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: $166/mo (Live Vital, ongoing rate)14 providers compared

New to Tesamorelin? Read our full Tesamorelin guide — evidence, dosing, safety and side effects.

Tesamorelin dosage: what the FDA and published studies actually say.

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

14 tesamorelin providers compared · independently scored against our six-factor methodology.

Quick Picks: Top 5

#ProviderScore
1PeptiVisit
2Live VitalVisit
3Trellis VitalityVisit
4LongevixxVisit
5SUROS RxVisit

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
    Pepti

    Tesamorelin by prescription

    From /mo
    Check pricing
    Coverage
    50 states
    Medications
    BPC-157GHK-CuGlutathioneGonadorelinKPVMOTS-cNAD+PT-141SermorelinTB-500TesamorelinEpitalonSemax
    Visit →
  • Best Budget
    Live Vital

    Tesamorelin (injection)

    From /mo
    $166
    Coverage
    50 states
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinMOTS-cNAD+TB-500Tesamorelin
    Visit →
  • Trellis Vitality

    Tesamorelin (injection)

    From /mo
    $299
    Coverage
    47 states
    Medications
    NAD+GlutathioneTesamorelin
    Visit →
  • Nationwide Coverage
    Longevixx

    Tesamorelin by prescription

    From /mo
    Check pricing
    Coverage
    50 states
    Medications
    TesamorelinSermorelinNAD+PT-141
    Visit →
  • SUROS Rx

    Tesamorelin (injection)

    From /mo
    $209
    Coverage
    50 states
    Medications
    NAD+SermorelinGlutathioneTesamorelin
    Visit →
  • Dr. Gillis' Wellness Center

    Tesamorelin by prescription

    From /mo
    Check pricing
    Coverage
    50 states
    Medications
    CJC-1295 / IpamorelinGHK-CuGlutathioneNAD+SermorelinTesamorelin
    Visit →
  • Nuform Health

    Tesamorelin by prescription

    From /mo
    Check pricing
    Coverage
    Check intake
    Medications
    GlutathioneNAD+SermorelinTesamorelin
    Visit →
  • RxPepsDirect

    Tesamorelin by prescription

    From /mo
    Check pricing
    Coverage
    28 states
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneGonadorelinIpamorelinNAD+PT-141SermorelinTB-500TesamorelinEpitalonKPVMOTS-cSemax
    Visit →
6scored dimensions
14tesamorelin providers compared

Each checked against the provider’s own site.

Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

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.

1

Pepti

Best for: Tesamorelin by prescription

7.9

Pepti is a Delaware-registered telehealth platform selling doctor-prescribed compounded peptides and GLP-1s, with a published shipping list of 49 states plus DC. Injectable semaglutide starts at $99 and tirzepatide at $159 per 28-day supply, rising with dose to $199 and $319. Each price covers medication, physician review, labs, refill management and shipping, with no membership fee. Pepti is a platform, not a prescriber, and does not bill insurance.

Score Breakdown

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

Pros

  • ✓Injectable semaglutide starts at $99 and tirzepatide at $159 all-in, with no membership fee on top.
  • ✓Publishes the exact price for every dose of both drugs, so you can see what titrating up will cost before you start.
  • ✓Publishes a shipping list of 49 states plus DC, and a provider denial means a full refund.
  • ✓Names the reviewing physician, Dr. Gene Lee MD, and posts third-party sterility and potency results by lot.

Cons

  • ✗Billed every 28 days rather than monthly, so you pay 13 times a year, not 12.
  • ✗Price rises with dose: semaglutide tops out at $199 and tirzepatide at $319 per supply.
  • ✗The site says it serves 50 states, but its own list leaves out Oklahoma and counts DC instead.
  • ✗No compounding pharmacy is named in advance; you only learn it from your medication label.
  • ✗The listed address, a Newark Delaware suite, is a shared registered-agent address rather than a clinical office.
  • ✗Cash-pay only with no insurance billing, and medication can't be refunded once it ships.
Check pricingRead full review →
Visit Pepti →
2

Live Vital

Verified partner

Best for: Tesamorelin (injection)

7.7

Live Vital is a physician-led telehealth practice founded by Dr. Patrick Taylor, MD, offering compounded GLP-1 weight loss (semaglutide advertised from $99/mo and tirzepatide from $183/mo, both sold as 10-week protocols) 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. Fully telehealth in all 50 states.

Score Breakdown

Value25%
8.5
Effectiveness25%
7.5
User Experience15%
6.5
Trust & Safety15%
7.3
Accessibility10%
8.5
Support10%
8

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, both on 10-week protocols
  • ✓Every plan includes doctor prescribing, licensed-pharmacy medication, and direct-to-door shipping
  • ✓Unlimited messaging with the care team; you can cancel at any time, effective at the end of the current billing period
  • ✓Fully telehealth in all 50 states

Cons

  • ✗The advertised '/mo' rate divides a 10-week protocol by three, so a calendar month costs about $130 or $239
  • ✗Doesn't accept insurance (HSA/FSA funds only)
  • ✗Compounding pharmacy isn't named (only 'a licensed US pharmacy')
  • ✗Medications and lab work are generally non-refundable once ordered, and consultation refunds are at the practice's discretion
  • ✗Also a peptide/longevity practice; those peptides are not FDA-approved (the site discloses this)
Starting from $166/moRead full review →
Visit Live Vital →
3

Trellis Vitality

Best for: Tesamorelin (injection)

7.6

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%
7
Accessibility10%
8
Support10%
7

Pros

  • ✓Names both its pharmacy (VialsRX, Houston TX) and its prescribing network, with a street address and phone number for the pharmacy.
  • ✓All dosages cost the same, and there is no membership fee or consult charge on top of the monthly price.
  • ✓Frames the program around body composition, with at-home biomarker panels and a 90-day re-test rather than scale weight alone.
  • ✓Will review labs from an existing compounded program and recommend protocol adjustments free of charge.

Cons

  • ✗Homepage stats ($4,000 average annual saving, 3.4 weeks saved) come with no source, so they can't be checked.
  • ✗The GLP-1 program isn't offered everywhere: Connecticut, Ohio and South Carolina are excluded "at minimum", with no full list.
  • ✗Prescribing runs through the Arora Health network, shared with several unrelated telehealth brands, so the clinical layer isn't exclusive.
  • ✗A baseline at-home lab kit is required, and the GLP-1 page doesn't say whether it costs extra.
  • ✗Refund eligibility is decided per order rather than by a stated policy, so outcomes are discretionary.
Starting from $299/moRead full review →
Visit Trellis Vitality →
4

Longevixx

Best for: Tesamorelin by prescription

7.5

Longevixx is a physician-led longevity practice run by Longevixx LLC out of Charlotte, North Carolina, offering compounded semaglutide, compounded tirzepatide, a GLP-1 microdose protocol and a daily oral GLP-1 alongside a deep peptide menu. One price covers every dosage, and the plan bundles medication, physician review, care coaching and a dietitian visit. Its public program list shows semaglutide from $139, tirzepatide from $149, the microdose from $129 and the oral option from $229 a month.

Score Breakdown

Value25%
7.5
Effectiveness25%
7.5
User Experience15%
7.5
Trust & Safety15%
6.8
Accessibility10%
8
Support10%
7.8

Pros

  • ✓One price covers every dosage, so titrating up to a therapeutic dose does not raise your monthly bill
  • ✓Tirzepatide is listed from $149 a month, only $10 more than semaglutide
  • ✓The plan bundles medication, board-certified physician review, care coaching and a free dietitian visit
  • ✓Four GLP-1 formats including a lower-dose microdose protocol at $129 and a daily oral option at $229
  • ✓You are not charged unless a provider approves treatment, and shipping is free and discreet
  • ✓Unusually deep peptide menu alongside the GLP-1 programs, with each price listed

Cons

  • ✗Treatment pages show no price; the figures appear only as 'from' prices on the peptides page and on the menu after the health quiz
  • ✗Cancellation terms conflict: 'cancel anytime', 30 days' notice before the next billing cycle, and 48 hours before the processing date
  • ✗Consultations and dispensed medication are non-refundable, and returned medication carries a $35 disposal fee
  • ✗No compounding pharmacy is named; the site refers only to state-licensed compounding pharmacies
  • ✗Terms require you to waive the right to have your prescription filled at a pharmacy of your choice
  • ✗Shows a 4.9/5 care rating on the homepage and 4.8/5 in the quiz with no review platform named
  • ✗The microdose and oral programs never say which GLP-1 molecule they use
Check pricingRead full review →
Visit Longevixx →
5

SUROS Rx

Best for: Tesamorelin (injection)

7.4

SUROS Rx is a Florida-based telehealth service for compounded semaglutide and tirzepatide, prescribed by clinicians with Arora Health & Aesthetics and filled mainly through The Pharmacy Hub. Semaglutide is $199 a month or $549 every 3 months ($183/mo), and tirzepatide is $299 a month or $798 every 3 months ($266/mo). It also offers sermorelin, NAD+, glutathione and tesamorelin.

Score Breakdown

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

Pros

  • ✓Prices are published on every treatment page, monthly and quarterly, before you start
  • ✓Names its prescribing medical group and its main dispensing pharmacy, The Pharmacy Hub
  • ✓LegitScript seal served from LegitScript's own site
  • ✓Tirzepatide is the same price at every strength
  • ✓Cancel future renewals any time by email, before the next charge

Cons

  • ✗Tirzepatide is $299 a month on the monthly plan, above the roughly $249 median we track
  • ✗The lower $183 and $266 rates need $549 or $798 paid up front every 3 months
  • ✗Refunds are case by case and not guaranteed once medication is dispensed or shipped
  • ✗Cancellation is by email only, and support is email, a patient portal and one phone line with no posted hours
  • ✗Disputes go to binding individual arbitration
Starting from $209/moRead full review →
Visit SUROS Rx →
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].

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

Frequently Asked Questions

Each provider is evaluated across six weighted dimensions: Value (25%), Effectiveness (25%), User Experience (15%), Trust & Safety (15%), Accessibility (10%), and Support (10%). We research publicly available information, user reviews, clinical evidence, and pricing data, then compute a weighted overall score out of 10.
Each provider's score is computed independently using the six-dimension methodology, and a commercial relationship never changes a provider's underlying score — you can see every provider's full score on its card. Some providers have affiliate agreements with us, meaning we earn a commission if you click through and make a purchase. On our highest-commercial-intent lists — including the semaglutide, tirzepatide, compounded and cheapest molecule lists, the weight-loss injection and shot lists, and the fitness-app list — we feature affiliate partners in the top positions; on every other list the order follows the score (or, for the cheapest lists, the lowest price) directly. This placement is disclosed here and on our methodology and affiliate-disclosure pages.
Sources & methodology (as of November 2026)
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  5. 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  6. 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. 7.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  8. 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
  9. 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  10. 10.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.
  11. 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.

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