose options — the regular price is $179/$249, though a countdown-timer banner advertises a different intro rate, and the only "all 50 states" promise belongs to its partner pharmacy, not Bodi Envi itself.

Semaglutide:

$179/mo

Tirzepatide:

$249/mo

States:

Not confirmed by Bodi Envi itself (its partner pharmacy, VialsRx, is licensed in all 50 states)

A granular GLP-1 menu — microdose from $129/mo, semaglutide from $149/mo, tirzepatide from $249/mo, plus an exclusive combined 'GLP-Squared' injection at the same $249/mo — all stated as all-inclusive, though the site doesn't itemize exactly what that covers.

Semaglutide:

Starts at $149/mo, all-inclusive

Tirzepatide:

Starts at $249/mo, all-inclusive

States:

All 50 states

A rare compounded-plus-brand shop with five real price points disclosed up front — $179/mo compounded semaglutide up to $1,086/mo brand Zepbound — though the oral tablet's exact molecule split isn't fully clear.

Semaglutide:

$179/mo compounded, $997/mo brand Ozempic®

Tirzepatide:

$239/mo compounded, $1,086/mo brand Zepbound®

States:

Nationwide

⛔ 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

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

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 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

A small, physician-led practice — Dr. Tran Le personally, capped at ~500 patients — $199/mo semaglutide, $249/mo tirzepatide, all-inclusive, but limited to Texas and Utah only.

Semaglutide:

$199/mo, all-inclusive

Tirzepatide:

$249/mo, all-inclusive

States:

Texas & Utah only

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

Semaglutide:

$199/mo, same price at every dose

Tirzepatide:

$299/mo, same price at every dose

States:

All 50 states

Real coverage in all 50 states plus DC, no membership fee, and free shipping — the no-commitment price is $225 (semaglutide) or $265 (tirzepatide), and drops a lot if you prepay a multi-month plan.

Semaglutide:

$225/mo

Tirzepatide:

$265/mo

States:

All 50 states + DC

⛔ 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 flat-price compounded shop — $179/mo semaglutide, $259/mo tirzepatide, same price at any dose — though the site doesn't itemize what's actually bundled into that number. It claims 680+ reviews at an 'Excellent' rating and a nationwide footprint, but publishes no labs, follow-up cadence, or cancellation policy to back either claim up.

Semaglutide:

$179/mo, same price any dose

Tirzepatide:

$259/mo, same price any dose

States:

Nationwide

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

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)

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

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"

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

Semaglutide:

From $269/mo (floor)

Tirzepatide:

From $269/mo (floor)

States:

Not published

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

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

A microdose-or-full-strength compounded shop — starting at $149/mo semaglutide, $249/mo tirzepatide — with a 4.9-star Google rating and a stated 15,000+ clients served, though the compounding pharmacy itself isn't named.

Semaglutide:

From $149/mo

Tirzepatide:

From $249/mo

States:

All 50 states

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

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 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

A broader wellness platform with GLP-1s starting from $179/mo semaglutide and $255/mo tirzepatide, alongside a longevity catalog — though the 'From' pricing means the real ongoing cost isn't fully confirmed on the public pages.

Semaglutide:

From $179/mo

Tirzepatide:

From $255/mo

States:

Nationwide

$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"

$168/mo semaglutide, $268/mo tirzepatide month-to-month, dropping to $129 and $199 only on a full year prepaid — and all 50 states, explicitly stated.

Semaglutide:

$168/mo

Tirzepatide:

$268/mo

States:

All 50 states

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

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

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

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)

"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 see-it-before-you-buy Shopify storefront — $295/mo flat for semaglutide, $295-$595/mo for tirzepatide by dose — with mixed reviews on how responsive the actual support is.

Semaglutide:

$295/mo flat (any dose)

Tirzepatide:

$295/mo starting (scales with dose)

States:

Not disclosed

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)

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

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

$199/mo semaglutide, $299/mo tirzepatide once the first-month promo ends, from a named entity with a checkable LegitScript badge — but it says nothing about pregnancy.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

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

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

Semaglutide:

$149/mo

Tirzepatide:

$279/mo ($249/mo microdose)

States:

49 states — not Mississippi

Names four specific 503A compounding pharmacy partners directly — from $150/mo semaglutide, $241/mo tirzepatide on a 6-month plan, available as injection, drops, or pills — though state coverage isn't published.

Semaglutide:

From $150/mo

Tirzepatide:

From $241/mo

States:

Not disclosed — no published state list

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

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

$199/mo semaglutide, $299/mo tirzepatide, plus brand-name access with no price attached — and the site shows three different, unreconciled price claims across its own pages.

Semaglutide:

$199/mo standard

Tirzepatide:

$299/mo

States:

Nationwide (stated on homepage)

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

Semaglutide:

$199/mo standard, medication included

Tirzepatide:

$299/mo standard, medication included

States:

26 states — the list is not published

One of the network's longer-established telehealth operators (since 2008) — as low as $99/mo semaglutide, $269/mo tirzepatide — though state coverage isn't itemized beyond a 'trusted nationwide' claim.

Semaglutide:

As low as $99/mo

Tirzepatide:

As low as $269/mo

States:

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

Nobody else shows their working like this: every level, every dose, every price. Semaglutide goes $195, $225, $265, $290, $310. Then I noticed that two of those five levels cover five weeks rather than four, which leaves level 3 cheaper per week than level 2 even though the dose is higher. And the sentence right above the table says the prices cover four weeks.

Semaglutide:

$195 every 4 weeks at the lowest dose, up to $310

Tirzepatide:

$280 every 4 weeks at the lowest dose, up to $525

States:

Published per provider rather than for the whole site; one is listed as licensed in Michigan and Ohio

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

Rare in this category: its oral tablet actually costs LESS than the injection for both medications ($179 and $199 vs. $199 and $299) — but its marketing carelessly blurs "FDA-registered labs" with FDA-approved medication, and it doesn't publish which states it serves.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

No state list disclosed

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

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

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.

$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

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)

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 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

A real, named 27-state list instead of a vague nationwide claim — $247/mo semaglutide, $296-396/mo tirzepatide depending on the dose tier — but a general longevity-brand platform, not built for first-time moms, and its FAQ and Terms pages both 404'd.

Semaglutide:

$247/mo

Tirzepatide:

$296/mo

States:

27 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)

A concierge clinic run by a single licensed PA-C (Mathew Hammons), semaglutide from $200/mo and tirzepatide from $250/mo with lab-guided dosing — though its own site calls compounded medications "FDA-approved" when they aren't, and it only serves five states by telehealth plus its Joplin, Missouri office.

Semaglutide:

$200/mo and up

Tirzepatide:

$250/mo and up

States:

Telehealth in Missouri, Iowa, Kansas, Utah, and Washington; in-person visits in Joplin, Missouri

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

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

$199/mo semaglutide, $299/mo tirzepatide, three named co-founders (Gabriel Mullins, Sara Yoder, Tyler Bowman), no contracts, and a nurse practitioner reviewing intake within roughly 24 hours by Spry's own claim — undercut by an on-site 'FDA Approved' badge that overstates what's actually true about compounded GLP-1s, plus no pharmacy named and no state list disclosed. Its pricing only surfaces from the site's own compiled JavaScript rather than the visible marketing page, which is how it was confirmed for this review.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Not disclosed

"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

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

This is Bryan Johnson's longevity company, and it sells GLP-1s the way it sells everything else: a catalog with a price on every item, which is a relief until you read the footnote. Compounded semaglutide with glycine and B12 costs $167 a month as a microdose and $196 at a personalized dose; tirzepatide, $180 and $255. The brand-name ones are on the same shelf: Zepbound KwikPen $600, Wegovy $1,550, Foundayo $750. And the footnote says: "Billed quarterly with a three-month commitment paid up front." So the first charge is three months.

Semaglutide:

$196/mo for the personalized dose, billed quarterly

Tirzepatide:

$255/mo for the personalized dose, billed quarterly

States:

No list published; some states require a video consult

Clear base pricing on its own product pages ($199/$299, with a real 6-month plan discount) — but its own site contradicts itself on which states it actually serves, one page says all 50, another excludes five.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

The site contradicts itself on which states it covers (see note)

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

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

Three pages of the same site give three different prices for the same thing. The homepage says semaglutide starts at $169 a month. The packages page shows $169 for the first month and $199 from the second. And the semaglutide page says the program costs "$200-$550 per month", a figure nothing else comes near. The packages page is the good one: I checked its six totals and every one is exact. And then there are the tablet cards, which say what arrives is tirzepatide.

Semaglutide:

$199/mo

Tirzepatide:

$259/mo

States:

Not published; says it serves patients across the country

Advertised floor prices starting at $199 (semaglutide) and $259 (tirzepatide), with an oral option for both and four named physicians — though the site doesn't publish a full dose ladder or which states it serves.

Semaglutide:

$199/mo (advertised floor price)

Tirzepatide:

$259/mo (advertised floor price)

States:

Not specified anywhere on the site

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

LegitScript-certified compounded semaglutide and tirzepatide at a flat $199/mo and $299/mo regardless of dose, with a $99/$183 promo shown on-page — reasonably transparent flat-rate pricing let down by no disclosed address or named pharmacy.

Semaglutide:

$199/mo

Tirzepatide:

$299/mo

States:

Not available in New Jersey, Alaska, or Mississippi

$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

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

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)

What stands out about ZipHealth is what it does NOT sell: there is nothing compounded here. Brand-name Zepbound, the Wegovy pen and pill, and Foundayo — orforglipron, Lilly's daily tablet — each with a published price for every dose. You almost never see that level of detail. It comes with a $79 clinical service and support fee which, by the site's own FAQ, applies to new AND repeat patients, and which is in none of those figures. The cheapest real month is $149 plus $79.

Semaglutide:

Wegovy pen from $199/mo, rising with dose

Tirzepatide:

Zepbound from $299/mo, rising with dose

States:

Not published on the site

This is a genuine surgical practice rather than a telehealth brand: a bariatric center in Hollywood, Florida with a named surgeon who also performs sleeves and bypasses. Semaglutide is $69 a week or $179 a month; tirzepatide starts at $279. Two things need care. The package labels claim more time than they cover — "2.5-Month (10 Weeks)" is 2.3 months and "5-Month (20 Weeks)" is 4.6 — and the practice markets retatrutide, a medication not approved anywhere for anything.

Semaglutide:

$179/mo on the monthly program

Tirzepatide:

From $279/mo

States:

A Florida surgical practice with telehealth; no state list published

⛔ FDA warning letter #714755 (Sept. 2025), which names mystarthealth.com. A flat $299/mo all-inclusive program from a Delaware LLC with a real disclosed address.

Semaglutide:

$299/mo

Tirzepatide:

$299/mo

States:

Not disclosed as a list

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

Starting From $190/mo semaglutide and $239/mo tirzepatide, naming two real compounding pharmacies — Manifest Pharmacy in Greer, South Carolina, and RX Compounding Store in Miami, Florida — plus a genuine self-serve cancel-anytime policy; but no state list published anywhere, and nothing about pregnancy or breastfeeding.

Semaglutide:

$190/mo starting

Tirzepatide:

$239/mo starting

States:

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

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

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

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

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

Semaglutide:

$169 per billing period — length not disclosed

Tirzepatide:

$249 per billing period — length not disclosed

States:

Does not disclose a service area

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)

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