StackMD Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.5/10
Best for: shoppers who want an exact price for their specific dose before committing
StackMD scores highest on state availability and ease of access.
Semaglutide
Tirzepatide
What the monthly price covers
Medication
Included
Provider visits
Billed separately
Shipping
Included
Lab work
Not disclosed
Coaching
Not disclosed
No insurance needed · Vetted by our editors
StackMD is a New York telehealth platform (Medical 360 HC PLLC) selling compounded semaglutide and tirzepatide, both formulated with B12, alongside NAD+, sermorelin and other longevity peptides. It publishes a price for every vial strength: semaglutide runs $125 to $225 and tirzepatide $199 to $449. There is no membership fee, but checkout adds a $39 non-refundable consultation fee from its prescribing partner, SamaritanMD.
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Vetted alternatives to StackMD
Ro
Best for: FDA-approved brand GLP-1s, including the Wegovy pill and Foundayo, with insurance help
Editorial score · methodology
ShedRx
Best for: compounded GLP-1 as an injection, drops or lozenges, with lower rates on 6- and 12-month plans
Editorial score · methodology
bmiMD
Best for: one flat compounded GLP-1 price at every dose, down to $99/mo semaglutide on a 12-month plan
Editorial score · methodology
StackMD at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $125/mo
- Pricing model
- Scales with dose — higher doses cost more
- What's included
- Medication · Shipping
- Availability
- All 50 states
- FDA status
- No FDA warning letter on record
How we scored StackMD
Each dimension is scored algorithmically from StackMD’s real pricing, drugs offered, verification status, and disclosed inclusions — using the same six-dimension framework we apply to every provider.
Value25%
8.3/10At $125/mo, StackMD runs about 30% below the $179 median for GLP-1 providers (each one's cheapest ongoing monthly price). Note the price scales with dose, so budget for higher tiers as you titrate.
Effectiveness25%
7.8/10StackMD 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; 8 platform features disclosed.
Trust & Safety15%
7.0/10Core details confirmed by our editors; no FDA warning letters on file.
Accessibility10%
8.4/10StackMD treats patients in all 50 states. FSA/HSA cards are accepted.
Support10%
5.6/10StackMD 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 StackMD review
Last checked October 2026- Confirmed current pricing across 2 dose/plan tiers
- Confirmed availability in all 50 states
- Confirmed what the monthly price does and doesn't include
- Checked the FDA warning-letter database for enforcement actions
- Walked the public intake/checkout flow on the provider's site
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
- $125–$199/mo across 2 dose/plan tiers — checked October 2026
- State pharmacy licensing & LegitScript status
- LegitScript Verified
- FDA warning-letter register
- No letter on file for this provider
What to expect when you sign up with StackMD
We walked StackMD’s public signup flow in October 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.)
- 1Open a product page and pick your vial strength. Each strength has its own published price before any intake.
- 2Click "Start Medical Intake". The vial goes into the cart labeled "Requires consultation", "Require medical questionnaire" and "Amount charge after approval".
- 3The cart adds a "Consultation fee (Charge Today) $39.00". For a 5mg tirzepatide vial it showed $199 charged after approval, $39 due today, $238 in total, with free shipping.
- 4Checkout asks for name, date of birth, gender, address, email and card details. We stopped here without entering anything.
- 5Per StackMD, a SamaritanMD provider then reviews your intake, and the vial is charged and shipped only after approval.
- Every dose has a published price: semaglutide $125 (1mg) up to $225 (10mg), tirzepatide $199 (5mg) up to $449 (30mg). Budget for the strength you expect to reach, not the starting price.
- A $39 consultation fee is charged at checkout. It isn't mentioned on the product pages, which advertise "No membership fees or hidden charges", and the refund policy says it is non-refundable even if no prescription is issued.
- The vial price itself is charged only after provider approval, according to the cart and checkout summary.
- All sales are final, and dispensed medication cannot be returned under federal and state pharmacy rules. Billing disputes go to SamaritanMD, not StackMD.
- Both GLP-1s are compounded with added B12, and the dispensing pharmacies are described only as licensed third parties, never named.
- On our visit the checkout page showed a payment-processor setup error above the card fields.
StackMD customer support
- Hours
- Email replies typically within 24 hours
GLP-1 medications StackMD 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
Per vial: 1mg $125, 2mg $149, 4mg $175, 6mg $199, 10mg $225. Plus a $39 non-refundable consultation fee charged at checkout; the vial is charged after approval.
Per vial: 5mg $199, 10mg $249, 15mg $299, 20mg $349, 25mg $399, 30mg $449. Plus a $39 non-refundable consultation fee charged at checkout; the vial is charged after approval.
Ready to get started?
Plans and promotions change often — check StackMD's current pricing and active discounts before you decide.
What we like
- Publishes an exact price for every dose strength rather than a single 'from' figure: semaglutide $125-$225, tirzepatide $199-$449
- Names both its legal entity (Medical 360 HC PLLC) and its prescribing telehealth partner, SamaritanMD
- Carries a LegitScript seal that resolves on LegitScript's own site
- No membership fee, and the vial itself is only charged after a provider approves treatment
- Says plainly its compounded meds are 'not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality'
- Telehealth offered in all 50 states per its terms, with free discreet shipping and FSA/HSA eligibility
- Discloses the full formulation, including the B12 compounded into both GLP-1s
Watch-outs
- Checkout adds a $39 consultation fee charged up front, and it is non-refundable even if no prescription is issued
- The 'No membership fees or hidden charges' banner doesn't mention the $39 consult fee, which first appears in the cart
- All sales are final, and dispensed medication cannot be returned or refunded
- Compounding pharmacies are never named, only 'a licensed third-party pharmacy'
- Price rises steeply with dose: tirzepatide runs $199 at 5mg to $449 at 30mg
- Billing and refunds are handled by SamaritanMD, and StackMD 'has no authority to issue refunds' on its behalf
- Terms impose binding arbitration in New York and waive jury trial and class-action participation
- Availability of specific treatments may still vary by state despite the all-50-states claim
Is StackMD worth it?
StackMD built its program around one core idea: shoppers who want an exact price for their specific dose before committing. It runs $125/month — toward the affordable end of the category, so cost isn't the reason to look elsewhere. It treats patients in every state, so where you live isn't a reason to rule it out.
It is LegitScript-certified. It also charges no membership fee and takes HSA/FSA payment.
How much StackMD actually costs
Compounded semaglutide runs $125/month and compounded tirzepatide runs $199/month.
That puts StackMD below the roughly $179 median across the GLP-1 providers we track (each one's cheapest ongoing monthly price) — a real cost advantage.
Live Vital (about $130/month) is one of the closest alternatives to weigh StackMD against.
Medications: what StackMD prescribes
StackMD prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro) — the two molecules with the strongest published weight-loss trial outcomes. These are dispensed as compounded formulations from a licensed pharmacy, which is how the price stays below brand-name pens. Compounded drugs aren't FDA-approved as finished products — the standard trade-off across the compounded-GLP-1 market.
Who StackMD is best for — and who should skip it
A good fit if you…
- are focused on the lowest ongoing monthly cost — $125/month is below the roughly $179 median we track across the category (from each provider's cheapest ongoing monthly price).
- live anywhere in the US and want the certainty that your state is already covered.
Look elsewhere if you…
- specifically want an FDA-approved brand-name pen instead of a compounded formulation — that's not what this provider fills.
- need to bill insurance, since like most of this market it's cash-pay with no claims filed on your behalf.
Trust, safety, and medical oversight
StackMD treats patients in all 50 states, and we found no FDA warning letter on file for it. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation — we explain how in our scoring methodology.
Bottom line
StackMD earns its place on the shortlist mainly on price: at $125/month it's one of the more affordable ways to stay on a GLP-1, without obvious corners cut on access or oversight.
The Bottom Line
StackMD scores highest on state availability and ease of access.
Ready to start with StackMD?
Starting at $125/month. See current pricing and start your free consultation.
StackMD 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 Collective (from $59/mo).
- If you want built-in coaching and behavior-change support, consider Ro.
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
Sources
The primary regulatory filings and peer-reviewed studies cited throughout this StackMD review:
Sources & methodology — as of October 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 StackMD's current pricing
Plans start at $125/month. Start your free consultation to check eligibility and today's price.