Vitals Vault Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.8/10
Best for: low-cost compounded GLP-1s billed every 4 weeks, from a lab-testing company with optional bloodwork
Price is where Vitals Vault scores best in our breakdown.
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
Vitals Vault is a Seattle blood-testing company that also offers online treatment, including compounded semaglutide and tirzepatide with B12 and glycine, prescribed by independent medical groups and filled by Strive Pharmacy. Semaglutide is $157 and tirzepatide $169, each billed every 4 weeks for a 28-day supply, after a $20 clinician review that is refunded if you are not prescribed. It also offers NAD+, sermorelin and glutathione.
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from $157/4 wks (billed per 4 weeks) · no insurance needed
Vitals Vault at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $157/4 wks (billed per 4 weeks)
- What's included
- Medication · Shipping
- FDA status
- No FDA warning letter on record
How we scored Vitals Vault
Each dimension is scored algorithmically from Vitals Vault’s published pricing, drugs offered, verification status, and disclosed inclusions, using the same six-dimension framework we apply to every provider.
Value25%
8.5/10At $157/mo (per 4 weeks), Vitals Vault runs about 15% below the $185 median for GLP-1 providers (each program's lowest listed ongoing monthly price for compounded semaglutide).
Effectiveness25%
8.5/10Vitals Vault offers both semaglutide and tirzepatide, the two GLP-1 molecules with the strongest published weight-loss trial outcomes.
User Experience15%
7.6/10Online intake and platform experience; 8 platform features disclosed.
Trust & Safety15%
7.7/10Core details confirmed by our editors; no FDA warning letters on file.
Accessibility10%
6.5/10Vitals Vault's exact state footprint isn't published. Confirm coverage in your state before signing up.
Support10%
6.3/10Vitals Vault 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 Vitals Vault review
Last checked November 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 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
- $157–$169/mo across 2 dose/plan tiers (checked November 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 Vitals Vault
We walked Vitals Vault’s public signup flow in November 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'Start my $20 doctor visit' on the semaglutide or tirzepatide page opens a short eligibility check for that plan
- 2The first screen asks for your height, weight and date of birth, which Vitals Vault says it checks before you pay
- 3Vitals Vault says you then pay the $20 clinician review and complete a health assessment, and a licensed clinician reviews it within 72 hours
- 4If prescribed, the plan price is charged and the first 28-day supply ships in 2 to 5 business days
- Each treatment page shows the weekly figure and the actual charge, such as '$157 every 4 weeks', before you start
- The $20 review is refunded if you are not prescribed but is not deducted from the medication price
- Lab tests are optional: Vitals Vault says labs are never required to start treatment
- A free lab panel at the 3-month mark is offered for treatments started between Nov 1 and Jan 31
Vitals Vault customer support
- Phone
- +1 (888) 788-5326
- Hours
- 9 AM to 9 PM ET daily (site footer); phone also takes SMS and WhatsApp
GLP-1 medications Vitals Vault offers
Tap any medication to read our plain-English guide: how it works, dosing, side effects, and what the trials found.
Peptides Vitals Vault offers
Beyond GLP-1s, Vitals Vault also offers these peptides. Tap any for our evidence-based guide.
Pricing
Prices re-verified
'$39.25/week, Billed $157 every 4 weeks' for a 28-day supply with glycine and B12. A separate $20 clinician review is charged at intake and refunded only if you are not prescribed.
'$42.25/week, Billed $169 every 4 weeks' for a 28-day supply with glycine and B12. A separate $20 clinician review is charged at intake and refunded only if you are not prescribed.
Ready to get started?
Plans and promotions change often, so check Vitals Vault's current pricing and active discounts before you decide.
What we like
- Low compounded prices: semaglutide $157 and tirzepatide $169 per 28-day supply
- Prices are shown on each treatment page before you start
- The $20 clinician review is refunded if you are not prescribed, and medication is charged only after approval
- Names its medical groups (MDI Medical Group and AyaRx Providers) and its pharmacy, Strive Pharmacy
- LegitScript seal served from LegitScript's own site
- Free, discreet shipping, and you can cancel any time
- Optional discounted lab panels at Quest if you want bloodwork to track progress
Watch-outs
- Plans are billed every 4 weeks, so you pay 13 times a year, not 12
- The $20 clinician review is a separate charge that is kept if you are prescribed
- The site says plans start at these prices but doesn't say whether the price changes at higher doses
- Medication that has been dispensed or shipped is not refundable
- It doesn't publish which states it can treat in; lab testing isn't available in NY, NJ, HI or RI
- Disputes go to binding individual arbitration unless you opt out within 30 days
- Support hours differ between pages: 9 AM to 9 PM ET daily in the footer, weekdays 9 AM to 6 PM PT in the refund policy
Is Vitals Vault worth it?
The short version of what Vitals Vault offers is low-cost compounded GLP-1s billed every 4 weeks, from a lab-testing company with optional bloodwork. It runs $157/month (per 4 weeks); there's no clean category median to weigh that against, but it's a published number rather than one you find out only after signing up. No single feature of its GLP-1 program sets it apart from the category on its own, so the price and terms below are the things to compare.
Beyond the medication itself, Vitals Vault is LegitScript-certified. It also names the pharmacy that fills its prescriptions and offers NAD+ or peptide add-ons.
How much Vitals Vault costs
Compounded semaglutide runs $157/month (per 4 weeks) and compounded tirzepatide runs $169/month (per 4 weeks).
Because Vitals Vault's headline figure is listed as “per 4 weeks”, we don't set it against the roughly $185 market median for this category. That median is each program's lowest listed ongoing monthly price for compounded semaglutide, so compare Vitals Vault with the month-to-month prices of the alternatives below instead.
bmiMD (about $159/month) is one of the closest alternatives to weigh Vitals Vault against.
Medications: what Vitals Vault prescribes
Vitals Vault prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro), the pair backed by the largest published weight-loss trials. Rather than brand-name pens, you get a compounded formulation from a licensed pharmacy, which is why the monthly cost is lower. Just know compounded drugs aren't FDA-approved as finished products, the standard caveat in this market.
Who Vitals Vault is best for, and who should skip it
A good fit if you…
- want a straightforward telehealth GLP-1 program and are comfortable comparing it against the alternatives below.
Look elsewhere if you…
- specifically want an FDA-approved brand-name pen instead of a compounded formulation, which this provider doesn't fill.
- 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
We found no FDA warning letter on file for it, though a clean record isn't the same as an endorsement, so read the rest of this review for the full picture. 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, and we explain how in our scoring methodology.
Bottom line
Vitals Vault is a reasonable telehealth GLP-1 option; weigh its pricing and coverage against the alternatives below before deciding.
The Bottom Line
Price is where Vitals Vault scores best in our breakdown.
Ready to start with Vitals Vault?
From $157/4 wks (billed per 4 weeks). See current pricing and start your free consultation.
Vitals Vault 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
Compare Vitals Vault vs…
Vitals Vault scores7.8/10
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Amazon One Medical scores 8.5/10
Vitals Vault vs Vytora Health
Vytora Health scores 8.4/10
Scores are our independent editorial ratings out of 10.
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 Vitals Vault 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 Vitals Vault's current pricing
Plans from $157/4 wks (billed per 4 weeks). Start your free consultation to check eligibility and today's price.