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Genesis Health vs Nouri

Genesis Health and Nouri both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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

Genesis Health

5.2
★★★☆☆2.6/5

Best for: coaching bundled into the price rather than sold separately

Visit Genesis Health →
VS
Nouri logo

Nouri

6.0
★★★☆☆3/5

Best for: coaching bundled into the price rather than sold separately

Visit Nouri →

If you are choosing between Genesis Health and Nouri, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Nouri leads our six-part score, 6.0 to 5.2. One of the two has an FDA warning letter on record, covered below.

Genesis Health vs Nouri price

Genesis Health and Nouri start at the same figure, $175 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $175 a month; tirzepatide is cheaper at Nouri ($225 a month vs $235 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Genesis Health does not publish where it ships, and Nouri lists 50 states.

Pricing

Genesis Health

Starting — monthly billingCompounded
$175/mo
semaglutide

Compounded semaglutide injection. Monthly: $175/mo. Quarterly: $145/mo ($435 billed every 3 months). Bi-Annual: $120/mo ($720 every 6 months). Annual: $99/mo ($1,188/yr). Includes physician consult, medication, and free shipping.

Starting — monthly billingCompounded
$235/mo
tirzepatide

Compounded tirzepatide injection. Monthly: $235/mo. Quarterly: $199/mo ($597 billed every 3 months). Bi-Annual: $175/mo ($1,050 every 6 months). Annual: $125/mo ($1,500/yr). Includes physician consult, medication, and free shipping.

Nouri

Compounded semaglutide, all doses, month-to-monthCompounded
$175/mo
semaglutide

Advertised as $120 a month. The seller bills $175 every 30.4375 days, which works out at $175 per calendar month. The figure here is the calculated one.

Compounded tirzepatide, all doses, month-to-monthCompounded
$225/mo
tirzepatide

Advertised as $175 a month. The seller bills $225 every 30.4375 days, which works out at $225 per calendar month. The figure here is the calculated one.

What each price covers

Both prices cover shipping and coaching.

Genesis Health's price also covers the clinician visit and the medication itself, which Nouri does not claim.

Genesis Health is silent on lab work.

Nouri is silent on the clinician visit, the medication itself and lab work.

That matters most for the drug: unless Nouri confirms otherwise, budget for medication on top of its listed price.

Genesis 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

Nouri

Covered by the monthly price

Medication

Not stated

Clinician visits

Not stated

Shipping

In the price

Lab work

Not stated

Coaching

In the price

Where each one scores higher

Overall, Nouri scores 6.0 and Genesis Health 5.2 out of 10.

Genesis Health is stronger on support (8.5 vs 3.0).

Nouri is stronger on value (5.8 vs 3.0), trust & safety (2.0 vs 1.0) and accessibility (10.0 vs 5.0).

Effectiveness and user experience are within half a point.

How we score

Genesis Health

5.2/10

Overall

Nouri

6.0/10

Value25%

3.0A
vs
B
5.8

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

3.0A
vs
B
3.0

Trust & Safety15%

1.0A
vs
B
2.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

8.5A
vs
B
3.0

FDA warning letters

The FDA sent Genesis Health a warning letter dated February 20, 2026 (letter 721451), and it is still open.

Nouri has no FDA warning letter on record with us.

Features & Coverage

FeatureGenesis HealthNouri
Starting Price$175/mo$175/mo
Features✓8 features7 features
States AvailableNot disclosed50
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted✓ Yes—
FDA Warning Letters1 letter✓None

About Genesis Health

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.

Read our full Genesis Health review →

About Nouri

Flat per-dose pricing opens at $158/month where the drug is semaglutide, $250/month where it is tirzepatide, shipping included, in all 50 states. Planning for nutrition and movement, plus messaging with clinicians, is part of what is bought rather than an upsell. Nouri names Wasef Health, PC as its clinical partner and Jungle Jim's as its 503A pharmacy, and holds LegitScript certification.

Read our full Nouri review →

Pros & Cons

Genesis Health

What we like

  • The monthly price includes the medication, clinician visits, shipping and coaching

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
  • The FDA has issued Genesis 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

Nouri

What we like

  • Semaglutide costs $175 a month, close to the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $225 a month, 10% below the $250 median for compounded tirzepatide across the sellers we compare
  • The monthly price stays the same as your dose goes up
  • The monthly price includes shipping and coaching
  • Serves all 50 states
  • We found no FDA warning letters issued to Nouri

Watch-outs

  • 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

Our Verdict

Winner: Nouri

Nouri wins this one, 6.0 to 5.2, above all for coaching bundled into the price rather than sold separately. Genesis Health fits better if coaching bundled into the price rather than sold separately is your priority.

Choose Genesis Health if…

You want coaching bundled into the price rather than sold separately and an opening price near $175 a month.

Choose Nouri if…

You want coaching bundled into the price rather than sold separately and an opening price near $175 a month.

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6.6

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Moving between compounded and brand without changing seller

8.4

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Genesis Health vs Nouri: FAQ

Neither on the entry price: Genesis Health and Nouri both start at about $175 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Genesis Health does not publish where it ships; Nouri lists 50 states. Confirm your state before paying.
Both include shipping and coaching. Only Genesis Health includes the clinician visit and the medication itself.
Genesis Health has an open FDA warning letter from February 20, 2026. Nouri has none.
No. Neither Genesis Health nor Nouri pays us anything.

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