Best HSA/FSA-Eligible Semaglutide Providers in 2026 — Ranked & Reviewed
Every seller below names a Health Savings Account or Flexible Spending Account somewhere in its published features, either as a card it takes at checkout or as an itemized receipt you submit later. That is the filter, and it is a weak one, because the seller's own wording is all it reads. Whether your particular card clears, and whether your administrator wants paperwork first, is settled between you and the plan.
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62 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].
Under IRS Publication 502, a valid prescription generally makes both compounded and brand-name GLP-1s FSA/HSA eligible[4]. How far state Medicaid goes on anti-obesity medications differs sharply from one state to the next[5][6].
Quick Picks: Top 5
Detailed Reviews
Telos Rx
Verified partnerBest for: starting below a standard dose, with microdose tiers
Read the $49 headline at Telos Rx carefully: it is a first-month intro rate and the standing cost sits above it. Superior Health Solutions LLC operates the platform, which sells GLP-1 weight loss beside longevity, recovery and sexual-health peptides. Compounded semaglutide and tirzepatide come as injections, or as needle-free sublinguals, with a microdosed tirzepatide too. Providers adjust doses, labs are monitored, delivery is free and discreet, FSA/HSA works and canceling is open. Compounded drugs are not FDA-approved. No pharmacy, no state list, no LegitScript.
Score Breakdown
Pallas Health
Verified partnerBest for: knowing which pharmacy fills the vial — it names Belmar Pharmacy
$199 and $299 a month are the averages on the compounded plans, with messaging, check-ins and provider care folded in, no membership charged on the side, and the figure unchanged at every dose. Mounjaro, Zepbound, Ozempic and Wegovy sell under their brand names next to compounded tirzepatide and semaglutide. Brentmoor, Inc. is the operator. Disclosure is unusually thorough here: NPIs you can verify against two named advising physicians, Lion MD as clinical partner, six pharmacy partners named, and all 50 states plus DC covered.
Score Breakdown
HealthRX
Verified partnerBest for: compounded semaglutide at $133/month
Three things are missing from the site: the name of the pharmacy doing the compounding, the roster of states where prescriptions are written, and any medical director. What is there is a LegitScript certificate, number 50087439, and the FDA's compounded-drug disclaimer. Prices hold steady whatever your dose, insurance plays no part, and overnight cold shipping costs nothing extra. A clinician licensed in the US turns around the brief online assessment inside 24 hours; if the answer is yes, a 503A compounder holding a license sends the semaglutide or tirzepatide within 24-48 hours.
Score Breakdown
NextMeds
Best for: semaglutide at $79/month, 59% under the register median
Membership is a single flat monthly charge, and inside it sit free shipping, a registered dietitian holding a license, a care coach working 1:1, telehealth visits and the drug itself where one is prescribed. Insurance is not billed. A free assessment online goes to a licensed provider, who adds a phone or video consult in states that demand one, then prescribes if it fits. Compounding pharmacies within the Next Meds network, all licensed, ship. Auto-renewal does not exist, cancellation is open, and all 50 states can order compounded tirzepatide and semaglutide.
Score Breakdown
Cora Health
Best for: semaglutide at $99/month, 49% under the register median
Cora Health prices each tier flat, so a dose increase brings no surcharge: compounded semaglutide $99-$175/mo, tirzepatide $135-$225/mo. Commit for a year and semaglutide falls to $99/mo. Membership costs nothing, HSA/FSA is accepted, and this direct-to-consumer platform reaches all 50 states. It publishes its 503A pharmacy partners, VialsRx and PCAB-accredited Hallandale Pharmacy, which is unusual for the segment, and holds LegitScript Certification (ID 49690100).
Score Breakdown
Pepti
Best for: bloodwork inside the $99/month rather than billed on top
One flat charge holds regardless of dose: $99 a month for injectable semaglutide, $199 for tirzepatide, each figure covering shipping, refill management, baseline labs, physician review and the drug itself. Registered in Delaware, the platform reaches 36 states with doctor-prescribed compounded peptides and GLP-1s, and its catalog passes 120 products spanning skin, cognitive, recovery, TRT and hormone, and weight-loss categories, bloodwork at home included. Insurance is not billed. Pepti prescribes nothing itself; it is the platform.
Score Breakdown
AskRx
Best for: coverage in all 50 states, which most of the register will not confirm
The subscription buys a physician, not a drug: $99-149/mo, with medication invoiced separately. AskRx never dispenses, compounds or sells anything; it routes the script to a manufacturer pharmacy, NovoCare or LillyDirect, whichever the patient picks. Its board-certified physicians write nothing compounded, only FDA-approved brand-name GLP-1s: Zepbound (tirzepatide), plus the Wegovy pen and pill (semaglutide). LegitScript approval and HIPAA compliance are claimed across all 50 states, and the subscription may qualify for HSA/FSA.
Score Breakdown
Trellis Vitality
Best for: knowing which pharmacy fills the vial — it names VialsRX
$150 a month opens compounded semaglutide and $199 compounded tirzepatide, identical at every dose, with no consult fee or membership stacked on top. Scale weight is not the frame; body composition is, which is why biomarker panels taken at home, a re-test at 90 days, and muscle-sparing choices such as glycine formulations and tesamorelin come with the GLP-1s. Trellis does the coordinating only: VialsRX in Houston dispenses and the Arora Health provider network prescribes.
Score Breakdown
CoraDoc
Best for: semaglutide at $99/month, 48% under the register median
Semaglutide runs $99/mo and tirzepatide $165/mo at CoraDoc, flat, with no subscription and a doctor writing each GLP-1 script. What it brands the 'Triple Free Promise' covers the provider visit, 2-day delivery and supplies, and being turned down triggers a full refund. Payment can go on HSA/FSA cards or through Afterpay, Klarna and Affirm. Reach is all 50 states. Everything dispensed is compounded. A complete legal suite is posted and the site claims LegitScript Certified status, not independently verified here. Neither the compounding pharmacy nor the legal entity is identified.
Score Breakdown
Rivo Health
Best for: an oral route if you will not self-inject
Semaglutide begins around $149/mo, tirzepatide around $199/mo, both compounded GLP-1, available as injections or orally, with 3- and 6-month terms cutting deeper. By its own account Rivo has 115,000+ members and a Trustpilot score of 4.7. What comes attached to the drug is unusual: dietitians, live workouts, support groups, mental-health coaching, and an insurance concierge whose job is squeezing more out of your coverage. FSA/HSA money is eligible. ED, longevity through NAD+ and sermorelin, sleep, hair and skin fill the rest of the catalog. Its partner compounding pharmacies go unnamed.
Score Breakdown
Factor Health MD
Best for: tirzepatide at $149/month, 44% under the register median
GLP-1 therapy opens at $99/mo, and HSA/FSA cards are accepted. Three molecules is more than most carry: compounded semaglutide, compounded tirzepatide and liraglutide, which is rarely offered anywhere. Factor Health MD operates from Florida across several verticals, adding longevity products, vitamin injectables and men's health. The three-drug menu comes with a promise that all doses are included and no escalation applies as the dose climbs.
Score Breakdown
Lttl
Best for: starting below a standard dose, with microdose tiers
Prepay for 12 months and compounded semaglutide drops to $129 with tirzepatide at $199; taken month to month they run $199/mo and $279/mo, one flat rate at any dose. Before checkout the entire price matrix is on view, every commitment length, form and medication in it. Longevity peptides and a microdose line at low dose fill out the direct-to-consumer catalog. The name is said aloud as little.
Score Breakdown
Medsol RX
Best for: coaching inside the $209/month rather than sold separately
Compounded GLP-1 semaglutide opens at $209/mo with Medsol RX, with tirzepatide also stocked. Board-certified clinicians working through OpenLoop write the scripts, and orders go out across the country. What the plan buys beyond the drug is a dedicated care coach, a treatment plan built for you and medical oversight. HSA/FSA money qualifies, Klarna handles financing, and terms run month-to-month or across 3, 6 or 12 months. Microdosing and wellness add-ons are available.
Score Breakdown
Mint Med
Best for: semaglutide at $117/month, 40% under the register median
The price is $159/mo in 36 states, flat across all doses, so patients do not hit the per-tier escalation common as they titrate up; a promo code, 175NOW, cuts the first six weeks to $175. Mint Med is a national compounded-GLP-1 telehealth platform with no membership, selling semaglutide and tirzepatide. Patients can cancel anytime on 48 hours' notice, it is HSA/FSA eligible, and it is LegitScript Certified. Mint Medical Clinic, which is Utah-only, is a different company.
Score Breakdown
EdgeRx
Best for: knowing which pharmacy fills the vial — it names Strive Pharmacy
Nothing can be bought yet. Prices and descriptions for both GLP-1 injections are up, but the protocols sit behind a waitlist and checkout has not opened for any of them. Strive Pharmacy, the sole 503A compounder named, makes the Tirzepatide and Semaglutide shots, each formulated with B12 and glycine to preserve muscle. Sexual health, hair, cognition and recovery form four further outcome categories at EdgeRx Health, LLC. Physician review is priced in, payment is cash, and Truemed carries HSA/FSA.
Score Breakdown
Fifty 410
Best for: semaglutide at $99/month, 50% under the register median
Pricing is public and transparent: compounded semaglutide from 99 dollars a month, a tirzepatide starter at 133 dollars a month, and a high-dose tier above those. There is no membership; billing is pay-as-you-go. Shipping is free and lands in one to two days, after a provider review that takes 24 to 48 hours. Licensed providers prescribe the personalized medication and FDA-registered 503A and 503B pharmacies prepare it. Fifty 410 is cash-pay only and bills no insurance directly, but takes Affirm, Afterpay and FSA/HSA.
Score Breakdown
TRYM Health
Best for: semaglutide at $96/month, 53% under the register median
TRYM quotes its compounded GLP-1 by the day as well as the month: roughly $96/mo for compounded semaglutide, which it puts at $3.20/day, and roughly $126/mo for compounded tirzepatide, at $4.20/day. The vials are multi-dose and additive-free, covering every dose, and arrive with a starter kit under temperature-controlled shipping. FSA/HSA money qualifies and canceling is flexible. Coverage extends to all 50 states. TRYM Health, Inc. operates it. Partner pharmacies compound but are not named, and no LegitScript certification is displayed.
Score Breakdown
Trinity Meds
Best for: compounded semaglutide at $149/month
Trinity Meds charges an all-inclusive flat rate of $149/month for compounded semaglutide and $199/month for tirzepatide, the same price at every dose, with free shipping and no insurance; multi-month plans drop the price further. The program is aimed at military women, spouses and veterans. You take a short online assessment and a CareValidate Health clinician reviews eligibility and prescribes if appropriate. The named entity is Trinity Meds Inc, but it publishes no terms page, names no pharmacies, and lists no states.
Score Breakdown
Curve
Best for: knowing which pharmacy fills the vial — it names VialsRx
Commit longer and pay less: semaglutide spans $99-$175/mo and tirzepatide $135-$225/mo, dose making no difference, and each tier absorbs expedited shipping at no cost, the drug, the prescription and the consultation, with membership charged to nobody. Try Curve LLC leans on providers from Beluga Health, licensed everywhere in the 50 states, and on a 503A compounder in the US, VialsRx. A questionnaire replaces the video visit, reviewed by a provider within 24 hours. HSA/FSA is welcome; insurance isn't accepted. LegitScript-certified.
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Auren Rx
Best for: knowing which pharmacy fills the vial — it names VialsRX
The standing rate is $259 a month on auto-refill for compounded semaglutide and tirzepatide, with a low-dose microdose GLP-1 track at $129, plus NAD+, sermorelin, glutathione, GHK-Cu, tretinoin and oral minoxidil. Auren Rx identifies who provides the care in unusual detail: the physician group Wasef Health PC under Michael Wasef MD, and the Houston compounding pharmacy VialsRX, each listed with an address and phone number. The first online visit costs nothing, and no membership fee is charged until a physician has reviewed you and you decide to proceed. The brand is registered in New York.
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Intimate Rose
Best for: semaglutide at $169/month, 37% under the register median
169 dollars per month is the published floor for oral compounded tirzepatide or semaglutide, taking in delivery at no charge and the drug, with continuing provider support and neither contract nor membership attached; the weight-loss page states this openly. Long established in pelvic and women's health, the brand added this online weight-management program later. Compounding pharmacies and licensed providers in the OpenLoop Health network handle fulfillment and clinical work. Payment is cash only, and FSA and HSA both qualify. FDA approval does not extend to compounded GLP-1s.
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FitFlow
Best for: compounded semaglutide at $175/month
Month to month costs $175/mo for semaglutide and $235/mo for tirzepatide; prepay a year and those fall as low as $99 and $125/mo. FitFlow Health writes the two GLP-1s as 'semaglutide (=Wegovy)' and 'tirzepatide (=Mounjaro)', an equivalence it asserts itself. The platform is 100% online: a 4-step process reaches a board-certified provider, then US-licensed compounding pharmacies fill the order. Nationwide delivery, messaging and dose adjustments are included, FSA/HSA works, financing exists. Compounded drugs hold no FDA approval. No pharmacy, no state list, no LegitScript seal.
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Nova MD
Best for: semaglutide at $125/month, 34% under the register median
Four GLP-1 prices are all posted where anyone can read them. On the 3-month plan compounded semaglutide falls to $125/month and tirzepatide to $199/month, and a first tirzepatide order takes $50 off. Plans come in one-month and three-month lengths. Both molecules have a stated microdose program, which is unusual. Sermorelin, NAD+, glutathione and enclomiphene are also listed.
Score Breakdown
PreventiveMD
Best for: oral orforglipron alongside the injectables
All-in figures start at $83/mo for compounded semaglutide and $97/mo for compounded tirzepatide. Foundayo, Zepbound and Wegovy come as brands under a membership arrangement. Requests reach a US-licensed provider inside 24 hours, and once approved the drug is sent to your door with care continuing through a portal online. Peptide therapy shares the platform with the GLP-1 side, all physician-guided.
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Bodi Envi
Best for: compounded semaglutide at $179/month
Compounded semaglutide is $179/month and tirzepatide $249/month, identical at every dose, with nothing charged for consultations or membership. Ashley and Shaun Padgett, who used to own a Florida clinic, founded the company; it stresses clinician-led care, same-day visits, provider messaging around the clock on a secure channel, titration set per patient, and 2-day shipping at no cost. Also available: micro-dose options, Zofran when nausea hits, and NAD+ injections. VialsRx does the compounding. Licensed in all 50 states, and FSA and HSA both work.
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SurpassMD
Best for: coverage in all 50 states, which most of the register will not confirm
For patients who qualify, the floor is $124/month on semaglutide and $184/month on tirzepatide. Payment is cash only, with Klarna-style financing and HSA/FSA both accepted. Life Vitality LLC runs the site, putting patients in touch with independent providers who hold licenses; the compounded drug then leaves a 503A pharmacy under cold chain. Consent and clinical intake are handled on the telehealth platform belonging to OpenLoop.
Score Breakdown
TOM Weight Loss
Best for: compounded semaglutide at $199/month
TOM Weight Loss is a solo-physician direct-to-consumer telemedicine clinic in Texas and Utah, operating as Texas Obesity Medicine, PLLC. Dr. Tran Le, MD runs it and sees every patient directly; he is ABOM-board-certified in obesity medicine and ABPM-certified in addiction and occupational medicine, NPI 1194212258. Compounded semaglutide is $199/mo flat-rate up to 2.4 mg/week and compounded tirzepatide $249/mo flat-rate up to 15 mg/week. A LegitScript badge is displayed.
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Trava Health
Best for: coverage in all 50 states, which most of the register will not confirm
Trava Health is a Houston-based cash-pay telehealth seller of compounded semaglutide with B12 and compounded tirzepatide with B12, in all 50 states with no membership fee. Its own Terms and Telehealth Consent pages name six 503A compounding pharmacy partners: Postmeds/TruePill, EHT/Curexa, Apostrophe, XeCare, Wells American/Promed, and Optimal Balance/OBP. Clinical care runs through Beluga Health and Bask Health. No LegitScript badge surfaced. Its BBB rating is an F, with 2 unanswered complaints.
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WePeptideRx
Best for: starting below a standard dose, with microdose tiers
An introductory $189 covers month one, with the standard rate beginning at $249/mo. Compounded semaglutide and compounded tirzepatide anchor a long list that also runs through peptides, hormones, hair and sexual wellness. Delivery is the distinguishing part: vials arrive already mixed and ready for injection, so no bacteriostatic water and no sharps container are required, and microdose options are priced flat. WePeptideRx is LegitScript-certified across 48 states.
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FormidableMD
Best for: compounded semaglutide at $169/month
Pay as you go: $199 for the first consultation, $99 for each follow-up, and no membership or commitment behind either. Dose sets the drug cost, semaglutide opening at $169/mo and tirzepatide at $199/mo. Based in Florida and led by physicians on a cash-pay basis, the practice also runs nutrition coaching, labs, urgent care, HRT/TRT and peptides, and sells tirzepatide and semaglutide as orals and in compounded and FDA-approved forms alike. Compounded drugs come out of 503A pharmacies. Visits qualify for FSA/HSA.
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Liberty
Best for: compounded semaglutide at $199/month
A semaglutide injection costs $199/month here, or roughly $171/month on a 3-month supply; the tirzepatide injection is $299/month. Liberty puts that at a saving of up to 85% against brand-name. Both are compounded GLP-1, drawn from 503B outsourcing facilities it describes as FDA-registered, and released after a quiz plus review by a licensed provider. All 50 states are covered, shipping costs nothing, 24/7 support is included, and FSA/HSA cards work. Microdosing, NAD+, sermorelin and metformin fill out the catalog. Which pharmacy partner it uses goes unstated. The company is Liberty Health.
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Options Medical Weight Loss
Best for: compounded semaglutide at $199/month
Options Medical Weight Loss prices compounded semaglutide starting around $239/month and tirzepatide from $299/month, with NAD+ injections at $199/month; programs start at $199/month and are HSA/FSA eligible. GLP-1 is used as one tool inside a broader metabolic-health plan with provider support and accountability. The brand is LegitScript certified and runs in-person clinics alongside its telehealth program.
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StackMD
Best for: coverage in all 50 states, which most of the register will not confirm
Rather than a single starting figure, each strength carries its own: five strengths of semaglutide from $125 to $225 a month, six of tirzepatide from $199 to $449. Membership costs nothing. Out of New York, Medical 360 HC PLLC sells other longevity peptides, sermorelin and NAD+ next to compounded tirzepatide and semaglutide, both carrying glycine and B12, and SamaritanMD, named as its partner, handles the prescribing.
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Signos
Best for: compounded semaglutide at $199/month
Entry price is $199/mo, and that requires the 6-month plan; shipping is free and HSA/FSA cards work. What Signos+ adds to the prescription is hardware: an app plus a continuous glucose monitor cleared by the FDA, sitting alongside clinician-prescribed compounded semaglutide. Glucose readings arrive in real time with coaching attached, the stated aim being that a user grasps and then holds the loss. Its pitch is that this costs no more than the drug alone.
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Tell Her Doc
Best for: starting below a standard dose, with microdose tiers
$269 is the floor, and what you pay past it depends on the plan and the product. Aimed at women and paid out of pocket, the service writes compounded tirzepatide and semaglutide as microdoses, orally dissolving tablets, orals and injections. A private online consultation goes to a licensed provider who prescribes where it fits. Nothing is charged monthly for membership, cancellation is open, buy-now-pay-later exists, and shipping arrives discreetly at no cost. Casa Pharma RX is the named compounder, and all 50 states can order.
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Woodwork
Best for: bloodwork inside the $127/month rather than billed on top
Sign a 48-week plan and compounded semaglutide, whether injected or swallowed as a tablet, starts at $127/month. Tirzepatide begins at $199/month and the microdose sits at $134/month. Consults and membership add nothing on top. Grindr built Woodwork, aiming it at gay and queer men, and pairs its compounded GLP-1 weight line with ED care. The plan absorbs 1-on-1 care coaching, the lab work and the shipping, HSA and FSA money is eligible, and a Grindr Unlimited subscription rides along free.
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Nolu
Best for: an oral route if you will not self-inject
Every 4 weeks is the billing rhythm, not monthly, and dose does not alter the flat charge, which starts at $249 per 4 weeks for semaglutide with shipping, the drug and the consultation folded in. An online medical intake reaches a clinician holding a license, who decides. Nolu LLC sells a tablet of oral semaglutide taken once daily as well as injectable tirzepatide and injectable semaglutide, puts names to four contracted pharmacy partners, and says its present reach is Washington D.C. plus all 50 states.
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ShapeIn Rx
Best for: compounded semaglutide at $199/month
WellHealth LLC runs this Phoenix-based telehealth service, selling compounded semaglutide with B12 and daily compounded liraglutide. Telemedicine is limited to the states where its providers are licensed.
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AZ Health
Best for: seeing what it charges before you answer any medical questions
Flat monthly pricing at AZ Health puts physician-prescribed compounded semaglutide at $179/mo and tirzepatide at $199/mo, insurance not required; NAD+ injections are sold too. FSA/HSA money works, delivery is free and discreet, and canceling is unrestricted. The clinic is Arizona-based and 100% virtual. It states that compounded drugs are not FDA-approved and need a prescription. The whole site is a single page carrying no Terms or Privacy, and the LegitScript certification it claims is self-stated with no way to verify it. AZHM is the shorthand it uses.
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ElitePhysiqMD
Best for: seeing what it charges before you answer any medical questions
Compounded semaglutide is priced from $145/mo, tirzepatide from $315/mo on subscription, for patients in all 50 states. Shipping takes 5-7 business days out of US-licensed 503A/503B compounding pharmacies, and the online assessments are conducted by board-certified physicians. ED treatments, TRT and a peptide therapy menu (glutathione, GHK-Cu, CJC-1295/ipamorelin, sermorelin, NAD+) sit alongside. ElitePhysiqMD was founded in 2025 and is LegitScript certified, HIPAA-compliant and HSA/FSA eligible.
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Harbor
Best for: seeing what it charges before you answer any medical questions
Compounded semaglutide starts at $99/mo and compounded tirzepatide at $149/mo, among the lowest headline prices in the market. Plans cover weekly medication, ongoing provider consultations, refill management and free 48-hour discreet shipping, with 24/7 physician access and dosage adjustments through a secure patient portal, plus dietitian support after the program. Harbor is LegitScript certified and reports a 4.7-star rating from 10,000+ verified members. There is a 12-month money-back guarantee, and it is HSA/FSA eligible.
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June Health
Best for: seeing what it charges before you answer any medical questions
Per-dose figures are published, opening at $179/mo, and the clinician evaluation is folded into them; injectable and oral forms of compounded tirzepatide and semaglutide both appear. Hair-loss, hormone and peptide programs share the storefront, and no one visits an office. May 2026 is when the domain was registered, which makes this very new. There is no pharmacy named, no LegitScript disclosure, and neither the Privacy Policy nor the Terms of Service page works.
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Rejuve Meds
Best for: seeing what it charges before you answer any medical questions
First-month intro pricing starts around $85; after that, doctor-guided compounded semaglutide is $165/mo, and tirzepatide, dual-action and compounded (GLP-1/GIP), costs $265/mo. Shipping is free, HSA/FSA funds are eligible, and no membership fee applies. What the marketing site never names is the state-availability list, the prescribing medical group or the individual pharmacies behind its 'Rejuve Meds Pharmacy Network'. The operating entity is Rejuve, Inc.
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Velvet Rx
Best for: an oral route if you will not self-inject
Three SKUs are listed in the open at velvetrx.com: an oral GLP-1, compounded tirzepatide and compounded semaglutide. The 'today' prices of $139 to $199 are a first-month promotion; regular monthly rates are $299, $359 and $349. Each plan takes in a doctor consult, the written prescription, 4 weeks of drug, shipping free in 1-2 days and a medical team reachable at any hour. Cash is the only tender, and FSA/HSA qualify.
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Optimized Health
Best for: seeing what it charges before you answer any medical questions
Optimized Health posts its prices openly: compounded semaglutide from $200/month and compounded tirzepatide from $250/month, with lab panels included, medication shipped to the door, and receipts issued for HSA/FSA reimbursement. The concierge weight loss and hormone clinic also offers oral options such as phentermine, all clinician-supervised. Telehealth covers Missouri, Iowa, Kansas, Utah and Washington, with in-person care in Joplin, MO. It is LegitScript certified and led by Mathew Hammons, PA-C, who has over a decade in obesity medicine.
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Superpower
Best for: bloodwork inside the monthly price rather than billed on top
A health membership priced at $199 per year, built around 100+ biomarker lab tests taken twice a year rather than around selling GLP-1s. Members judged clinically appropriate can add prescription treatments, compounded semaglutide or brand-name Ozempic among them, through the in-house Marketplace, billed apart from the membership fee. Three fulfillment pharmacies are named: Strive Pharmacy, Belmar Pharmacy and Progress Pharmacy.
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The Virtual NP
Best for: seeing what it charges before you answer any medical questions
Two ways to pay: 99 dollars once, as you go, or 75 dollars per month for a membership carrying prescription access. Either way the drug is billed on its own, at a cost stated upfront. No compounded GLP-1 is sold. What gets written is branded and FDA-approved, made by Eli Lilly and Novo Nordisk: Zepbound (tirzepatide), Wegovy (semaglutide). HSA/FSA funds are taken and the clinic will help with prior authorization. Sandra Jordan, MSN, APRN, FNP-C founded and runs it, booking most patients inside 24 hours, with medication sent home.
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Kina
Best for: seeing what it charges before you answer any medical questions
Menopause is the frame at Kina, and GLP-1 is how weight gets treated inside it, alongside HRT, peptides and other compounded options for symptoms. Compounded semaglutide and tirzepatide begin at $179/month, with a $50 physician consult on top and a $0 membership. Board-certified physicians at Arora Health & Aesthetics prescribe and monitor. LegitScript certification here can be verified, FSA/HSA money qualifies, delivery is free and canceling is open. Compounded drugs are not FDA-approved, and the pharmacy is never named.
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ElixaMD
Best for: seeing what it charges before you answer any medical questions
The $179 first-month figure for compounded semaglutide injections is an intro rate. No membership, no contract and no insurance are involved, and delivery costs nothing. Everything else folds in: a patient portal, 24/7 support, care coaching, dietician visits at no charge and 1:1 physician guidance. HSA/FSA money qualifies. ElixaMD does something rare and names its compounders, RedRock and Beaker, alongside a full legal suite, and it discloses that compounded drugs are not FDA-approved. Semaglutide is the only molecule advertised, and no verifiable LegitScript seal is displayed.
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Eloria
Best for: seeing what it charges before you answer any medical questions
Eloria prices compounded GLP-1 injections from $179/mo and oral dissolving tablets from $249/mo, with no membership or hidden fees; brand Wegovy, pill or injection, runs on a $99 membership plus medication cost. Board-certified providers evaluate patients online and US-licensed pharmacies ship free. The clinician-led platform is operated by Arora Health & Aesthetics, accepts HSA/FSA and offers 24/7 support. Compounded meds are not FDA-approved, the pharmacy is not named, the state list is not published, and no LegitScript is shown.
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LifeRx.md
Best for: coverage in all 50 states, which most of the register will not confirm
The dose can climb without the price moving. A five-week supply of the compounded GLP-1 semaglutide costs about $200 and compounded tirzepatide about $275, flat. Around those sit roughly $30 of shipping on each order, a $49.95 first consult and $25 follow-ups, putting the real monthly figure near $255. State-licensed 503A pharmacies do the filling and a video consult is required to start. LifeRx.md carries LegitScript certification, reaches all 50 states, and takes HSA and FSA.
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Revive Meds
Best for: coverage in all 50 states, which most of the register will not confirm
Month-to-month pricing is $369 for compounded semaglutide and $459 for dual-agonist tirzepatide, each combined with vitamin B12 (cyanocobalamin), with lower effective rates on 3- to 12-month prepay. Orders are pay-per-order: no subscription, no sign-up fees, and every order ships free. Revive Meds (revive-meds.com, Revive Health Therapy) serves all 50 states, is HSA/FSA eligible, and fulfills through named 503A compounding pharmacies. Longevity care sits alongside the GLP-1 line.
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TeleDocs360
Best for: compounded semaglutide at $399/month
Programs on standard dosing open at $399 per month, and buying by the quarter earns preferred rates. TeleDocs360 takes cash only, refusing insurance while accepting HSA/FSA cards, and sells compounded GLP-1 as injectable semaglutide and tirzepatide, oral semaglutide, phentermine and NAD+ therapy. Licensed providers read an online intake and write where appropriate, after which the drug goes to the patient's home each month. No state list appears on the site, and no individual provider credentials either.
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TeleHealth Med
Best for: seeing what it charges before you answer any medical questions
Prices reach down to $147/month, insurance is unnecessary, and HSA/FSA cards are taken. TeleHealth Med, Inc. operates from Georgia, selling compounded semaglutide and compounded tirzepatide as injections and as sublinguals, written by clinicians licensed in the US and filled by 503A pharmacies. LegitScript certifies it. One unusually frank disclosure sits on the site: the testimonials shown are paid for and have not been verified.
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Aspire Health
Best for: bloodwork inside the $205/month rather than billed on top
Medication is billed on top of the membership, with compounded semaglutide beginning at $149 for a 5-week supply. The LoseIt membership itself costs $200 to enroll plus $75/month, buying ongoing support, Slimpossible app access, provider visits every 2-3 months and lab orders with interpretation. Aspire Health is a telehealth practice based in Nebraska. A named PA/NP clinical team writes the prescriptions, for compounded semaglutide and tirzepatide formulated with B6 as well as brand-name Wegovy and Zepbound.
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Gaya Wellness
Best for: bloodwork inside the $349/month rather than billed on top
Gaya Wellness runs three tiers and only the upper two include drugs: $149/mo buys GLP-1 access with no medication attached, $349/mo adds the compounded medication, and $549/mo puts GLP-1 together with HRT. Board-certified physicians write compounded semaglutide or tirzepatide, backed by a lab panel of 50+ biomarkers, weekly asynchronous check-ins and payment that qualifies for HSA/FSA. The practice is virtual and OB/GYN-led, aimed at women 40+. You must be 18-64 with a BMI of 30+, or 27+ carrying a metabolic condition. Licenses cover FL, NC, VA, IN and TN.
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Vita Bella
Best for: a published state list — 46 of 50 — when most of the register publishes none
Member prices are $109/month for compounded semaglutide and $159/month for compounded tirzepatide, but reaching them means a three-month minimum commitment, a one-time $99 consult and a $129/month membership on top. Vita Bella Health, LLC runs the Nevada-based platform, which puts anti-aging care, sexual-wellness, peptides and hormone therapy beside the compounded GLP-1s. Care is fully remote in 46 states and Washington, D.C. The LegitScript certification is genuine. Compounded medications are not FDA-approved.
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Medi-Weightloss
Best for: semaglutide from $199/month
A new-patient visit at Medi-Weightloss runs about $199 and covers a medical assessment, labs and a GLP-1 eligibility review; what medication costs after that depends on the plan. The physician-supervised brand has 130-plus locations nationwide alongside telehealth, and prescribes branded Wegovy and Zepbound, compounded semaglutide and compounded tirzepatide, plus older agents such as phentermine. Programs are evidence-based and include body-composition analysis and personalized plans. Insurance is accepted at many locations, and HSA/FSA funds are welcome.
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FeelGood
Best for: seeing what it charges before you answer any medical questions
FeelGood is a telehealth weight-loss program selling compounded GLP-1 medications as weekly injections and daily dissolvable tablets, plus limited brand-name options. US-licensed providers write the prescriptions and the medication ships to your home.
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Kova
Best for: seeing what it charges before you answer any medical questions
Read the $129 carefully: it applies to the first month and nothing after. What you actually pay is $449 for each 4 weeks on the 1-month plan, or $329 and $299 per 4 weeks if you take the 3- or 6-month one. A Delaware company, LifeTech Apps Inc, is behind it, and an app rides along tracking side effects, protein intake and weight. Delivery, the compounded GLP-1 and clinician review all sit inside the one plan price.
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Genesis Health
Best for: coaching bundled into the price rather than sold separately
Take the annual route and semaglutide falls to $99/mo with tirzepatide at $125/mo; paying monthly instead means $175/mo and $235/mo. Compounded injections of both sit beside Zepbound, Ozempic and Wegovy under brand names. Shipping is expedited at no cost, and access to an active community, health coaching, dosing set for the individual and a physician consultation costing nothing come with every plan. US compounding pharmacies that have been audited supply the drug. LegitScript certifies the platform, and FSA/HSA funds apply.
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Lighter You
Best for: coaching bundled into the price rather than sold separately
Plans open at $169 a month, and a $99 entry offer, described as limited-time, folds in shipping and the first consultation at no charge. Beyond the clinician-guided GLP-1 treatment, the membership buys care coaching, dietician visits, and a dashboard tracking recipes, workouts and weight trends. The pharmacy that fills prescriptions is never named. OpenLoop Health owns the telehealth consent and clinical side; Lighter You, LLC holds the brand, which also sells microdosing protocols, peptides, and programs for men's and women's health.
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Frequently Asked Questions
Sources & methodology — as of August 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 (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
- 4.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.