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Aspen Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.2/10

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

7.2
★★★★☆3.6/5

Aspen's strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.

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$279/mo
Same price at every dose

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

See plans →

Prices checked July 2026

Compare top-rated alternatives ↓

Month-to-month, semaglutide is $279/mo and tirzepatide $399/mo, less on prepay, with flat pricing at every dose. Even the monthly plan requires a 3-month commitment shipped upfront. Aspen Health Systems LLC is LegitScript-certified and sells compounded semaglutide and tirzepatide as physician-chosen weekly injections, filled by Red Rock Compounding Pharmacy, which is NABP-accredited. Shipping is free and expedited, no insurance is needed, and a money-back guarantee applies to patients who complete the 28-week program. Available in all 50 states and DC.

By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
GLP-1 from $279/moPrice shown up frontFlat across dosesIncludes medication + consultAll 50 statesNo FDA warning letters found

Is Aspen legit?

Yes. Aspen is a real, operating US company, and we found no FDA warning letters issued to it. Its site shows LegitScript certification. We rate it 7.2/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.

Is there an Aspen promo or coupon code?

We know of no promo or coupon code for Aspen. Its listed price is $279 a month. Coupon sites advertising "Aspen discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.

See how Aspen compares on our rankings of the best semaglutide providers and the best tirzepatide providers.

Vetted alternatives to Aspen

9.4/ 10
Verified partner

Trimi Health

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

★★★★★4.7/5

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Trimi Health review →
6.4/ 10
Verified partner

ShedRx

Best for: oral orforglipron alongside the injectables

★★★☆☆3.2/5

Editorial score · methodology

$149/mo
CompoundedSemaglutideTirzepatideOrforglipronGHK-Cu
Get StartedRead full ShedRx review →
9.0/ 10
Verified partner

bmiMD

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

★★★★★4.5/5

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full bmiMD review →
Aspen logo
3.6 / 5
Our editorial rating
Visit Aspen →

from $279/mo · no insurance needed

Aspen at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$279/mo
Pricing model
Flat: the price stays the same as the dose goes up
What's included
Medication · Consult · Shipping
Availability
All 50 states
FDA status
No FDA warning letters found

How Aspen scores

Six columns, each one computed from something Aspen has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.

Value25%

2.0/10

$279/month is 51% above the $185 median for compounded semaglutide across the sellers we compare.

Effectiveness25%

10.0/10

Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).

User Experience15%

8.0/10

A price is shown before the questionnaire starts.

Trust & Safety15%

8.5/10

No pharmacy is named for its prescriptions. It shows a price before asking for health information. It lists the states it serves.

Accessibility10%

10.0/10

Serves 51 of 50 states.

Support10%

7.0/10

The price covers the medication, clinician visits and shipping.

6weighted dimensions
588sellers 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 →

What we checked on Aspen

Last checked July 2026
  • Checked the listed price across 2 dose or plan tiers
  • Checked state coverage: all 50
  • Checked what the monthly price covers, and what it leaves out
  • Checked FDA warning letters for Aspen

Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.

What signing up with Aspen involves

What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.

  1. 1Aspen shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
  2. 2Aspen does not require a live video visit or baseline bloodwork before a first prescription.
  3. 3Ask Aspen which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
  4. 4The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
  • Lowest ongoing monthly price: semaglutide $279, tirzepatide $399. That leaves out membership fees, first-month rates and insurance copays.
  • Aspen serves all 50 states.
  • The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.

Contacting Aspen

Email
Aspen offers email support
Hours
Async care; email & phone support (hours not published)

GLP-1 medications Aspen offers

Each one has its own guide: how the molecule works, the dosing schedule, the side effects that show up in practice, and what the trials actually measured.

Pricing

Prices re-verified

Weekly injectionCompounded
$279/mo
semaglutide

Month-to-month rate (3-month minimum commitment, 3 months shipped upfront, no credit check); drops to $229/mo (3-mo), $209/mo (6-mo) or $179/mo on the 12-month prepay plan.

Weekly injectionCompounded
$399/mo
tirzepatide

Aspen's "Most Prescribed" option; month-to-month rate drops to $329/mo (3-mo), $309/mo (6-mo) or $299/mo on the 12-month prepay plan. Same price at every dose.

Check the price yourself before you pay

Every figure here was read off Aspen's own checkout on the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.

See Aspen pricing →

In its favor

  • 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
  • We found no FDA warning letters issued to Aspen

Against it

  • Semaglutide costs $279 a month, 51% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $399 a month, 60% above the $250 median for compounded tirzepatide across the sellers we compare
  • 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

What Aspen charges

Aspen lists $279/month, flat regardless of dose. That sits above the middle of the market, which puts the burden on whatever else is in the package. Flat dose pricing matters more than it sounds: on a tiered plan the bill grows with the dose, so the figure that got you to sign up is not the one you end up paying.

  • Compounded semaglutide: $279/month
  • Compounded tirzepatide: $399/month

For compounded semaglutide, the median across the sellers we compare is $185/month, so Aspen's $279 is a premium, and a premium has to buy something. Check what is bundled before you accept it.

Direct Meds dispenses semaglutide and tirzepatide from $249/month, which makes it the fair comparison to run before you commit here.

What Aspen dispenses

Aspen prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. What arrives is compounded at a licensed pharmacy, not an approved pen. That is the reason it costs less, and the reason the finished preparation carries no FDA review behind it.

Safety and disclosure

Aspen tells you its price before you start the medical questionnaire and that it treats patients in all 50 states. We found no FDA warning letters issued to Aspen. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If Aspen will not tell you, treat that as a warning sign. How we weigh oversight, disclosure and price is set out in our scoring methodology.

Who should look elsewhere

  • You care most about the twelve-month total, not the first bill. A flat-rate seller such as Collective will usually win that math.
  • You want the FDA-approved pen specifically. Everything listed here is compounded.
  • You need insurance to cover the cost. Check whether Aspen bills your plan before you start.

It fits if

  • you want the price to stop moving as your dose climbs
  • you need access wherever you live

Our read

Aspen costs more than the middle of this market. If the extras it charges for are ones you would actually use, that is a defensible trade. If not, the same molecule is available for less. MangoRx is the nearest comparison we review, and worth reading alongside this.

The Bottom Line

Aspen's strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.

Score: 7.2/10Best for: coverage in all 50 states, which most sellers will not confirmFrom: $279/mo

Before you pay Aspen

Starting at $279 a month. Check today's price, then start the intake.

Where Aspen is the wrong choice

No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.

  • If you need the FDA-approved pen rather than a compounded vial, consider Sesame Care.
  • If the standing monthly cost is what decides it, consider Collective (from $59/mo).
  • If you want a human checking in, not just a prescription, consider ShedRx.

Compare Aspen head to head

The sellers closest to Aspen on medication and price.

Frequently Asked Questions

Month-to-month, semaglutide is $279/mo and tirzepatide $399/mo, less on prepay, with flat pricing at every dose. Even the monthly plan requires a 3-month commitment shipped upfront. Aspen Health Systems LLC is LegitScript-certified and sells compounded semaglutide and tirzepatide as physician-chosen weekly injections, filled by Red Rock Compounding Pharmacy, which is NABP-accredited. Shipping is free and expedited, no insurance is needed, and a money-back guarantee applies to patients who complete the 28-week program. Available in all 50 states and DC. We rate it 7.2/10 overall.
Aspen starts at $279 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
Aspen says it treats patients in all 50 states.
Aspen sells semaglutide (sold as Wegovy and Ozempic) and tirzepatide (sold as Zepbound and Mounjaro). Every dose it lists is compounded.
Aspen lists compounded GLP-1s only. A licensed compounding pharmacy prepares them: same active ingredient as the brand drug, lower cash price, and no FDA approval of the finished product. That last part is the one readers underestimate, and the review above says why.
You do not need insurance to use Aspen: it sells at cash prices. If you hope to use your plan, ask Aspen whether it can bill it before you sign up.
Aspen says the price covers medication, the clinician visit and shipping. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. Aspen runs that whole sequence on its own site.
We found no FDA warning letters issued to Aspen. Before you buy, weigh these: Semaglutide costs $279 a month, 51% above the $185 median for compounded semaglutide across the sellers we compare. Tirzepatide costs $399 a month, 60% above the $250 median for compounded tirzepatide across the sellers we compare. Ask which pharmacy fills the prescription before you pay, so you can check its license. None of them rules Aspen out, but each is worth settling before you pay.

Glossary

The words sellers use, defined. Tap any term.

Sources

Cited across this Aspen review: primary regulatory filings, and peer-reviewed studies.

Sources & methodology — as of July 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.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  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.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.

See Aspen's current pricing

Plans start at $279 a month. Whether you qualify is a clinician's decision, made after your intake.