Microdose Semaglutide Sellers in 2026: Ranked and Reviewed

No label defines a semaglutide microdose. Wegovy starts at 0.25 mg a week for four weeks and steps up every four weeks to a maintenance dose. Every seller below publishes a price for a plan it calls a microdose, which in practice is a compounded dose at or below that starting step, set by the seller's prescriber. We found no randomized trial of semaglutide below the labeled range, so the board shows what these plans cost, not evidence that they work.

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

65 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
1LttlVisit
2bmiMDVisit
3Luvo HealthVisit
4AgelessRxVisit
5StackLabVisit

Microdosing semaglutide: what is known

From the Wegovy label, FDA's dosing-error alert and our own literature search, each read on October 30, 2026.

  • 0.25 mg

    Wegovy's starting dose

    The Wegovy injection label starts at 0.25 mg once a week for four weeks, then titrates every four weeks to a maintenance dose chosen for response and tolerability. A microdose plan holds at or below the first step.[4]

    What sellers call a microdose →
  • No trials

    of dosing below the label

    Searching PubMed for microdosing, low-dose and subtherapeutic semaglutide and tirzepatide found letters and commentary among clinicians, and no randomized trial of doses below the labeled range.

    What the literature contains →
  • Dosing errors

    FDA reports on compounded vials

    FDA has reported adverse events, some needing hospital care, from dosing errors with compounded semaglutide vials. Patients new to injecting, and confusion between milliliters, milligrams and syringe units, were among the causes it named.[5]

Detailed Reviews

1

Lttl

Verified partner

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

9.0

Lttl sells compounded semaglutide at $99 a month and tirzepatide at $149 a month on its month-to-month plan, one flat price at any dose. Prepaying for 12 months lowers those to $89 and $139. Every price and commitment length is on a public plans page before checkout. A microdose line at $149 a month and longevity peptides fill out the catalog.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
2

bmiMD

Verified partner

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

8.2

bmiMD is a New York telehealth platform selling compounded semaglutide and tirzepatide, including microdose plans, in all 50 states. Dose does not change the price; plan length does. Month-to-month semaglutide costs $129; the $99 rate requires paying $1,188 for a 12-month plan up front.

Score Breakdown

Value25%
6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8.5
Accessibility10%
10
Support10%
7
3

Luvo Health

Verified partner

Best for: moving between compounded and brand without changing seller

7.9

Compounded and brand GLP-1s from Luvo Health, Inc., sold beside a microdosing program and longevity peptides; skincare, HRT and testosterone are listed as coming soon. Billing is in 4-week blocks. Compounded semaglutide injections cost $209 per 4 weeks after a half-price first cycle, and microdose plans cost $179.

Score Breakdown

Value25%
5.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
4

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
5

StackLab

Best for: budget shoppers who want compounded semaglutide or tirzepatide from named pharmacies, month to month

9.3

StackLab is a telehealth platform for compounded semaglutide and tirzepatide, including lower-dose microdose plans, prescribed by clinicians from OpenLoop Health's affiliated medical groups and filled by three named compounding pharmacies. Month to month, semaglutide is $119 and tirzepatide $159, charged every 28 days at every dose; its lowest advertised rates need a 12-month plan paid up front. You pay at checkout before a clinician reviews you and get a full refund if not prescribed.

Score Breakdown

Value25%
8.8
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
10
6

Rewinding RX

Best for: compounded semaglutide at one $139 monthly price for any dose, with microdose and drop options

8.8

Rewinding RX is a longevity telehealth platform that sells compounded GLP-1s at one monthly price for any dose: $139 for semaglutide and $189 for tirzepatide. Microdose plans run $119 and $169, sublingual drops $139 and $169, and tirzepatide with NAD+ $199. It says it serves all 50 states and that only MDs review cases, though its FAQ says the network also includes nurse practitioners. The pharmacies are not named.

Score Breakdown

Value25%
8.4
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8.5
Accessibility10%
10
Support10%
7
7

Alinwell

Best for: women who want a from-price published up front and pay nothing if not approved

8.7

Alinwell LLC is a telehealth platform selling compounded GLP-1s and marketing itself specifically to women. Semaglutide starts at $139/mo, tirzepatide at $166/mo and a lower-dose GLP-1 microdose program at $149/mo, all published as from-prices on the homepage. It also sells NAD+ and sermorelin outside the GLP-1 line. The site advertises flat-rate pricing with no hidden fees and charges nothing if a provider does not approve you. Neither its compounding pharmacy nor its medical group is named anywhere in the Terms.

Score Breakdown

Value25%
8.5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
8

Alternate Health Club

Best for: flat-rate compounded GLP-1 shots, ordered by intake form alone

8.6

Alternate Health Club charges $129/month for compounded semaglutide and $169/month for compounded tirzepatide, the same at every dose, and is LegitScript-verified. Microdose plans of either drug cost $99 a month. Alternate Health Club, LLC, a New York company, uses independently contracted U.S.-licensed clinicians who review an intake form; no video visit is required. Complimentary workout and dietary plans are included, and there is no membership fee.

Score Breakdown

Value25%
8.4
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
9

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
10

Auren Rx

Best for: knowing which pharmacy fills the vial: it names VialsRX

8.5

Auren Rx sells compounded semaglutide at $149 a month on auto-refill ($179 without commitment) and tirzepatide at $229 ($259), with microdose versions at $129 and $199, and also sells NAD+, sermorelin and skin and hair treatments. It names its physician group, Wasef Health PC under Michael Wasef MD, and its Houston pharmacy, VialsRX, and gives contact details for both. You pay nothing until a physician approves treatment and you choose to go ahead.

Score Breakdown

Value25%
7.1
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
11

NiceRx

Best for: flat-priced compounded GLP-1s and microdose plans, priced plan by plan before any intake

8.4

NiceRx LLC, of Boca Raton, Florida, sells compounded semaglutide at $149 and tirzepatide at $249 every 4 weeks, the same at every dose, with prepaid plans down to $89.58 and $145.75 a month on a 48-week term. Microdose plans start at $66.58 a month prepaid. Evaluation, medication and delivery are included with no membership fee, in every state except Alaska, Mississippi, New Jersey and Kansas.

Score Breakdown

Value25%
7.1
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8.5
Accessibility10%
9.4
Support10%
7
12

Found Youth

Best for: people who want microdose, sublingual or standard compounded GLP-1 plans priced in full up front

8.3

Found Youth is a physician-founded online apothecary offering compounded semaglutide and tirzepatide in weekly shots, low-dose microdose plans and sublingual drops, alongside peptides and skin care. It names its medical group and pharmacy and lists 50 states. Month to month, semaglutide shots are $199 and tirzepatide $279; microdose plans start at $149.

Score Breakdown

Value25%
6.2
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
13

Enhanced

Best for: people who want compounded GLP-1s and peptides like BPC-157 from one program and can prepay for a lower rate

8.2

Enhanced is the consumer health line of Enhanced Group, the publicly traded company behind the Enhanced Games sports competition. Independent clinicians prescribe compounded semaglutide and tirzepatide through it, plus microdose plans from $59 a month on a 12-month plan, testosterone and peptides including BPC-157, TB-500, MOTS-c, KPV, epitalon and semax. Semaglutide costs $129 a month, or $89 a month on a 12-month plan paid up front; tirzepatide costs $169, or $129 on the same terms.

Score Breakdown

Value25%
8.4
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8
Accessibility10%
5
Support10%
7
14

Idun Rx

Best for: people who want posted plan prices for compounded or microdosed GLP-1s with a wellness coach

8.2

Idun Rx is an online clinic that sells compounded semaglutide and tirzepatide, lower-dose microdose versions of both, and longevity treatments such as sermorelin, NAD+ and glutathione, with wellness coaching. Prescribing is done by the White Label MD network. Semaglutide is $199 for one month or $139 a month on a 12-month plan; tirzepatide is $289, or $219 a month on 12 months.

Score Breakdown

Value25%
7.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8
Accessibility10%
5
Support10%
8.5
15

Bayan Health

Best for: a priced catalog across microdose, standard-dose and tablet GLP-1 routes

8.1

Bayan Health publishes a shop-style catalog rather than a plan card: microdose semaglutide and tirzepatide with B6 at $99 and $119, standard doses at $129 and $149, and compounded orforglipron tablets at $269 a month. It says the monthly price includes the physician consultation and shipping and does not rise with the dose. It names neither its 503A and 503B pharmacy partners nor an operating entity.

Score Breakdown

Value25%
9.3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
5.5
Accessibility10%
5
Support10%
7
16

Harmon Health

Best for: people who want posted prices for compounded GLP-1 shots, tablets or starter doses, or the Wegovy pill

8.1

Harmon Health is a new online clinic run by Harmon DTC Inc., formed in January 2026, which licenses the Harmon name from its parent company, owner of the former Harmon health and beauty store chain. It prescribes compounded semaglutide and tirzepatide as weekly shots, low-dose starter plans and dissolving tablets, plus the Wegovy pill, sermorelin, NAD+ and glutathione. Shots are $149 a month for semaglutide and $225 for tirzepatide at every dose, with a Black Friday first month of $99. Tablets start at $52 a month.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
4.5
17

Stone Health

Best for: people who want posted 4-week prices for compounded GLP-1s, including oral and microdose options

8.1

Stone Health is an online clinic that prescribes compounded semaglutide and tirzepatide, low-dose GLP-1 blends with NAD+, B12 or L-carnitine, menopause care, NAD+ and sermorelin. It names four partner pharmacies, and one price covers medication, clinician care and shipping at every dose. Plans are billed every 4 weeks: semaglutide $209, tirzepatide $249, oral semaglutide $259 and the microdose blends $179.

Score Breakdown

Value25%
5.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
18

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
19

KERNX Health

Best for: a rate that does not climb with the dose: $209 a month for semaglutide at every rung

8.0

KERNX Health sells compounded semaglutide and tirzepatide on flat monthly plans out of Washington, DC: $209 for semaglutide injections, $279 for semaglutide tablets and $299 for tirzepatide, the same at every dose, with the provider visits, health coaching and month-two lab work inside the price. A 12-month plan paid up front cuts semaglutide to $139 per four weeks. It does not name the pharmacy that fills the vial.

Score Breakdown

Value25%
4.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
10
20

IonicMD

Best for: people who want posted prices for compounded GLP-1 injections, a daily tablet or a microdose program

7.9

IonicMD is an online clinic that prescribes compounded semaglutide and tirzepatide as weekly injections, plus a daily semaglutide tablet, low-dose microdose programs, NAD+ and sermorelin. Care comes from clinicians affiliated with a national telehealth medical group, and the terms name four partner pharmacies. Month-to-month plans are $249 for semaglutide and $279 for tirzepatide, billed every 4 weeks; longer plans and the microdose programs start at $179.

Score Breakdown

Value25%
4.7
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
21

Welm Health

Best for: people who want posted compounded GLP-1 prices, including a microdose option, from a named provider network

7.9

Welm Health is a longevity-focused telehealth brand that sells compounded semaglutide and tirzepatide, plus NAD+ and sermorelin, with prescribing by independent providers in the MD Integrations network. Each drug has a Micro Dose and an Active Weight Loss program: semaglutide is $149 or $199 a month and tirzepatide $199 or $299, less on 3-month billing. You pay at checkout before a provider reviews your intake, with a full refund if you are not approved.

Score Breakdown

Value25%
5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
10
Accessibility10%
7.8
Support10%
7
22

NexLife

Best for: compounded semaglutide at one price per dose, with named pharmacies and coaching included

7.8

NexLife is a LegitScript-certified telehealth platform selling compounded semaglutide at $139 a month and tirzepatide at $169, the same at every dose, with no membership. Longer plans cut the rate to $119 and $139 on 12 months. It also sells microdose and under-the-tongue tablet versions of both. NexLife Medical Group prescribes, and Absolute Pharmacy, Premium Compounding and Boudreaux's New Drug Store fill.

Score Breakdown

Value25%
8.4
Effectiveness25%
10
User Experience15%
7.5
Trust & Safety15%
5
Accessibility10%
5
Support10%
8.5
23

Vitakey

Best for: buyers comfortable paying for three months of compounded semaglutide at once to get the lowest rate

7.8

Vitakey, operated by Peptivo LLC under Texas law, offers compounded semaglutide and tirzepatide only in 3-month supplies paid at once, plus NAD+ and peptides. Its homepage prices semaglutide from $279 per 3 months (about $93 a month) and tirzepatide from $515; its own treatments page lists different figures for the same programs. The pharmacy is not named.

Score Breakdown

Value25%
7.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
7
24

XMD Wellness

Best for: people who want flat compounded GLP-1 pricing with labs and visits included and a prepay discount

7.8

XMD Wellness is the telehealth arm of Xyngular, a Utah direct-selling supplement company, with care from OpenLoop clinicians in all 50 states. It sells compounded semaglutide and tirzepatide at one price for every dose, plus microdosing, NAD+, sermorelin and glutathione. Semaglutide is $249 and tirzepatide $339 every 4 weeks, or from $179 and $269 per shipment on a 48-week plan paid up front, with medication, visits, labs and shipping included.

Score Breakdown

Value25%
3.4
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
8.5
25

Fierce Health

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

7.7

Fierce Health sells compounded semaglutide at $199 a month and compounded tirzepatide at $299, with microdose programs at $179 and $199. All four are marked down from $297, $497, $197 and $297, and 3- and 6-month plans are paid in full up front. Red Rock Pharmacy in Utah fills prescriptions. The terms list 30 states served, while product pages say all 50. The store also sells ivermectin and methylene blue.

Score Breakdown

Value25%
5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
6.8
Support10%
7

The list above shows what microdose plans cost. These pages cover what the word means on each seller's page and what the research does and does not contain.

Frequently Asked Questions

There is no defined one. Wegovy's label starts at 0.25 mg a week and steps up every four weeks. Sellers use "microdose" for a compounded plan at or below that starting dose, often kept there instead of stepped up, with the exact amount set by their prescriber.
It has not been tested. We found no randomized trial of dosing below the labeled range, only letters and commentary among clinicians about how to respond to patients who ask for it. A lower dose may still help some people. Nobody can tell you how much to expect.
Sometimes. Many sellers price a microdose plan below their standard plan, but some bill the same amount at every strength, which makes a microdose no cheaper. The table above shows each seller's microdose price with the date we checked it.
Side effects such as nausea do tend to rise with dose, which is the main argument for starting low. But a microdose is still a compounded product measured out of a vial, and FDA has reported dosing errors with compounded semaglutide, some leading to hospital care, when patients confused milliliters, milligrams and syringe units. Ask the seller exactly how your dose is measured.
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.Wegovy (semaglutide) prescribing information, DailyMed SPL— Novo Nordisk, via the National Library of Medicine (DailyMed).
  5. 5.FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products— U.S. Food and Drug Administration.