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.

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

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

Rankings updated August 2026

Quick Picks: Top 5

#ProviderScore
1Live VitalVisit
2Dr. Gillis' Wellness CenterVisit
3Nuform HealthVisit
4RxPepsDirectVisit
5Vyora WellnessVisit

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
    Live Vital

    low-cost, physician-led compounded GLP-1 with peptide and hormone options

    From /mo
    $199
    Coverage
    50 states
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinMOTS-cNAD+TB-500Tesamorelin
  • Nationwide Coverage

    sublingual ODT GLP-1 tablets or a needle-free weight-loss option

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

    non-GLP-1 weight management

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

    Lowest per-vial GLP-1 cost: sema $25, tirz $45, $39 telehealth Rx, 28 states

    From /mo
    Check pricing
    Coverage
    28 states
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneGonadorelinIpamorelinNAD+PT-141SermorelinTB-500Tesamorelin
  • Best Care Team
    Vyora Wellness

    patients wanting coaching-inclusive compounded GLP-1 programs

    From /mo
    Check pricing
    Coverage
    Check intake
    Medications
    GHK-CuGlutathioneNAD+SermorelinTesamorelin
  • GLP-1 weight loss inside a functional-medicine program with lab testing

    From /mo
    Check pricing
    Coverage
    Check intake
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuIpamorelinTB-500Tesamorelin
  • compounded GLP-1/GIP or microdosing within a TRT platform

    From /mo
    Check pricing
    Coverage
    Check intake
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinNAD+PT-141SermorelinTB-500Tesamorelin
6scored dimensions
7tesamorelin providers compared
100%verified against live provider sites
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

Live Vital

Verified partner

Best for: low-cost, physician-led compounded GLP-1 with peptide and hormone options

7.7

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

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 (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)
2

Dr. Gillis' Wellness Center

Best for: sublingual ODT GLP-1 tablets or a needle-free weight-loss option

7.4

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

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

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
3

Nuform Health

Best for: non-GLP-1 weight management

7.1

Telehealth wellness brand that does not currently offer GLP-1 medications.

Score Breakdown

Value25%
6.5
Effectiveness25%
7.5
User Experience15%
7
Trust & Safety15%
7
Accessibility10%
7.5
Support10%
7.4

Pros

  • Telehealth convenience
  • Physician-supervised program

Cons

  • GLP-1 medications not currently offered
4

RxPepsDirect

Best for: Lowest per-vial GLP-1 cost: sema $25, tirz $45, $39 telehealth Rx, 28 states

7.1

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

Value25%
9.5
Effectiveness25%
5.5
User Experience15%
7
Trust & Safety15%
5.8
Accessibility10%
8
Support10%
6.4

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
5

Vyora Wellness

Best for: patients wanting coaching-inclusive compounded GLP-1 programs

7.0

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

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

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].

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

Frequently Asked Questions

Sources & methodology — as of August 2026
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy FrameworkU.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@FDAU.S. Food & Drug Administration.
  5. 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDAU.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.