Wegovy for Fatty Liver (MASH) Sellers in 2026: Ranked and Reviewed

Wegovy injection is the only GLP-1 approved to treat a fatty liver disease, and the approval covers one form of it: MASH (metabolic dysfunction-associated steatohepatitis) in adults whose liver scarring has reached stage F2 or F3 but not cirrhosis. FDA granted it in August 2025 as an accelerated approval resting on liver biopsy results, and keeping it depends on a confirmatory trial. The Wegovy pill does not carry the indication. Every seller below names the Wegovy pen or injection in its price list. Whether your liver disease fits the label is for a clinician who has staged it.

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By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

67 semaglutide providers compared · independently scored against our six-factor methodology.

Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

Methodology & sources

Each provider here carries a score from our published six-factor rubric[1], and the list is then cut down to the criteria named in the page title.

Published Phase 3 efficacy for semaglutide 2.4 mg (~14.9% mean weight loss over 68 weeks) comes from the STEP 1 trial[2]. The SURMOUNT-5 head-to-head published in 2025 directly compared tirzepatide and semaglutide[3].

Quick Picks

Starting price per provider. Prices in USD per month; checked November 2026.
#ProviderScore
1altRXVisit
2Sesame CareVisit
3RxSpan MDVisit
4ShedRxVisit
5AgelessRxVisit

Wegovy and MASH: the record

From the ESSENCE trial, the Wegovy label and Drugs@FDA, each read on October 30, 2026.

  • 62.9% vs 34.3%

    MASH resolved without worse fibrosis

    ESSENCE looked at its first 800 patients at week 72, all with MASH proven on biopsy and scarring at stage 2 or 3. The inflammation cleared, with scarring no worse, in 62.9% of those on weekly semaglutide 2.4 mg and in 34.3% on placebo.[4]

    What the trial found →
  • 36.8% vs 22.4%

    fibrosis improved

    On semaglutide, 36.8% saw liver fibrosis improve with no worsening of steatohepatitis, against 22.4% on placebo. Average weight change was -10.5% against -2.0%.[4]

  • Aug 15, 2025

    accelerated approval

    FDA added MASH to Wegovy's label on August 15, 2025. Because the decision rests on biopsy results rather than on liver outcomes, the label warns that keeping it may hinge on a follow-up trial confirming real clinical benefit.[5]

    Fatty liver disease and GLP-1s →
  • 2.4 mg

    weekly dose for MASH

    The label's maintenance dose for MASH is 2.4 mg injected once a week, reached through the same four-week steps as for weight. The indication excludes cirrhosis.[6]

    Wegovy label and prices →

Detailed Reviews

1

altRX

Verified partner

Best for: compounded semaglutide from $89/month at the same price at every dose

8.8

Compounded plans open at $89 for semaglutide and $149 for tirzepatide, the same at every dose. Branded medication runs $1,149-$1,579, a figure that already contains the consult and the shipping. Every one of the four FDA-approved brands is stocked, Mounjaro, Ozempic, Wegovy and Zepbound, which no other entry in our directory matches. altRX works in both modalities, holds LegitScript certification, and prints the FDA compounded-medication disclaimer. FDA sent its operator a warning letter in June 2026.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6
Accessibility10%
10
Support10%
7
2

Sesame Care

Verified partner

Best for: oral orforglipron alongside the injectables

8.1

Sesame sells a care subscription, $59 to $99 a month, and nothing in it pays for the drug. Medication is brand-name only and billed at the maker's cash price: Wegovy pill and Foundayo from $149, Zepbound from $299 through LillyDirect, and a $199 Wegovy or Ozempic intro for new self-pay patients. Patients pick an independent provider from a marketplace rather than a house clinic.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
7.5
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
5
3

RxSpan MD

Verified partner

Best for: knowing which pharmacy fills the vial: it names Belmar Pharmacy

7.9

RxSpan MD prices compounded semaglutide and tirzepatide from $249/mo, as injections or oral capsules, and also carries brand-name Wegovy, Zepbound and Ozempic. It is unusually transparent for the category: it names its 503A pharmacy partners, Belmar, Strive, Epiq Scripts and Casa Pharma, and its medical group. Shipping is free and unlimited 24/7 support is included. The physician-led practice was founded by Dr. John Diaz, a board-certified plastic surgeon, and is available in all 50 states.

Score Breakdown

Value25%
3.5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
10
Accessibility10%
10
Support10%
8.5
4

ShedRx

Verified partner

Best for: oral orforglipron alongside the injectables

7.9

ShedRx (Shed) sells compounded semaglutide as weekly injections, liquid drops and lozenges, plus compounded tirzepatide injections, at one price for every dose. It also arranges brand Wegovy, Zepbound and Foundayo for a separate monthly membership. Compounded semaglutide injections and lozenges start at $199 a month; the cheaper 6- and 12-month rates are paid up front.

Score Breakdown

Value25%
5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
8.5
5

AgelessRx

Verified partner

Best for: microdosed compounded GLP-1s from a longevity clinic, or brand Wegovy at manufacturer pricing plus monitoring

7.4

Brand-name Wegovy, compounded tirzepatide and compounded semaglutide are all sold here. AgelessRx is Ann Arbor, Michigan-based, a telehealth platform covering longevity and GLP-1 care, and it presents itself as longevity-first, treating GLP-1s as just one among several metabolic health offerings.

Score Breakdown

Value25%
6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
7
6

Wellorithm

Verified partner

Best for: compounded semaglutide at a flat $247 every 28 days, any dose

7.4

Wellorithm is a Miami GLP-1 telehealth seller that serves all 50 states and D.C. It publishes flat prices for compounded semaglutide and tirzepatide injections, the same at every dose, and also lists brand Wegovy, Ozempic, Zepbound and Mounjaro. Compounded semaglutide costs $147 for the first month, then $247 every 28 days.

Score Breakdown

Value25%
3.4
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
7

Found

Verified partner

Best for: people who want clinician visits billed to commercial insurance, with compounded medication in the plan price

7.3

Found is a weight-care program with board-certified clinicians, coaching and an app. Its compounded plans bundle medication and membership at one price per dose, billed every 4 weeks. Brand-name drugs are billed separately from the membership. Month to month, compounded semaglutide is $289 and tirzepatide $359; the $169 rate on its pricing page requires 12 months paid up front.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
8

MEDGm

Verified partner

Best for: compounded semaglutide with every plan price published and the partner pharmacies named

7.3

MEDGm is a Delaware-registered telehealth platform selling compounded semaglutide and tirzepatide, with OpenLoop Health named as the provider network. Month to month, semaglutide injections are $299, the oral dissolving tablet $369 and tirzepatide $399, after a discounted first month of $179, $249 or $279. Plans of 3, 6 or 12 months billed up front run lower, down to $169 a month for semaglutide. Brand Wegovy, Zepbound and Ozempic are advertised on a membership-plus-drug-cost basis.

Score Breakdown

Value25%
2.2
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
9

Oak

Verified partner

Best for: a choice of compounded injections, oral semaglutide and brand-name GLP-1s from one cash-pay checkout

7.2

Oak is a cash-pay telehealth seller of compounded GLP-1 shots, a compounded oral semaglutide and brand-name GLP-1s. Leaf Longevity Holdings Corp. operates it as Oak Longevity, and NVP Medical Group prescribes. Compounded semaglutide lists at $250 a month and tirzepatide at $300 at the starting dose, before a checkout code. Its own FAQ says each dose step adds about $50 to $75.

Score Breakdown

Value25%
3.1
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
9.7
Support10%
6
Starting from $1500/moRead full review →
Visit Oak →
10

DudeMeds

Verified partner

Best for: compounded semaglutide at $175/month, prepaid as a 3-month kit

6.8

Compounded semaglutide starts at $175 a month and compounded tirzepatide at $233, each sold as a prepaid kit covering two to four months, with free shipping, no doctor fee and no membership fee. DudeMeds is a telehealth platform for men that also sells hair loss, ED and TRT treatments, and it accepts clinic-switch patients who come from an existing GLP-1 and TRT provider.

Score Breakdown

Value25%
6
Effectiveness25%
10
User Experience15%
3
Trust & Safety15%
5
Accessibility10%
9.2
Support10%
7
11

SkinnyRx

Verified partner

Best for: starting below a standard dose, with microdose tiers

6.3

SkinnyRx sells compounded semaglutide and tirzepatide as weekly injections and daily tablets, with a microdose option, plus brand-name Ozempic, Wegovy, Mounjaro and Zepbound. Compounded injections are advertised at $99 for the first month; the rate from month two is not published before intake. Brand pens are listed at $1,400 a month, and the Wegovy and Foundayo pills from $248 a month through its membership. The company received an FDA warning letter in February 2026.

Score Breakdown

Value25%
5.6
Effectiveness25%
10
User Experience15%
3
Trust & Safety15%
2
Accessibility10%
9.5
Support10%
7
12

PreventiveMD

Best for: oral orforglipron alongside the injectables

9.1

PreventiveMD sells compounded semaglutide and tirzepatide at one price per plan length, whatever the dose, with shipping and provider review included. Month to month, semaglutide is $119 and tirzepatide $139; the advertised $83 and $97 are 12-month plans paid up front. Brand Wegovy, Zepbound and Foundayo carry a $49 monthly membership, with the drug bought from the maker. A US-licensed provider reviews each request in writing within 24 to 48 hours, and it names its four compounding pharmacies.

Score Breakdown

Value25%
9.8
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
8.9
Support10%
7
13

Aspire Health

Best for: a published price you can check dose by dose before handing over any health information

9.0

Aspire Health is a Nebraska‑based telehealth practice that publishes dose‑by‑dose prices before any intake. Compounded semaglutide works out to about $103/month at 0.5 mg and $184 at the 2.4 mg maintenance dose; compounded tirzepatide is about $249/month at 5 mg. Brand Wegovy and Zepbound are priced separately. Medication is billed on top of a $49 medical‑care fee charged every 28 days, and the cost of lab work is not included. A named PA/NP team prescribes, and all three dispensing pharmacies are named publicly.

Score Breakdown

Value25%
9.8
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
10
Accessibility10%
6.6
Support10%
7
14

Remedy Well

Best for: people who want low posted prices on compounded or oral tirzepatide, with peptides from the same clinic

9.0

Remedy Well is an online clinic that prescribes compounded semaglutide and tirzepatide, mixed with vitamin B12 or glycine, plus tirzepatide tablets, a microdose plan and $59-a-month access memberships for Zepbound and Wegovy. It also sells sermorelin, NAD+, glutathione and GHK-Cu. Semaglutide is $149 a month and tirzepatide $169, each with a discounted first month, or tirzepatide is $399 for a 3-month bundle.

Score Breakdown

Value25%
9.2
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
9.7
Support10%
7
15

Walgreens Weight Management

Best for: brand-name Wegovy, Zepbound or Foundayo at manufacturer self-pay prices, filled at Walgreens

8.7

Walgreens Weight Management is Walgreens' online GLP-1 clinic for brand-name Wegovy, Zepbound and Foundayo, with each visit $49 and no subscription. Medication is billed separately: with a manufacturer savings card, self-pay starts at $149 a month for the Wegovy pill or Foundayo, and Zepbound pens run $299 to $449. It serves every state except Alabama and Louisiana.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8.5
Accessibility10%
9.7
Support10%
3
16

Astra

Best for: people ready to prepay a year of compounded semaglutide or tirzepatide for one of the lowest monthly rates

8.6

Astra is an online clinic that prescribes compounded semaglutide and tirzepatide, brand-name Wegovy, Ozempic and Zepbound, and sermorelin, NAD+ and glutathione, through a named Florida medical group and named 503A pharmacies. Plans are paid up front and renew automatically: semaglutide is $145 a month or $68 a month on a 12-month plan billed $816 at once, and tirzepatide is $250 a month or $118 a month on the 12-month plan, at any dose.

Score Breakdown

Value25%
7.3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
17

Gentle Health

Best for: people who want dose-tiered compounded GLP-1 prices or brand GLP-1s at maker prices from one named doctor

8.2

Gentle Health is a Little Rock, Arkansas telehealth clinic whose one named physician prescribes compounded semaglutide and tirzepatide, or Wegovy, Zepbound and Foundayo bought from the makers. Compounded care is priced by dose tier, from $135 a month for semaglutide and $169 for tirzepatide, with medication, the doctor and refrigerated shipping included. Brand care is $28 a month plus the maker's price. It names its three pharmacies and serves 40 states and DC.

Score Breakdown

Value25%
6.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
8.4
Support10%
7
18

Pallas Health

Best for: knowing which pharmacy fills the vial: it names Belmar Pharmacy

8.2

Pallas Health, run by Brentmoor, Inc., sells compounded semaglutide at $199 and tirzepatide at $299 every 4 weeks, the same at every dose, after a first month of $139 or $179. Provider care, messaging and shipping are included, and nothing is charged until a clinician prescribes. Brand Wegovy, Ozempic, Zepbound, Mounjaro, the Wegovy pill and Foundayo sell cash-pay. It names Lion MD, two physicians with NPIs and four pharmacies, and serves all 50 states plus DC.

Score Breakdown

Value25%
5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
10
Accessibility10%
10
Support10%
7
19

Effecty

Best for: moving between compounded and brand without changing seller

8.1

Compounded semaglutide costs $170 a month at Effecty, and compounded tirzepatide $235, with $75 off the first month. Longer plans billed up front cut the rate to $130 and $190 on a 12-month plan. Effecty also sells Mounjaro, Zepbound, Wegovy and Ozempic at $1,300 to $1,600 a month. There is no membership fee, every dose costs the same, and the platform ships to all states.

Score Breakdown

Value25%
6.1
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
20

OrderlyMeds

Best for: new GLP-1 users who want a low 2-month starter price and the same rate at every dose

8.1

OrderlyMeds sells compounded semaglutide at $149 a month and compounded tirzepatide at $299, the same price at every dose, with no membership fee. For new customers, the first two months cost half: $149 for two months of semaglutide or $299 for tirzepatide. Brand Wegovy and Zepbound are also sold. Visits are text-based, it serves all 50 states, and it names its five compounding pharmacies.

Score Breakdown

Value25%
7.1
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6
Accessibility10%
10
Support10%
7
21

GOAL.MD

Best for: published compounded GLP-1 prices that hold at every dose, with no automatic refills

8.0

GOAL.MD is a St. Louis telehealth practice run by Jellyfish LLC. Compounded semaglutide costs $179 and tirzepatide $249 month to month, all-inclusive and the same at every dose; the advertised $99 and $159 are 12-month plans paid up front. Brand Ozempic, Wegovy and Zepbound run from $244 a month: the manufacturer's price plus a $95 physician fee. Compounded refills are never charged without your say-so.

Score Breakdown

Value25%
5.8
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
10
Support10%
8.5
22

Tummala Health

Best for: flat-price semaglutide at $159 a month, for buyers comfortable with a final-sale policy

8.0

Tummala Health is a California wellness platform whose weight-loss line includes semaglutide and tirzepatide injections at one price for all doses, plus Wegovy and Foundayo prescriptions on a separate membership. Semaglutide is $159 a month after a $129 first month, and tirzepatide $229 after $179. Every purchase is final sale, and the site names neither its prescribing practice nor its pharmacy.

Score Breakdown

Value25%
6.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
9.7
Support10%
6
23

HuHealth

Best for: people who want posted, plan-by-plan compounded GLP-1 prices or a low care fee for maker-direct brand GLP-1s

7.9

HuHealth is an online clinic that prescribes compounded semaglutide and tirzepatide, NAD+, sermorelin and enclomiphene, and runs a $59 a month care plan for people buying Wegovy or Zepbound directly from the maker. Each treatment page lets you pick the pharmacy and plan length and shows the price before the intake. Semaglutide is $179 for one month or as low as $135 a month on a 12-month plan; tirzepatide is $249, or $199 a month on a 6-month plan.

Score Breakdown

Value25%
7.8
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8
Accessibility10%
5
Support10%
5
24

NovoCare Pharmacy

Best for: an oral route if you will not self-inject

7.9

NovoCare Pharmacy is Novo Nordisk's own direct-to-patient pharmacy for Wegovy and, now, Ozempic. Self-pay Wegovy pills run $149 to $299 a month by dose, and new patients pay $199 for the first two months of a Wegovy or Ozempic pen before the $349 standard price; Wegovy HD is $399 and Ozempic 2 mg $499. It fills prescriptions but does not write them; it links to telehealth prescribers.

Score Breakdown

Value25%
10
Effectiveness25%
9
User Experience15%
5
Trust & Safety15%
6
Accessibility10%
10
Support10%
5
25

Heally

Best for: brand Wegovy or Zepbound with a free doctor visit and no membership fee

7.8

Heally now sells brand GLP-1s only. Starter-dose prices: $149 a month for the Wegovy pill, $199 for Wegovy injections, $299 for Zepbound. Its liraglutide page says compounded semaglutide and tirzepatide are not allowed under any circumstances. Care comes from HLY Medical Group PA after a free 15-minute telehealth visit. There is no membership fee; you pay when you order a refill. The site says higher doses may cost more and publishes no dose ladder.

Score Breakdown

Value25%
6
Effectiveness25%
10
User Experience15%
7.5
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
5

The list above shows who sells Wegovy injection. These pages cover the trial, the condition and how coverage works for a non-weight indication.

Frequently Asked Questions

For one form of it. Since August 15, 2025, Wegovy injection has carried an accelerated approval for adults whose MASH has scarred the liver to stage F2 or F3, short of cirrhosis. Simple fatty liver without inflammation, early fibrosis and cirrhosis are outside the label.
Not according to its label. The MASH indication belongs to Wegovy injection; the tablets are approved for weight and heart risk only. That is why this board lists sellers of the pen or injection.
The indication is for noncirrhotic MASH, and the ESSENCE trial enrolled people with F2 or F3 fibrosis. Cirrhosis was not what it tested, so the label does not cover it. That question belongs with a liver specialist.
Neither label lists a liver indication. Both lower weight, which can reduce liver fat, but only Wegovy injection is approved to treat MASH.
Treating MASH is an approved use rather than weight loss, so a Part D plan may cover it under its own rules. Medicare's temporary GLP-1 Bridge for weight loss excludes people with fatty liver disease for that reason, according to Medicare.gov.
Sources & methodology — as of November 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
  2. 2.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  3. 3.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
  4. 4.ESSENCE Trial: Phase 3 Trial of Semaglutide in Metabolic Dysfunction-Associated Steatohepatitis (Sanyal AJ et al.)— New England Journal of Medicine.PMID: 40305708.
  5. 5.Drugs@FDA: Wegovy (semaglutide), NDA 215256, supplement 24 (new indication) approved August 15, 2025— U.S. Food and Drug Administration.
  6. 6.Wegovy (semaglutide) prescribing information, DailyMed SPL— Novo Nordisk, via the National Library of Medicine (DailyMed).