Refills Review
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
Tirzepatide
What the monthly price covers
Medication
Not stated
Provider visits
Not stated
Shipping
Included
Lab work
Not stated
Coaching
Not stated
No insurance needed · Vetted by our editors
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.
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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%
8.2/10At $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%
7.8/10Refills offers both semaglutide and tirzepatide, the two GLP-1 molecules with the strongest published weight-loss trial outcomes.
User Experience15%
6.9/10Online intake and platform experience; 6 platform features disclosed.
Trust & Safety15%
5.0/10Core details confirmed by our editors; an FDA warning letter is on file (see flag above).
Accessibility10%
5.8/10Refills's exact state footprint isn't published. Confirm coverage in your state before signing up.
Support10%
5.6/10Refills provides standard clinician follow-up; no extended coaching or community program is disclosed.
Each checked against the provider’s own site.
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.)
- 1Choose a GLP-1 weight-loss product and click Get Started.
- 2A board-certified licensed provider reviews your information.
- 3If prescribed, medication ships free and discreetly to your door.
- 4Free 24/7 support is available through a Health Concierge.
- 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
Ready to get started?
Plans and promotions change often, so check Refills's current pricing and active discounts before you decide.
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.
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.
Head-to-head
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Frequently Asked Questions
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
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.
Sources
The primary regulatory filings and peer-reviewed studies cited throughout this Refills review:
Sources & methodology (as of November 2026)
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 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.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 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.