⚠️ Compounded GLP-1 medications are not FDA-approved as finished drug products. Prices shown are introductory or plan-based — confirm current pricing directly with each provider. This page contains affiliate links.
All providers below work with licensed US physicians and compounding pharmacies. Prices shown are starting rates — your actual cost may vary based on dose, plan length, and eligibility. Use our cost calculator to personalise your estimate.
⭐ Best Value
Compounded
Yucca Health
High-touch telehealth with onboarding provider call and flexible plan lengths. 20,000+ prescriptions written.
★★★★★
4.5 · Trustpilot (312 reviews)
Semaglutide+
$146 /mo
$275/mo ongoing · or $206/mo (6-mo plan)
✓ Compounded injectable
Tirzepatide+
$258 /mo
$385/mo ongoing · or $325/mo (6-mo plan)
✓ Compounded injectable
Onboarding provider call
2-day shipping
B12 included
Flexible plan lengths
HSA/FSA accepted
Best for: First-time GLP-1 patients who want personal provider contact
Insurance: Not accepted · HSA/FSA ✓
Ships to: Most US states
Compounded
Strut Health
US-licensed physicians and compounding pharmacies. Offers both injectable and oral lozenge formulations. Hair loss and other treatments also available.
★★★★☆
4.3 · Verified reviews
Semaglutide
$199 /mo
Injectable or oral lozenge options
✓ Compounded injectable · ✓ Oral lozenge
Tirzepatide
$249 /mo
Injectable or oral lozenge options
✓ Compounded injectable · ✓ Oral lozenge
Online questionnaire
Licensed physician review
Shipped to your door
Oral or injectable options
Best for: Patients who want oral lozenge option or also need hair loss treatment
Insurance: Not accepted
Unique: Oral lozenges available — no injection required
FDA-Approved Options
Compounded Too
Ro Body
Offers both FDA-approved branded GLP-1s (Wegovy, Zepbound) and compounded options at the lowest available cash prices. Insurance concierge included.
★★★★☆
4.2 · Trustpilot
Semaglutide (oral pill)
$149 /mo
$199–299/mo thereafter · FDA-approved
✓ FDA-approved oral pill
Tirzepatide
$299 /mo
$399–449/mo thereafter
✓ FDA-approved · Same as LillyDirect
FDA-approved options
Insurance concierge
Expert coaching
Prepay & Save discounts
Best for: Patients who want FDA-approved branded medications or insurance coverage help
Insurance: ✓ Concierge service included · HSA/FSA ✓
Note: Membership fee charged separately from medication cost
Compounded
Gala GLP-1
Affordable compounded GLP-1 program with straightforward pricing and no long-term commitment required.
★★★★☆
4.1 · Patient reviews
Semaglutide
$199 /mo
Compounded injectable
✓ Compounded injectable
Tirzepatide
$299 /mo
Compounded injectable
✓ Compounded injectable
Online consultation
Licensed pharmacy
Monthly delivery
Best for: Cost-conscious patients wanting straightforward compounded access
Insurance: Not accepted
Ships to: Most US states
Premium Program
Compounded
SHED
Higher-touch weight loss program combining GLP-1 medication with personalised coaching, tracking, and clinical support.
★★★★★
4.6 · Verified reviews
Semaglutide
$299 /mo
Includes coaching + clinical support
✓ Compounded + programme
Tirzepatide
$349 /mo
Includes coaching + clinical support
✓ Compounded + programme
Personalised coaching
Progress tracking
Clinical support team
Nutrition guidance
Best for: Patients who want accountability, coaching, and structured support alongside medication
Insurance: Not accepted · HSA/FSA ✓
Unique: Holistic programme — not just medication
Compounded
Enhance MD
Telehealth practice offering GLP-1 weight loss programs alongside hormone optimisation, NAD+ therapy, and other longevity treatments.
★★★★☆
4.2 · Patient reviews
Semaglutide
$249 /mo
Compounded injectable
✓ Compounded injectable
Tirzepatide
$329 /mo
Compounded injectable
✓ Compounded injectable
GLP-1 prescription
Licensed physician
NAD+ therapy option
Hormone support available
Best for: Patients wanting GLP-1 alongside hormone optimisation or NAD+ therapy
Insurance: Not accepted
Unique: Longevity and hormone health alongside weight loss
Quick price comparison
Starting prices — confirm current offers directly with each provider
| Provider |
Semaglutide from |
Tirzepatide from |
Oral option |
FDA-approved |
Insurance |
|
| Yucca Health ⭐ |
$146/mo6-month plan |
$258/mo6-month plan |
✗ |
✗ Compounded |
✗ |
Get started |
| Strut Health |
$199/mo |
$249/mo |
✓ Lozenges |
✗ Compounded |
✗ |
Get started |
| Ro Body |
$149/moFDA pill + membership fee |
$299/mo |
✓ FDA pill |
✓ Branded options |
✓ Concierge |
Get started |
| Gala GLP-1 |
$199/mo |
$299/mo |
✗ |
✗ Compounded |
✗ |
Get started |
| SHED |
$299/moIncl. coaching |
$349/mo |
✗ |
✗ Compounded |
✗ |
Get started |
| Enhance MD |
$249/mo |
$329/mo |
✗ |
✗ Compounded |
✗ |
Get started |
| Branded Wegovy (no ins.) |
$1,349/mo |
— |
✗ |
✓ FDA-approved |
✓ With coverage |
— |
What to look for when comparing providers
🔬 Compounded vs. FDA-approved
Compounded GLP-1s contain the same active ingredient as Wegovy/Ozempic but cost 75–90% less. They are not FDA-approved as finished products. Always choose a provider using a licensed US 503A or 503B compounding pharmacy.
💉 Injectable vs. oral
Injectable semaglutide and tirzepatide have the strongest clinical evidence. Oral options (pills or lozenges) are more convenient but have lower absorption. Strut Health and Ro offer oral lozenge and pill options if needles are a concern.
💰 Introductory vs. ongoing pricing
Most providers offer discounted first-month pricing to acquire new patients. Always check the ongoing monthly cost — what you pay in month 2 and beyond is the real cost of treatment. Yucca Health's 6-month plan at $206/month represents the best sustained value in this comparison.
🏥 What's included in the programme
Some providers (SHED, Yucca Health) include provider calls, coaching, and nutritional support. Others (Gala, Strut) are primarily medication access. If you want structured guidance alongside medication, pay more for a programme that includes it.
Frequently asked questions
What is the cheapest GLP-1 provider in 2026?
+
For compounded semaglutide, Yucca Health currently offers the lowest sustained pricing — from $146/month on a 6-month plan for new patients, or $175/month for the first month on a monthly plan. Ro offers an FDA-approved oral semaglutide pill from $149/month for the first month (membership fee separate). Strut Health and Gala start at $199/month. These prices are all dramatically lower than branded Wegovy at $1,349/month without insurance.
Is compounded semaglutide the same as Wegovy or Ozempic?
+
Compounded semaglutide contains the same active ingredient — semaglutide — as Wegovy and Ozempic. The difference is in the manufacturing process. Branded medications are FDA-approved finished products manufactured by Novo Nordisk. Compounded versions are prepared by licensed US compounding pharmacies under strict standards, but are not FDA-approved as finished drug products. The clinical evidence base (STEP 1 and SURMOUNT-1 trials) applies to the branded versions. Many patients use compounded versions successfully, but the regulatory status differs. Always choose a provider working with a licensed US 503A or 503B compounding pharmacy.
Should I choose semaglutide or tirzepatide?
+
Clinical trials show tirzepatide produces greater average weight loss — approximately 20–22% of body weight at maximum dose compared to semaglutide's 15%. However, tirzepatide costs $100–150/month more through most providers. Semaglutide is a proven, well-tolerated medication with a longer track record. For most first-time GLP-1 patients, semaglutide is the right starting point. Tirzepatide may be worth the premium if you need maximum weight loss results, have type 2 diabetes, or have previously tried semaglutide without adequate response. Use our
weight loss timeline calculator to compare projected results for both medications.
Do any of these providers accept insurance?
+
Most telehealth providers offering compounded GLP-1 medications do not accept insurance, since compounded medications are not FDA-approved and are typically excluded from formularies. Ro is the exception — they offer FDA-approved branded GLP-1s (Wegovy, Zepbound) at the lowest available cash prices, and include an insurance concierge service that helps you get coverage. If you have commercial insurance, it's worth checking coverage before paying cash prices. Use our
insurance coverage estimator to assess your likelihood of coverage. HSA and FSA cards are accepted by most providers on this list.
How long do I need to stay on GLP-1 medication?
+
Clinical trials show that most of the weight lost on GLP-1 medications returns within 12–18 months of stopping treatment. GLP-1 medications are increasingly being considered long-term treatments rather than short courses. When comparing providers, consider the ongoing monthly cost rather than just the introductory price — this is what you will actually pay. Use our
monthly cost calculator to estimate your 12 and 24-month total investment.
Free tools from GLPcalcs
Know your numbers before you start
Use our free calculators to project your weight loss, estimate your monthly cost, and build your nutrition plan before choosing a provider.