Best Tesamorelin Providers in 2026 — Ranked & Reviewed
Tesamorelin (brand name Egrifta) is the only growth-hormone-releasing-hormone analog with full FDA approval, backed by phase 3 trial data for reducing visceral abdominal fat in HIV-associated lipodystrophy — it is also compounded and prescribed off-label for body composition and GH support more broadly. It is prescription-only. Every provider below prescribes it through a licensed clinician and is scored on the same six dimensions as the rest of our catalog.
Lowest verified price: $199/mo7 providers compared
New to Tesamorelin? Read our full Tesamorelin guide — evidence, dosing, safety and side effects.
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7 tesamorelin providers compared · independently scored against our six-factor methodology.
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
low-cost, physician-led compounded GLP-1 with peptide and hormone options
From /mo$199Coverage50 statesMedicationsBPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinMOTS-cNAD+TB-500Tesamorelin - Nationwide Coverage
sublingual ODT GLP-1 tablets or a needle-free weight-loss option
From /moCheck pricingCoverage50 statesMedicationsCJC-1295 / IpamorelinGHK-CuGlutathioneNAD+SermorelinTesamorelin non-GLP-1 weight management
From /moCheck pricingCoverageCheck intakeMedicationsGlutathioneNAD+SermorelinTesamorelinLowest per-vial GLP-1 cost: sema $25, tirz $45, $39 telehealth Rx, 28 states
From /moCheck pricingCoverage28 statesMedicationsBPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneGonadorelinIpamorelinNAD+PT-141SermorelinTB-500Tesamorelin- Best Care Team
patients wanting coaching-inclusive compounded GLP-1 programs
From /moCheck pricingCoverageCheck intakeMedicationsGHK-CuGlutathioneNAD+SermorelinTesamorelin GLP-1 weight loss inside a functional-medicine program with lab testing
From /moCheck pricingCoverageCheck intakeMedicationsBPC-157CJC-1295 / IpamorelinGHK-CuIpamorelinTB-500Tesamorelincompounded GLP-1/GIP or microdosing within a TRT platform
From /moCheck pricingCoverageCheck intakeMedicationsBPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinNAD+PT-141SermorelinTB-500Tesamorelin
| Provider | Rating | From /mo | Medications | Coverage | |
|---|---|---|---|---|---|
| ★ Editor's Pick low-cost, physician-led compounded GLP-1 with peptide and hormone options | $199 | BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinMOTS-cNAD+TB-500Tesamorelin | 50 states | Visit → | |
| Nationwide Coverage sublingual ODT GLP-1 tablets or a needle-free weight-loss option | Check pricing | CJC-1295 / IpamorelinGHK-CuGlutathioneNAD+SermorelinTesamorelin | 50 states | Visit → | |
non-GLP-1 weight management | Check pricing | GlutathioneNAD+SermorelinTesamorelin | Check intake | Visit → | |
Lowest per-vial GLP-1 cost: sema $25, tirz $45, $39 telehealth Rx, 28 states | Check pricing | BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneGonadorelinIpamorelinNAD+PT-141SermorelinTB-500Tesamorelin | 28 states | Visit → | |
| Best Care Team patients wanting coaching-inclusive compounded GLP-1 programs | Check pricing | GHK-CuGlutathioneNAD+SermorelinTesamorelin | Check intake | Visit → | |
GLP-1 weight loss inside a functional-medicine program with lab testing | Check pricing | BPC-157CJC-1295 / IpamorelinGHK-CuIpamorelinTB-500Tesamorelin | Check intake | Visit → | |
compounded GLP-1/GIP or microdosing within a TRT platform | Check pricing | BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinNAD+PT-141SermorelinTB-500Tesamorelin | Check intake | Visit → |
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
A note on prices below: any dollar figure in these provider summaries refers to that clinic’s GLP‑1 weight-loss program, not to Tesamorelin. The Tesamorelin price is the one beside each clinic in the comparison table above, read from that clinic’s own product page. Where it reads “Check pricing”, the clinic prescribes Tesamorelin but publishes no price for it — you are quoted after the consultation.
Live Vital
Verified partnerBest for: low-cost, physician-led compounded GLP-1 with peptide and hormone options
Live Vital is a physician-led telehealth practice founded by Dr. Patrick Taylor, MD, offering compounded GLP-1 weight loss — semaglutide from $99/mo and tirzepatide from $183/mo, billed as 3-month programs — alongside peptide and hormone therapy. Every plan is doctor-prescribed, filled by a licensed US pharmacy, and shipped to your door, with unlimited care-team messaging and no lock-in. Fully telehealth in all 50 states.
Score Breakdown
Pros
- ✓Physician-led — founded by Dr. Patrick Taylor, MD; all treatments doctor-prescribed via the clinical team
- ✓Transparent published pricing: semaglutide from $99/mo, tirzepatide from $183/mo (billed as 3-month programs)
- ✓Every plan includes doctor prescribing, licensed-pharmacy medication, and direct-to-door shipping
- ✓Unlimited messaging with the care team; cancel or pause anytime with no lock-in
- ✓Fully telehealth in all 50 states
Cons
- ✗Sold as 3-month programs (semaglutide $299 / tirzepatide $549 per quarter); 'starting at' rates can rise with dose
- ✗Doesn't accept insurance (HSA/FSA funds only)
- ✗Compounding pharmacy isn't named (only 'a licensed US pharmacy')
- ✗Also a peptide/longevity practice; those peptides are not FDA-approved (the site discloses this)
Dr. Gillis' Wellness Center
Best for: sublingual ODT GLP-1 tablets or a needle-free weight-loss option
Dr. Gillis' Wellness Center is a Maine-based clinic (Oakland) offering nationwide telehealth for GLP-1 weight loss. It prescribes semaglutide, tirzepatide, and retatrutide in both injectable and sublingual ODT (orally dissolving tablet) forms, a differentiator for needle-averse patients. A semaglutide starting dose runs $150 and monthly plans start at $149 with no contracts and flexible weekly, bi-weekly, or monthly scheduling. Care is led by Dr. Gillis, a board-certified physician and surgeon with 25-plus years in gut health who serves on the Maine State Medical Board.
Score Breakdown
Pros
- ✓Sublingual ODT tablets offered as needle-free alternative
- ✓Broad GLP-1 menu: semaglutide, tirzepatide, and retatrutide
- ✓Transparent pricing: $150 starting dose, plans from $149/mo
- ✓Led by board-certified physician/surgeon with 25+ years experience
- ✓No contracts; flexible weekly, bi-weekly, or monthly cadence
Cons
- ✗Specific dose-tier pricing beyond starting plan not detailed
- ✗Compounded vs brand not explicitly stated for all meds
- ✗Smaller clinic vs national telehealth brands
- ✗State licensing list not published
Nuform Health
Best for: non-GLP-1 weight management
Telehealth wellness brand that does not currently offer GLP-1 medications.
Score Breakdown
Pros
- ✓Telehealth convenience
- ✓Physician-supervised program
Cons
- ✗GLP-1 medications not currently offered
RxPepsDirect
Best for: Lowest per-vial GLP-1 cost: sema $25, tirz $45, $39 telehealth Rx, 28 states
RxPepsDirect (Peptide RX LLC) is a per-vial compounded GLP-1 telehealth platform offering semaglutide/B12 from $25/vial and tirzepatide/B12 from $45/vial, dispensed through Optimal Balance Pharmacy (503A, Texas) after a $39 asynchronous online medical visit. Licensed NP/PA prescribers supervised by Medical Director Dr. Jonathan Snipes, MD issue patient-specific compounded Rx under the 503A pathway with no subscription required. FedEx overnight delivery, syringes, and travel case included; available in 28 states and DC.
Score Breakdown
Pros
- ✓Industry-lowest GLP-1 pricing: compounded semaglutide from $25/vial, tirzepatide from $45/vial — no subscription or recurring commitment required
- ✓Real 503A telehealth Rx: licensed NP/PA prescribers + MD medical director (Dr. Jonathan Snipes, NPI 1821250077); patient-specific Rx dispensed by
- ✓FedEx overnight shipping at $15 flat; ships pre-reconstituted and includes syringes, alcohol wipes, and reusable cooled travel case
- ✓Independent batch COA testing by Eagle Analytical (FDA-registered, A2LA ISO 17025): 54/54 sterility and endotoxin passes published publicly on
- ✓No subscription required; $39 flat visit fee covers up to 3 peptides per Rx; pay per vial with no ongoing commitment
Cons
- ✗No LegitScript certification; company founded 2026 — no public track record or long-term patient-outcomes data
- ✗Minimal clinical oversight: $39 asynchronous intake form only — no live video consult required, no labs mandated, no monitoring protocol; lowest
- ✗Per-vial pricing makes true monthly cost opaque; every refill costs another $39 visit fee on top of vial price and $15 shipping
- ✗Only 28 states + DC; excludes California, most of the Southeast (AL, AR, GA, MS, NC, SC, TN, VA), and parts of Midwest
- ✗No coaching, labs, dietitian support, or clinical monitoring included at any tier — purely prescription + dispensing
Vyora Wellness
Best for: patients wanting coaching-inclusive compounded GLP-1 programs
Vyora Wellness offers compounded semaglutide ($299/mo) and compounded tirzepatide ($399/mo) as 4-week subscription plans. LegitScript certified. Price includes GLP-1 nutritional guidance, 24/7 coaching, and community access. BMI 25+ required.
Score Breakdown
Pros
- ✓LegitScript certified
- ✓Price includes nutritional guidance, 24/7 coaching, and community access
- ✓Both semaglutide and tirzepatide available
- ✓BMI 25+ eligibility threshold (lower than some competitors)
Cons
- ✗State availability not publicly disclosed
- ✗Pricing is above average ($299–$399/mo) compared to competitors
- ✗Compounded only — no brand-name options
- ✗Broader platform (metabolic, longevity, topical products)
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
Sources & methodology — as of August 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.