Best GLP-1 Programs With Coaching in 2026 — Ranked & Reviewed
In the STEP-1 and SURMOUNT-1 trials, people lost about 15% of body weight on semaglutide and up to about 21% on the top tirzepatide dose while also receiving diet and activity counseling. Many telehealth programs ship the prescription and stop there. The providers on this list include some form of coaching in the plan, from a dietitian or health coach to structured in-app nutrition support, according to what each provider's own site says is included.
Lowest verified price: $126/mo (Healthicare, lowest listed ongoing monthly price)63 providers compared
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63 glp-1 programs with coaching compared · independently scored against our six-factor methodology.
How this list is built
A provider is listed when its own site says coaching is included in the GLP-1 plan, not sold as an add-on. Coaching varies a lot: some programs assign a registered dietitian or a named health coach with scheduled check-ins, and others offer messaging or app-based guidance. Ask which one you get before you sign up, and whether it continues after the first months.
Coaching does not replace the prescriber. Dose changes, side effects and whether the medication suits you stay with the licensed clinician who writes the prescription. If you want a structured program without medication, our weight loss programs ranking covers those separately.
More detail: what to eat on a GLP-1 and real-world telehealth GLP-1 outcomes.
Compare the top providers at a glance
Logos, our editorial rating, price, medications, and coverage — the fastest way to narrow the list.
- ★ Editor's Pick
medication-included compounded GLP-1 from $169/mo on a 12-month prepaid plan, plus brand insurance help
From /mo$16912-month plan rateCoverage50 statesMedicationsSemaglutideTirzepatideOrforglipron - Nationwide Coverage
physician-led, pharmacy-transparent compounded GLP-1 with brand-name options
From /mo$249Coverage50 statesMedicationsSemaglutideTirzepatide compounded semaglutide and tirzepatide at a low starting price, with a full price list before you sign up
From /mo$200starting doseScales with doseCoverage48 statesMedicationsSemaglutideTirzepatidecompounded GLP-1 as an injection, drops or lozenges, with lower rates on 6- and 12-month plans
From /mo$199after intro offerCoverageCheck intakeMedicationsSemaglutideTirzepatideOrforglipronFDA-approved brand GLP-1s, including the Wegovy pill and Foundayo, with insurance help
From /mo$149+ required membershipCoverage50 statesMedicationsSemaglutideOrforglipronTirzepatide- Best Budget
flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts
From /mo$199Flat at every doseCoverage50 statesMedicationsSemaglutideTirzepatide switching between compounded and brand-name GLP-1 through one provider
From /mo$299after intro offerCoverage48 statesMedicationsSemaglutideTirzepatidenationwide compounded GLP-1 availability including Puerto Rico
From /mo$249Flat at every doseCoverage50 statesMedicationsSemaglutideTirzepatide
| Provider | Rating | From /mo | Medications | Coverage | |
|---|---|---|---|---|---|
★ Editor's Pick medication-included compounded GLP-1 from $169/mo on a 12-month prepaid plan, plus brand insurance help | $16912-month plan rate | SemaglutideTirzepatideOrforglipron | 50 states | Visit → | |
Nationwide Coverage physician-led, pharmacy-transparent compounded GLP-1 with brand-name options | $249 | SemaglutideTirzepatide | 50 states | Visit → | |
 compounded semaglutide and tirzepatide at a low starting price, with a full price list before you sign up | $200starting dose Scales by dose | SemaglutideTirzepatide | 48 states | Visit → | |
 compounded GLP-1 as an injection, drops or lozenges, with lower rates on 6- and 12-month plans | $199after intro offer | SemaglutideTirzepatideOrforglipron | Check intake | Visit → | |
 FDA-approved brand GLP-1s, including the Wegovy pill and Foundayo, with insurance help | $149+ required membership | SemaglutideOrforglipronTirzepatide | 50 states | Visit → | |
Best Budget flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts | $199 Flat pricing | SemaglutideTirzepatide | 50 states | Visit → | |
 switching between compounded and brand-name GLP-1 through one provider | $299after intro offer | SemaglutideTirzepatide | 48 states | Visit → | |
 nationwide compounded GLP-1 availability including Puerto Rico | $249 Flat pricing | SemaglutideTirzepatide | 50 states | Visit → |
Each checked against the provider’s own site.
Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →
Detailed Reviews
Found
Verified partnerBest for: medication-included compounded GLP-1 from $169/mo on a 12-month prepaid plan, plus brand insurance help
Found is a weight-care membership that works with many insurance plans for clinical visits and offers a wide medication menu, including non-GLP-1 options. Compounded semaglutide and tirzepatide are included in the plan price: $169/mo cash or $99/mo with insurance on a 12-month plan paid upfront, or $289 and $199 on month-to-month plans billed every 28 days. Brand GLP-1s such as Wegovy, Zepbound and Foundayo are billed separately from the membership.
Score Breakdown
Pros
- ✓Compounded medication included in the plan price
- ✓Both semaglutide and tirzepatide available
- ✓Compounded GLP-1 access
Cons
- ✗The $169 cash rate is a 12-month plan paid upfront; month to month is $289
- ✗Month-to-month plans bill every 28 days, so a year is 13 charges, not 12
- ✗Brand-name GLP-1 medication is billed separately from the membership
RxSpan MD
Verified partnerBest for: physician-led, pharmacy-transparent compounded GLP-1 with brand-name options
RxSpan MD is a physician-led telehealth practice founded by Dr. John Diaz, a board-certified plastic surgeon, offering compounded GLP-1 weight loss (semaglutide and tirzepatide from $249/mo, as injections or oral capsules) plus brand-name Wegovy, Zepbound and Ozempic. It's unusually transparent: it names its 503A pharmacy partners (Belmar, Strive, Epiq Scripts, Casa Pharma) and medical group, ships free, and includes unlimited 24/7 support. Available in all 50 states.
Score Breakdown
Pros
- ✓Physician-led: founded by Dr. John Diaz, a board-certified plastic surgeon with 20+ years' experience
- ✓Compounded semaglutide and tirzepatide from $249/mo (injection or oral capsules), plus brand-name Wegovy, Zepbound and Ozempic
- ✓Names its 503A pharmacy partners (Belmar, Strive, Epiq Scripts, Casa Pharma) and medical group
- ✓LegitScript-certified (#50405601); free expedited shipping and unlimited 24/7 support included
- ✓Available in all 50 states via a 2-minute assessment
Cons
- ✗Compounded pricing ($249 semaglutide / $329 tirzepatide) sits mid-to-high versus the cheapest telehealth options
- ✗Brand-name GLP-1 is priced steeply (Wegovy $1,349, Ozempic $1,299, Zepbound $1,069)
- ✗Multi-vertical practice (also hair, sexual health, longevity), not weight-loss-only
- ✗You pay at checkout before a clinician reviews you, and the site says a prescription is not guaranteed
Oak
Verified partnerBest for: compounded semaglutide and tirzepatide at a low starting price, with a full price list before you sign up
Oak is a telehealth provider operated by Oak Longevity Holdings Corp., with prescriptions issued through NVP Medical Group and InnovaScript Pharmacy named as its preferred pharmacy. Its GLP-1 menu runs to four routes: compounded semaglutide injections, compounded tirzepatide injections, branded GLP-1 injector pens and oral tablets. Its checkout catalog lists every price up front: compounded semaglutide is $200 a month and tirzepatide $250, with lower rates on a three-month supply billed upfront.
Score Breakdown
Pros
- ✓Compounded semaglutide and tirzepatide, branded GLP-1 injector pens and oral Wegovy tablets all on one platform
- ✓Every price is listed in the checkout catalog before you enter any personal details
- ✓Names its preferred pharmacy (InnovaScript Pharmacy) and its prescribing group (NVP Medical Group)
- ✓No video call is required for initial approval
- ✓Full refund if a provider does not approve you
- ✓Oral Wegovy is listed at $75 for a four-week supply, below the compounded injection price
Cons
- ✗Prices disagree across Oak's own pages: $119 on the homepage, $167 on the product page and $190 on the weight-loss page
- ✗The product page says all doses cost the same while the checkout says each dose step adds roughly $50 to $75
- ✗Serves every state except West Virginia and Mississippi, but the Terms of Use still describe 45 states
- ✗Checkout says “No Subscriptions,” yet the Terms describe plans that renew until you cancel
- ✗Shipping claims conflict: same-day or overnight on marketing pages, 3 to 15 business days in the checkout FAQ
- ✗Canceling a multi-month plan early means paying back the discount on the months you received
- ✗No refund once you are approved and medication ships; disputes go to binding arbitration in New York under Delaware law
ShedRx
Verified partnerBest for: compounded GLP-1 as an injection, drops or lozenges, with lower rates on 6- and 12-month plans
Telehealth provider offering compounded GLP-1 medications in injectable, lozenge, and drop formats.
Score Breakdown
Pros
- ✓Both semaglutide and tirzepatide available
- ✓Compounded GLP-1 access
- ✓Multiple administration formats
Cons
- ✗Limited public information on program details
Ro
Verified partnerBest for: FDA-approved brand GLP-1s, including the Wegovy pill and Foundayo, with insurance help
Ro is one of the largest US direct-to-patient telehealth companies and now prescribes only FDA-approved GLP-1s: the Wegovy pill and pen, Zepbound, Foundayo (orforglipron) and Ozempic, with free insurance checks and prior-authorization help. Cash prices match the manufacturers' direct programs, starting at $149/mo for the lowest Wegovy pill or Foundayo dose, plus a separate Ro Body membership ($39 first month, then $74-$149/mo).
Score Breakdown
Pros
- ✓Broad FDA-approved menu: Wegovy pill and pen, Zepbound, Foundayo and Ozempic
- ✓Cash prices match LillyDirect, NovoCare and TrumpRx, with every dose price published
- ✓Free insurance check, and Ro's concierge handles prior-authorization paperwork
- ✓Your $39 first month is refunded if you're not eligible
- ✓Cancel the membership anytime
- ✓Membership includes unlimited provider messaging, 1:1 health coaching and labs if needed
Cons
- ✗The Ro Body membership ($74-$149/mo) is billed on top of the medication
- ✗The lowest membership rate requires prepaying 12 months upfront
- ✗Higher doses cost $299-$449/mo for pills and pens
- ✗Membership fees already paid aren't refunded, and all prescription sales are final
- ✗No published phone or email; support runs through the app and help center
- ✗State availability and pharmacy partners aren't listed publicly
- ✗No compounded options for shoppers looking for the lowest possible price
How to choose a GLP-1 program with coaching
Coaching ranges from a registered dietitian with scheduled visits to a chat feature in an app. Know which one you are paying for.
What to look for
- Who does the coaching. A registered dietitian is a credentialed professional; a health coach may not be. Ask for the credential and how often you meet.
- Protein and muscle support. Eating enough protein and doing some strength work matter more as weight comes off. Good coaching covers both, not just calories.
- What happens after the first months. Some programs front-load coaching and taper it. Ask whether support continues once your dose is stable.
Red flags to avoid
- No named pharmacy or LegitScript listing. A legitimate compounded-GLP-1 provider names its 503A/503B pharmacy partner and carries LegitScript certification. If neither is disclosed, you can't verify what you're injecting.
- Async-only, no real clinician review. A prescriber should review your intake and be reachable for dose questions. Instant approval with no way to reach a clinician is a safety gap.
- Teaser pricing that hides the real cost. A low 'first month' price that jumps at higher doses, or a membership fee stacked on top of the medication, can double the true monthly total. Confirm the ongoing, all-in price before you pay.
- Weight-loss claims for B12, MIC, or HCG shots. Only GLP-1 injections have trial evidence for weight loss. A clinic selling B12, lipotropic, or HCG shots as a weight-loss treatment is a red flag.
Every provider ranked above is scored against these criteria across our six-dimension methodology, and prices are re-verified against each provider’s live site.
How we rank & what counts as “legit”
Every provider in this ranking is scored against our published six-factor rubric[1] — value, effectiveness, user experience, trust & safety, accessibility, and support.
Brand-name Wegovy, Zepbound, Ozempic, and Mounjaro are separately FDA-approved under their own NDA numbers[4][5]. Published Phase 3 efficacy for semaglutide 2.4 mg (~14.9% mean weight loss over 68 weeks) comes from the STEP 1 trial[6], and for tirzepatide (~20.9% at the 15 mg dose over 72 weeks) from SURMOUNT-1[7]; the SURMOUNT-5 head-to-head published in 2025 compared the two directly[8].
Insurance coverage for anti-obesity medications varies widely by state Medicaid program and commercial plan[9][10]. Compounded and brand-name GLP-1s are generally FSA/HSA eligible with a prescription under IRS Publication 502[11].
Frequently Asked Questions
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- STEP-1 · Major trials
- SURMOUNT-1 · Major trials
Sources & methodology (as of October 2026)
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
- 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 10.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.
- 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.