Best HSA/FSA-Eligible Semaglutide Providers — Ranked & Reviewed
Use your pre-tax Health Savings Account or Flexible Spending Account dollars on semaglutide. These providers accept HSA/FSA cards directly or supply itemized receipts for reimbursement.
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Methodology & sources
Providers in this variant are scored against our published six-factor rubric[1], then filtered to match the specific criteria shown in the page title.
Published Phase 3 efficacy for semaglutide 2.4 mg (~14.9% mean weight loss over 68 weeks) comes from the STEP 1 trial[2]. The SURMOUNT-5 head-to-head published in 2025 directly compared tirzepatide and semaglutide[3].
Compounded and brand-name GLP-1s are generally FSA/HSA eligible with a valid prescription under IRS Publication 502[4]. State Medicaid coverage of anti-obesity medications varies widely[5][6].
Quick Picks: Top 5
Detailed Reviews
Mint Med
Best for: Cost-sensitive buyers seeking flat $159/mo 'all doses' compounded GLP-1 pricing without per-tier escalation, with HSA/FSA payment + no-membership pay-as-you-go model + LegitScript verification + verbatim FDA disclaimer. Strong fit for self-pay patients in any of the 36 listed states who value pricing transparency + cancel-anytime over premium clinical features.
Mint Med (mintmed.com) is a national direct-to-consumer GLP-1 telehealth platform — DISTINCT from the separately-listed Mint Medical Clinic (mintmedicalclinic.com, Utah-only hybrid in-clinic + telehealth med spa under the Balance Medical Clinic parent). Mint Med is national, DTC-only, and significantly cheaper ($159/mo vs Mint Medical Clinic's $299/mo). Compounded semaglutide and compounded tirzepatide offered (both injection). Pricing: 'GLP-1 All Doses $159 per month' + promotional 'Use code 175NOW to get your First Six Weeks for only $175.' 'NO memberships' framing. Cancel anytime with 48 business-hour notice. HSA/FSA eligible. 36-state explicit coverage (AZ, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, ME, MD, MI, MN, MT, NV, NH, NJ, NY, NC, ND, OH, OK, PA, TN, TX, UT, VT, VA, WA, WV, WI, WY) — site lists 35-state count but enumeration includes 36. LegitScript Certified ID 44490960 (verifiable). Verbatim FDA disclaimer: 'Compounded medications are created to meet individual patient needs and are not reviewed or approved by the FDA for safety or effectiveness. A valid prescription is required. Individual results may vary.' Asynchronous telehealth model in states that allow it. 'Board-certified Mint Med clinician' framing (no named individuals disclosed). All U.S.-based care team. NOT disclosed publicly: specific 503A/503B pharmacy partner name/address, named medical director, corporate legal entity (LLC/Inc/PC), governing law, arbitration venue. Live-verified 2026-05-20.
Score Breakdown
TOM Weight Loss
Best for: Texas or Utah patients wanting direct ABOM-certified physician access at competitive flat-rate pricing
Solo-physician DTC telemedicine clinic in Texas + Utah operated by Dr. Tran Le, MD (ABOM-board-certified obesity medicine, ABPM-certified addiction + occupational medicine, NPI 1194212258). Operating entity Texas Obesity Medicine, PLLC d/b/a TOM Weight Loss. Compounded semaglutide $199/mo flat-rate (up to 2.4 mg/week); compounded tirzepatide $249/mo flat-rate (up to 15 mg/week). Every patient sees Dr. Le directly. LegitScript badge displayed.
Score Breakdown
Nova MD
Best for: patients comfortable with a 3-month plan commitment ($125/mo sema or $199/mo tirz) seeking the most competitive compounded pricing alongside an explicit microdose program and a multi-modality longevity menu
Nova MD (trynovamd.com) is a telehealth platform offering compounded GLP-1 (semaglutide) at $175/mo on a 1-month plan or $125/mo on a 3-month plan, and compounded GLP-1 + GIP (tirzepatide) at $225/mo on a 1-month plan or $199/mo on a 3-month plan with $50 off first order. Also offers a separate Microdosed GLP-1 Low-Dose Program plus Sermorelin, NAD+, Glutathione, and Enclomiphene. Site claims '1,241+ patients served', U.S.-licensed physicians, board-certified clinicians, HIPAA-compliant platform, and FSA/HSA eligibility on some plans. Prescribing model is asynchronous online assessment with same-day doctor review.
Score Breakdown
WePeptideRx
Best for: Buyers seeking a multi-vertical peptide-therapy platform with ready-to-inject premixed delivery (no bac water reconstitution) and microdose protocol options for low-dose maintenance, who value Boca Raton FL physical corporate accountability and HSA/FSA payment. Strong fit for consolidation-minded patients wanting GLP-1 alongside sermorelin/NAD+/HRT/sexual wellness all under one platform.
WePeptideRx (wepeptiderx.com) is a 'Provider-Guided Peptide Therapy' multi-vertical telehealth platform offering compounded GLP-1 (semaglutide + tirzepatide) alongside an expansive peptide menu: Sermorelin, NAD+ injection, Glutathione, Vitamin B12, Hair Support (Minoxidil + Finasteride for men, Minoxidil + Spironolactone for women), Sexual Wellness (PT-141, Sildenafil, Tadalafil, Vardenafil), HRT for Women (Estradiol + Progesterone), Low Dose Naltrexone, Methylene Blue, and a Cellular Wellness Formula bundle. Corporate footer: '© 2026 WePeptideRx. All rights reserved.' Physical corporate address: '5550 Glades Road, Suite 500 #1128, Boca Raton, FL 33431.' Phone: (561) 678-5208. Email: info@wepeptiderx.com. Hours: Mon–Fri, 9AM–6PM EST. Pricing: 'First month $189 — limited-time intro pricing on Semaglutide + Tirzepatide' + 'From $249 per month supply' standard. Microdose options: semaglutide $199 flat (0.05/0.075/0.10/0.25mg weekly with B12 + Zofran); tirzepatide $229 flat (0.5/0.75/1/2.5mg weekly with B12 + Zofran). Available in 48 states (specific list not enumerated on homepage). LegitScript Certified (verification link displayed, ID number not visible in text form). Verbatim FDA disclaimer: 'Compounded medications are prepared by licensed pharmacies. Compounded drugs are not FDA-approved...' Distinctive: medications ship 'premixed, ready to inject — no bac water, no sharps container needed.' Medical Director page exists at /medical-director (not named on homepage). Telemedicine services from 'licensed third-party telemedicine provider network.' Urgent Care option at $69.99 flat visit fee. HSA/FSA accepted. Live-verified 2026-05-20 via Chrome MCP.
Score Breakdown
Trava Health
Best for: Cash-sensitive patients comfortable with multi-pharmacy 503A sourcing without LegitScript verification
Houston-based DTC telehealth offering compounded semaglutide+B12 and tirzepatide+B12 through SIX named 503A compounding pharmacy partners disclosed on Trava's own Terms + Telehealth Consent pages (Postmeds/TruePill, EHT/Curexa, Apostrophe, XeCare, Wells American/Promed, Optimal Balance/OBP). Clinical via Beluga Health + Bask Health. Cash-pay, no membership fee, all 50 states. No LegitScript badge surfaced. BBB F rating with 2 unanswered complaints.
Score Breakdown
TeleHealth Med
Best for: Buyers seeking a Georgia-based, Inc.-incorporated telehealth platform with LegitScript verification, explicit 503A pharmacy designation, verbatim FDA compounded disclaimer, and honest testimonial-compensation disclosure — strong fit for transparency-conscious cash-pay patients who want HSA/FSA acceptance and both injectable and sublingual GLP-1 form options.
TeleHealth Med (telehealthmed.com) is an Evans, Georgia-based telehealth weight-loss platform offering compounded GLP-1 (semaglutide and tirzepatide) in both injectable and sublingual forms. Corporate entity EXPLICITLY disclosed: 'TeleHealth Med, Inc.' (Inc. designation in footer copyright '© 2026 TeleHealth Med, Inc. All rights reserved'). Pricing: 'As low as $147.00/month.' LegitScript Certified — verification link displayed (legitscript.com/websites/?checker_keywords=telehealthmed.com), specific ID not visible in text form. Verbatim FDA compounded-medication disclaimer published: 'The FDA has not approved or evaluated compounded medications regarding their safety, quality, or effectiveness.' Pharmacy partner (FAQ verbatim): 'Our 503A pharmacies are regulated by the FDA and also licensed by their respective state boards.' US-licensed + board-certified clinicians operating exclusively within the United States. Phone 1-833-865-8118. Email support@telehealthmed.com. HSA and FSA accepted. No insurance required. Notable: site explicitly discloses 'Testimonials are compensated. Customer images are user-submitted, and individual results have not undergone independent verification' — uncommon honest disclosure. Site disclaims: 'This website is not a pharmacy or healthcare provider. Medical services and prescription fulfillment...' Claims '100,000+ treatments successfully filled' and '98% high patient achievement rate.' Subscription cancellation allowed; refunds may be proportionally adjusted for promotional discounts; non-refundable for partially utilized subscription periods. Multiple medical-board license-verification footer links (California, Massachusetts, Rhode Island, Vermont) appear to reference state-licensure verification resources, not necessarily exhaustive states-served list. Affiliate tracking via panoramatrack.com (NOT the standard Katalys/RevOffers pattern). Captured via Chrome MCP since site 403s on WebFetch. Live-verified 2026-05-19.
Score Breakdown
Velvet Rx
Best for: cash-pay patients comfortable with a compounded-GLP-1 telehealth model who prioritize three publicly-listed SKUs and bundled shipping over LegitScript / NABP certification, named pharmacy partner, or per-state availability verification
Velvet Rx (velvetrx.com) is a cash-pay telehealth platform offering compounded semaglutide, compounded tirzepatide, and an oral GLP-1 across three publicly-listed SKUs ranging from $139 to $199 'today' (first-month promo) with regular monthly prices of $299 / $359 / $349. Plans bundle a doctor consult, written prescription, 4 weeks of medication, free 1-2 day shipping, and 24/7 medical team access. Cash only; FSA/HSA eligible.
Score Breakdown
Factor Health MD
Best for: Cost-sensitive buyers seeking the broadest compounded GLP-1 selection (sema + tirz + liraglutide) at aggressive $99-$150/mo pricing with HSA/FSA payment acceptance and multi-product wellness platform consolidation. Particularly fit for patients seeking liraglutide specifically — rare in the DTC compounded market.
Factor Health MD (factorhealthmd.com) is a multi-vertical telehealth platform with a rare 3-GLP-1 lineup — compounded semaglutide, compounded tirzepatide, AND compounded liraglutide (most DTC platforms offer only sema + tirz). Pricing: GLP-1 'Starting at $99/month' (all 3 GLP-1s); Tirzepatide Plus 'Starting at $149/month'; Liraglutide 'Starting at $150/month'. Verbatim positioning: 'It's time for you to have the body you've always wanted.' Brand promise: 'we don't increase the price per dose' (verbatim). Multi-product menu: Weight Loss (3 GLP-1s) + Longevity (NAD+, Sermorelin) + Vitamin Injectables (B12, Glutathione, L-Carnitine, Lipo-B MIC+B12) + Men's Health (ED Tadalafil $79/mo + Vardenafil $79/mo + Follicle Fix hair regrowth $69/mo) + Optimized Wellness Bundles. Location: St Petersburg, FL. Phone: 305-930-8817. Email: Support@factorhealthmd.com. HSA/FSA accepted. LegitScript verification badge displayed (link to legitscript.com checker — ID not in text). Free medical consultations. Personalized treatment plans. All Doses Included framing. NOT disclosed publicly: specific 503A/503B pharmacy partner, LegitScript ID, FDA compounded-medication disclaimer verbatim text, named medical director, full states-served list, corporate legal entity (LLC/Inc/PC), governing law. Live-verified 2026-05-20 via Chrome MCP.
Score Breakdown
Frequently Asked Questions
Sources & methodology — as of May 2026
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 3.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
- 4.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.