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Belle Health vs MANÜ Telehealth

Belle Health costs $1 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Belle Health logo

Belle Health

8.3
★★★★☆4.2/5

Best for: semaglutide at $119/month, 37% below the typical price

Visit Belle Health →
VS
MANÜ Telehealth logo

MANÜ Telehealth

6.9
★★★★☆3.5/5

Best for: semaglutide at $120/month, 44% below the typical price

Visit MANÜ Telehealth →

If you are choosing between Belle Health and MANÜ Telehealth, the first difference is cost: Belle Health is $1 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Belle Health leads our six-part score, 8.3 to 6.9. One of the two has an FDA warning letter on record, covered below.

Belle Health vs MANÜ Telehealth price

Belle Health is the cheaper way in: $119 a month against $120 a month at MANÜ Telehealth. That is $1 less each month (1% lower), or about $12 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Belle Health ($119 a month vs $120 a month); tirzepatide is cheaper at MANÜ Telehealth ($150 a month vs $199 a month on a prepaid plan).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Belle Health lists 50 states, and MANÜ Telehealth does not publish where it ships.

Pricing

Belle Health

Flat-rate (all doses)Compounded
$119/mo
semaglutide
Flat-rate (all doses, 3-month bundle)Compounded
$199/mo
tirzepatide

MANÜ Telehealth

Standard titrationCompounded
$150/mo
tirzepatide
Standard titrationCompounded
$120/mo
semaglutide

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Belle Health's price also covers coaching, which MANÜ Telehealth does not claim.

Belle Health is silent on lab work.

MANÜ Telehealth is silent on lab work and coaching.

Belle Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

In the price

MANÜ Telehealth

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, Belle Health scores 8.3 and MANÜ Telehealth 6.9 out of 10.

Belle Health is stronger on user experience (8.0 vs 3.0), trust & safety (4.5 vs 4.0), accessibility (10.0 vs 5.0) and support (8.5 vs 7.0).

MANÜ Telehealth is stronger on value (8.7 vs 8.2).

Effectiveness is within half a point.

How we score

Belle Health

8.3/10

Overall

MANÜ Telehealth

6.9/10

Value25%

8.2A
vs
B
8.7

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

4.5A
vs
B
4.0

Accessibility10%

10.0A
vs
B
5.0

Support10%

8.5A
vs
B
7.0

FDA warning letters

Belle Health has an FDA warning letter on record.

MANÜ Telehealth has no FDA warning letter on record with us.

Features & Coverage

FeatureBelle HealthMANÜ Telehealth
Starting Price✓$119/mo$120/mo
Features6 features✓8 features
States Available50Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning Letters1 letter✓None

About Belle Health

Belle Health sells compounded semaglutide at $119/month and compounded tirzepatide at $199/month, both on a 3-month bundle. Pricing is flat: the monthly cost is the same at every dose, with no escalation surcharge as you titrate up. The platform is national and direct-to-consumer, includes free weekly registered-dietitian sessions, and names its compounding pharmacy partners openly.

Read our full Belle Health review →

About MANÜ Telehealth

GLP-1s are advertised from about $4 to $5/day. MANÜ Telehealth sells compounded weight loss medication, injectable tirzepatide and semaglutide, with MIC Ultraburn and NAD+ injections offered as add-ons; US 503A pharmacies do the compounding. The US platform keeps the process 100% online, with monthly check-ins, board-certified physicians, free shipping and no insurance required. Which states are served can change; signup confirms it. Hormone optimization gets a mention but is not the primary focus. Compounded medications here are not FDA-evaluated.

Read our full MANÜ Telehealth review →

Pros & Cons

Belle Health

What we like

  • Semaglutide costs $119 a month, 36% 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 coaching
  • Serves all 50 states

Watch-outs

  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • The FDA has issued Belle Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • 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

MANÜ Telehealth

What we like

  • Tirzepatide costs $150 a month, 40% below the $250 median for compounded tirzepatide across the sellers we compare
  • Semaglutide costs $120 a month, 35% below the $185 median for compounded semaglutide across the sellers we compare
  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to MANÜ Telehealth

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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

Our Verdict

Winner: Belle Health

Belle Health wins this one, 8.3 to 6.9, above all for semaglutide at $119/month, 37% below the typical price. It also costs $1 less each month than MANÜ Telehealth. MANÜ Telehealth fits better if semaglutide at $120/month, 44% below the typical price is your priority.

Choose Belle Health if…

You want semaglutide at $119/month, 37% below the typical price and an opening price near $119 a month.

Choose MANÜ Telehealth if…

You want semaglutide at $120/month, 44% below the typical price and an opening price near $120 a month.

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7.8

Oak

Semaglutide at $119/month, 37% below the typical price

9.4

Trimi Health

Knowing which pharmacy fills the vial: it names VialsRx

6.4

ShedRx

Oral orforglipron alongside the injectables

Belle Health vs MANÜ Telehealth: FAQ

Belle Health. It starts at $119 a month; MANÜ Telehealth starts at $120 a month, $1 more per month.
Yes, both sell semaglutide and tirzepatide.
Belle Health lists 50 states; MANÜ Telehealth does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping. Only Belle Health includes coaching.
Belle Health has one FDA warning letter on record. MANÜ Telehealth has none.
No. Neither Belle Health nor MANÜ Telehealth pays us anything.

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