Lttl vs TMates
In our scoring, Lttl edges ahead overall (7.2 vs 6.9 out of 10), and Lttl costs less for compounded semaglutide (about $1,701 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
- Lttl $99/mo vs TMates $249/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,701 a year less with Lttl · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Coverage
- TMates 50 states (Lttl doesn't publish a state list)
- Included
- Lttl: medication, clinician visits, shipping; TMates: medication, clinician visits, shipping, coaching

Lttl
Affiliate partnerBest for every commitment tier priced openly, plus a low-dose microdose option
semaglutide
$99
billed every 4 weeks
Our score 7.2/10
TMates
Affiliate partnerBest for nationwide compounded GLP-1 availability including Puerto Rico
semaglutide
$249
Our score 6.9/10
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.
Lttl
TMates
Price
Semaglutide / month
Better on this row: $99/mo
billed every 4 weeks
$249/mo
Semaglutide / year (modeled)
Better on this row: $1,287
13 charges
$2,988
Tirzepatide / month
Better on this row: $149/mo
billed every 4 weeks
$297/mo
Tirzepatide / year (modeled)
Better on this row: $1,937
13 charges
$3,564
Oral semaglutide / month
$179/mo
$149 first month
Not listed
Coverage
State availability
List not published
50 states
Oral option listed
Yes
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping, coaching
FSA/HSA accepted
Yes
Not listed
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Yes
Minimum commitment
None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates
None
FDA warning letters
None on record
None on record
Provider facts checked
October 2026
August 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 Lttl if…
- About $1,701 a year less than TMates for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Lists oral compounded semaglutide, which TMates doesn't price
- Accepts FSA/HSA cards
What to weigh up
- No published state list; confirm yours at signup
- Partner pharmacies are never named — the site refers only to 'a partner U.S. pharmacy' (a material disclosure gap for a YMYL purchase)
Choose TMates if…
- Publishes its full state list (50 states)
- All-inclusive monthly price covers medication, consults, nutrition coaching, and 24/7 support — no separate membership fee
- Fast stated turnaround — 2–3 days from intake to delivery
What to weigh up
- About $1,701 a year more than Lttl for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- No third-party pharmacy accreditation (no LegitScript, PCAB, ACHC, or NABP)
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Lttl
7.2/10
TMates
6.9/10
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 →Lttl vs TMates: 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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