GLP Watchdog

Best Tesamorelin Providers in 2026 — Ranked & 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: $199/mo11 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 clinically reviewed). Not medical advice · How we verify contentLast reviewed

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

Quick Picks: Top 5

#ProviderScore
1Live VitalVisit
2PeptiVisit
3Trellis VitalityVisit
4Dr. Gillis' Wellness CenterVisit
5LongevixxVisit

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
    Live Vital

    semaglutide at $99/month, 48% below the typical price

    From /mo
    $199
    Coverage
    50 states
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinMOTS-cNAD+TB-500Tesamorelin
    Visit →
  • Pepti

    bloodwork inside the $99/month rather than billed on top

    From /mo
    Check pricing
    Coverage
    36 states
    Medications
    BPC-157GHK-CuGlutathioneGonadorelinkpvMOTS-cNAD+PT-141retatrutideSermorelinTB-500Tesamorelin
    Visit →
  • Best Budget
    Trellis Vitality

    knowing which pharmacy fills the vial: it names VialsRX

    From /mo
    $299
    Coverage
    50 states
    Medications
    GlutathioneNAD+Tesamorelin
    Visit →
Show 5 more
  • Nationwide Coverage
    Dr. Gillis' Wellness Center

    coverage in all 50 states, which most sellers will not confirm

    From /mo
    Check pricing
    Coverage
    50 states
    Medications
    CJC-1295 / IpamorelinGHK-CuGlutathioneNAD+SermorelinTesamorelin
    Visit →
  • Longevixx

    starting below a standard dose, with microdose tiers

    From /mo
    Check pricing
    Coverage
    50 states
    Medications
    BPC-157CJC-1295 / IpamorelindsipepithalonGHK-CuIpamorelinkpvMOTS-cNAD+PT-141selanksemaxSermorelinTB-500Tesamorelinthymosin-alpha-1
    Visit →
  • 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 →
  • RxPepsDirect

    a published list of the 28 states it serves, when most sellers publish none

    From /mo
    Check pricing
    Coverage
    28 states
    Medications
    BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneGonadorelinIpamorelinNAD+PT-141SermorelinTB-500Tesamorelin
    Visit →
  • Best Care Team
    Vyora Wellness

    coaching inside the $299/month rather than sold separately

    From /mo
    Check pricing
    Coverage
    Check intake
    Medications
    GHK-CuGlutathioneNAD+SermorelinTesamorelin
    Visit →
6weighted dimensions
11tesamorelin 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

Live Vital

Verified partner

Best for: semaglutide at $99/month, 48% below the typical price

9.0

Billed in 3-month blocks, the compounded GLP-1 semaglutide starts at $99/mo and compounded tirzepatide at $183/mo. Dr. Patrick Taylor, MD founded the practice and every plan is written by a doctor, filled at a licensed US pharmacy and delivered to the door. Messaging the care team has no cap and nothing locks you in. Peptide and hormone therapy round out the menu. Telehealth reaches all 50 states.

Score Breakdown

Value25%
9.5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8.5
Accessibility10%
10
Support10%
7

Pros

  • ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $183 a month, 27% below the $250 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 retatrutide, semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
  • ✗Its menu lists retatrutide, which FDA says cannot be used in compounding under federal law and has not been found safe and effective for any condition
Starting from $199/moRead full review →
Visit Live Vital →
2

Pepti

Best for: bloodwork inside the $99/month rather than billed on top

9.0

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

Value25%
9.5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8.5
Accessibility10%
7.8
Support10%
8.5

Pros

  • ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $199 a month, 20% below the $250 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, shipping and lab work
  • ✓We found no FDA warning letters issued to Pepti

Cons

  • ✗Serves only 36 states, so check that yours is one of them
  • ✗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
  • ✗Its menu lists retatrutide, which FDA says cannot be used in compounding under federal law and has not been found safe and effective for any condition
Check pricingRead full review →
Visit Pepti →
3

Trellis Vitality

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

8.4
Score breakdown, pros and cons

$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%
6.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7

Pros

  • ✓Semaglutide costs $150 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $199 a month, 20% below the $250 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 all 50 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 →
4

Dr. Gillis' Wellness Center

Best for: coverage in all 50 states, which most sellers will not confirm

7.6
Score breakdown, pros and cons

Start a semaglutide dose and it costs $150; the monthly plans below that open at $149, with no contract and scheduling you can set weekly, bi-weekly or monthly. Three GLP-1 molecules are written, semaglutide, tirzepatide and retatrutide, each as an injection or a sublingual ODT, the orally dissolving tablet that matters if needles are the obstacle. The clinic sits in Oakland, Maine and sells telehealth countrywide. Dr. Gillis leads it, board-certified as physician and surgeon, 25-plus years into gut health, and a serving member of the Maine State Medical Board.

Score Breakdown

Value25%
6.6
Effectiveness25%
8.5
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
5

Pros

  • ✓Semaglutide costs $149 a month, 19% below the $185 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
  • ✓Serves all 50 states
  • ✓We found no FDA warning letters issued to Dr. Gillis' Wellness Center

Cons

  • ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
  • ✗Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality
  • ✗Its menu lists retatrutide, which FDA says cannot be used in compounding under federal law and has not been found safe and effective for any condition
Check pricingRead full review →
Visit Dr. Gillis' Wellness Center →
5

Longevixx

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

7.1
Score breakdown, pros and cons

Finish the eligibility questionnaire and the numbers appear: microdose $129, semaglutide $149, oral $229, tirzepatide $299. Dosage does not move any of them, so titrating up leaves the bill where it was, and each plan carries a dietitian visit, care coaching, physician review and the drug. Longevixx LLC operates out of Charlotte, North Carolina under physician leadership, with a deep peptide menu beside the compounded semaglutide, compounded tirzepatide, daily oral GLP-1 and microdose protocol.

Score Breakdown

Value25%
6.6
Effectiveness25%
10
User Experience15%
2.5
Trust & Safety15%
5
Accessibility10%
10
Support10%
8.5

Pros

  • ✓Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
  • ✓The monthly price stays the same as your dose goes up
  • ✓The monthly price includes the medication, clinician visits, shipping and coaching
  • ✓Serves all 50 states
  • ✓We found no FDA warning letters issued to Longevixx
  • ✓Baseline bloodwork is required before a prescription

Cons

  • ✗Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
  • ✗You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • ✗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 Longevixx →
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 September 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 (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
  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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