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Refills Review

6.9
★★★★☆3.5/5

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.9/10

Best for: single account across GLP-1, ED and hair-growth telehealth

Refills scores below our bar on medical oversight. Read the score breakdown before signing up.

Semaglutide

$150/mo · entry-tier price

Tirzepatide

$150/mo · entry-tier price
Same price at every dose

What the monthly price covers

Medication

Not stated

Provider visits

Not stated

Shipping

Included

Lab work

Not stated

Coaching

Not stated

See plans →

No insurance neededVetted by our editors

Compare top-rated alternatives ↓

Refills is a LegitScript-certified online pharmacy and telehealth platform offering compounded GLP-1 weight-loss prescriptions (semaglutide, tirzepatide) alongside ED, hair growth, and daily wellness treatments. It says it operates across all 50 US states, though it excludes certain regions. Pricing is shown only after intake. Free shipping; no insurance needed.

By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
CompoundedSemaglutideTirzepatideLegitScript VerifiedFree ShippingMulti-Modality

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Editorial score · methodology

$149/mosemaglutide
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BrandSemaglutideTirzepatideOrforglipron
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Best for: the lowest flat medication price if you can absorb an annual membership fee

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Editorial score · methodology

$59/mosemaglutide
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Verified partner

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Best for: lowest-price compounded semaglutide and tirzepatide with one flat price at every dose

★★★★☆4.2/5

Editorial score · methodology

$79/mosemaglutide
“starting at” price
$129/motirzepatide
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CompoundedSemaglutideTirzepatideNAD+SermorelinLegitScript Verified
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Refills logo
3.5 / 5
Our editorial rating
Visit Refills →

from $150/mo (entry-tier price) · no insurance needed

Refills at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$150/mo (entry-tier price)
Pricing model
Flat: dose increases don't raise the monthly price
What's included
Shipping
FDA status
1 FDA warning letter on record; see below

How we scored Refills

Each dimension is scored algorithmically from Refills’s published pricing, drugs offered, verification status, and disclosed inclusions, using the same six-dimension framework we apply to every provider.

Value25%

8.2/10

At $150/mo (entry-tier price), Refills runs about 18% below the $182 median for GLP-1 providers (each program's lowest listed ongoing monthly price for compounded semaglutide). Pricing is flat across doses, so there is no escalation markup as you titrate up.

Effectiveness25%

7.8/10

Refills offers both semaglutide and tirzepatide, the two GLP-1 molecules with the strongest published weight-loss trial outcomes.

User Experience15%

6.9/10

Online intake and platform experience; 6 platform features disclosed.

Trust & Safety15%

5.0/10

Core details confirmed by our editors; an FDA warning letter is on file (see flag above).

Accessibility10%

5.8/10

Refills's exact state footprint isn't published. Confirm coverage in your state before signing up.

Support10%

5.6/10

Refills provides standard clinician follow-up; no extended coaching or community program is disclosed.

6scored dimensions
678providers compared

Each checked against the provider’s own site.

Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →

How we verified this Refills review

Last checked August 2026
  • Confirmed current pricing across 2 dose/plan tiers
  • Confirmed what the monthly price does and doesn't include
  • Checked the FDA warning-letter database for enforcement actions
  • Walked the provider's public sign-up flow, stopping before payment

Pricing, availability, and compliance facts come from the provider's own site and primary regulatory records. See the sources below. Editorial confidence in this data: medium.

What we checked

Provider's own pricing page
$150/mo across 2 dose/plan tiers (checked August 2026)
State pharmacy licensing & LegitScript status
LegitScript Verified
FDA warning-letter register
An active letter is on file for this provider; see below

What to expect when you sign up with Refills

We walked Refills’s public signup flow in July 2026 to document the process (the steps, pricing transparency, and what’s required) before you commit. (We don’t create accounts, enter medical information, or check out; this is the observable funnel, not a prescribing outcome.)

  1. 1Choose a GLP-1 weight-loss product and click Get Started.
  2. 2A board-certified licensed provider reviews your information.
  3. 3If prescribed, medication ships free and discreetly to your door.
  4. 4Free 24/7 support is available through a Health Concierge.
Price shown before you start
  • Homepage advertises GLP-1s 'from $5/day' and '40% OFF' before any intake, though no clear monthly total is stated.
  • Multi-category telehealth brand (also sells ED, hair-growth, and daily-health products), not GLP-1-only.
  • States no monthly membership or app fees and 'all dosages at the same low price.'
  • Discloses that compounded GLP-1s come from US pharmacies and have not been evaluated by the FDA for safety, quality, or efficacy.
  • Free and discreet shipping advertised; no insurance required.

GLP-1 medications Refills offers

Tap any medication to read our plain-English guide: how it works, dosing, side effects, and what the trials found.

Pricing

Prices re-verified

Personalized GLP-1 injection: floor, derived from a per-day ratecompounded injection
$150/mo
semaglutide
Personalized GIP + GLP-1 injection: floor, derived from a per-day ratecompounded injection
$150/mo
tirzepatide

Ready to get started?

Plans and promotions change often, so check Refills's current pricing and active discounts before you decide.

See Refills pricing →

What we like

  • LegitScript Certified online pharmacy
  • Claims operation across all 50 states (with some exclusions)
  • Multi-category platform (weight loss + ED + hair growth + wellness), with a single account for multiple treatments
  • Free shipping disclosed publicly
  • Cash-pay, no insurance needed

Watch-outs

  • Ongoing monthly pricing for compounded semaglutide and tirzepatide not shown until after intake
  • Legal entity name and state of incorporation not disclosed
  • Compounding pharmacy partner not named
  • Excluded states not listed in marketing copy, so confirm coverage during intake
  • Compounded only: no brand-name GLP-1 (Wegovy, Zepbound, Mounjaro, Ozempic, Foundayo)
  • Lab work and ongoing-care touchpoints not clearly disclosed

Refills: one login for weight loss, ED, hair and daily wellness

Refills is less a dedicated weight-loss clinic and more a general-purpose telehealth pharmacy that happens to prescribe GLP-1s. The same account that fills your compounded semaglutide or tirzepatide can also handle erectile-dysfunction medication, hair-growth treatments, and routine daily-wellness scripts. If you have been juggling separate logins, separate intakes, and separate shipments for each of those things, the appeal here is obvious: consolidate everything under one roof. That convenience, rather than any single weight-loss feature, is the main reason to consider it. MangoRx takes the same one-account idea further for men, adding testosterone therapy to its GLP-1, ED and hair programs.

How the pricing works (and what they won't show you up front)

Refills uses a flat-rate model, one of its better traits. In its own words, you get "all dosages at the same low price" and they "don't charge you based on dosage changes." That matters because most compounded GLP-1 plans get more expensive as you titrate up, so a provider that holds the price steady from your starting dose through your maintenance dose is doing you a favor. It also publicly promises no hidden fees, no insurance hoops, no monthly membership, and no app fees.

The weak point is price. Refills does not publish a standard monthly rate before you sign up. The marketing teases an entry-level "from a few dollars a day" figure, but the ongoing cost for compounded semaglutide or tirzepatide stays hidden behind the intake form until you create an account and answer the medical questionnaire. For context, the typical compounded GLP-1 in this category runs around $182 a month, so treat that as your mental benchmark and confirm Refills' monthly number during intake before you commit.

How we get the market median: $182 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 122 programs that publish one.

  • Flat pricing: the same rate on a starter dose or a full maintenance dose
  • No teaser-then-spike pattern: they explicitly say dose changes don't raise your bill
  • No memberships or app fees: the cost is the medication, not a subscription on top
  • But the monthly number is gated: you won't see it until after the questionnaire

What you can get, and how it's dispensed

On the weight-loss side, Refills offers compounded semaglutide and compounded tirzepatide, the same active ingredients found in the brand injectables but made by a compounding pharmacy rather than the original manufacturer. Everything ships free and is described as discreet, with no insurance required. That cash-pay, mail-order structure is standard for this corner of telehealth and works fine for most people who just want the medication delivered without paperwork.

This is a compounded-only platform. There is no brand-name Wegovy, Zepbound, Mounjaro, or Ozempic here. If your goal is a name-brand pen (because your insurance covers it, or because you prefer FDA-approved finished product), Refills is not your provider. It competes on price and convenience, not on brand access.

The credential that does the heavy lifting: LegitScript

Refills is a LegitScript-certified online pharmacy, and for a platform that otherwise discloses very little about itself, that certification is the single most reassuring fact it offers. LegitScript vets pharmacies for licensing and compliance, so the badge is a third-party signal that this isn't a fly-by-night operation. Refills Health does have an FDA warning letter on file (February 2026, for false and misleading claims), covered in the regulatory notice on this page.

The certification carries a lot of weight because the company is unusually quiet about the rest. The legal entity name and state of incorporation are not disclosed, and, for a pharmacy platform, the specific compounding pharmacy that makes your medication is never named. You can read more about how we weigh signals like these in our scoring methodology.

The fine print on "all 50 states"

Refills claims to operate across all 50 states, but its own copy adds that it "does not service" certain excluded regions, without publishing that exclusion list. In plain terms: don't assume coverage where you live until the intake confirms it. It's an easy thing to check during signup. Do it early.

Who should pick Refills, and who should skip it

Choose Refills if you want one account that covers GLP-1 weight loss plus other everyday prescriptions, you like the idea of a flat price that won't climb as you titrate up, and a LegitScript certification is enough trust signal for you to proceed. Handling several prescriptions in one account is a convenience most weight-loss-only competitors can't match. Omzo runs a similar multi-pillar setup that adds women's hormone care to the same account.

Skip it if you need a brand-name GLP-1, if you want to see the exact monthly price before handing over personal health details, or if not knowing the compounding pharmacy and corporate entity behind your medication bothers you. PrescribedRX, another multi-condition brand, posts its 3-month plan prices up front and runs a bilingual English and Spanish site. People who value maximum transparency and detailed disclosure of medical oversight, lab work, and ongoing-care touchpoints will find Refills thinner on disclosure than the most buttoned-up providers.

Bottom line

Refills is a reasonable, LegitScript-certified option for cash-pay patients who want compounded GLP-1s under the same login as their other prescriptions, with a flat-rate structure and free shipping. Its weak spots are disclosure, not red flags. The steady-state price is hidden. The pharmacy partner is unnamed. The corporate entity is undisclosed. Go in with realistic expectations, complete the intake to see the monthly cost and your state's coverage, and compare that number against the category median before you commit.

The Bottom Line

Refills scores below our bar on medical oversight. Read the score breakdown before signing up.

Score: 6.9/10Best for: single account across GLP-1, ED and hair-growth telehealthFrom: $150/mo (entry-tier price)

Ready to start with Refills?

From $150/mo (entry-tier price). See current pricing and start your free consultation.

Refills might not be your best fit if…

We rank editorially, so here’s where a different provider we track may serve you better.

  • If you want brand-name Ozempic, Wegovy, Mounjaro or Zepbound, consider altRX.
  • If the lowest possible monthly price is your top priority, consider YourEra (from $89/mo).
  • If you want built-in coaching and behavior-change support, consider Ro.

Head-to-head

Compare Refills vs…

Refills scores6.9/10

Side-by-side pricing, medications and scores. Pick a matchup.

Scores are our independent editorial ratings out of 10.

Frequently Asked Questions

Refills is a LegitScript-certified online pharmacy and telehealth platform offering compounded GLP-1 weight-loss prescriptions alongside sexual health, hair growth, and daily wellness treatments. It connects patients with licensed providers and fulfills prescriptions with discreet delivery.
Refills offers compounded semaglutide and compounded tirzepatide for weight loss. These are compounded formulations that are not FDA-reviewed or approved for safety or effectiveness; brand-name GLP-1s such as Wegovy, Zepbound, Mounjaro, and Ozempic are not offered.
Ongoing monthly pricing for compounded semaglutide and tirzepatide is not shown until after intake, though marketing references GLP-1s 'from $5/day.' Refills advertises a flat pricing structure where all dosages cost the same and states it does not charge monthly membership or app fees.
Refills states it operates across all 50 states but notes it does not service certain regions, and the specific exclusion list is not published in its marketing copy. Confirm that your state is covered during intake.
Refills is a cash-pay platform that requires no insurance, and it advertises free, discreet shipping. Because it is cash-pay, plan to pay out of pocket.
You complete an intake to connect with a licensed provider, and a licensed clinician determines whether GLP-1 treatment is appropriate for you. Refills is a LegitScript-certified online pharmacy, but it does not disclose its legal entity or name its compounding pharmacy partner.
Refills doesn't use a typed coupon code. When we last checked (June 2026), its site said: 40% OFF weight loss (GLP-1 and GIP+GLP-1) advertised on site with 'New Patient Special Offers'. Confirm the current offer on Refills's own checkout via the link on this page; third-party "Refills promo code" sites are typically fake.
Refills is an operating telehealth provider, but it has an FDA warning letter on file, which we flag at the top of this review. Weigh that carefully and consult a licensed clinician before starting.
The biggest red flag is an FDA warning letter on file, which we flag at the top of this review. Read it before starting. We also note: Ongoing monthly pricing for compounded semaglutide and tirzepatide not shown until after intake; Legal entity name and state of incorporation not disclosed; Compounding pharmacy partner not named.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Regulatory notice

Refills received an FDA warning letter dated February 20, 2026

The letter concerns false & misleading claims/misbranded. FDA warning letters are public regulatory communications and do not, on their own, constitute a finding of illegal activity. Companies often respond with corrective action.

Read the full letter →

Sources

The primary regulatory filings and peer-reviewed studies cited throughout this Refills review:

Sources & methodology (as of November 2026)
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  7. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.

See Refills's current pricing

Plans from $150/mo (entry-tier price). Start your free consultation to check eligibility and today's price.