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Somira Health vs Totara Health

Somira Health and Totara Health 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
Somira Health logo

Somira Health

7.1
★★★★☆3.6/5

Best for: compounded semaglutide at $189.99/month

Visit Somira Health →
VS

Totara Health

7.8
★★★★☆3.9/5

Best for: buyers who want posted multi-month totals for compounded GLP-1s and a named pharmacy

Visit Totara Health →

If you are choosing between Somira Health and Totara Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Totara Health leads our six-part score, 7.8 to 7.1.

Somira Health vs Totara Health price

Somira Health and Totara Health start at within a dollar of each other ($189.99 and $190 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, $189.99 a month; tirzepatide is cheaper at Totara Health ($239 a month vs $284.99 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Somira Health does not publish where it ships, and Totara Health lists 48 states.

Pricing

Somira Health

MonthlyCompounded
$189.99/mo
semaglutide

$189.99/mo month-to-month; $136.66/mo ($409.99 total) billed quarterly; price locked as you titrate

MonthlyCompounded
$284.99/mo
tirzepatide

$284.99/mo month-to-month; $221.66/mo ($664.99 total) billed quarterly; price locked as you titrate

Totara Health

Weekly injection, 1-month plan, same price at every doseCompounded
$190/mo
semaglutide

Longer plans are priced as one total: $399 for 3 months, $714 for 6 and $1,188 for 12, which is where the $99-a-month figure comes from. Oral drops and a dissolving tablet are also offered.

Weekly injection, 1-month plan, same price at every doseCompounded
$239/mo
tirzepatide

Multi-month totals: $589 for 3 months, $1,074 for 6 and $1,799.64 for 12, the source of the $150-a-month rate. A dissolving tablet version is also listed.

What each price covers

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

Somira Health is silent on lab work and coaching.

Totara Health is silent on lab work and coaching.

Somira 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

Totara 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, Totara Health scores 7.8 and Somira Health 7.1 out of 10.

Totara Health is stronger on trust & safety (7.5 vs 6.5) and accessibility (9.7 vs 5.0).

Value, effectiveness, user experience and support are within half a point.

How we score

Somira Health

7.1/10

Overall

Totara Health

7.8/10

Value25%

4.9A
vs
B
5.3

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
7.5

Accessibility10%

5.0A
vs
B
9.7

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither Somira Health nor Totara Health has an FDA warning letter on record with us.

Features & Coverage

FeatureSomira HealthTotara Health
Starting Price✓$189.99/mo$190/mo
Features8 features8 features
States AvailableNot disclosed48
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted—✓ Yes
FDA Warning LettersNoneNone

About Somira Health

Titrating up does not raise the bill. Compounded semaglutide costs $189.99/month, dropping to $136.66/month bought quarterly; compounded tirzepatide costs $284.99/month, dropping to $221.66/month. Overnight delivery, syringes and alcohol wipes come at no charge and insurance stays out of it. Somira is self-pay and acts as a connector, linking patients to independent licensed providers and to compounding pharmacies for GLP-1 weight loss. FDA approval does not cover compounded drugs. Neither the pharmacy partner nor the list of states served is published, and no LegitScript appears.

Read our full Somira Health review →

About Totara Health

Totara Health is a Jacksonville, Florida telehealth marketplace that sells compounded semaglutide and tirzepatide by injection or as oral options, with prescribers from the MD Integrations network and a named South Carolina pharmacy. A single month costs $190 for semaglutide or $239 for tirzepatide at any dose, with supplies and shipping included. Its lower advertised monthly rates come from 3, 6 and 12-month plans paid as one total.

Read our full Totara Health review →

Pros & Cons

Somira Health

What we like

  • Semaglutide costs $189.99 a month, close to the $188 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $284.99 a month, close to 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
  • We found no FDA warning letters issued to Somira Health

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
  • 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

Totara Health

What we like

  • Semaglutide costs $190 a month, close to the $188 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $239 a month, close to 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 48 states
  • We found no FDA warning letters issued to Totara 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

Winner: Totara Health

Totara Health wins this one, 7.8 to 7.1, above all for buyers who want posted multi-month totals for compounded GLP-1s and a named pharmacy. Somira Health fits better if compounded semaglutide at $189.99/month is your priority.

Choose Somira Health if…

You want compounded semaglutide at $189.99/month and an opening price near $189.99 a month.

Choose Totara Health if…

You want buyers who want posted multi-month totals for compounded GLP-1s and a named pharmacy and an opening price near $190 a month.

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Knowing which pharmacy fills the vial: it names Belmar Pharmacy

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Moving between compounded and brand without changing seller

Somira Health vs Totara Health: FAQ

Neither on the entry price: Somira Health and Totara Health both start at about $190 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Somira Health does not publish where it ships; Totara Health lists 48 states. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
Somira Health has none. Totara Health has none.
No. Neither Somira Health nor Totara Health pays us anything.

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