Best semaglutide providers, compared

Price: Compounded semaglutide with the medication included: $289 per 4 weeks month-to-month paying cash, or $249, $219 and $169 per 4 weeks on 3-, 6- and 12-month plans. Using insurance for visits, $199 month-to-month down to $99 on a 12-month plan, plus visit copays (typically around $30). The first month-to-month cycle is discounted ($179 cash, $99 insurance). Brand-name Wegovy, Ozempic and Rybelsus are billed separately, on top of the plan

One of the older, larger weight-care platforms — Found (Found Health Inc.) has operated since 2019 and reports 250,000+ members. Care is led by obesity-medicine clinicians and paired with a behavioral-coaching app, community and insurance navigation rather than medication alone. Its stand-out is breadth of formulary: compounded semaglutide at the entry, but also a genuine brand-name path (Wegovy, Ozempic) and oral Rybelsus (oral semaglutide), plus non-GLP oral options, all in 50 states with HSA/FSA accepted. The trade-off is pricing that varies and layers — compounded plans include the medication, but the lowest rate ($169 cash, $99 with insurance) needs a 12-month plan, month-to-month cash is $289, every plan bills per 28-day cycle, and brand-name medication is billed on top.

Price: Brand-name GLP-1s through a pick-your-provider marketplace — Wegovy pill and Wegovy pen from $149/mo self-pay — plus a separate care subscription: $59/mo on a 12-month commitment or $99 month-to-month, billed every 28 days (a two-part cost). Sesame's FAQ lists self-pay Wegovy injections at $199/mo for the first two months, then $349/mo at every dose; the Wegovy pill is $149/mo at the two lowest doses and $299/mo above them

Sesame is an established national telehealth marketplace (operating since 2018) rather than a single dedicated weight-loss program. You browse and choose your own licensed provider, see the price up front, and book — with a platform subscription billed on top of the medication, so the true monthly outlay is a two-part figure. Its stand-out is access: it carries the widest real brand-name GLP-1 lineup we log — Wegovy pen and Wegovy pill, Zepbound, Ozempic, Mounjaro and oral Rybelsus — including oral routes, all FDA-approved. It holds LegitScript certification and BBB accreditation and carries a large third-party review volume. The trade-off is that it is a generalist marketplace, not a weight-loss-specialized clinic, so ongoing coaching support is lighter, and brand-name cash prices can run high without insurance.

Price: Compounded semaglutide $149 every 4 weeks on the monthly plan, or $99/mo on the 12-month plan ($1,188 billed once a year); compounded tirzepatide $199 every 4 weeks or $149/mo on 12 months ($1,788). Same price at any dose, with the provider visit, medication and shipping included

Sprout Health connects you with licensed clinicians through MD Integrations, a physician network, and ships compounded semaglutide or tirzepatide from partner pharmacies. You take a short quiz, pay, then complete a medical questionnaire; a clinician decides whether to prescribe, and most prescriptions reach the pharmacy within two business days. The price is the same at every dose and covers the visit, medication and shipping. It is billed every four weeks on the monthly plan, or once a year at a lower monthly equivalent. Where state law requires it, as in New York, the clinician visit is live by video. It serves 44 states and excludes Alabama, Arkansas, California, Louisiana, Mississippi and North Dakota.

Price: $179/mo for compounded semaglutide or tirzepatide at every dose, per Gala's weight-loss page, which also says semaglutide from $129/mo; the drug pages say $199/mo all-included and the FAQ quotes $199/mo on a 3-month plan. No plan length is printed beside $129 or $179. Brand Ozempic from $1,299/mo cash

Gala GLP-1 (operated by AI Coaching, Inc., with care delivered through OpenLoop-affiliated medical groups) is built as a women's brand — its weight-loss pages read “for women” and “dosed for women's bodies” — with menopause and hormone care in the same app and a separate longevity line. An online assessment goes to a licensed clinician, by video or written review depending on your state and medication, and Gala says medication reaches your door about seven days later. It prescribes compounded semaglutide and tirzepatide by weekly injection in all 50 states, plus FDA-approved Ozempic at a cash price. No oral form is sold yet, the Wegovy pill being listed as coming soon. Its compounded card is one price at every dose, and a provider-recommended dose increase comes at no additional cost. The plan includes video provider visits, live coaching, the app and a care team seven days a week, with no membership fee. The figures need reading together: $179/month on the card, semaglutide “from $129/mo” in the hero, and $199/month in the FAQ on a three-month plan, which is the only figure given a plan length.

Price: Compounded semaglutide $249/mo month to month, billed every 4 weeks; $237 on a 3-month plan, $224 on 6 months, $212 on 12 months; $50 off the first 1-month order, $100 off longer plans. Tirzepatide $329/mo month to month ($280 on 12 months); combo from $322, microdose tirzepatide $169; NAD+ available

A compounded-only telehealth program built around monitoring. Before your first prescription you get labs drawn at Quest and a video visit with a provider, and labs repeat every six months. Semaglutide is $249 a month with nothing locked in, billed every 4 weeks, and falls to $212 on a 12-month plan; every dose costs the same. Its product pages say the medication is compounded under Section 503A. It carries no brand-name or oral option, and it serves 40 states plus DC.

Price: Compounded semaglutide $165/mo month to month after a $149 first month (Subscribe & Save, the only monthly option); $399 for three months, $714 for six, $1,188 for twelve ($99/mo), each renewing $25 lower. Compounded tirzepatide $214/mo after a $193 first month

A LegitScript-certified (#50087439) telehealth marketplace for weekly compounded semaglutide and tirzepatide. You pay at checkout, then an independent clinician licensed in your state reviews your intake within about 24 hours, and a licensed Section 503A compounding pharmacy ships overnight with no signature needed. One plan price covers the review, the prescription, the medication and shipping, with a full refund if you are not approved. It serves all 50 states, takes no insurance, and its plans are HSA and FSA eligible.

Price: Compounded semaglutide from $249/mo as sublingual drops or $297/mo as a weekly injection, all-inclusive with no membership fee; 30-, 90-, 180- and 360-day supplies are offered, and new-customer and 6- or 12-month discounts are mentioned without figures

A compounded-only telehealth service whose pitch is format choice: semaglutide as sublingual drops under the tongue or as a weekly injection, plus tirzepatide. You complete an online assessment, a licensed provider reviews it in under 24 hours, and medication ships within one business day with free priority shipping. The rate is all-inclusive, covering medication, nurse support, shipping and follow-ups, with no membership and no separate consult fee. Subscriptions bill every 30 days with a reminder 5 to 7 days before each charge.

Price: Compounded semaglutide from $79/mo (weekly injection, same price at every dose); compounded tirzepatide from $159/mo; NAD+ from $170/mo and microdosing from $179/mo. The refill price and interval are shown at checkout; the optional Optimum coaching membership is listed as coming soon

A compounded GLP-1 and longevity telehealth brand that publishes its starting prices openly rather than hiding them behind a quiz. You complete an online intake, a clinician at its affiliated medical practice reviews it — usually without a live visit, though you can ask for one at no charge — and your card is charged only if a prescription is issued. Compounded semaglutide (or tirzepatide) ships as a weekly injectable at the same price at every dose, filled by one of three pharmacies its Terms name. Cancel any time from your account; an order is refunded in full if you cancel before it ships. The coaching, nutritionist and at-home lab membership is announced but not yet on sale.

Price: Compounded semaglutide $179/mo month to month, $159.33/mo on three months, $158 on six and $141.50 on twelve; compounded tirzepatide $209/mo month to month, $179 on three and $174.67 on six, but $187.33 on twelve, so its longest bundle costs more per month than the six; NAD+, sermorelin and a deep peptide menu also offered

Bodybuilding Health+ is the compounded telehealth arm of Bodybuilding.com, run under license by Dynamo Group LLC of Boca Raton, which launched it in 2026. You take a two-to-three-minute assessment, an independent licensed provider reviews it, and compounded semaglutide or tirzepatide ships from a U.S. pharmacy. Prices are public for one, three, six and twelve months. Semaglutide steps down from $179 a month to $141.50 on a twelve-month bundle; tirzepatide is cheapest per month on six months, and its twelve-month bundle costs more. NAD+, sermorelin and a broad peptide menu sit beside the GLP-1 line. Prescription sales are final and the consult fee is non-refundable.

Price: Compounded semaglutide from $99/mo as a daily oral lozenge or $129/mo as a weekly injection, both on auto-refill (its semaglutide overview lists the lozenge at $199 for a 30-day supply); compounded tirzepatide $149/mo injectable or $199/mo oral

Asynchronous telehealth: a U.S.-licensed physician reviews an online questionnaire, and in many states no phone consultation is required at all. The distinguishing feature is route — the same semaglutide is sold as a daily buccal lozenge or a weekly injection, and the lozenge is the cheaper of the two at $99/mo against $129/mo, so choosing the needle-free option costs less rather than more. The visit, follow-ups, messaging and shipping are included, and medication typically arrives within 2 business days.

Price: $200 for a one-month supply of compounded semaglutide on Oak's order form (struck through from $250), or $133/mo on a three-month supply billed up front (struck through from $200); Oak says each dose step typically costs about $50–$75 more. Oral semaglutide $245/mo; brand Ozempic $1,150/mo. Oak's marketing pages also show “from $119/mo” and “$190/mo”

A deliberately stripped-back offer: you buy a one- or three-month supply rather than joining a subscription, monthly orders are billed on a non-recurring basis so nothing renews by itself, and there is no membership fee, with free shipping and free health coaching. The order form lists compounded semaglutide and tirzepatide by injection, oral semaglutide, and brand-name Ozempic, Wegovy, Mounjaro and Zepbound. You pick a product, complete a medical questionnaire and upload a body photo, a selfie and your state ID; a physician reviews it within hours, with no call unless you ask for a video visit, and you are charged only once approved, at the price for the dose prescribed. Oak's own FAQ says each dose step usually costs more. It names its preferred pharmacy, InnovaScript Pharmacy, and its telehealth providers, NVP Medical Group, and it serves every state except West Virginia and Mississippi.

Price: Compounded semaglutide injection $199/mo month-to-month ($179 on six months, $159 on twelve) · lozenges from $199/mo · liquid drops from $229/mo · brand Wegovy and Zepbound priced separately, with a Shed membership on top

A weight-loss platform rather than a single-format prescriber: compounded semaglutide comes as a weekly injection, daily liquid drops or a lozenge, compounded tirzepatide is offered, and brand Wegovy (pill or pen), Zepbound and a daily FDA-approved GLP-1 pill are available for anyone who wants an approved product. Unlimited provider follow-ups and text-based coaching come with the membership, and a 120-day guarantee refunds first-time GLP-1 users who meet its program requirements. Shed serves all 50 states, DC and Puerto Rico.

Price: Compounded semaglutide injection $239/mo billed quarterly ($717 per three months), or $199/mo on a six-month plan ($1,194) — the same price at every dose from 0.25mg to 2.4mg; sublingual tablets $219/mo quarterly or $179/mo on six months

LegitScript-verified compounded telehealth whose distinguishing feature is that it publishes the price at every dose — 0.25mg through 2.4mg all cost the same — so the cost of the dose you eventually titrate to is knowable on day one. A board-certified physician reviews the intake in writing with no video call, the injection ships overnight with supplies included, and if you are not prescribed you are refunded everything except a $39 physician-visit fee, stated before checkout. A sublingual semaglutide tablet is offered alongside the injection. The injection is offered in 23 states, the tablet in 40.

Price: Brand-name Wegovy $899/month and Ozempic $1,199/month, the same price at every dose (a footnote ties the figure to a three-month plan paid up front); compounded semaglutide and tirzepatide are priced only after the intake quiz

A Miami-based telehealth platform that sells brand-name Wegovy, Ozempic, Mounjaro and Zepbound pens beside compounded semaglutide and tirzepatide, including a dissolving GLP-1 tablet, plus sermorelin and NAD+. You take a short assessment, a licensed clinician reviews it, and visits are by video. The brand pens carry a published monthly price; the compounded line is priced only inside the intake. Its terms describe a membership billed every 28 days, cancellable by email, and a refund of up to four months of fees if a new patient follows the plan for 16 weeks and loses less than 10% of their weight. It serves all 50 states and D.C.

Price: Compounded semaglutide (sold as "GLP1 + B12") is $149/month for first-time patients ($447 total for an estimated 10–12 week supply) and $139/month for returning patients ($834 total for an estimated 8–12 week supply). Tirzepatide is $149 to start, then $249/month billed quarterly. Not available in Alabama, Idaho, Alaska or Hawaii

Peter MD is a physician-led telehealth clinic that started in hormone care and also sells compounded semaglutide blended with B12 under the name "GLP1 + B12". Pricing comes in two tiers: one for first-time patients and a second for returning patients, each with a total printed beside the monthly figure. The same account can add tirzepatide, sermorelin, NAD+ or testosterone therapy. Auto-renewing orders bill until you cancel, cancellation needs 48 hours' notice before renewal, and medication is final once received. Its Terms name Absolute Pharmacy and Partell Pharmacy, with addresses and phone numbers.

Price: Compounded semaglutide injection $99 for the first month and tablets $149 for the first month; the product pages do not show what later months or prepaid plans cost before checkout

A telehealth weight-loss shop run by Lean Rx, Inc., selling compounded semaglutide and compounded tirzepatide as a weekly injection, a sublingual form or a daily tablet, plus separately priced microdose versions and a metabolic-health line built around a glucose biosensor. Its medical director, Sajad Zalzala, M.D., is named, and prescriptions come from independent US-licensed providers after a five-minute online intake, sometimes with a quick video visit, usually within 24 hours. Payment is taken after the intake and refunded in full within 24–48 hours if you do not qualify. Unlimited care-team messaging, clinician consults at no extra cost and free overnight shipping are included, and a monthly refill form keeps the next supply coming. The product pages lead with a $99 first month; the month-to-month semaglutide rate after it is $249. Compounded plans are not offered in Alabama, Louisiana or Mississippi. No brand-name product can be bought today, since its Wegovy pill and orforglipron pill pages show both as unavailable.

Price: $249 / month month-to-month for compounded semaglutide, as a weekly injection or a daily oral capsule; $219/mo on a 3-month plan and $199/mo on 6 months, billed up front, and the 12-month plan shows $175/mo with a 10% promo code ($2,094 up front). Brand-name Ozempic® $1,299, Wegovy® $1,349 and Zepbound® $1,069 for the first month. Consultation, medication, supplies, shipping and support are inside the plan price — no membership and no visit fee

RxSpan MD is a physician-led telehealth practice (RxSpan MD LLC) founded by Dr. John Diaz, a board-certified plastic surgeon, running weight loss alongside separate longevity, hair-loss and sexual-health lines. It compounds semaglutide and tirzepatide in two routes each — a weekly injection and a daily oral capsule, both priced the same month to month within a molecule, with vitamin B12 in the formula — and it will also dispense the FDA-approved product: Ozempic, Wegovy and Zepbound are sold at brand pricing beside the compounded line, and a microdosing option is listed. It names all four of its compounding pharmacies in the homepage FAQ with phone numbers, and its medical team, Lion MD, with two physicians and their NPI numbers. You complete a short online intake, check out, and a provider reviews your case; many people are approved from the intake alone and some get a brief telehealth visit. Plans are prepaid monthly, quarterly, semi-annually or annually, renew automatically, and can be canceled or changed anytime, with CareCredit financing offered. It serves all 50 states. The site publishes no refund or cancellation terms.

Price: $49 a month “starting at” for compounded semaglutide on the plan card, during a fall sale applied at checkout, with no plan length printed beside it; the site's FAQ says a per-month figure on a prepaid plan is the total divided by its months. The rolling plan renews every 21 days, and 3-, 6- and 12-month plans are prepaid. Compounded tirzepatide starts at $89 a month on the same terms. Brand-name Ozempic from $1,399/mo and Zepbound from $1,599/mo are sold as month-to-month plans

WellMedr is a telehealth weight-loss brand — legal entity Wellmedr LLC, with clinical care through the OpenLoop Health network of licensed providers — selling compounded semaglutide and tirzepatide by injection or in an oral form, brand-name Ozempic and Zepbound at brand pricing, and a separate microdose line. It names the pharmacy that fulfills and ships prescriptions, Mycelium Pharmacy, and it puts the compounding caveat and the thyroid C-cell and medullary-thyroid-carcinoma warnings on the plan page itself. You pay at checkout, before a clinician reviews your intake, and are refunded automatically within seven business days if not approved. Its refund policy is set out in plain tables: a rolling plan that renews every 21 days, prepaid 3-, 6- and 12-month plans that renew only if you opt in, a full refund before the pharmacy starts on your order, and pro-rata refunds of unshipped prepaid months. The semaglutide card leads with a sale figure and prints no plan length beside it, and only the tirzepatide card promises the price holds across doses.

Price: $99/month month to month, falling to $89 on three months, $79 on six and $69 on a twelve-month term; tirzepatide $149/month month to month, down to $119 on twelve

You pay for your first month, complete an intake in the patient portal, and a clinician from OpenLoop Health reviews your chart, usually within 24 hours. If approved, one of four named 503A partner pharmacies ships compounded semaglutide by one-day FedEx or UPS. SnagRx, operated by Modern Metabolic Medicine, Inc., charges the same price at every dose, with the visit, care coaching, 24/7 messaging and shipping included and no insurance or membership required. Payments are final; only a medical disqualification earns a partial refund.