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/mo10 providers compared

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

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

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

Rankings updated September 2026

Quick Picks: Top 5

#ProviderScore
1PeptiVisit
2Live VitalVisit
3Trellis VitalityVisit
4Dr. Gillis' Wellness CenterVisit
5Nuform HealthVisit

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

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

    From /mo
    Check pricing
    Coverage
    36 states
    Medications
    BPC-157GHK-CuGlutathioneGonadorelinkpvMOTS-cnad-plusPT-141retatrutideSermorelinTB-500Tesamorelin
    Visit →
  • Best Budget
    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
    Visit →
  • Nationwide Coverage
    Trellis Vitality

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

    From /mo
    $299
    Coverage
    50 states
    Medications
    NAD+GlutathioneTesamorelin
    Visit →
  • Dr. Gillis' Wellness Center

    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
    Visit →
  • Nuform Health

    non-GLP-1 weight management

    From /mo
    Check pricing
    Coverage
    Check intake
    Medications
    GlutathioneNAD+SermorelinTesamorelin
    Visit →
  • 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
    Visit →
  • Best Care Team
    Vyora Wellness

    patients wanting coaching-inclusive compounded GLP-1 programs

    From /mo
    Check pricing
    Coverage
    Check intake
    Medications
    GHK-CuGlutathioneNAD+SermorelinTesamorelin
    Visit →
  • Nava Health

    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
    Visit →
6scored dimensions
10tesamorelin 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

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

Pros

  • ✓At $99/mo all-in, injectable semaglutide is among the cheapest verified prices in our catalog.
  • ✓States plainly that all doses cost one flat monthly price, so titrating up never raises the bill.
  • ✓Publishes a page for each of the 36 states it serves, and the page count matches its claim exactly.
  • ✓Names the reviewing physician, Dr. Gene Lee MD, and discloses pepti LLC as the Delaware operating entity.

Cons

  • ✗The homepage shows an "FDA Cleared" badge beside peptide therapy, though product pages correctly say compounded drugs are not FDA-approved.
  • ✗Neither the 503A nor the 503B compounding pharmacy is named, so you cannot check who dispenses.
  • ✗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 the oral formulations jump to $249 and $399 a month.
Check pricingRead full review →
Visit Pepti →
2

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)
Starting from $199/moRead full review →
Visit Live Vital →
3

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

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

  • ✗Headline stats (92% biomarker improvement, $4,000 average annual saving, 3.4 weeks saved) are unsourced and cannot be checked.
  • ✗The "4.7 / 5 · 5,000+ current patients" rating names no review platform, so it cannot be verified against a public record.
  • ✗Prescribing runs through the Arora Health network, which several unrelated telehealth brands also use, so the clinical layer is not exclusive.
  • ✗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

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
Check pricingRead full review →
Visit Dr. Gillis' Wellness Center →
5

Nuform Health

Best for: non-GLP-1 weight management

7.1

Telehealth wellness brand selling compounded GLP and GLP+GIP vitamin blends for weight loss. It publishes no monthly option — everything is sold in blocks of 2.5 to 6.5 months, billed up front, with the price then divided into a per-month headline. It never names the molecule in either product.

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
Check pricingRead full review →
Visit Nuform Health →
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 September 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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