HealthOn vs Pillar Health
HealthOn and Pillar Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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HealthOn
Best for: seeing what it charges before you answer any medical questions
Visit HealthOn →Pillar Health
Best for: a flat monthly compounded semaglutide or tirzepatide price with a half-price first month
Visit Pillar Health →If you are choosing between HealthOn and Pillar Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Pillar Health leads our six-part score, 8.2 to 5.9. One of the two has an FDA warning letter on record, covered below.
HealthOn vs Pillar Health price
HealthOn and Pillar Health start at the same figure, $189 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, $189 a month on a prepaid plan; tirzepatide is cheaper at Pillar Health ($199 a month vs $290 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
HealthOn does not publish where it ships, and Pillar Health lists 49 states.
Pricing
HealthOn
Starting at $189; lowest on the 12-month plan
Starting at $290; lowest on the 12-month plan
Pillar Health
$189 a month, described as locked in for life, with the clinician consult and medication included and no membership fee. Code PILLAR50 takes 50% off the first month, shown on the product page as $94.50.
$249 a month across the full titration ladder, no membership fee. Code PILLAR50 makes the first month $124.50.
The microdosing product page lists $199 a month ($99.50 for the first month with PILLAR50); one category card shows $249 for the same program.
What each price covers
Both prices cover the medication itself and shipping.
Pillar Health's price also covers the clinician visit, which HealthOn does not claim.
HealthOn is silent on the clinician visit, lab work and coaching.
Pillar Health is silent on lab work and coaching.
HealthOn
Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Pillar Health
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, Pillar Health scores 8.2 and HealthOn 5.9 out of 10.
Pillar Health is stronger on value (6.6 vs 3.0), trust & safety (7.5 vs 3.5), accessibility (9.8 vs 5.0) and support (7.0 vs 4.5).
Effectiveness and user experience are within half a point.
HealthOn
5.9/10
Pillar Health
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent HealthOn a warning letter dated September 9, 2025 (letter 719809), and it is still open.
Pillar Health has no FDA warning letter on record with us.
Features & Coverage
| Feature | HealthOn | Pillar Health |
|---|---|---|
| Starting Price | $189/mo prepaid | $189/mo |
| Features | 3 features | ✓8 features |
| States Available | Not disclosed | 49 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About HealthOn
HealthOn opens compounded semaglutide and tirzepatide at $155/month. Weight loss is one category among several on this telehealth platform, alongside hair health, longevity, and sexual health.
Read our full HealthOn review →About Pillar Health
Pillar Health is a Michigan company that markets compounded semaglutide and tirzepatide programs, with prescribing through the Architek Health provider network. Its site lists semaglutide at $189 a month and tirzepatide at $249, one price across the titration ladder with no membership fee, and a code takes 50% off the first month. Checkout runs on a separate platform whose own terms govern billing and refunds.
Read our full Pillar Health review →Pros & Cons
HealthOn
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication and shipping
Watch-outs
- 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 HealthOn 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
Pillar Health
What we like
- Semaglutide costs $189 a month, close to the $188 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 49 states
- We found no FDA warning letters issued to Pillar Health
Watch-outs
- 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
Pillar Health wins this one, 8.2 to 5.9, above all for a flat monthly compounded semaglutide or tirzepatide price with a half-price first month. HealthOn fits better if seeing what it charges before you answer any medical questions is your priority.
Choose HealthOn if…
You want seeing what it charges before you answer any medical questions and an opening price near $189 a month.
Choose Pillar Health if…
You want a flat monthly compounded semaglutide or tirzepatide price with a half-price first month and an opening price near $189 a month.
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Trimi Health
Knowing which pharmacy fills the vial: it names VialsRx
From $99/mo
Get started →ShedRx
Oral orforglipron alongside the injectables
From $149/mo
Get started →bmiMD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →HealthOn vs Pillar Health: FAQ
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