Compounded GLP-1 medications have become the most popular cash-pay option for weight loss — and the price variation between providers is enormous. Two people taking the same medication at the same dose can pay anywhere from $149 to $399 per month depending on which telehealth platform they choose.
We compared pricing from 9 telehealth providers to find the best value in April 2026. Here's what we found.
Compounded Semaglutide: Provider-by-Provider Pricing
All providers listed below work with licensed 503A or 503B compounding pharmacies and include a medical consultation with a licensed clinician.
| Provider | Starting Price | Price at Maintenance Dose | Details |
|---|---|---|---|
| Yucca Health | $149/mo | $149–249/mo | Check Price → Paid link |
| Care Bare Rx | $169/mo | $169–269/mo | Check Price → Paid link |
| Synergy Rx | $199/mo | $199–299/mo | Check Price → Paid link |
| Sprout Health | $229/mo | $229–329/mo | Check Price → Paid link |
| Strut Health | $249/mo | $249–349/mo | Check Price → Paid link |
Prices shown are for starting doses. Most providers charge more at higher maintenance doses (typically 1.0mg+ for semaglutide). Some providers lock their price regardless of dose — always confirm before enrolling.
Compounded Tirzepatide: Provider-by-Provider Pricing
Compounded tirzepatide is more expensive than semaglutide across the board because the molecule is more complex and expensive to compound. However, tirzepatide's superior weight loss results may offset the higher monthly cost.
| Provider | Starting Price | Price at Maintenance | Details |
|---|---|---|---|
| Yucca Health | $179/mo | $179–299/mo | Check Price → Paid link |
| Synergy Rx | $199/mo | $199–349/mo | Check Price → Paid link |
| Sprout Health | $229/mo | $229–379/mo | Check Price → Paid link |
| Care Bare Rx | $199/mo | $199–329/mo | Check Price → Paid link |
What to Watch: Hidden Fees and Price Tricks
The advertised monthly price isn't always what you'll actually pay. Here are the most common pricing tricks in the compounded GLP-1 market:
1. The Bait-and-Switch Dose Pricing
Some providers advertise their starting dose price ($99 or $129) but charge significantly more as you titrate up. A provider advertising "$129/month semaglutide" might charge $299/month once you reach the 1.0mg maintenance dose. Always ask: "What will I pay at my maintenance dose?"
2. Separate Consultation Fees
Some platforms separate the medication cost from the consultation fee. The medication might be $149/month, but the monthly consultation is an additional $49. Look for "all-inclusive" pricing that bundles everything.
3. Subscription Lock-In
Watch for providers that require 3- or 6-month commitments. If the medication doesn't work for you or you experience side effects, you want the flexibility to cancel. Month-to-month is ideal.
4. Shipping Fees
Cold-chain shipping for injectable medications typically costs $10–15. Most reputable providers include this in their price. If it's listed separately, factor it into your monthly total.
Brand-Name Alternatives Worth Considering
Before committing to compounded, check whether brand-name options are now competitive for your situation:
- Oral Wegovy (pill form): $149/month introductory pricing — matches the cheapest compounded semaglutide with full FDA approval. No injections required.
- LillyDirect Zepbound vials: $299/month for brand-name tirzepatide. Requires drawing from vials (not pre-filled pens), but you get the manufacturer's product.
- Sesame Care: Prescribes FDA-approved brand-name medications starting from $199/month. Check availability → Paid link
Key Takeaways
- Compounded semaglutide ranges from $149–349/month depending on provider and dose
- Compounded tirzepatide ranges from $179–399/month
- Always ask for the maintenance dose price, not just the starting dose price
- Look for all-inclusive pricing that bundles consult + meds + shipping
- Brand-name alternatives (oral Wegovy at $149, LillyDirect at $299) are now competitive
- Month-to-month plans are preferable to subscription lock-ins
Compare All GLP-1 Prices
See today's lowest verified prices from vetted telehealth providers.
Compare Prices →