Brand-name Wegovy costs roughly $1,350/month without insurance. Compounded alternatives start under $150. But prices vary wildly between providers — and the cheapest option isn't always the best value. This guide breaks down every major telehealth provider's pricing so you can compare with confidence.
Disclosure: Some links on this page are affiliate links, meaning we may earn a commission if you start a program. This doesn't affect our rankings or analysis. All prices were independently verified as of May 2026.
What "Compounded" Actually Means for Your Wallet
Compounded GLP-1 medications are custom-prepared versions of semaglutide or tirzepatide made by licensed pharmacies. They contain the same active ingredient as brand-name drugs but aren't manufactured by Novo Nordisk or Eli Lilly. This is why they cost a fraction of the price.
There are two types of compounding pharmacies, and the distinction matters for safety:
- 503B outsourcing facilities — registered with the FDA, subject to regular inspections, operate under current good manufacturing practices (cGMP). These are the gold standard.
- 503A pharmacies — state-regulated, compound individual prescriptions. Quality varies more widely. Look for PCAB accreditation as a trust signal.
On April 30, 2026, the FDA proposed excluding semaglutide, tirzepatide, and liraglutide from the compounding exemption list. A 60-day public comment period runs through June 29, 2026. If finalized, compounded versions of these drugs could face restrictions. Prices and availability may shift.
2026 Compounded Semaglutide Pricing
Here's what you'll pay for compounded semaglutide (injectable) across major telehealth providers. Prices reflect the monthly cost for standard dosing.
| Provider | Starting Price | Refill Price | Includes | Tier |
|---|---|---|---|---|
| Yucca Health | $146/mo | $146/mo | Sema, consults, shipping | Budget |
| Embody | $149/mo | $299/mo | Sema, provider access | Budget Start |
| Gala | $179/mo | $179/mo | Sema, all-inclusive flat rate | Value |
| Care Bare Rx | ~$199/mo | ~$199/mo | Sema, provider consults | Mid-Range |
| Eden | $239/mo | $239/mo | Sema, coaching | Mid-Range |
| Sprout Health | Varies | Varies | Sema, consults | Mid-Range |
| SHED | ~$297/mo | ~$399/mo | Sema, dose-dependent pricing | Premium |
Prices verified May 2026. All compounded medications are not FDA-approved.
Lowest Starting Price: Yucca Health
Best Flat-Rate Value: Gala
Lowest First Month: Embody
Compounded Tirzepatide Pricing
Tirzepatide (the active ingredient in Mounjaro/Zepbound) is a dual GIP/GLP-1 agonist. Clinical trials show higher average weight loss than semaglutide — the SURMOUNT-5 trial demonstrated 20.2% weight loss with tirzepatide vs. 13.7% with semaglutide at 72 weeks. It typically costs more.
| Provider | Tirz Price | Notes |
|---|---|---|
| Yucca Health | $258/mo | 6-month plan, all-inclusive |
| Several providers | $300–450/mo | Varies by dose level and plan |
Brand-Name Options
If you want FDA-approved brand-name medications with insurance or savings programs, a few telehealth providers specialize in this route.
What's Included (and What's Not)
Monthly pricing can be misleading if you don't know what's bundled in. Here's what to confirm before signing up:
- Medical consultation — most providers include the initial evaluation. Some charge separately for follow-ups.
- Medication — always included, but dose-dependent pricing means your cost may increase as you titrate up.
- Shipping — usually free with cold-chain packaging. Watch for expedited shipping surcharges.
- Supplies — syringes, alcohol swabs, sharps containers. Some providers include them, others don't.
- Ongoing monitoring — lab work, check-ins, dosage adjustments. Premium providers include more of this.
The Dose Escalation Trap
The most common pricing surprise: your cost goes up as your dose goes up. Semaglutide treatment typically follows a dose escalation schedule — starting at 0.25mg and increasing to 1.0mg or 2.4mg over several months. Some providers price by dose tier, meaning your $149 first month could become $399 by month six.
Always ask: "What will I pay at the highest dose?" Flat-rate providers like Gala ($179/mo regardless of dose) protect you from this escalation. Dose-dependent pricing can double your cost.
How to Choose: Price vs. Value
The cheapest provider isn't always the best deal. Here's a framework for evaluating total value:
- Calculate 12-month total cost — including dose escalation, not just month one.
- Verify pharmacy type — 503B facilities are more tightly regulated than 503A.
- Check LegitScript certification — an independent verification of pharmacy legitimacy.
- Read cancellation terms — some require 30-day notice; others let you pause anytime.
- Confirm supply reliability — shipping delays mean gaps in treatment, which can trigger side effects when restarting.
- Compounded semaglutide ranges from $146–$399+/month depending on provider, dose, and plan length
- Tirzepatide costs roughly 50–100% more than semaglutide at most providers
- Flat-rate pricing (like Gala's $179/mo) eliminates dose escalation surprises
- Always calculate 12-month total cost — not just the introductory price
- The FDA's April 2026 compounding proposal could change the market — monitor developments
- 503B outsourcing facilities offer the strongest safety oversight for compounded meds
This guide is updated monthly. Prices are verified directly with provider websites and may change without notice. All compounded medications are not FDA-approved. Consult a healthcare provider before starting any medication.