Updated August 26, 2026Expert Reviewed

Best HSA/FSA-Eligible Semaglutide Providers in 2026 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.

WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more

By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed

64 semaglutide providers compared · independently scored against our six-factor methodology.

Always verify pricing and state availability on the provider's website before signing up.How our reviews work →

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

#ProviderScore
1Pallas HealthVisit
2Telos RxVisit
3HealthRXVisit
4LttlVisit
5HarborVisit

Detailed Reviews

1

Pallas Health

Verified partner

Best for: the most complete public disclosure of pharmacies and prescribing physicians we have found

8.1

Pallas Health is a telehealth platform operated by Brentmoor, Inc. offering compounded semaglutide and tirzepatide alongside brand-name Wegovy, Ozempic, Zepbound and Mounjaro. Compounded plans average $199 and $299 a month with provider care, check-ins and messaging included and no separate membership fee, and the price stays the same at every dose. Its clinical disclosures page is unusually complete: two named advising physicians with verifiable NPIs, the clinical partner Lion MD, six named partner pharmacies, and coverage in all 50 states plus DC.

Score Breakdown

Value25%
7.5
Effectiveness25%
8
User Experience15%
8.5
Trust & Safety15%
8
Accessibility10%
9
Support10%
8
2

Telos Rx

Verified partner

Best for: Needle-free, microdosed compounded GLP-1 with lab-monitored care

7.4

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. Advertised rates start at $99 a month, but each is the lowest plan-length tier and no month-to-month price is published. Compounded meds are not FDA-approved; pharmacy and states unpublished.

Score Breakdown

Value25%
6
Effectiveness25%
8.5
User Experience15%
8
Trust & Safety15%
7.3
Accessibility10%
6.5
Support10%
8.4
3

HealthRX

Verified partner

Best for: flat-price compounded GLP-1, LegitScript-certified cash-pay program

7.3

HealthRX is a cash-pay telehealth program offering compounded GLP-1 injections — semaglutide and tirzepatide — at flat, dose-independent pricing with free overnight cold shipping and no insurance. A US-licensed clinician reviews a short online assessment within 24 hours and prescribes if appropriate; medication ships from a licensed 503A compounding pharmacy within 24-48 hours. HealthRX is LegitScript-certified (Cert. 50087439) and posts the FDA compounded disclaimer, but it doesn't publicly name its compounding pharmacy, list the states where it prescribes, or name a medical director.

Score Breakdown

Value25%
7.8
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
7.2
Accessibility10%
6.8
Support10%
7
4

Lttl

Verified partner

Best for: every commitment tier priced openly, plus a low-dose microdose option

7.2

Lttl (pronounced 'little') is a direct-to-consumer telehealth brand offering compounded semaglutide and tirzepatide, a low-dose 'microdose' line, and longevity peptides. It publishes its full price matrix — every medication, form and commitment length — before checkout, and bills one flat rate regardless of dose. Month-to-month compounded semaglutide is $199/mo and tirzepatide $279/mo, dropping to $129 and $199 on a 12-month prepay.

Score Breakdown

Value25%
7
Effectiveness25%
7.5
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
6.5
Support10%
7
5

Harbor

Best for: lowest-cost compounded GLP-1 with a 12-month money-back guarantee

8.2

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

Value25%
9
Effectiveness25%
8
User Experience15%
8
Trust & Safety15%
7.8
Accessibility10%
7
Support10%
8.4
6

Pepti

Best for: the lowest all-in monthly price we have verified on compounded semaglutide, labs included

7.9

Pepti is a Delaware-registered telehealth platform selling doctor-prescribed compounded peptides and GLP-1s across 36 states. Injectable semaglutide is $99 a month all-in and tirzepatide $199, each covering medication, physician review, baseline labs, refill management and shipping in a single flat price that does not rise with dose. The catalog runs to more than 120 products across weight loss, hormones and TRT, recovery, cognitive and skin categories, plus at-home bloodwork. Pepti is a platform, not a prescriber, and does not bill insurance.

Score Breakdown

Value25%
9
Effectiveness25%
7.5
User Experience15%
8.5
Trust & Safety15%
7
Accessibility10%
7
Support10%
7.5
7

Kina

Best for: GLP-1 weight care alongside HRT, from board-certified physicians

7.8

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

Value25%
7.5
Effectiveness25%
8
User Experience15%
8.5
Trust & Safety15%
8
Accessibility10%
6.5
Support10%
8
8

PreventiveMD

Best for: compounded GLP-1s from $83/mo all-in, with brand upgrade paths

7.8

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

Value25%
8.5
Effectiveness25%
8
User Experience15%
7.5
Trust & Safety15%
7.3
Accessibility10%
7.5
Support10%
7.4
9

CoraDoc

Best for: low flat-fee compounded GLP-1 nationwide with no subscription

7.7

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

Value25%
8.5
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
6.8
Accessibility10%
8
Support10%
7.4
10

ElixaMD

Best for: low-cost compounded semaglutide with free dietician and coaching included

7.7

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

Value25%
7.5
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
7.8
Accessibility10%
8
Support10%
8.9
11

Liberty

Best for: nationwide compounded GLP-1 from 503B-sourced pharmacies

7.7

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

Value25%
7
Effectiveness25%
8
User Experience15%
8
Trust & Safety15%
7.3
Accessibility10%
8.5
Support10%
7.9
12

Cora Health

Best for: flat-rate compounded GLP-1 from $99/mo with named pharmacy disclosure

7.6

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

Value25%
8.5
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
6.8
Accessibility10%
8
Support10%
7.9
13

FitFlow

Best for: the lowest compounded GLP-1 price with board-certified telehealth care

7.6

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

Value25%
7.5
Effectiveness25%
8
User Experience15%
8
Trust & Safety15%
6.8
Accessibility10%
7
Support10%
8.4
14

Mint Med

Best for: flat $159 all-doses compounded GLP-1 with no membership

7.6

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

Value25%
8
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
8.3
Accessibility10%
8
Support10%
7.4
15

Eloria

Best for: No-membership compounded GLP-1 from $179, plus a brand Wegovy option

7.5

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

Value25%
7.5
Effectiveness25%
8
User Experience15%
8
Trust & Safety15%
7.3
Accessibility10%
6.5
Support10%
7
16

Rejuve Meds

Best for: transparent, low-cost compounded GLP-1, no membership, HSA/FSA eligible

7.5

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

Value25%
8
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
7.3
Accessibility10%
7.5
Support10%
7
17

Rivo Health

Best for: injectable or oral compounded GLP-1 with coaching and insurance concierge

7.5

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

Value25%
7
Effectiveness25%
8
User Experience15%
7
Trust & Safety15%
6.3
Accessibility10%
8.5
Support10%
8.9
18

Signos

Best for: Pairing compounded semaglutide with an FDA-cleared glucose monitor + app

7.5

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

Value25%
7.5
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
7.8
Accessibility10%
7
Support10%
7.5
19

StackMD

Best for: shoppers who want an exact price for their specific dose before committing

7.5

StackMD is a New York telehealth platform (Medical 360 HC PLLC) selling compounded semaglutide and tirzepatide, both formulated with B12 and glycine, alongside NAD+, sermorelin and other longevity peptides. It prices every dose strength openly instead of quoting one 'from' number: semaglutide runs $125 to $225 a month across five strengths and tirzepatide $199 to $449 across six. There are no membership fees, and prescribing is handled by its named partner SamaritanMD.

Score Breakdown

Value25%
7.5
Effectiveness25%
7.5
User Experience15%
8
Trust & Safety15%
7
Accessibility10%
8
Support10%
7
20

The Virtual NP

Best for: affordable visits and FDA-approved branded GLP-1s

7.5

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

Value25%
7.5
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
7.8
Accessibility10%
7.5
Support10%
7.9
21

TOM Weight Loss

Best for: direct ABOM-certified physician access at competitive flat-rate pricing

7.5

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

Value25%
8.5
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
7.3
Accessibility10%
5.5
Support10%
8.9
22

Trellis Vitality

Best for: body-composition tracking and flat per-dose pricing without a membership fee

7.5

Trellis Vitality is an online longevity clinic that frames weight loss around body composition rather than scale weight. Compounded semaglutide starts at $150 a month and tirzepatide at $199, with every dose priced the same and no membership or consult fee layered on top. The program pairs GLP-1s with at-home biomarker panels, a 90-day re-test, and muscle-preserving options such as tesamorelin and glycine formulations. Trellis is a care-coordination company; prescribing is done by the Arora Health provider network and dispensing by Houston pharmacy VialsRX.

Score Breakdown

Value25%
8
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
6.5
Accessibility10%
8
Support10%
7
23

TRYM Health

Best for: low-cost compounded GLP-1 vials shipped nationwide

7.5

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

Value25%
8
Effectiveness25%
7.5
User Experience15%
7
Trust & Safety15%
6.8
Accessibility10%
8
Support10%
7.4
24

AskRx

Best for: a brand-name-only GLP-1 prescriber routing to NovoCare or LillyDirect.

7.4

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

Value25%
7
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
8
Accessibility10%
7.5
Support10%
7
25

Bodi Envi

Best for: Transparent flat-price compounded GLP-1s, no membership fee

7.4

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

Value25%
7.5
Effectiveness25%
7.5
User Experience15%
7
Trust & Safety15%
6.8
Accessibility10%
7.5
Support10%
7.9
26

Genesis Health

Best for: compounded or brand GLP-1s with coaching, annual pricing from $99/mo

7.4

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

Value25%
7.5
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
7.8
Accessibility10%
6
Support10%
8.4
27

Medi-Weightloss

Best for: in-person physician-supervised GLP-1 care with insurance/HSA use

7.3

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

Value25%
6.5
Effectiveness25%
7.5
User Experience15%
7
Trust & Safety15%
7.8
Accessibility10%
7.5
Support10%
7.9
28

Medsol RX

Best for: flexible, HSA/FSA-eligible compounded GLP-1 plans with a care coach

7.3

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

Value25%
7
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
6.8
Accessibility10%
7.5
Support10%
7.4
29

Nova MD

Best for: lowest 3-month compounded pricing with an explicit microdose program

7.3

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

Value25%
7.5
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
6.8
Accessibility10%
7
Support10%
7.9
30

Optimized Health

Best for: MO/IA/KS/UT/WA patients wanting lab-guided compounded GLP-1

7.3

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

Value25%
7.5
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
7.8
Accessibility10%
7
Support10%
7.4
31

SurpassMD

Best for: budget-conscious GLP-1 shoppers wanting broad state coverage

7.3

SurpassMD is an online GLP-1 weight loss platform operated by Life Vitality LLC that connects patients with independent licensed providers for compounded semaglutide and tirzepatide, dispensed by 503A pharmacies with cold-chain shipping. Its clinical intake and consent flow runs on OpenLoop's telehealth platform. Pricing starts as low as $124/month for semaglutide and $184/month for tirzepatide for eligible patients, cash-pay only, with HSA/FSA and Klarna-style financing accepted.

Score Breakdown

Value25%
8
Effectiveness25%
7.8
User Experience15%
7
Trust & Safety15%
6
Accessibility10%
7.3
Support10%
7
32

Vita Bella

Best for: compounded GLP-1 inside a broader hormone and wellness membership

7.3

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

Value25%
7
Effectiveness25%
7.5
User Experience15%
7
Trust & Safety15%
7.8
Accessibility10%
7
Support10%
7.4
33

Auren Rx

Best for: knowing exactly which physician group and pharmacy handle your care

7.2

Auren Rx is a New York-registered telehealth brand selling compounded semaglutide and tirzepatide at $259 a month on auto-refill, plus a low-dose microdose GLP-1 track at $129, NAD+, sermorelin, glutathione, GHK-Cu, tretinoin and oral minoxidil. It is unusually specific about who provides care: the physician group Wasef Health PC under Michael Wasef MD, and Houston compounding pharmacy VialsRX, both named with addresses and phone numbers. The initial online visit is free and no membership fee is charged until a physician has reviewed you and you choose to proceed.

Score Breakdown

Value25%
6
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
7.5
Accessibility10%
8
Support10%
7.5
34

AZ Health

Best for: flat-rate compounded GLP-1 with no insurance and free shipping

7.2

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

Value25%
8
Effectiveness25%
7.5
User Experience15%
6.5
Trust & Safety15%
6.3
Accessibility10%
7
Support10%
7
35

Curve

Best for: LegitScript-certified compounded GLP-1 at flat per-dose pricing

7.2

Curve (Try Curve LLC) is a telehealth platform offering compounded semaglutide and tirzepatide, prescribed by Beluga Health providers licensed in all 50 states and dispensed by VialsRx, a US 503A compounding pharmacy. Care is questionnaire-based with provider review within 24 hours—no video visit. Pricing is tiered by commitment: semaglutide $99–$175/mo and tirzepatide $135–$225/mo, each plan including the consultation, prescription, medication, and free expedited shipping with no membership. All doses cost the same. Insurance isn't accepted; HSA/FSA welcome. LegitScript-certified.

Score Breakdown

Value25%
7
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
6.5
Accessibility10%
8
Support10%
7
36

ElitePhysiqMD

Best for: compounded GLP-1 from $145/mo with peptide options, HSA/FSA eligible

7.2

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

Value25%
7
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
7.3
Accessibility10%
8
Support10%
7
37

Nolu

Best for: Flat-rate GLP-1 with both oral and injectable options, named pharmacy partners

7.2

Nolu (Nolu LLC) is a direct-to-consumer telehealth platform offering compounded GLP-1 weight-loss treatment after an online medical intake reviewed by a licensed clinician. It sells injectable semaglutide, injectable tirzepatide, and a once-daily oral semaglutide tablet, each billed at a flat rate "every 4 weeks" regardless of dose. Plans start at $249 per 4 weeks for semaglutide and include the consultation, medication, and shipping; the company names four contracted pharmacy partners and says it currently serves all 50 states plus Washington D.C.

Score Breakdown

Value25%
7
Effectiveness25%
7.5
User Experience15%
7
Trust & Safety15%
7
Accessibility10%
7
Support10%
7.5
38

Tell Her Doc

Best for: women-focused compounded GLP-1 — injection, oral, or ODT — named pharmacy

7.2

Tell Her Doc is a women-focused, self-pay telehealth program for compounded GLP-1 weight loss — compounded semaglutide and tirzepatide in injection, oral, and orally-dissolving-tablet forms, plus microdoses. A licensed provider reviews a private online consultation and prescribes if appropriate, with free discreet shipping and no monthly membership (cancel anytime; buy-now-pay-later available). Medication ships from a named compounding pharmacy (Casa Pharma RX), and Tell Her Doc serves patients in all 50 states. Pricing starts at $269 and varies by product and plan.

Score Breakdown

Value25%
7
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
6.5
Accessibility10%
7.5
Support10%
7
39

Trinity Meds

Best for: military women, spouses and veterans wanting affordable GLP-1

7.2

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

Value25%
8
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
6.3
Accessibility10%
7
Support10%
6.9
40

Woodwork

Best for: Low-cost compounded GLP-1, oral or injectable, on an LGBTQ-focused platform

7.2

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

Value25%
7.5
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
6.8
Accessibility10%
7
Support10%
7.9
41

FormidableMD

Best for: Florida patients wanting dose-based GLP-1 pricing, no membership

7.1

FormidableMD is a physician-led, cash-pay telehealth practice based in Florida offering GLP-1 weight-loss treatment — semaglutide and tirzepatide in both FDA-approved and compounded forms, plus oral options — alongside peptides, HRT/TRT, urgent care, labs, and nutrition coaching. There is no membership or commitment: patients pay $199 for the initial consultation and $99 per follow-up, with medication priced by dose (semaglutide from $169/mo, tirzepatide from $199/mo). Compounded medications are sourced from 503A pharmacies, and visits are FSA/HSA eligible.

Score Breakdown

Value25%
7
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
7
Accessibility10%
5
Support10%
7.5
42

LifeRx.md

Best for: flat, dose-independent compounded GLP-1 pricing nationwide.

7.1

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

Value25%
7.5
Effectiveness25%
7
User Experience15%
6.5
Trust & Safety15%
7.3
Accessibility10%
7.5
Support10%
6.9
43

NextMeds

Best for: flat-price compounded GLP-1 bundled with a care coach and dietitian

7.1

NextMeds is a cash-pay telehealth platform offering compounded semaglutide and compounded tirzepatide on a flat monthly membership — one price bundling the medication (if prescribed), telehealth visits, a 1:1 care coach, and a licensed registered dietitian, with free shipping and no insurance. A licensed provider reviews a free online assessment (with a live video or phone consult where a state requires it) and prescribes if appropriate; medication ships from a licensed compounding pharmacy in the Next Meds network. Available in all 50 states; cancel anytime with no auto-renewal.

Score Breakdown

Value25%
7
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
6.2
Accessibility10%
8
Support10%
7.5
44

Options Medical Weight Loss

Best for: a structured medical weight-loss program with compounded GLP-1 support

7.1

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

Value25%
7
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
7.3
Accessibility10%
7
Support10%
7.4
45

Superpower

Best for: Members who want lab testing bundled with a GLP-1 prescription, not just medication

7.1

Superpower is a $199-per-year health membership built around twice-yearly 100+ biomarker lab testing, not a single-purpose GLP-1 shop. Members who are clinically appropriate can add prescription treatments -- including compounded semaglutide or brand-name Ozempic -- through Superpower's in-house Marketplace, billed separately from the membership fee. Pharmacy fulfillment runs through named partners Strive Pharmacy, Belmar Pharmacy, and Progress Pharmacy.

Score Breakdown

Value25%
7
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
7
Accessibility10%
7.5
Support10%
7.5
46

WePeptideRx

Best for: premixed ready-to-inject GLP-1 with microdose protocol options

7.1

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

Value25%
7
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
7.3
Accessibility10%
7
Support10%
7.4
47

Balanced Hormone Health

Best for: compounded GLP-1 plus a branded Zepbound option

7.0

Balanced Hormone Health is a private-pay telehealth practice rooted in HRT/BHRT that also offers compounded GLP-1 and GLP-1/GIP weight-loss plans, prescribing compounded semaglutide and tirzepatide (often with B vitamins) through partner pharmacies such as Revive and Striker. It also lists a branded Zepbound option. Medications ship to patients, typically made in about a week. Cash-pay only with no insurance billing, though receipts are provided for HSA/HRA accounts. Coverage spans most states; some are excluded depending on the compounding pharmacy used.

Score Breakdown

Value25%
7
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
6.5
Accessibility10%
7
Support10%
7.9
48

FeelGood

Best for: low-cost compounded GLP-1 access with an oral tablet alternative

7.0

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

Value25%
7
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
6.8
Accessibility10%
6.5
Support10%
7.4
49

Fifty 410

Best for: transparent no-membership compounded GLP-1 pricing

7.0

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

Value25%
7
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
6.8
Accessibility10%
7
Support10%
7.5
50

Intimate Rose

Best for: women's-health brand shoppers wanting oral compounded glp-1

7.0

Intimate Rose is an established US women's and pelvic-health brand that has added an online weight-management program offering compounded GLP-1 medication. Its weight-loss page publicly lists pricing starting at 169 dollars per month for oral compounded semaglutide or tirzepatide, with medication and free delivery, ongoing provider support, and no membership or contract. Clinical services and pharmacy fulfillment are provided through the OpenLoop Health network of licensed providers and compounding pharmacies. Cash-pay only, HSA and FSA eligible; compounded GLP-1s are not FDA-approved.

Score Breakdown

Value25%
7.5
Effectiveness25%
7
User Experience15%
7.5
Trust & Safety15%
6.5
Accessibility10%
6
Support10%
7
51

Revive Meds

Best for: compounded GLP-1 with B12 — prepay multi-month for the lowest cost

7.0

Revive Meds (revive-meds.com, Revive Health Therapy) is a nationwide GLP-1 and longevity telehealth service that sells compounded semaglutide and dual-agonist tirzepatide, each combined with vitamin B12 (cyanocobalamin), on a pay-per-order basis with no subscription or sign-up fees. Month-to-month pricing is $369 for semaglutide and $459 for tirzepatide, with lower effective rates on 3- to 12-month prepay. Every order ships free. It serves all 50 states, is HSA/FSA eligible, and fulfills through named 503A compounding pharmacies.

Score Breakdown

Value25%
6
Effectiveness25%
7.5
User Experience15%
7
Trust & Safety15%
7.4
Accessibility10%
7.5
Support10%
7
52

Aspire Health

Best for: Nebraska telehealth: compounded + brand GLP-1s with labs included

6.9

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

Value25%
6.5
Effectiveness25%
7.5
User Experience15%
6
Trust & Safety15%
7.3
Accessibility10%
6.5
Support10%
7.9
53

Gaya Wellness

Best for: Women 40+ wanting GLP-1 weight loss with menopause and hormone care

6.9

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

Value25%
6.5
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
7.3
Accessibility10%
6
Support10%
7.4
54

Omzo

Best for: Clinician-guided compounded GLP-1 with free delivery and FSA/HSA

6.9

Omzo is a multi-pillar telehealth service (weight loss, women's hormone health, sexual health, hair, skin, daily health) offering clinician-guided compounded GLP-1 — semaglutide and tirzepatide — with free discreet delivery and FSA/HSA eligibility. Medications are filled by an independent state-licensed compounding pharmacy. Pricing is not published on the marketing site (it appears after the intake quiz), and the company does not name its legal entity, pharmacy partner, or state-availability list.

Score Breakdown

Value25%
6.5
Effectiveness25%
7.5
User Experience15%
6.5
Trust & Safety15%
6.5
Accessibility10%
7.5
Support10%
7
55

Trava Health

Best for: multi-pharmacy 503A sourcing without LegitScript verification

6.9

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

Value25%
7.5
Effectiveness25%
6.5
User Experience15%
6.5
Trust & Safety15%
6.8
Accessibility10%
7.5
Support10%
6.9
56

EdgeRx

Best for: men wanting a physician-led peptide clinic, though its GLP-1 line isn't orderable yet

6.8

EdgeRx is a men's peptide and longevity telehealth platform from EdgeRx Health, LLC. Semaglutide and Tirzepatide injections, each formulated with muscle-preserving glycine and B12, sit alongside four other outcome categories (recovery, cognition, hair, sexual health) and are compounded by a single named 503A pharmacy, Strive Pharmacy. Protocols are cash-pay with HSA/FSA accepted through Truemed, and physician review is included in the price. As of this review, both GLP-1 injections are priced and described on the site but are waitlist-only — checkout is not yet live for any protocol.

Score Breakdown

Value25%
7
Effectiveness25%
7.5
User Experience15%
4.5
Trust & Safety15%
7
Accessibility10%
7.5
Support10%
6.5
57

Lighter You

Best for: bundled dietician visits and coaching alongside a GLP-1 prescription

6.8

Lighter You is a telehealth brand offering clinician-guided GLP-1 weight loss alongside peptides, microdosing protocols, and men's and women's health programs. Weight-loss plans start at $169 a month, with a limited-time $99 entry offer that includes a free consultation and shipping. Membership bundles dietician visits, care coaching and a progress dashboard covering weight trends, workouts and recipes. Lighter You, LLC runs the brand; clinical care and telehealth consent are handled through OpenLoop Health, and prescriptions go to an unnamed partner pharmacy.

Score Breakdown

Value25%
7
Effectiveness25%
7
User Experience15%
7
Trust & Safety15%
6.5
Accessibility10%
5.5
Support10%
7.5
58

TeleHealth Med

Best for: Georgia Inc.-incorporated GLP-1 with honest testimonial disclosure

6.8

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

Value25%
7
Effectiveness25%
7
User Experience15%
6
Trust & Safety15%
7.3
Accessibility10%
7
Support10%
6.4
59

June Health

Best for: published per-dose GLP-1 pricing on a brand-new, unverified site

6.7

June Health is a direct-to-consumer telehealth storefront selling compounded GLP-1 medication for weight loss, alongside peptide, hormone, and hair-loss programs, all delivered online with no office visits. It publishes per-dose pricing for both injectable and oral compounded semaglutide and tirzepatide, starting from $179/mo, with the clinician evaluation bundled into that price. The site is new — its domain was registered in May 2026 — and has no working Terms of Service or Privacy Policy page, and no LegitScript or named-pharmacy disclosure.

Score Breakdown

Value25%
7.5
Effectiveness25%
7.5
User Experience15%
7
Trust & Safety15%
4
Accessibility10%
7
Support10%
6
60

TeleDocs360

Best for: compounded GLP-1 options with transparent base pricing

6.7

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

Value25%
6.5
Effectiveness25%
7
User Experience15%
6.5
Trust & Safety15%
6.8
Accessibility10%
6.5
Support10%
6.9
61

Velvet Rx

Best for: cash-pay compounded GLP-1 with bundled shipping across three SKUs

6.7

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

Value25%
7
Effectiveness25%
6.5
User Experience15%
6.5
Trust & Safety15%
5.8
Accessibility10%
7
Support10%
7.4
62

Factor Health MD

Best for: broadest GLP-1 lineup — semaglutide, tirzepatide and liraglutide

6.4

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

Value25%
7
Effectiveness25%
6
User Experience15%
6
Trust & Safety15%
6.3
Accessibility10%
7
Support10%
6
63

ShapeIn Rx

Best for: shoppers who specifically want compounded liraglutide as a daily option

6.4

Phoenix-based telehealth from WellHealth LLC selling compounded semaglutide with B12 and daily compounded liraglutide, with telemedicine limited to states where its providers are licensed.

Score Breakdown

Value25%
7
Effectiveness25%
6.5
User Experience15%
6.5
Trust & Safety15%
5.5
Accessibility10%
6
Support10%
6.5
64

Kova

Best for: a GLP-1 plan bundled with a tracking app and will pay a premium for it

6.0

Kova is a GLP-1 weight-loss program from LifeTech Apps Inc, a Delaware company, pairing compounded GLP-1 medication with a companion app that tracks weight, protein intake and side effects. Clinician review, medication and delivery are bundled into a single plan price. Standing pricing is $449 per 4 weeks on the 1-month plan, falling to $329 and $299 per 4 weeks on the 3- and 6-month plans; the advertised $129 is a first-month intro rate only.

Score Breakdown

Value25%
4.5
Effectiveness25%
6.5
User Experience15%
7.5
Trust & Safety15%
6
Accessibility10%
6
Support10%
6.5

Frequently Asked Questions

Yes — semaglutide prescribed for a diagnosed medical condition (type 2 diabetes or obesity) is HSA/FSA eligible. You may need a Letter of Medical Necessity from your provider.
Sources & methodology — as of August 2026
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)WeightLossRankings.org.
  2. 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. 3.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)New England Journal of Medicine.PMID: 40334173.
  4. 4.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)Internal Revenue Service.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)Kaiser Family Foundation.
  6. 6.CMS — Medicaid prescription drug coverage policy (state-by-state)Centers for Medicare & Medicaid Services.