Big Easy Weight Loss Review

Big Easy Weight Loss: 12-week packages from a New Orleans clinic that names its pharmacies

Big Easy Weight Loss sells compounded semaglutide and tirzepatide as 10- and 12-week packages, not monthly subscriptions. The package price covers the physician visits, the medication, the syringes, and shipping. The catch is that the "Starting at" numbers on the pricing page are the standing rates. The cheaper starter prices only appear once you tick a box saying you've never used a GLP-1 before.

This is a small, physician-fronted operation out of Metairie, Louisiana. It launched in May 2024, names its chief medical officer, and publishes which compounding pharmacy fills each package. That is more openness than most compounding storefronts manage.

How the package pricing actually works

Everything is sold as a course, and the site says so: "Monthly installments available for all 8-12 week treatment packages." Compounded semaglutide is listed at $495 for 12 weeks and compounded tirzepatide at $599 for 12 weeks. Spread across three months, semaglutide comes to $165 a month, against a category median of about $170.

Tick the box labeled "This is my first time on GLP medications" and both numbers drop by $100, to $399 and $499. That works out to $133 a month on semaglutide. The site limits starter pricing to people "brand new to GLP injectables," so anyone switching from another program pays the standing rate from the first order.

The pharmacy picker adds a second layer. Pick your state and it lists each pharmacy's package. In Texas, an OptioRx semaglutide package with added niacinamide runs $412.50 for 10 weeks, while the Hallandale base formula is $495 for 12 weeks. Both come to the same $41.25 a week. Tirzepatide splits the same way: $499.97 for 10 weeks through OptioRx, or $599.97 for 12 weeks through Apothecary or Hallandale. The FAQ adds that "Treatment pricing does not change based on your current dose."

Two extras to budget for. There's a $75 consultation charge, which the site promises to "credit it toward your treatment or refund it if you aren't a good fit." Paying through Klarna or Affirm adds a 3% surcharge. There is no membership fee. Your card is charged when the prescription goes to the pharmacy, usually the evening of your appointment, and installments split a package into equal monthly payments.

What it sells — and what it doesn't

Big Easy does not sell brand-name Wegovy, Zepbound, Ozempic, or Mounjaro, and it does not bill insurance. The FAQ says the clinic "does not support insurance filing or prior authorizations." Everything is compounded by 503A or 503B pharmacies, and the site carries the standard warning that compounded drugs "are not approved by the U.S. Food and Drug Administration."

• Compounded semaglutide and tirzepatide in 10- or 12-week packages; the OptioRx versions include niacinamide (vitamin B3)
• A named pharmacy roster: Apothecary Pharma and BPI Labs (503B), plus OptioRx, Hallandale, Miller's, and Boudreaux's (503A)
• Sermorelin and NAD+ sold as 8-week packages "Starting at $267"
• FSA and HSA cards accepted, with superbills and letters of medical necessity on request

The dose ladder isn't published in milligrams. The new-patient guide says starter dosing "will typically be the lowest recommended dose followed by 1 or two step ups" across the 10 to 12 weeks, and that titration is between you and the physician. The one dose figure on the site is a Medivant tirzepatide option, listed as "15mg Only," at $360 for 4 weeks.

What signing up actually looks like

Booking runs through Healthie, a third-party scheduling tool. The order is: pick your state, pick a physician licensed there, choose a package, choose an appointment type, choose a time, and only then share your details. The first visit is "a live phone/video 30-minute initial appointment" with a physician, not a nurse practitioner or PA. There's no asynchronous option. The FAQ says the clinic doesn't offer one and that a few states wouldn't allow it anyway.

Labs are "at the discretion of the physician," and the guide asks you to upload any labs from the past year. Eligibility follows the usual line: a BMI over 30, or over 27 with a weight-related condition. After the visit the prescription goes to the pharmacy and the package ships free, refrigerated overnight when needed. The site gives three different turnaround figures on its own pages, from 2-3 days on the homepage to 7-10 days at the bottom of the pricing page. Plan for the longer one.

Refills work by appointment, not auto-ship. The checklist says to "Book refill visits one week before your last dose," and a 15-minute follow-up visit each quarter is included in the package price. Between visits you message the physician through the portal.

Trust, safety, and what isn't published

The trust signals are stronger than the price suggests. Every physician is named with a photo, the chief medical officer is Dr. Gabriel Lasala, and the FAQ states that physicians are independent contractors paid for their time, not for prescribing. Pharmacy partners are listed with their 503A or 503B status and the states each one can't ship to, which is rare. A LegitScript badge sits in the footer, but it links to LegitScript's general site rather than a certificate for this domain, so treat it as a claim rather than proof. There are no FDA warning letters against the company.

Two things the site doesn't publish: a refund policy beyond the consult-fee promise, and one consistent answer on states. The homepage says "We currently serve ALL 50 states," the new-patient guide says "all states except Arkansas (in process)," and the semaglutide product page footer says 49 states. If you're in Arkansas, call before you book. Ship-to limits also vary by pharmacy. Hallandale can't ship to nine states, including California and Michigan, so your state may narrow you to the OptioRx formula.

Who should choose it — and who should skip it

Choose Big Easy if you want a live physician on the call, a pharmacy you can look up, and a package price that doesn't climb with your dose. The $100 starter discount makes the first 12 weeks one of the cheaper ways to try compounded semaglutide with a doctor actually in the room.

Skip it if you want month-to-month billing, brand-name medication, or insurance. Skip it too if you need a shipment next week; a scheduled appointment plus pharmacy turnaround means the first package can take two weeks or more to arrive. You can see how these factors are weighed in our scoring methodology.

Bottom line

Big Easy Weight Loss is a package-priced compounding clinic with unusually good disclosure. Semaglutide works out to $165 a month, or $133 on the starter deal. Add a 30-minute physician visit, named pharmacies, and a $75 consult that comes back if you don't qualify, and it's a fair deal for cash-pay patients. The conditions are that you're fine with compounded medication, a quarterly rhythm of refill visits, and a state answer you should confirm by phone if you live in Arkansas.

Shopping around? Midi Health ($164/month) and HealthRX ($165/month) are the nearest alternatives to Big Easy Weight Loss in our rankings.