Oak Review

Oak's verdict: a low starting price, with dose costs and fine print to check

Oak (run by Oak Longevity Holdings Corp.) markets one price for every dose. Its checkout, where you pay, says the charge rises as your dose does. Compounded semaglutide starts at $200 a month (starting dose) in Oak's checkout catalog. The cheap tier is compounded, Oak's own pages disagree about price and shipping, and the fine print is unusually strict, so it isn't for everyone.

What Oak charges as your dose goes up

Oak's banner reads "One price · All dosages," and its product page says all doses are the same price. The checkout catalog lists compounded semaglutide at $200 per month (starting dose), with compounded tirzepatide above it. The checkout FAQ says something different from the banner: the final charge depends on the dose the doctor prescribes, and each step up is typically about $50 to $75 more. The checkout wording is the one that counts, because that is the page where you pay. Expect the bill to move as your dose does, and ask Oak for a quote on your target dose before you start. Choosing a three-month supply lowers semaglutide to $133 a month and tirzepatide to $199. Three-month prescriptions are billed upfront, so the starting semaglutide supply is $399 at once. Oak also advertises these rates with the code OAKSAVE200.

This matters because GLP-1 dosing escalates over the first several months, so on a dose-tiered plan the maintenance dose, the one where the medication does most of its work, is also the most expensive. Against a category median of $179, Oak's starting semaglutide rate is competitive. Its price housekeeping is poor, though. The homepage says weight loss from $119 a month, the semaglutide product page says as low as $167, and the weight-loss page says programs start at $190. None of those is a checkout price. The checkout catalog is the only figure attached to a transaction, so if you are comparing Oak against anyone else, price it from there.

How we get the market median: $179 is the middle value of each program's lowest listed ongoing monthly price for compounded semaglutide (month to month, not a first-month promo, a prepaid plan or a price with a membership on top), across the 112 programs that publish one.

• Free shipping is included, not an add-on at checkout.
• Free health coaching comes standard with the medication.
• No video call is required, since it's an asynchronous intake form.
• Every price is listed before you sign up: the checkout catalog shows each product's rate without asking for a phone number or ZIP code.

What Oak prescribes and how it reaches you

Oak's weight-loss page lists four routes: compounded semaglutide injections, compounded tirzepatide injections, brand-name injector pens, and Oral Wegovy tablets. The prices above are for the compounded injections. The brand pens are priced separately and cost several times more. Oral Wegovy goes the other way: the catalog lists it at $75 for a four-week supply, below the compounded rate. Prescriptions are issued through NVP Medical Group, P.A. You fill out the online health form, check out, and a licensed provider reviews your information. Approval can come within hours. Oak names InnovaScript Pharmacy as its preferred pharmacy, and shipping is free.

What Oak does well, and where it falls short

Oak's strengths are a low starting price, a full price list you can read before giving any details, and free shipping and coaching bundled in. It does not offer one price across doses: its checkout says each dose step adds about $50 to $75. The bigger problem is consistency. Oak's pages disagree on price, on shipping speed and even on whether you are buying a subscription. The checkout says there are no subscriptions, while the Terms describe plans that renew until you cancel. Marketing pages promise same-day or overnight shipping, but the checkout FAQ says three to fifteen business days.

What customers say

Oak used to have essentially no external review footprint, and that has improved a little. Its claimed Trustpilot profile shows a 4.4 out of 5 'Excellent' rating from 54 reviews as of September 2026, only ten of them in the last twelve months. Trustpilot also flags that the company hasn't replied to negative reviews and hasn't invited customers recently. There's still no BBB listing and no Google business profile, so those 54 reviews are the entire independent picture.

Who should pick Oak, and who should walk

Oak is a good fit if you want compounded semaglutide or tirzepatide at a low starting price, you're comfortable with an injection, and you'd rather skip a live video consult. If you plan to stay on therapy and climb to a maintenance dose, get Oak's quote for that dose first, because the checkout says the price rises with each step. If you'd rather not inject, Wellorithm sells compounded semaglutide and tirzepatide as dissolving tablets as well as shots. The trade-off: it shows prices only after its intake quiz.

Skip Oak if the low compounded price is the draw but you'd end up on a brand pen, which is priced separately and costs far more. Also weigh the fine print. You get a full refund if a provider does not approve you, but nothing once you are approved and the medication ships. Canceling a multi-month plan early means paying back the discount on the months you received. Disputes go to binding arbitration in New York under Delaware law.

Trust, safety, and medical oversight

On the reassuring side: Oak shows a LegitScript seal on its site (it could not be confirmed in LegitScript's own lookup), prescriptions run through a licensed medical group, it names its preferred pharmacy, and there are no FDA warning letters against Oak Longevity Holdings Corp. Compare RxSpan MD's physician-led practice, which publishes its certification number and its four 503A pharmacies and ships to all 50 states. The catch: you pay before a clinician reviews you. On the cautious side, the medication is compounded rather than FDA-approved brand product. Oak says it serves every state except West Virginia and Mississippi, yet its Terms of Use still describe 45 states. None of these are red flags alone, but together with the pricing contradictions they're why Oak's trust score isn't higher. See our scoring methodology for how we weigh these factors.

Bottom line

Oak markets one price for every dose. At $200 a month (starting dose) for semaglutide against a $179 category median, with free shipping and coaching included, the starting price is competitive. But Oak's own checkout says each step up in dose costs about $50 to $75 more, and that is the version written on the page where you pay. Oak is priced well at the starting dose, and the maintenance dose, the one that matters over a year, is a figure you have to request. The quoted prices cover only the compounded injections, three different headline figures sit on Oak's own pages, and the refund and early-cancellation terms are stricter than most. If you are starting out and price-sensitive, consider Oak, and ask for the maintenance-dose price before you commit.