bmiMD vs Lttl
In our scoring, bmiMD edges ahead overall (8.1 vs 7.2 out of 10), and bmiMD costs less for compounded semaglutide (about $99 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).
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Key differences
- Price
- bmiMD $99/mo vs Lttl $99/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $99 a year less with bmiMD · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Coverage
- bmiMD 50 states (Lttl doesn't publish a state list)
- Included
- bmiMD: medication, clinician visits, shipping; Lttl: medication, clinician visits, shipping
bmiMD
Affiliate partnerBest for one flat compounded GLP-1 price at every dose, down to $99/mo semaglutide on a 12-month plan
semaglutide
$99
Our score 8.1/10
Lttl
Affiliate partnerAlso prices oral compounded semaglutide
semaglutide
$99
billed every 4 weeks
Our score 7.2/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
bmiMD
Lttl
Price
Semaglutide / month
Better on this row: $99/mo
$99/mo
billed every 4 weeks
Semaglutide / year (modeled)
Better on this row: $1,188
$1,287
13 charges
Tirzepatide / month
Better on this row: $139/mo
$149/mo
billed every 4 weeks
Tirzepatide / year (modeled)
Better on this row: $1,668
$1,937
13 charges
Oral semaglutide / month
Not listed
$179/mo
$149 first month
Coverage
State availability
50 states
List not published
Oral option listed
Not listed
Yes
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
FSA/HSA accepted
Not listed
Yes
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Not disclosed
Yes
Minimum commitment
Not disclosed
None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates
Charged before approval?
Only after approval
Only after approval
FDA warning letters
None on record
None on record
Provider facts checked
August 2026
October 2026
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose bmiMD if…
- About $99 a year less than Lttl for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Publishes its full state list (50 states)
What to weigh up
- Cheapest advertised rates require a 12-month prepaid plan — month-to-month is $129 for semaglutide and $139 for sermorelin injection
Choose Lttl if…
- Lists oral compounded semaglutide, which bmiMD doesn't price
- Accepts FSA/HSA cards
- Publishes the full price matrix — every medication, form and commitment length — on a public /plans page before checkout
What to weigh up
- About $99 a year more than bmiMD for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- No published state list; confirm yours at signup
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
bmiMD
8.1/10
Lttl
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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From $299/mo
Get started →SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →bmiMD vs Lttl: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
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