Best HSA/FSA-Eligible Semaglutide Providers in 2026 — Ranked & Reviewed

Telos Rx is a compounded telehealth platform (Superior Health Solutions LLC) offering GLP-1 weight loss alongside longevity, recovery, and sexual-health peptides. Its GLP-1 line includes compounded semaglutide and tirzepatide injections plus needle-free sublingual and microdosed tirzepatide, with provider dose adjustments, lab monitoring, free discreet shipping, FSA/HSA, and cancel-anytime. Headline prices are first-month intro rates (from $49); ongoing cost is higher. Compounded meds are not FDA-approved; pharmacy and states unpublished; no LegitScript shown.

Score Breakdown

Eloria is a clinician-led GLP-1 weight-loss telehealth platform operated by Arora Health & Aesthetics. Board-certified providers evaluate you online and US-licensed pharmacies ship to your door with free shipping and no membership or hidden fees on its compounded plans. Compounded GLP-1 injections start at $179/mo and oral dissolving tablets at $249/mo; brand Wegovy (pill or injection) is offered on a $99 membership plus medication cost. HSA/FSA accepted, 24/7 support. Compounded meds are not FDA-approved; the pharmacy isn't named, the state list isn't published, and no LegitScript is shown.

Score Breakdown

FitFlow (FitFlow Health) is a 100% online compounded telehealth platform for GLP-1 weight loss - compounded semaglutide (=Wegovy) and tirzepatide (=Mounjaro). Month-to-month pricing is $175/mo semaglutide and $235/mo tirzepatide, dropping to as low as $99 and $125/mo on annual prepay. A 4-step online process routes you to a board-certified provider, with US-licensed compounding pharmacies, free nationwide shipping, unlimited messaging, dose adjustments, FSA/HSA, and financing. Compounded meds are not FDA-approved; the pharmacy and state list are not published, and no LegitScript is shown.

Score Breakdown

Harbor is a physician-led telehealth platform offering compounded semaglutide (from $99/mo) and compounded tirzepatide (from $149/mo) — among the lowest headline prices in the market. Plans include weekly medication, ongoing provider consultations, refill management, and free 48-hour discreet shipping. Physicians provide 24/7 access and dosage adjustments via secure patient portal. Post-program dietitian support included. LegitScript certified; 4.7-star rating with 10,000+ verified members; 12-month money-back guarantee. HSA/FSA eligible.

Score Breakdown

Kina is a menopause-care telehealth platform where GLP-1 is the weight-loss treatment, offered alongside HRT, peptide, and compounded options for menopause symptoms. Its GLP-1 program provides compounded semaglutide and tirzepatide from $179/month (plus a $50 physician consult; $0 membership), prescribed and monitored by board-certified physicians at Arora Health & Aesthetics. It carries verifiable LegitScript certification, is FSA/HSA eligible, ships free, and is cancel-anytime. Compounded medications are not FDA-approved; the pharmacy is not named.

Score Breakdown

Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members, Trustpilot 4.7) offering compounded semaglutide and tirzepatide as both injections and oral options, starting around $149/mo for semaglutide and $199/mo for tirzepatide with deeper discounts on 3- and 6-month plans. Beyond the medication it bundles dietitians, live workouts, support groups and mental-health coaching, runs an insurance concierge to maximize coverage, and is FSA/HSA eligible. It also spans ED, longevity (NAD+, sermorelin), sleep, hair and skin, and uses partner compounding pharmacies it doesn't name.

Score Breakdown

Liberty (Liberty Health) is a nationwide online weight-loss and wellness service offering compounded GLP-1 sourced from FDA-registered 503B outsourcing facilities. After a quiz and licensed-provider review, it prescribes compounded semaglutide injection at $199/month (about $171/month on a 3-month supply) and compounded tirzepatide injection at $299/month, marketed as up to 85% less than brand-name. It serves all 50 states with free shipping, 24/7 support, and FSA/HSA acceptance, and also offers microdosing, NAD+, sermorelin, and metformin. It does not name its specific pharmacy partner.

Score Breakdown

PreventiveMD is a physician-guided telehealth platform for GLP-1 weight loss and peptide therapy, offering compounded semaglutide from $83/mo all-in and compounded tirzepatide from $97/mo all-in, plus brand Wegovy, Zepbound, and Foundayo on a membership model. A US-licensed provider reviews each request within 24 hours; approved medication ships to your door with ongoing care through an online portal.

Score Breakdown

ElixaMD is a doctor-guided online weight-loss telehealth offering compounded semaglutide injections from $179 the first month, with free shipping, no membership, no contract, and no insurance required. Plans are all-inclusive — 1:1 physician guidance, free dietician visits and care coaching, 24/7 support, and a patient portal — and HSA/FSA eligible. ElixaMD names its compounding pharmacies (RedRock and Beaker) and publishes a full legal suite. Compounded meds are not FDA-approved (disclosed); $179 is intro pricing, only semaglutide is advertised, and no verifiable LegitScript seal is shown.

Score Breakdown

CoraDoc is a nationwide (all 50 states) doctor-prescribed GLP-1 weight-loss telehealth service offering compounded semaglutide (from $99/mo) and tirzepatide (from $165/mo) as flat, no-subscription programs. Its 'Triple Free Promise' includes a free provider visit, free 2-day shipping, and free supplies, with a full refund if not approved. It accepts HSA/FSA and Afterpay/Klarna/Affirm. Medications are compounded; a full legal suite is published and the site states it is LegitScript Certified, not independently verified here. The compounding pharmacy and legal entity are not named.

Score Breakdown

Cora Health is a direct-to-consumer telehealth platform offering compounded semaglutide ($99–$175/mo) and tirzepatide ($135–$225/mo) with flat per-tier pricing — no surcharge as your dose escalates. It names its 503A compounding pharmacy partners — PCAB-accredited Hallandale Pharmacy and VialsRx — which is unusual for the segment, and it is LegitScript Certified (ID 49690100). Available in all 50 states with no membership fee; HSA/FSA accepted, and an annual commitment drops semaglutide to $99/mo.

Score Breakdown

Mint Med is a national, no-membership compounded-GLP-1 telehealth platform offering semaglutide and tirzepatide on a flat "all doses" price — avoiding the per-tier escalation common as patients titrate up. It's LegitScript Certified, HSA/FSA eligible, and cancelable anytime with 48 hours' notice. Pricing is $159/mo across 36 states, with a 175NOW promo bringing the first six weeks to $175. (Distinct from the Utah-only Mint Medical Clinic.)

Score Breakdown

Rejuve Meds (Rejuve, Inc.) is a GLP-1 weight-loss telehealth service offering doctor-guided compounded semaglutide at $165/mo and dual-action compounded tirzepatide (GLP-1/GIP) at $265/mo, with no membership fees, free shipping, and HSA/FSA eligibility. Intro pricing starts around $85 for the first month. Medication is fulfilled through its "Rejuve Meds Pharmacy Network"; the individual pharmacies, prescribing medical group, and state-availability list are not named on the marketing site.

Score Breakdown

Signos (Signos+) is a metabolic-health platform that bundles clinician-prescribed compounded GLP-1 (semaglutide) with an FDA-cleared continuous glucose monitor (CGM) and app — pairing the medication with real-time glucose data and coaching so users understand and sustain their weight loss. The program starts at $199/mo on a 6-month plan, includes free shipping, and is HSA/FSA eligible. It is pitched as the same price as medication alone, with the CGM added.

Score Breakdown

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

AskRx is a US telehealth platform whose board-certified physicians exclusively prescribe FDA-approved, brand-name GLP-1 medications for weight loss - no compounded drugs. Offerings include the Wegovy pen and pill (semaglutide) and Zepbound (tirzepatide). AskRx does not dispense, compound, or sell medication; prescriptions are routed to manufacturer pharmacies such as NovoCare and LillyDirect at the patient's choice. A physician subscription runs $99-149/mo and medication is billed separately. LegitScript approved, HIPAA compliant, all 50 states. Subscription may be HSA/FSA eligible.

Score Breakdown

The Virtual NP is a nurse-practitioner-led telehealth weight loss clinic prescribing FDA-approved branded GLP-1 medications, Zepbound (tirzepatide) and Wegovy (semaglutide), from Eli Lilly and Novo Nordisk. It does not offer compounded versions. Pricing is a 99 dollar pay-as-you-go visit or a 75 dollar per month membership that includes prescription access, with medication cost billed separately and disclosed upfront. HSA/FSA is accepted and prior authorization help is offered. Founder Sandra Jordan, MSN, APRN, FNP-C, leads the practice. Most patients book within 24 hours, with home shipping.

Score Breakdown

TRYM Health (TRYM) is a nationwide telehealth service offering compounded GLP-1 weight-loss medication — semaglutide (~$96/mo, $3.20/day) and tirzepatide (~$126/mo, $4.20/day) — as additive-free multi-dose vials covering all doses, with a starter kit, temperature-controlled shipping, FSA/HSA eligibility, and flexible cancellation. Available in all 50 states; it also offers wellness and hair-care plans. Operated by TRYM Health, Inc.; medications are compounded by unnamed partner pharmacies, and the site shows no LegitScript certification.

Score Breakdown

Bodi Envi is a nationwide telehealth weight-loss provider offering physician-prescribed compounded semaglutide ($179/month) and tirzepatide ($249/month) at flat all-dose pricing with no consultation or membership fees. Founded by Ashley and Shaun Padgett, former owners of a Florida clinic, it emphasizes clinician-led care with same-day visits, 24/7 secure provider messaging, personalized dose titration, and free 2-day shipping. Micro-dose options, Zofran for nausea, and NAD+ injections are available. Medications are compounded through VialsRx, licensed in all 50 states; FSA and HSA eligible.

Score Breakdown

Genesis Health is a telehealth platform offering compounded semaglutide and tirzepatide injections alongside brand-name Wegovy, Ozempic, and Zepbound. Monthly plans start at $175/mo for semaglutide and $235/mo for tirzepatide, with annual plans as low as $99/mo and $125/mo respectively. Every plan includes a free physician consultation, personalized dosing, health coaching, active community access, and free expedited shipping. LegitScript certified; medications sourced from audited US-based compounding pharmacies; FSA/HSA eligible.

Score Breakdown

AZ Health (AZHM) is an Arizona-based, 100% virtual medical weight-loss clinic offering physician-prescribed compounded semaglutide (from $179/mo) and tirzepatide (from $199/mo), plus NAD+ injections, on flat monthly pricing with no insurance required. It is FSA/HSA eligible with free discreet shipping and cancel-anytime. The site discloses that compounded medications are not FDA-approved and require a prescription. It is a single-page site with no published Terms/Privacy, and its LegitScript certification is self-stated and not independently verifiable.

Score Breakdown

ElitePhysiqMD is a physician-led telehealth platform prescribing compounded semaglutide (from $145/mo) and tirzepatide (from $315/mo subscription) to patients in all 50 states. Board-certified physicians conduct online assessments; medications ship from US-licensed 503A/503B compounding pharmacies in 5–7 business days. Also offers peptide therapy (NAD+, sermorelin, CJC-1295/ipamorelin, GHK-Cu, glutathione), TRT, and ED treatments. LegitScript certified, HIPAA-compliant, HSA/FSA eligible. Founded 2025.

Score Breakdown

Medi-Weightloss is an established physician-supervised weight-loss brand with 130-plus locations nationwide plus telehealth. Its GLP-1 program prescribes branded Wegovy and Zepbound as well as compounded semaglutide and compounded tirzepatide, alongside older agents like phentermine. Programs are evidence-based, with body-composition analysis and personalized plans. A new-patient visit runs about $199 and includes a medical assessment, labs and GLP-1 eligibility review; ongoing medication costs depend on the plan. Insurance is accepted at many locations and HSA/FSA accounts are welcome.

Score Breakdown

Medsol RX is a GLP-1 weight-loss telehealth program offering compounded semaglutide (from $209/mo) and tirzepatide, prescribed by board-certified clinicians via OpenLoop and shipped nationwide. Plans bundle the medication with a dedicated care coach, custom treatment plan, and medical oversight; it's HSA/FSA eligible with Klarna financing and offers month-to-month or 3/6/12-month options, plus microdosing and wellness add-ons.

Score Breakdown

Nova MD is a telehealth platform offering compounded semaglutide and tirzepatide on 1-month and 3-month plans, with an uncommon explicit microdose program for both molecules. All four GLP-1 prices are posted publicly, alongside sermorelin, NAD+, glutathione, and enclomiphene. Compounded semaglutide runs as low as $125/month on the 3-month plan and tirzepatide $199/month, with $50 off the first tirzepatide order.

Score Breakdown

Optimized Health is a concierge medical weight loss and hormone clinic offering clinician-supervised GLP-1 programs with compounded semaglutide and tirzepatide, plus oral options like phentermine. Care is delivered via telehealth in Missouri, Iowa, Kansas, Utah, and Washington, or in person in Joplin, MO. Pricing is published openly: semaglutide from $200/month and tirzepatide from $250/month, with lab panels included, meds shipped to the door, and receipts for HSA/FSA reimbursement. The clinic is LegitScript certified and led by Mathew Hammons, PA-C, with over a decade in obesity medicine.

Score Breakdown

Vita Bella is a Nevada-based telehealth membership platform (Vita Bella Health, LLC) that offers compounded GLP-1 weight-loss medications alongside hormone therapy, peptides, sexual-wellness and anti-aging care. Compounded semaglutide starts at $109/month and compounded tirzepatide at $159/month at member pricing, but both require a separate $129/month membership plus a one-time $99 consult, with a three-month minimum commitment. Care is fully remote across 46 states and Washington, D.C., and the site carries a genuine LegitScript certification. Compounded medications are not FDA-approved.

Score Breakdown

LifeRx.md is a LegitScript-certified US telehealth provider offering customized weight loss with GLP-1s. It is known for flat, dose-independent compounded pricing: about $200 for a five-week supply of compounded semaglutide and $275 for compounded tirzepatide, with no increase as the dose climbs. Extra costs include roughly $30 shipping per order, a $49.95 initial consult and $25 follow-ups; effective monthly cost is around $255. Prescriptions are filled by state-licensed 503A pharmacies. An initial video consult is required. Available in all 50 states. HSA and FSA accepted.

Score Breakdown

Trinity Meds is a telehealth weight-loss program aimed at military women, spouses and veterans, offering compounded GLP-1 medication on an all-inclusive flat monthly rate: semaglutide at $149/month and tirzepatide at $199/month, the same price at every dose, with free shipping and no insurance. You take a short online assessment, a CareValidate Health clinician reviews eligibility and prescribes if appropriate, and multi-month plans drop the price further. The named entity is Trinity Meds Inc, but it doesn't publish a terms page, name its pharmacies, or list the states it serves.

Score Breakdown

Woodwork is a men's health telehealth platform built by Grindr that offers compounded GLP-1 weight-loss medications alongside ED care, with a focus on serving gay and queer men. The weight program includes compounded semaglutide (injection or oral tablet, from $127/month on a 48-week plan), compounded tirzepatide from $199/month, and a microdose option at $134/month. There are no separate consult or membership fees; free shipping, included lab work, and 1-on-1 care coaching come with the plan, which is HSA and FSA eligible and bundles a free Grindr Unlimited subscription.

Score Breakdown

Fifty 410 is a direct-to-consumer weight-loss telehealth service offering personalized compounded semaglutide and tirzepatide prescribed by licensed providers and prepared by FDA-registered 503A and 503B pharmacies. It uses a no-membership, pay-as-you-go model with transparent public pricing: semaglutide from 99 dollars per month and tirzepatide starter from 133 dollars per month, plus a high-dose tier. Provider reviews finish in 24 to 48 hours and free shipping arrives in one to two days. Cash-pay only; no direct insurance billing, but accepts FSA/HSA, Afterpay, and Affirm.

Score Breakdown

Options Medical Weight Loss offers telehealth medical weight-loss programs built around compounded GLP-1 — semaglutide starting around $239/month and tirzepatide from $299/month, plus NAD+ injections at $199/month. GLP-1 is used as one tool within a broader metabolic-health plan with provider support and accountability; programs start at $199/month and are HSA/FSA eligible. It is LegitScript certified, and the brand also runs in-person clinics alongside its online program.

Score Breakdown

WePeptideRx is a provider-guided telehealth platform offering compounded semaglutide and tirzepatide alongside a deep menu of peptide, hormone, hair, and sexual-wellness programs. Its standout is delivery: medications arrive premixed and ready to inject — no bacteriostatic water or sharps container needed — plus flat-rate microdose options. LegitScript-certified and available in 48 states, with intro pricing at $189 the first month (from $249/mo standard).

Score Breakdown

Aspire Health is a Nebraska-based telehealth practice offering both compounded semaglutide/tirzepatide (formulated with B6) and brand-name Wegovy and Zepbound, prescribed by a named PA/NP clinical team. The LoseIt membership ($200 enrollment + $75/month) includes lab orders with interpretation, provider visits every 2–3 months, Slimpossible app access, and ongoing support — with medication billed separately starting at $149 per 5-week supply for compounded semaglutide.

Score Breakdown

Telehealth weight-loss program offering compounded GLP-1 medications (weekly injections and daily dissolvable tablets) plus limited brand-name options, prescribed by US-licensed providers and shipped to your home.

Score Breakdown

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

Gaya Wellness is a virtual, OB/GYN-led telehealth practice focused on women 40+ for menopause, hormone replacement, and weight loss. Its GLP-1 weight loss concierge prescribes compounded semaglutide or tirzepatide via board-certified physicians, with a 50+ biomarker lab panel, weekly asynchronous check-ins, and HSA/FSA-eligible payment. Tiers run from $149/mo for GLP-1 access (no medication) to $349/mo with compounded medication and $549/mo bundling GLP-1 with HRT. Eligibility is BMI 30+ (or 27+ with a metabolic condition), ages 18-64. Licensed in FL, NC, VA, IN, and TN.

Score Breakdown

TeleHealth Med (TeleHealth Med, Inc.) is a Georgia-based telehealth weight-loss platform offering compounded semaglutide and tirzepatide in both injectable and sublingual forms through US-licensed clinicians and 503A pharmacies. It's LegitScript-certified and notably candid, disclosing on-site that its testimonials are compensated and unverified. Pricing starts as low as $147/month, with no insurance required and HSA/FSA accepted.

Score Breakdown

TeleDocs360 is a cash-pay telehealth service offering compounded GLP-1 weight loss medications, including injectable semaglutide and tirzepatide, oral semaglutide, plus phentermine and NAD+ therapy. Licensed providers review an online intake and prescribe when appropriate, with medication shipped monthly to the patient's home. No insurance is required, and HSA/FSA cards are accepted. Standard dosing programs start at $399 per month, with quarterly options at preferred rates. The site does not publish a state list or individual provider credentials.

Score Breakdown

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 is a Florida-based multi-vertical telehealth platform with an unusually broad GLP-1 lineup — compounded semaglutide, tirzepatide, and the rarely offered liraglutide — plus longevity, vitamin injectables, and men's health products. Its standout is that three-molecule menu with an "all doses included" promise and no per-dose price escalation. GLP-1 therapy starts at $99/mo; HSA/FSA cards accepted.

Score Breakdown