Best HSA/FSA-Eligible Tirzepatide Providers in 2026 — Ranked & Reviewed
Pay for tirzepatide with pre-tax Health Savings Account or Flexible Spending Account dollars. Each provider here says on its own site that it accepts HSA and FSA cards or supplies itemized receipts you can submit for reimbursement, and the prices are its ongoing monthly rates for compounded tirzepatide or brand Zepbound and Mounjaro.
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103 tirzepatide providers compared · independently scored against our six-factor methodology.
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 tirzepatide (~20.9% mean weight loss at the 15 mg dose over 72 weeks) comes from the SURMOUNT-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
Detailed Reviews
Gala
Verified partnerBest for: compounded semaglutide or tirzepatide at one all-doses price on a yearly plan, with free shipping
Gala (legal entity AI Coaching Inc., d/b/a Gala GLP-1) is a women-focused telehealth platform selling compounded semaglutide from $129/mo, compounded tirzepatide at $179/mo with all doses included on a yearly subscription, and brand-name Ozempic at $1,299/mo. It claims licensed providers in all 50 states, free shipping, and a care team you can message seven days a week. An oral Wegovy pill is listed as 'coming soon.'
Score Breakdown
HealthRX
Verified partnerBest for: flat-price compounded GLP-1, LegitScript-certified cash-pay program
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 or a medical director.
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EverPrime
Verified partnerBest for: compounded GLP-1 care with labs and provider visits included, from the company behind Enhance MD
EverPrime is a new telehealth brand run by Enhance.MD, LLC, the company behind Enhance MD. It sells compounded semaglutide, tirzepatide and a lower-dose tirzepatide microdose, plus longevity and sexual-health treatments. GLP-1 plans include provider care, required metabolic labs and free shipping at one price for every dose. Standard prices run from $249/mo semaglutide and $329/mo tirzepatide month to month, down to $214 and $280 a month on a 12-month plan paid upfront.
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Lttl
Verified partnerBest for: every commitment tier priced openly, plus a low-dose microdose option
Lttl (pronounced 'little') is a direct-to-consumer telehealth brand offering compounded semaglutide and tirzepatide, a low-dose 'microdose' line that includes a needle-free dissolving tablet, and longevity peptides. It publishes its full price matrix before checkout and bills one flat rate regardless of dose. Month-to-month compounded semaglutide is $99/mo and tirzepatide $149/mo, with lower per-month rates on 3-, 6- and 12-month prepay plans.
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DudeMeds
Verified partnerBest for: men seeking no-fee compounded or brand-name GLP-1 injections
DudeMeds is a men's-focused telehealth platform offering compounded semaglutide and tirzepatide as weekly injections from $175/month, plus brand-name Ozempic, Wegovy, Mounjaro and Zepbound. No membership fee, no doctor fee, free shipping. Also offers TRT, ED, and hair loss treatments. Accepts clinic-switch patients from existing GLP-1 and TRT providers.
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Pallas Health
Best for: the most complete public disclosure of pharmacies and prescribing physicians we have found
Pallas Health is a telehealth platform operated by Brentmoor, Inc. offering compounded semaglutide and tirzepatide plus brand-name Wegovy (pen or pill), Foundayo, Zepbound, Ozempic and Mounjaro. Compounded semaglutide is $139 for the first month, then $199 every 4 weeks; tirzepatide is $179, then $299 every 4 weeks, with care, messaging and shipping included and the same price at every dose. Its disclosures page names two physicians with NPIs, the clinical partner Lion MD and seven partner pharmacies.
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Pepti
Best for: a low all-in starter price on compounded GLP-1s, with every dose price published up front
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.
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Harbor
Best for: compounded GLP-1 with steep prepay discounts (sema $99/mo on 12 months) and flat dose pricing
Harbor (now rebranding as Arbor) is a LegitScript-certified telehealth platform where board-certified physicians from MD Integrations prescribe compounded semaglutide and tirzepatide as weekly injections. Month-to-month plans are $199/mo for semaglutide and $299/mo for tirzepatide, at the same price at every dose; 6- and 12-month prepay plans cut that to $99 and $149 a month. Plans include clinician care, refills and shipping, with dietitian support after treatment.
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Kina
Best for: GLP-1 weight care alongside HRT, from board-certified physicians
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.
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Mint Med
Best for: flat-price compounded GLP-1 with no membership; the lowest rates need a longer plan
Mint Med is a national, no-membership telehealth platform (distinct from Utah's Mint Medical Clinic) offering compounded semaglutide and tirzepatide at one locked price for every dose. Month-to-month plans are $89/mo for semaglutide and $119/mo for tirzepatide, with lower rates on 3- and 6-month prepaid plans. It is HSA/FSA eligible and serves 36 listed states.
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PreventiveMD
Best for: flat all-in compounded GLP-1 pricing at every dose, with a choice of named pharmacies
PreventiveMD is a cash-pay telehealth platform for GLP-1 weight loss and peptide therapy. Compounded semaglutide is $119/mo and tirzepatide $139/mo month-to-month, all-in at every dose, dropping to $83 and $97/mo on a 12-month prepaid plan. Brand Wegovy, Zepbound, and Foundayo cost a $49/mo membership plus medication. A US-licensed provider reviews your intake within 24-48 hours, and you can choose among four named 503A pharmacies at checkout.
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CoraDoc
Best for: prepaying for a longer compounded GLP-1 program at a low monthly rate
CoraDoc is a Dallas-based telehealth service selling compounded semaglutide and tirzepatide as prepaid, one-payment programs with no subscription or auto-renew. Plans run from a 6-week starter ($299 semaglutide, $399 tirzepatide) to 12 months ($924, about $77/mo, or $1,524, about $127/mo), at the same price for every dose. The provider visit, 2-day shipping, and supplies are included, and maintenance plans serve current GLP-1 users. Its refund policy keeps a $100 clinical fee if you are not prescribed.
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Liberty
Best for: nationwide compounded GLP-1 from 503B-sourced pharmacies
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.
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Mochi Health
Best for: insurance help for brand-name GLP-1s, or self-pay compounded GLP-1 priced by dose
Obesity medicine telehealth provider that prescribes brand-name GLP-1s through insurance, with prior authorization handled for you, or self-pay compounded and brand GLP-1s. Self-pay patients pay a $79/mo Health membership ($0 first month on the 1-month plan, $49/mo on a 12-month plan) plus medication priced by dose from $60 for semaglutide and $90 for tirzepatide.
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Precision Telemed
Best for: flat-priced, month-to-month compounded GLP-1s with a live provider visit
Precision Telemed (Precision Health Digital LLC, Tampa) sells compounded semaglutide at $149.99/month and compounded tirzepatide at $249.99/month ($199 first month), each the same price at every dose with no membership fee. Lower-priced maintenance plans cover only the lowest dose. Every patient meets a board-certified provider by Zoom before prescribing.
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WeightRx
Best for: budget shoppers willing to prepay 6 or 12 months of compounded tirzepatide
WeightRx is a New York-based telehealth platform that connects patients with licensed clinicians, including MDI Medical Group, for compounded tirzepatide and semaglutide. Its low prices come from long prepaid plans: tirzepatide is $997 for 12 months (about $83 a month) or $749 for 6 months, and the semaglutide funnel offers a $599 one-year plan. Prepaid 6- and 12-month plans are non-refundable.
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Cora Health
Best for: flat-rate compounded GLP-1 from $175/mo month to month (less on longer plans), with named pharmacy disclosure
Cora Health is a telehealth platform selling compounded semaglutide and tirzepatide at one flat price per plan length, so your bill does not rise as your dose goes up. It names both of its 503A pharmacies, PCAB-accredited Hallandale Pharmacy and VialsRx, and its prescribers come from the independent Wasef Health, PC group. Semaglutide runs $175 a month month-to-month or $99 a month on the annual plan, billed $1,188 upfront; tirzepatide runs $225 down to $135.
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FitFlow
Best for: one flat compounded GLP-1 price at every dose, lowest on annual prepay, with board-certified telehealth care
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 $134/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.
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LumiMeds
Best for: patients ready to prepay a long plan for a low, dose-independent monthly rate
LumiMeds is a telehealth platform offering compounded semaglutide and tirzepatide at one flat price for every dose, plus NAD+ longevity plans. Semaglutide is $189 and tirzepatide $249 month to month. Prepaid 3-, 6- and 12-month plans lower the effective rate (as low as $89/mo and $125/mo on 12 months), but each is charged upfront.
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Trellis Vitality
Best for: body-composition tracking and flat per-dose pricing without a membership fee
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.
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Amble
Best for: flat-price compounded GLP-1 with free shipping and discounts for 3- or 6-month plans
Amble is an Ohio-based telehealth platform that connects patients with licensed physicians for compounded semaglutide and tirzepatide at the same price at every dose, with medication, supplies, and shipping included. Month to month, semaglutide is $179 and tirzepatide $329, with $50 off the first month; 3- and 6-month plans paid upfront lower that to as little as $135 and $235 a month.
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Navio MD
Best for: compounded tirzepatide with a brand-name Zepbound option in all 50 states
NavioMD offers compounded tirzepatide at $189/mo for 2.5 to 7.5 mg and $209/mo for 10 to 15 mg, plus brand-name Zepbound KwikPen from $445/mo at 2.5 mg up to $595/mo. Prices include the medication and free 2-day shipping, and starting doses add B12 and anti-nausea support. NavioMD says it serves all 50 states and also offers wellness injectables and women's hormone care.
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Pillar Health
Best for: flat per-dose GLP-1 pricing with no membership, and a half-price first month
Pillar Health is a Michigan-based telehealth storefront selling compounded semaglutide and tirzepatide programs at one flat monthly price that does not rise with your dose: $189/mo for semaglutide and $249/mo for tirzepatide, with no membership fee and free shipping. Prescribers come through the Architek Health provider network. A first-order code halves the first month, and prices are shown before any intake.
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Piper
Best for: one flat price at every dose for compounded semaglutide or tirzepatide, with no membership fee
Piper, now rebranded as Polly (Piper Wellness LLC d/b/a JoinPolly), connects self-pay patients with independent licensed providers for compounded semaglutide and tirzepatide injections. Pricing is flat at every dose with no membership fee, and medication, the provider visit and next-day shipping are included. Month-to-month plans run $179 for semaglutide and $279 for tirzepatide; the lower $135 and $199 rates require a 6-month plan paid upfront.
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Rejuve Meds
Best for: transparent, low-cost compounded GLP-1, no membership, HSA/FSA eligible
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.
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Rivo Health
Best for: injectable or oral compounded GLP-1 with coaching, dietitian support and an insurance concierge
Rivo Health is a nationwide GLP-1 telehealth program offering compounded semaglutide and tirzepatide as injections or oral options. Advertised prices start at $149/mo for semaglutide and $199/mo for tirzepatide, but those are annual-plan rates; the month-to-month price appears only at checkout. Plans bundle unlimited provider visits, dietitian support, nutrition and mental-health coaching and a fitness app, with an insurance concierge and FSA/HSA eligibility.
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Signos
Best for: Pairing compounded semaglutide or tirzepatide with a glucose monitor and coaching app
Signos+ pairs clinician-prescribed compounded semaglutide or tirzepatide with Signos's FDA-cleared continuous glucose monitor (CGM) and app, so you can see how food, sleep and activity affect your glucose while you lose weight. Plans start at $199/mo on a 3- or 6-month program, with medication, CGM sensors, clinician check-ins and free shipping included. It's available in 49 states and DC; Louisiana is excluded.
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StackMD
Best for: shoppers who want an exact price for their specific dose before committing
StackMD is a New York telehealth platform (Medical 360 HC PLLC) selling compounded semaglutide and tirzepatide, both formulated with B12, alongside NAD+, sermorelin and other longevity peptides. It publishes a price for every vial strength: semaglutide runs $125 to $225 and tirzepatide $199 to $449. There is no membership fee, but checkout adds a $39 non-refundable consultation fee from its prescribing partner, SamaritanMD.
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TRYM Health
Best for: low-cost compounded GLP-1 vials shipped nationwide
TRYM Health (TRYM) is a nationwide telehealth service offering compounded GLP-1 weight-loss medication as additive-free multi-dose vials covering all doses: semaglutide (~$96/mo, $3.20/day) and tirzepatide (~$126/mo, $4.20/day). Plans come 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.
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AskRx
Best for: a brand-name-only GLP-1 prescriber routing to NovoCare or LillyDirect.
AskRx is a US telehealth platform whose board-certified physicians exclusively prescribe FDA-approved, brand-name GLP-1 medications for weight loss, with 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.
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Auren Rx
Best for: knowing exactly which physician group and pharmacy handle your care
Auren Rx is a cash-pay telehealth brand selling compounded semaglutide at $149 a month and tirzepatide at $229 a month on auto-refill ($179 and $259 with no commitment), plus a lower-dose microdose track from $129, NAD+, sermorelin, glutathione and skincare. Its FAQ names the physician group Wasef Health PC and the Houston pharmacy VialsRX with addresses and phone numbers. The first online visit is free and nothing is charged until a physician approves you and you choose to proceed.
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Bionomy Health
Best for: men wanting physician-led GLP-1 care, pay per refill, with TRT and longevity add-ons
Bionomy Health is a physician-led men's telehealth brand offering compounded GLP-1s alongside testosterone, peptides, and longevity care. Compounded semaglutide is $189 a month and tirzepatide $249 a month, paid per refill with no subscription, or about $9 a month less on a 3-month prepay. The intake is free and your card is only charged after a physician approves. It ships to 48 states (not Alaska or Hawaii). Labs are extra.
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Bodi Envi
Best for: Transparent flat-price compounded GLP-1s, no membership fee
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.
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Eloria
Best for: All-inclusive compounded semaglutide or tirzepatide with a low first month
Eloria is a clinician-led GLP-1 telehealth service from Eloria Health LLC, with care provided by Arora Health & Aesthetics physicians. It offers compounded semaglutide and tirzepatide weekly injections on one plan price that covers medication, clinician care, 24/7 support, expedited shipping and labs when your provider orders them. Month-to-month semaglutide is $79 the first month, then $299/mo; tirzepatide is $129, then $399/mo, with lower rates on 3-, 6- and 12-month prepaid plans.
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Medsol RX
Best for: flexible, HSA/FSA-eligible compounded GLP-1 plans with a care coach
Medsol RX is a GLP-1 weight-loss telehealth program with prescribing by OpenLoop clinicians. Month-to-month compounded semaglutide is $199/mo ($169 first month), tirzepatide is $259/mo ($239 first month), and oral semaglutide is $179/mo, with lower rates on 3-, 6- and 12-month plans; microdosing is $149/mo. Every plan includes a dedicated care coach, medical oversight and shipping, and it is HSA/FSA eligible with Klarna financing.
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Science & Co
Best for: the cheapest month-to-month compounded rate, if you accept a contact gate
Science & Co is a cash-pay telehealth service selling compounded semaglutide and tirzepatide at the same price at every dose, with free shipping and no membership fee. Its treatment pages advertise plans 'as low as' $59 a month for semaglutide and $99 for tirzepatide, which are 12-month plan rates. The month-to-month price appears only in the plan table shown after you give your name, email, phone and state.
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Telos Rx
Best for: Needle-free, microdosed compounded GLP-1 with lab-monitored care
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 and free discreet shipping. 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; the dispensing pharmacies are named, but no per-state list is published.
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Tomorrow
Best for: people who want compounded GLP-1 injections or under-the-tongue drops on a true monthly plan
Tomorrow is a Florida telehealth company that pairs weight care with longevity treatments. It sells compounded semaglutide and tirzepatide as weekly injections or under-the-tongue drops, prescribed by Arora Health & Aesthetics clinicians and filled by two named pharmacies. Monthly plans cost $199 for semaglutide and $299 for tirzepatide, with 90-day supplies at $549 and $819 paid upfront. Brand-name Wegovy and Zepbound are also sold, at $1,699 and $1,399 a month.
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TotalRx
Best for: low-cost compounded semaglutide or tirzepatide on a prepaid 12-month plan
TotalRx is a new GLP-1 telehealth brand run by Coravita Health that offers compounded semaglutide and tirzepatide, prescribed through the OpenLoop clinician network and filled by four named pharmacies. Plans run from $129/mo for semaglutide and $174/mo for tirzepatide on a 12-month prepay, or $199 and $249 month to month, with a price-for-life pitch while the plan stays active.
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Totara Health
Best for: people who want compounded semaglutide or tirzepatide, injected or oral, at one public price at every dose
Totara Health is a Florida telehealth marketplace that sells compounded semaglutide and tirzepatide as injections or oral forms, prescribed through the MD Integrations clinician network and filled by a named South Carolina pharmacy. The 1-month plan costs $190 for semaglutide and $239 for tirzepatide at every dose, with free shipping. The lower per-month figures belong to 3, 6 and 12-month plans paid upfront.
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Vivanta Care
Best for: budget-minded starters who want to see GLP-1 prices before any health questions
Vivanta Care is a telehealth platform that connects patients with MD Integrations clinicians for compounded semaglutide and tirzepatide, filled by DiRx pharmacy, alongside hormone and longevity programs. The price rises with your dose stage: semaglutide runs $79 to $299 a month and tirzepatide $99 to $329, billed monthly with the provider review and shipping included. Each stage's price is shown before the health intake.
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Edessa
Best for: cheap month-to-month compounded GLP-1 with tirzepatide and an oral tablet option
Edessa is a Las Vegas-based telehealth brand selling compounded semaglutide injections at $179/mo month-to-month (down to $135/mo on a six-month plan), a daily dissolvable semaglutide tablet from $229/mo and compounded tirzepatide from $239/mo. Care is delivered by OpenLoop Health clinicians and four named US compounding pharmacies, with medication, consult and expedited shipping in one cash-pay price and the same price at every dose.
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Heally
Best for: brand-name Wegovy or Zepbound at self-pay prices with a free consult
Heally is a US telehealth platform, with care by HLY Medical Group PA, offering FDA-approved GLP-1s at self-pay prices: the Wegovy pill from $149/mo at the starter dose, the Wegovy injection from $199/mo and Zepbound from $299/mo through Eli Lilly Direct. Providers may also prescribe compounded options or liraglutide when appropriate. The consult is free, there is no membership fee, medication ships free from licensed pharmacies, and HSA/FSA cards are accepted.
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Measured
Best for: Dietitian-backed GLP-1 care with all-in compounded plans or insurance help for brands
Measured is a metabolic-health telehealth service that pairs GLP-1 treatment with 1:1 registered-dietitian support and an obesity-trained care team. Its compounded plans include medication: microdose from $79/mo, semaglutide from $119/mo and tirzepatide from $219/mo. For brand Wegovy, the Wegovy pill or Zepbound, a $49-$99/mo membership covers your care while medication is billed through insurance or paid to the pharmacy.
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Nova MD
Best for: lowest 3-month compounded pricing with an explicit microdose program
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.
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Optimized Health
Best for: MO/IA/KS/UT/WA patients wanting clinician-led compounded GLP-1 with published dose-tier pricing
Optimized Health is a concierge weight-loss and hormone clinic in Joplin, Missouri, with telehealth in Missouri, Iowa, Kansas, Utah and Washington. Compounded semaglutide runs $200 to $265 a month by dose and compounded tirzepatide starts at $250, with medication, clinician supervision and shipping included and labs billed separately when needed. It can also prescribe Wegovy or Zepbound through your pharmacy for a $100 first visit and $59 follow-ups.
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Peak Wellness
Best for: flat-price compounded semaglutide or tirzepatide with supplies and free next-day shipping included
Peak Wellness is a telehealth provider offering compounded semaglutide and tirzepatide at one flat price for every dose, with free next-day shipping. Semaglutide is $179 for the first month and $249/mo after that, with lower rates on prepaid 3- and 6-month plans. Tirzepatide starts at $279 for the first month; the ongoing rate isn't published.
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Rese Wellness
Best for: people who want flat, published GLP-1 pricing and are ready to pay for three months upfront
Rese Wellness is an Arizona telehealth company, founded by a nurse and her physician father, that sells compounded semaglutide and tirzepatide alongside peptide, sexual health and hair loss care. Weight care starts with a 3-month program paid upfront: $555 for semaglutide ($185 a month) or $897 for tirzepatide ($299 a month), at the same price at every dose. After that you can order one month at a time with no subscription.
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Sommar Club
Best for: women who want compounded semaglutide or tirzepatide with medication, care and shipping in one published price
Sommar Club is an Arizona telehealth brand aimed at women that sells compounded semaglutide and tirzepatide as weekly injections, prescribed by Wasef Health and filled by a named Florida pharmacy. Month-to-month plans cost $149 for semaglutide and $249 for tirzepatide, with medication, clinician care, supplies and shipping included. The featured $129 and $219 prices are 12-week supplies charged $387 and $657 at a time.
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Trinity Meds
Best for: budget shoppers who want flat month-to-month compounded GLP-1 pricing in any state
Trinity Meds is a telehealth weight-loss membership marketed to military families, offering compounded semaglutide at a $99/month sale price and tirzepatide at $149/month (a countdown banner says the offer ends October 29), billed month to month at the same price for every dose, with free shipping and no insurance needed. Clinicians in the OpenLoop Healthcare Partners network review your assessment and prescribe if appropriate, and 503A pharmacies it names fill the order. It serves all 50 states, but every payment is final and non-refundable unless a provider finds you ineligible.
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Vita Bella
Best for: compounded GLP-1 inside a broader hormone and wellness membership
Vita Bella is a telehealth membership platform (Vita Bella Health, LLC, based in Scottsdale, Arizona) 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. Care is remote across 47 states and Washington, D.C. Compounded medications are not FDA-approved.
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AZ Health
Best for: flat-rate compounded GLP-1 with no insurance and free shipping
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.
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Dr. Gillis' Wellness Center
Best for: Central Maine patients wanting a walk-in, doctor-led GLP-1 clinic with free follow-ups
Dr. Gillis' Wellness Center is a walk-in weight-loss and peptide clinic in Oakland, Maine, led by board-certified surgeon Dr. Gillis. It offers semaglutide and tirzepatide injections, oral GLP therapy, and a retatrutide add-on, with free consultations, free follow-ups and no contracts. Oral GLP therapy starts at $149 a month, injectable semaglutide at $200 and tirzepatide at $300, with $25 off for paying cash.
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Good Girl Rx
Best for: women who want several compounded GLP-1 formats, including pills, with prices posted upfront
Good Girl Rx is a women-focused telehealth brand founded by Savannah Chrisley that offers compounded semaglutide and tirzepatide as weekly injections, microdoses, and oral dissolving tablets, plus brand-name Wegovy pill, Ozempic, Wegovy, and Zepbound. Compounded semaglutide is $179 month-to-month or $134/mo on a prepaid 12-month plan; tirzepatide is $329 month-to-month or $235/mo prepaid annually. All sales are final once you check out.
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Maves
Best for: performance-framed compounded GLP-1 with sermorelin and NAD+ protocol bundles
Maves is a performance-framed telehealth brand from Homera Health that prescribes compounded semaglutide and tirzepatide alongside sermorelin and NAD+, including protocol bundles that pair a GLP-1 with sermorelin. Plans bundle the clinician review, medication, a home injection kit and free expedited shipping. Semaglutide is $189 the first month, then $249/mo; tirzepatide is $249 the first month, then $349/mo.
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Nolu
Best for: Flat-rate GLP-1 with both oral and injectable options, named pharmacy partners
Nolu (Nolu LLC) is a direct-to-consumer telehealth platform offering compounded GLP-1 weight-loss treatment after an online intake reviewed by a licensed clinician. It sells injectable semaglutide ($199), injectable tirzepatide ($279) and a once-daily oral semaglutide tablet ($239), each billed every 4 weeks at the same price at every dose, with longer plans costing less per cycle. Prices include the consultation, medication and shipping, and the company names four partner pharmacies.
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Tummala Health
Best for: people who want posted compounded GLP-1 prices before intake, with brand Wegovy or Foundayo as options
Tummala Health is a self-pay telehealth platform that sells compounded semaglutide and tirzepatide injections alongside brand Wegovy and Foundayo, plus hormone, hair, sexual-health and meal products. Compounded semaglutide is $129 for the first month, then $159 a month; tirzepatide is $179, then $229. Brand GLP-1s carry a $99 monthly membership with the medication billed separately.
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Willow
Best for: needle-free compounded semaglutide or tirzepatide tablets
Willow is an online weight-loss program from Willow Health Services (Houston) that prescribes compounded semaglutide and tirzepatide as weekly injections or daily under-the-tongue tablets. Plans start at $299/mo for semaglutide and $399/mo for tirzepatide and include the medication, your doctor evaluation, unlimited doctor messaging and free shipping. Willow currently serves 37 states.
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Woodwork
Best for: Low-cost compounded GLP-1, oral or injectable, on an LGBTQ-focused platform
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.
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Aspire Health
Best for: compounded or brand GLP-1s with a free consult and $49/mo medical care
Aspire Health is a Nebraska-based telehealth practice (Aspire Care LLC) serving about 28 states with compounded semaglutide and tirzepatide plus brand-name Wegovy and Zepbound. The new-patient consultation is free and ongoing medical care is $49 a month, with medication priced separately by dose: from $129 per vial of compounded semaglutide and $149 per 4-week vial of compounded tirzepatide. Lab orders and interpretation are included, but lab costs are billed separately or to insurance.
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Glow
Best for: people who want a compounded GLP-1 plan paired with an AI coach for daily accountability
Glow is an AI weight-loss coach app from Endo Health, a San Francisco company, that also runs a separate compounded GLP-1 program. Physicians review your assessment by video or message, and two named pharmacies dispense. Semaglutide is $99 for the first month and then $199 a month; tirzepatide is $199, then $349. Enrollment starts in the Glow app, not on the website.
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LifeMD
Best for: people with commercial insurance who want brand-name GLP-1s plus help getting coverage
LifeMD is a publicly traded telehealth company whose Weight Management Program pairs clinician visits, coaching and lab work with brand-name GLP-1s such as Wegovy and Zepbound. The program fee is $39 for the first month, then $149/mo, and medication is billed separately: Wegovy pill from $149, Wegovy pen from $199 and Zepbound vial from $299 self-pay, or as low as a $0-$25 copay with commercial insurance.
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NextMeds
Best for: low-cost compounded GLP-1 at one flat price per dose, billed month to month
NextMeds is a self-pay telehealth membership for compounded semaglutide and tirzepatide, with brand-name Wegovy, Ozempic and Zepbound also listed. Month-to-month costs $79/mo for semaglutide and $129/mo for tirzepatide at every dose, covering provider visits, 24/7 support, medication and free shipping; prepaid plans drop to $49 and $119/mo. Care is provided by OpenLoop Healthcare Partners and meds ship from named 503A pharmacies. All 50 states; cancel anytime, but payments are non-refundable.
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Rila
Best for: people who want compounded semaglutide or tirzepatide month to month, with no charge unless prescribed
Rila is a Utah telehealth company that sells compounded semaglutide and tirzepatide as weekly injections or dissolving tablets, prescribed through the Dr. TelX medical group and filled by three named pharmacies. Monthly plans cost $249 for semaglutide injections and $349 for tirzepatide injections. The advertised $198 is the monthly average of a 6-month plan, and you are not charged unless a provider prescribes.
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StaveMD
Best for: people who want semaglutide, tirzepatide, an oral tablet or a microdose from one brand, billed monthly
StaveMD is a telehealth brand that prescribes compounded semaglutide (injection or dissolving tablet), tirzepatide and low-dose microdose programs through OpenLoop's clinician network, with named compounding pharmacies and free shipping. Month-to-month plans start at $149 for semaglutide and $199 for tirzepatide. The "from $109/mo" headline is the 52-week plan, charged as $1,417 upfront.
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SurpassMD
Best for: shoppers who want one price at every dose and can commit to a longer supply term
SurpassMD is an online GLP-1 weight loss platform from Life Vitality LLC that connects patients with independent licensed providers for compounded semaglutide, tirzepatide and oral semaglutide, dispensed by licensed compounding pharmacies. Month-to-month plans cost $219/mo for semaglutide and $309/mo for tirzepatide at every dose, with lower rates on 3-, 6- and 12-month supplies and a first-subscription discount code. It is cash-pay only, with HSA/FSA and Klarna accepted.
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Tuyo Health
Best for: shoppers wanting low-cost compounded GLP-1 with labs and visits included
Tuyo Health is a Miami-based telehealth program offering compounded and brand-name GLP-1 medication. Compounded semaglutide starts at $155 a month and compounded tirzepatide at $235 a month, with provider visits, free shipping and lab work every three months included and no membership fee. Brand-name Wegovy starts at $499 and Zepbound at $399 a month cash, plus a $99 membership fee, or less with insurance. Prices vary by dose.
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Balanced Hormone Health
Best for: compounded GLP-1 plus a branded Zepbound option
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.
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Citizen Meds
Best for: price-focused buyers who already know their dose and want pay-per-dose compounded kits
Citizen Meds sells compounded semaglutide (with B12) and tirzepatide (with glycine and B12) as one-month home kits priced by dose. Semaglutide runs from $125 for the 0.25 mg starter month up to $395, and tirzepatide from $145 for the 2.5 mg starter month up to $545. A physician reviews an online medical form before anything ships. The site shows a LegitScript seal but does not say which states it serves.
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ElitePhysiqMD
Best for: GLP-1 shoppers who want injectable or sublingual options with dose-by-dose pricing
ElitePhysiqMD is a physician-led telehealth membership offering compounded semaglutide, tirzepatide and sublingual semaglutide. Subscription medication starts at $197.10/mo for semaglutide and $224.10/mo for tirzepatide, plus a required $89/mo membership that covers visits and overnight shipping ($39 the first month). It also sells peptides, TRT, ED and hair-loss care, including investigational compounded retatrutide. Compounded drugs are not FDA-approved.
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Eve
Best for: women's-health compounded GLP-1 with monthly or longer, cheaper plans
Eve is a women's-health-focused GLP-1 telehealth platform offering compounded semaglutide and tirzepatide as weekly injections, each mixed with vitamin B12 or glycine. Month-to-month plans cost $269/month for semaglutide and $400/month for tirzepatide, and 3-, 6- and 12-month plans lower the monthly rate to as little as $175 and $275. You're charged only once a provider prescribes. It's LegitScript Certified, names its pharmacy and physician group in its terms, and posts the FDA's compounding disclaimer.
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HealthOn
Best for: compounded GLP-1 access
HealthOn sells compounded semaglutide from $189/month and compounded tirzepatide from $295/month on its monthly plan, with cheaper quarterly and prepaid plans. Pricing is advertised as all-inclusive with free 1-2 day shipping. It is a multi-category telehealth platform that also covers longevity and sexual health.
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Intimate Rose
Best for: women's-health brand shoppers wanting oral compounded GLP-1
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.
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Novera MD
Best for: low advertised prices on compounded semaglutide or tirzepatide with B12, if you can finish the intake first
Novera MD is a telehealth brand that prescribes compounded semaglutide and tirzepatide, each mixed with vitamin B12, through the WizDoc network of independent licensed providers. It also sells hormone therapy, MIC + B12, NAD+, sermorelin and glutathione. Product pages list semaglutide from $94.31/mo and tirzepatide from $164.31/mo, but the plan length behind those figures is shown only after the intake.
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Prescriva
Best for: people who want compounded semaglutide or tirzepatide with the pharmacy names published up front
Prescriva is a Sacramento telehealth platform that sells compounded semaglutide and tirzepatide, with prescribing by OpenLoop Health clinicians and three named compounding pharmacies. Plans cost $249 for semaglutide injections, $279 for semaglutide tablets and $339 for tirzepatide, charged every 4 weeks rather than monthly.
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Revive Meds
Best for: compounded GLP-1 with B12 at the lowest monthly cost on a multi-month prepay
Revive Meds (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.
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The Protocole
Best for: people who want compounded semaglutide or tirzepatide alongside other peptide therapies in one place
The Protocole is a New York peptide therapy platform that also sells compounded semaglutide and tirzepatide, prescribed by clinicians at Arora Health & Aesthetics and dispensed by VialsRX. Monthly plans cost $249 for semaglutide and $299 for tirzepatide, and a single 4-week supply with no renewal costs $279 or $329. The price includes provider review and free shipping.
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Elevated Health
Best for: budget-minded patients who want compounded tirzepatide at one price for every dose
Elevated Health (Elevate Your Wellness LLC) sells compounded tirzepatide at $359/mo ($259 first month) and compounded semaglutide at $296/mo ($196 first month), with the same price at every dose, plus branded Ozempic from $1,399/mo. It says it serves all 50 states. Checkout asks for your card (a hold, charged only if prescribed) before the health questions.
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Fifty 410
Best for: pay-as-you-go compounded GLP-1 with no membership
Fifty 410 is a no-membership, cash-pay telehealth service that connects you with licensed providers who can prescribe compounded semaglutide or tirzepatide from independent 503A compounding pharmacies. Month-to-month plans are $199/mo for either drug, with tirzepatide at all doses; 3-month tirzepatide programs run $133 to $183/mo, paid upfront. Provider review and free shipping are included, you pay only if prescribed, and FSA/HSA, Afterpay and Affirm are accepted.
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Gaya Wellness
Best for: Women 40+ wanting GLP-1 weight loss with menopause and hormone care
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.
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Omzo
Best for: Clinician-guided compounded GLP-1 with free delivery and FSA/HSA
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.
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Trava Health
Best for: multi-pharmacy 503A sourcing without LegitScript certification
Trava Health is a Houston-based direct-to-consumer telehealth service offering compounded semaglutide with B12 and tirzepatide with B12 through six named 503A compounding pharmacy partners, disclosed on Trava's own Terms and Telehealth Consent pages (Postmeds/TruePill, EHT/Curexa, Apostrophe, XeCare, Wells American/Promed, Optimal Balance/OBP). Clinical care runs through Beluga Health and Bask Health. It is cash-pay with no membership fee and serves all 50 states. The site shows no LegitScript badge, and Trava holds a BBB F rating with 2 unanswered complaints.
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Ascend Vitality
Best for: Cash-pay compounded semaglutide or tirzepatide, with a daily semaglutide tablet option
Ascend Vitality is a cash-pay telehealth provider, run by Ascend Vitality LLC of Sheridan, Wyoming, offering compounded semaglutide and tirzepatide injections and a daily semaglutide tablet. Month-to-month plans are $199/mo for semaglutide (injection or tablet) and $249/mo for tirzepatide, or $99 to $149/mo on a 3-month plan. It also sells wellness peptides and men's health treatments, and its terms say all sales are final.
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EdgeRx
Best for: men who want a physician-led GLP-1 and peptide clinic with simple monthly pricing
EdgeRx is a men's peptide and longevity telehealth platform from EdgeRx Health, LLC. Compounded semaglutide ($199/mo) and tirzepatide ($225/mo) injections, each formulated with glycine and B12, are compounded by a single named 503A pharmacy, Strive Pharmacy, and billed monthly with physician review and free shipping included. You pay at checkout before the medical assessment, with a full refund if the physician doesn't prescribe.
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FeelGood
Best for: low-cost compounded GLP-1 access with an oral tablet alternative
FeelGood is a telehealth weight-loss program on the OpenLoop Health platform selling compounded semaglutide and tirzepatide injections, a daily dissolvable tablet, and limited brand-name injections. Its GLP-1 program page lists semaglutide at $89/mo and tirzepatide at $149/mo month-to-month, with cheaper 3-, 6- and 12-month plans, though its homepage still says injections start at $149. Pricing is flat across doses, with visits and shipping included.
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Lighter You
Best for: bundled dietician visits and coaching alongside a GLP-1 prescription
Lighter You is a telehealth brand offering clinician-guided GLP-1 weight loss alongside peptides, microdosing and men's health programs. Compounded semaglutide and tirzepatide injections are advertised from $169 a month, GLP-1 tablets from $249 and a microdose GLP-1 plan from $179, with no per-dose prices published. Plans bundle dietician visits, care coaching and a progress dashboard. Lighter You, LLC runs the brand, care is handled through OpenLoop Health, and its Terms name four partner pharmacies.
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Options Medical Weight Loss
Best for: people near an AZ, FL, IL or OH clinic who want in-person GLP-1 coaching
Options Medical Weight Loss is a physician-supervised weight-loss clinic chain with locations in Arizona, Florida, Illinois and Ohio. Its GLP-1 programs pair compounded semaglutide (from $199/month on a 12-month plan paid in full) or tirzepatide (from $399/month) with coaching, InBody scans and blood work. Its dedicated telehealth page now redirects to its clinic locations, and its intake says services are delivered in its clinics. It has a 3-month minimum membership commitment.
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TeleHealth Med
Best for: compounded semaglutide or tirzepatide at one price for every dose, payable with HSA/FSA
TeleHealth Med (TeleHealth Med, Inc.) is a cash-pay telehealth weight-loss service that prescribes compounded semaglutide and tirzepatide through U.S.-licensed clinicians and 503A pharmacies, and its FAQ describes both injectable and sublingual forms. Its order page lists semaglutide from $147 and tirzepatide from $199 a month, says the price is the same at every dose with no membership fee, and accepts HSA/FSA cards.
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June Health
Best for: published per-dose GLP-1 pricing on a brand-new, unverified site
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. It has no working Terms of Service or Privacy Policy page, and no LegitScript or named-pharmacy disclosure.
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Meli Health
Best for: people who want compounded semaglutide or tirzepatide from a service that names its pharmacy
Meli Health is a telehealth company that sells compounded semaglutide and tirzepatide, prescribed by clinicians in the LocumTele network and filled by Rush Pharmacy, alongside NAD+, sermorelin and other wellness treatments. The first month costs $147 for semaglutide or $179 for tirzepatide, then $229 or $299 a month. It serves 49 states but not California.
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TeleDocs360
Best for: Cash-pay patients who want flat-priced compounded semaglutide with shipping included
TeleDocs360 is a cash-pay telehealth service from TeleDocs360 LLC in Memphis offering compounded semaglutide at $299 every 30 days at all doses and compounded tirzepatide at $399 through 10 mg ($549 at 12.5 and 15 mg), plus phentermine at $199. Prices include the provider evaluation, medication, supplies and standard shipping, and new patients get 10% off with code NEWS10. Plans renew every 30 days until canceled, a $99 physician fee is non-refundable once the evaluation happens, and no state list is published.
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Virgo-Meds
Best for: compounded GLP-1 with labs and clinician visits bundled into one 4-week price, including an oral tablet
Virgo-Meds is a Naples, Florida telehealth brand that offers compounded semaglutide and tirzepatide injections, a daily oral semaglutide tablet and low-dose microdose programs, with care delivered through OpenLoop's medical groups. Plans are listed at $249 per 4 weeks for semaglutide, $339 for tirzepatide, $279 for the oral tablet and $179 for either microdose, and the site says labs, clinician visits and shipping are included.
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Chia
Best for: people who want compounded GLP-1 plus peptides like NAD+ or sermorelin on one cash-pay account
Chia is a cash-pay telehealth platform that prescribes compounded semaglutide and tirzepatide alongside peptide and hormone treatments such as NAD+, sermorelin and women's HRT. Month-to-month plans are $349/mo for semaglutide and $399/mo for tirzepatide injections. The "from $249/mo" figures on its product pages are 6-month committed plans, and neither the medical group nor the pharmacies are named.
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Injectco
Best for: Texas patients who want a medspa-run GLP-1 program with in-person locations
Injectco is a Texas medspa chain founded in 2021 that also runs a telehealth weight-loss program with compounded semaglutide and tirzepatide injections and sublingual semaglutide drops from a licensed 503B pharmacy. Monthly programs are listed at $425, and a starting-dose GLP-1 package covering 6-8 months is advertised at $1,249 upfront (from $1,599). Prices differ across its own pages, so confirm before you pay.
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Livbetr
Best for: people who want compounded semaglutide or tirzepatide with phone support and a flat price at every dose
Livbetr is a Miami telehealth company that sells compounded semaglutide and tirzepatide, plus brand Ozempic and Zepbound, with prescribing by OpenLoop Health clinicians. The month-to-month plans charge $99 for semaglutide and $129 for tirzepatide every 21 days rather than once a month, which works out to about $143 and $187 a month. The $49 and $89 home-page prices are 12-month plans paid upfront.
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Loozy
Best for: people who want semaglutide or tirzepatide on a 3-month plan from a brand that names its doctors and pharmacy
Loozy is a casual-toned telehealth brand selling compounded semaglutide and tirzepatide as a 3-month membership paid upfront, with prescribing by Elite Care Health and fulfillment by Rx Ave Health. Semaglutide starts at $199/mo ($597 per 3 months) and tirzepatide at $249/mo ($747); lower-cost microdosing plans exist, and the price rises when you move to higher doses.
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Velvet Rx
Best for: price-first shoppers who want a cheap first month of GLP-1 injections or tablets
Velvet Rx is a cash-pay telehealth brand run by Rocket Health Inc (Oceanside, CA) offering GLP-1 semaglutide and tirzepatide injections plus GLP-1 tablets. Monthly prices are $299 for semaglutide, $359 for tirzepatide and $349 for tablets, with first-month prices of $99, $179 and $149. Each plan bundles a doctor consult, the prescription, 4 weeks of medication and free shipping, and plans renew automatically until you cancel.
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Kova
Best for: a bundled semaglutide or tirzepatide plan with a tracking app, if you'll commit to a longer plan
Kova is a GLP-1 program from LifeTech Apps Inc that pairs compounded semaglutide or tirzepatide with a companion app for dose reminders, protein tracking and side-effect logging. Care runs through the Telegra provider network, and one plan price covers the clinician review, medication, supplies and shipping. Month-to-month plans renew at $299/mo for semaglutide and $399/mo for tirzepatide after a discounted first month, with lower rates on 3- to 12-month plans.
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Factor Health MD
Best for: broadest GLP-1 lineup: semaglutide, tirzepatide and liraglutide
Factor Health MD is a St. Petersburg, Florida telehealth platform offering compounded semaglutide, tirzepatide and the rarely offered liraglutide, plus vitamin injectables and men's health products. Pricing is flat across all doses: semaglutide is $99.99/mo and tirzepatide $189.99/mo billed monthly, or as low as $79.99 and $149.99 on a prepaid 12-month plan. Weight-loss plans carry a 3-month minimum commitment, and a video visit is required.
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KairoRx
Best for: people who want compounded GLP-1s alongside peptide and hormone treatments from one telehealth brand
KairoRx is a telehealth brand launched in 2026 that lists compounded semaglutide and tirzepatide alongside peptide, hormone and longevity treatments. Its pricing page shows semaglutide at $49 for the first month, then $199 a month, and tirzepatide at $99, then $349 a month. The online form ends with a promise of follow-up rather than a checkout, and the company does not name its medical group or pharmacies.
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OnlyRx
Best for: compounded GLP-1 in oral-tablet and injection with named prescribers
OnlyRx (OnlyRx, LLC, Irvine, CA) is a cash-pay GLP-1 telehealth platform offering compounded semaglutide and tirzepatide as weekly injections or daily oral dissolving tablets (ODT). Starting prices are $179/mo for semaglutide injection, $249/mo for semaglutide ODT or tirzepatide injection, and $279/mo for tirzepatide ODT, with consult and shipping included. It names its prescribers and four pharmacies; brand-name prescriptions are filled at your own pharmacy at your own cost.
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Vital Step
Best for: people who want compounded semaglutide or tirzepatide as an injection or a daily tablet, month to month
Vital Step is a Nevada telehealth company that sells compounded semaglutide and tirzepatide as weekly injections or daily dissolving tablets, prescribed through the Dr. TelX medical group. Month-to-month plans renew at $296 a month for semaglutide and $396 for tirzepatide after a discounted first month. The advertised $161 and $198 figures are the first month of a 6-month plan billed upfront.
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Freeley
Best for: FSA/HSA payers who will commit to a long plan and want pharmacies named
Freeley is a Texas-registered telehealth platform selling compounded semaglutide and tirzepatide alongside hair, sexual wellness and longevity programs, and it names its partner pharmacies. Its GLP-1 pricing is the problem: the site quotes three different headline figures across its own pages, and the cheapest rate requires a 24-month plan. No month-to-month price is published anywhere.
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Related research
The providers above are ranked the same way for everyone — what changes for you is the clinical context. These evidence reviews go deeper:
More ways to compare Tirzepatide Providers
- Tirzepatide 2.5mg Providers
- Tirzepatide 5mg Providers
- Tirzepatide 7.5mg Providers
- Tirzepatide 10mg Providers
- Brand-Name Tirzepatide (Mounjaro & Zepbound) Providers
- Tirzepatide Providers Without Insurance
- Zepbound Providers for Sleep Apnea
- Tirzepatide for Women
- Tirzepatide for PCOS
- Tirzepatide for Menopause Weight Gain
- Tirzepatide for Men
Frequently Asked Questions
Sources & methodology (as of October 2026)
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 3.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
- 4.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.