GLP Watchdog

Best Tesamorelin Providers in 2026: Ranked and Reviewed

Full FDA approval belongs to exactly one growth-hormone-releasing-hormone analog: tesamorelin, sold under the brand name Egrifta, with phase 3 trial data behind it for reducing visceral abdominal fat in HIV-associated lipodystrophy. It is compounded and prescribed off-label as well, more broadly, for body composition and GH support. A prescription is required. Every provider below prescribes through a licensed clinician, and every one carries a score on our six standard dimensions.

Lowest verified price: $166/mo28 providers compared

New to Tesamorelin? Read our full Tesamorelin guide — evidence, dosing, safety and side effects.

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

28 tesamorelin providers compared · independently scored against our six-factor methodology.

Quick Picks

Starting price per provider. Prices in USD per month; checked October 2026.
#ProviderScore
1Trellis VitalityVisit
2Live VitalVisit
3Believe HealthVisit
4Rehydra+ WellnessVisit
5PeptiVisit

Compare the top providers at a glance

Every row carries a logo, our editorial rating, price, the medications prescribed, and where the seller ships. Scan down a column and the list shortens fast.

  • ★ Editor's Pick
    Trellis Vitality

    knowing which pharmacy fills the vial: it names VialsRX

    From /mo
    $299
    Coverage
    47 states
    Medications
    GlutathioneNAD+Tesamorelin
    Visit →
  • Best Budget
    Live Vital

    physician-led compounded GLP-1s with a broad peptide menu

    From /mo
    $166
    Coverage
    50 states
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinKPVMOTS-cNAD+TB-500Tesamorelin
    Visit →
  • Believe Health

    buyers who want compounded GLP-1 and growth-hormone peptides from one catalog

    From /mo
    Check pricing
    Coverage
    Check intake
    Medications
    NAD+PT-141SermorelinTesamorelin
    Visit →
Show 5 more
  • Rehydra+ Wellness

    seeing what it charges before you answer any medical questions

    From /mo
    $399
    Coverage
    Check intake
    Medications
    BPC-157GHK-CuKPVMOTS-cNAD+SermorelinTesamorelin
    Visit →
  • Nationwide Coverage
    Pepti

    seeing the price at every dose before you start

    From /mo
    Check pricing
    Coverage
    50 states
    Medications
    BPC-157EpitalonGHK-CuGlutathioneGonadorelinKPVMOTS-cNAD+PT-141SemaxSermorelinTB-500Tesamorelin
    Visit →
  • GoalBMI Wellness

    New York area patients who want compounded or brand GLP-1s from a bariatric surgery practice

    From /mo
    $200
    Coverage
    Check intake
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuIpamorelinKPVMOTS-cSermorelinTB-500Tesamorelin
    Visit →
  • Nuform Health

    buying a compounded GLP-1 in prepaid multi-month kits with one annual physician fee instead of a membership

    From /mo
    Check pricing
    Coverage
    49 states
    Medications
    GlutathioneNAD+SermorelinTesamorelin
    Visit →
  • Best Care Team
    Metabolyz

    compounded GLP-1 with nutrition and lifestyle coaching bundled into one monthly price

    From /mo
    Check pricing
    Coverage
    50 states
    Medications
    NAD+Tesamorelin
    Visit →
All 28 providers on this board, in the order this board shows them

The comparison above shows the first 8. This is the full list the filter counts refer to, in the order this board shows them; each name opens that provider’s review.

6weighted dimensions
28tesamorelin providers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →

Detailed Reviews

About the prices below: every dollar figure inside these provider summaries belongs to that clinic’s GLP‑1 weight-loss program. None is a Tesamorelin price. For Tesamorelin itself, read the figure next to each clinic in the comparison table above, taken from the clinic’s own product page. A reading of “Check pricing” means the clinic does prescribe Tesamorelin and publishes nothing for it, so you are quoted after your consultation.

1

Trellis Vitality

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

8.5

$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

Value25%
7.2
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
9.5
Support10%
7

Pros

  • ✓Semaglutide costs $150 a month, 25% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $199 a month, 26% below the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price stays the same as your dose goes up
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓Serves 47 states
  • ✓Names VialsRX as the pharmacy that fills its prescriptions, which most sellers do not
  • ✓We found no FDA warning letters issued to Trellis Vitality

Cons

  • ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Starting from $299/moRead full review →
Visit Trellis Vitality →
2

Live Vital

Verified partner

Best for: physician-led compounded GLP-1s with a broad peptide menu

8.2

Live Vital is a Utah telehealth practice led by Dr. Patrick Taylor, MD, prescribing compounded semaglutide and tirzepatide next to a long peptide menu. The GLP-1s are sold as 10-week protocols paid upfront: $299 for semaglutide and $549 for tirzepatide, about $130 and $239 a month. The site advertises $99 and $183 a month instead. It serves all 50 states.

Score Breakdown

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

Pros

  • ✓Semaglutide costs $130 a month, 35% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $239 a month, 11% below the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓Serves all 50 states
  • ✓We found no FDA warning letters issued to Live Vital

Cons

  • ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
  • ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Starting from $166/moRead full review →
Visit Live Vital →
3

Believe Health

Best for: buyers who want compounded GLP-1 and growth-hormone peptides from one catalog

8.2
Score breakdown, pros and cons

Believe Health LLC sells compounded semaglutide from $129 a month and compounded tirzepatide from $149, plus a GLP-1 microdose and a daily oral GLP-1 at $149, beside a peptide line (tesamorelin, sermorelin, NAD+ and PT-141). The prices sit on its /peptides catalog page, not on the homepage or the treatment pages. Its pharmacy and medical group go unnamed.

Score Breakdown

Value25%
9.3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
7

Pros

  • ✓Semaglutide costs $129 a month, 35% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $149 a month, 45% below the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price stays the same as your dose goes up
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓We found no FDA warning letters issued to Believe Health

Cons

  • ✗Confirm it serves your state before you start the intake
  • ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
  • ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Check pricingRead full review →
Visit Believe Health →
4

Rehydra+ Wellness

Best for: seeing what it charges before you answer any medical questions

7.9
Score breakdown, pros and cons

Dose drives the tier here, so the subscription climbs as you titrate. Paramedics and nurses started the business as mobile IV therapy in San Antonio, Texas, and it now lists compounded semaglutide and tirzepatide beside GHK-Cu, sermorelin, tesamorelin, MOTS-C, KPV and BPC-157, a Lipo-Plus lipotropic shot, NAD+ and testosterone therapy. Consultations cost nothing, the storefront shows its prices, and payment can be financed. The company claims 20 states; the states themselves are never listed.

Score Breakdown

Value25%
8.7
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
5

Pros

  • ✓Semaglutide costs $119 a month, 40% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $169 a month, 37% below the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓We found no FDA warning letters issued to Rehydra+ Wellness

Cons

  • ✗Confirm it serves your state before you start the intake
  • ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
  • ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Starting from $399/moRead full review →
Visit Rehydra+ Wellness →
5

Pepti

Best for: seeing the price at every dose before you start

7.8
Score breakdown, pros and cons

Pepti is a Delaware peptide platform that sells compounded semaglutide and tirzepatide injections at an all-in monthly price that rises with the dose: semaglutide runs $99 to $199 and tirzepatide $159 to $319. Physician review, medication and shipping are in the price. It now says it serves all 50 states, sells about 60 other peptides, and does not bill insurance.

Score Breakdown

Value25%
5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7

Pros

  • ✓Semaglutide costs $199 a month, exactly the $199 median for compounded semaglutide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓Serves all 50 states
  • ✓We found no FDA warning letters issued to Pepti

Cons

  • ✗Tirzepatide costs $319 a month, 19% above the $269 median for compounded tirzepatide across the sellers we compare
  • ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
  • ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Check pricingRead full review →
Visit Pepti →
How we rank, and what counts as “legit”

Scoring for every provider on this page runs against our published six-factor rubric[1]: value, effectiveness, user experience, trust & safety, accessibility and support.

Each of Wegovy, Zepbound, Ozempic and Mounjaro holds its own separate FDA approval under its own NDA number[4][5]. Published Phase 3 efficacy for semaglutide at 2.4 mg (~14.9% mean weight loss across 68 weeks) comes from STEP 1[6]; those for tirzepatide (~20.9% at the 15 mg dose over 72 weeks) come from SURMOUNT-1[7]. In 2025 the SURMOUNT-5 head-to-head set the two against each other[8].

How much of an anti-obesity medication is covered varies widely between state Medicaid programs and between commercial plans[9][10]. Under IRS Publication 502, compounded GLP-1s and brand-name ones alike are generally FSA/HSA eligible where a prescription exists[11].

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

Frequently Asked Questions

Six weighted dimensions produce the score. Value (25%) and Effectiveness (25%) carry the most, then User Experience (15%) and Trust & Safety (15%), then Accessibility (10%) and Support (10%). Behind them sits our research into pricing data, clinical evidence, user reviews and publicly available information. Those weights then combine into one overall score out of 10.
The six-dimension methodology computes each score on its own, and no commercial relationship ever moves a provider's underlying number. Every provider's full score sits on its card for you to check. Some providers do hold affiliate agreements with us, which means a commission reaches us if you click through and buy. On the lists carrying the highest commercial intent — the weight-loss injection and shot lists, the semaglutide and tirzepatide lists, the compounded and cheapest molecule lists, and the fitness-app list — affiliate partners take the top positions. Every other list runs in score order, or in price order on the cheapest lists. That placement is disclosed here, on our methodology page, and on our affiliate-disclosure page.
Sources & methodology — as of November 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  5. 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  7. 7.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  8. 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
  9. 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  10. 10.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.
  11. 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.

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