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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67 semaglutide providers compared · independently scored against our six-factor methodology.
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
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
altRX
Verified partnerBest for: compounded semaglutide from $89/month at the same price at every dose
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
Sesame Care
Verified partnerBest for: oral orforglipron alongside the injectables
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
RxSpan MD
Verified partnerBest for: knowing which pharmacy fills the vial: it names Belmar Pharmacy
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
ShedRx
Verified partnerBest for: oral orforglipron alongside the injectables
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
AgelessRx
Verified partnerBest for: microdosed compounded GLP-1s from a longevity clinic, or brand Wegovy at manufacturer pricing plus monitoring
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
Wellorithm
Verified partnerBest for: compounded semaglutide at a flat $247 every 28 days, any dose
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
Found
Verified partnerBest for: people who want clinician visits billed to commercial insurance, with compounded medication in the plan price
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
MEDGm
Verified partnerBest for: compounded semaglutide with every plan price published and the partner pharmacies named
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
Oak
Verified partnerBest for: a choice of compounded injections, oral semaglutide and brand-name GLP-1s from one cash-pay checkout
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
DudeMeds
Verified partnerBest for: compounded semaglutide at $175/month, prepaid as a 3-month kit
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
SkinnyRx
Verified partnerBest for: starting below a standard dose, with microdose tiers
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
PreventiveMD
Best for: oral orforglipron alongside the injectables
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
Aspire Health
Best for: a published price you can check dose by dose before handing over any health information
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
Remedy Well
Best for: people who want low posted prices on compounded or oral tirzepatide, with peptides from the same clinic
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
Walgreens Weight Management
Best for: brand-name Wegovy, Zepbound or Foundayo at manufacturer self-pay prices, filled at Walgreens
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
Astra
Best for: people ready to prepay a year of compounded semaglutide or tirzepatide for one of the lowest monthly rates
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
Gentle Health
Best for: people who want dose-tiered compounded GLP-1 prices or brand GLP-1s at maker prices from one named doctor
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
Pallas Health
Best for: knowing which pharmacy fills the vial: it names Belmar Pharmacy
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
Effecty
Best for: moving between compounded and brand without changing seller
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
OrderlyMeds
Best for: new GLP-1 users who want a low 2-month starter price and the same rate at every dose
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
GOAL.MD
Best for: published compounded GLP-1 prices that hold at every dose, with no automatic refills
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
Tummala Health
Best for: flat-price semaglutide at $159 a month, for buyers comfortable with a final-sale policy
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
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
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
NovoCare Pharmacy
Best for: an oral route if you will not self-inject
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
Heally
Best for: brand Wegovy or Zepbound with a free doctor visit and no membership fee
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
42 more sellers we track for this
Ranked below the 25 above on the same rubric. Each links to its full review with current pricing.
- Phoenix NP
- Tomorrow
- Vital Edge
- GobyMeds
- MEDVi
- RxION Health
- WePeptideRx
- HeliMeds
- Knownwell
- Synergy Rx
- ElixaMD
- Ro
- Heva Health
- Maximus
- Corsica Health
- Imbue Health
- Measured
- Mochi Health
- Alloy
- Amazon One Medical
- Healthspan
- Kin Meds
- WeightWatchers Clinic
- Elara Women's Wellness
- Good Girl Rx
- Immortals
- Layla
- BiltRx
- Hims
- Eve
- Trimrose
- The Virtual NP
- AlyveRx
- Intermountain Health On-Demand Weight Loss
- médetone
- Josie
- AskRx
- LifeMD
- Concierge MD LA
- ZipHealth
- myRocky
- WeightWatchers
Related research
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
Sources & methodology — as of November 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 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.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
- 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.Drugs@FDA: Wegovy (semaglutide), NDA 215256, supplement 24 (new indication) approved August 15, 2025— U.S. Food and Drug Administration.
- 6.Wegovy (semaglutide) prescribing information, DailyMed SPL— Novo Nordisk, via the National Library of Medicine (DailyMed).