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Aspire Health Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 9/10

Best for: a published price you can check dose by dose before handing over any health information

9.0
★★★★★9.0/10

Aspire Health scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability, and it serves 29 states. Its compounded semaglutide costs $103 a month plus a required care fee, 48% below the $199 median among the sellers we compare.

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$103/mo

medication only; a care fee is required on top

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Charged on top

Coaching

In the price

Compare top-rated alternatives ↓

Aspire Health is a Nebraska‑based telehealth practice that publishes dose‑by‑dose prices before any intake. Compounded semaglutide works out to about $103/month at 0.5 mg and $184 at the 2.4 mg maintenance dose; compounded tirzepatide is about $249/month at 5 mg. Brand Wegovy and Zepbound are priced separately. Medication is billed on top of a $49 medical‑care fee charged every 28 days, and the cost of lab work is not included. A named PA/NP team prescribes, and all three dispensing pharmacies are named publicly.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $103/mo + care feePrice shown up frontIncludes medication + consult29 statesPharmacy namedNo FDA warning letters found

Is Aspire Health legit?

Yes. Aspire Health is a real, operating US company, and we found no FDA warning letters issued to it. It says its medication comes from accredited compounding pharmacies (503A, 503B or PCAB). We rate it 9.0/10 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 Aspire Health promo or coupon code?

We know of no promo or coupon code for Aspire Health. Its listed price is $103 a month for the medication, plus a required care fee. Coupon sites advertising "Aspire Health discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.

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

Vetted alternatives to Aspire Health

9.1/ 10
Verified partner

Collective

Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top

★★★★★9.1/10

Editorial score · methodology

$59/mo+ membership
CompoundedSemaglutideTirzepatide
Get StartedRead full Collective review →
9.3/ 10
Verified partner

Embody

Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies

★★★★★9.3/10

Editorial score · methodology

$79/mo
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full Embody review →
7.9/ 10
Verified partner

Luvo Health

Best for: moving between compounded and brand without changing seller

★★★★☆7.9/10

Editorial score · methodology

$179/mo
CompoundedSemaglutideTirzepatideGonadorelinNAD+LegitScript Verified
Get StartedRead full Luvo Health review →
Aspire Health logo
9.0 / 10
Our editorial rating
Visit Aspire Health →

from $103/mo + care fee · no insurance needed

Aspire Health at a glance

Type
GLP-1 telehealth provider
Medications
Compounded Semaglutide, Compounded Tirzepatide, Wegovy (Brand), Zepbound (Brand)
Starting price
$103/mo + care fee
What's included
Medication · Consult · Coaching
Availability
29 states
FDA status
No FDA warning letters found

How Aspire Health scores

Six columns, each one computed from something Aspire Health 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%

9.8/10

$103/month is 48% below the $199 median for compounded semaglutide across the sellers we compare. That figure is the medication only; a care fee is required on top, so the comparison flatters it.

Effectiveness25%

10.0/10

Dispenses semaglutide and tirzepatide, including the FDA-approved product. 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%

10.0/10

It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.

Accessibility10%

6.6/10

Serves 29 of 50 states.

Support10%

7.0/10

The price covers the medication, clinician visits and coaching.

6weighted dimensions
734sellers 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 Aspire Health

Last checked October 2026
  • Checked the listed price across 15 dose or plan tiers
  • Checked state coverage: 29 states
  • Checked what the monthly price covers, and what it leaves out
  • Recorded which pharmacies the seller names as filling its prescriptions, with the page and date
  • Checked FDA warning letters for Aspire Health

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 Aspire Health 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. 1Aspire Health 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. 2Aspire Health does not require a live video visit or baseline bloodwork before a first prescription.
  3. 3Aspire Health names 3 pharmacies that fill its prescriptions, including Strive Pharmacy, which most sellers do not do.
  4. 4The monthly price includes the medication, clinician visits and coaching.
Price shown before you start
  • Lowest ongoing monthly price: semaglutide $103, tirzepatide $211. That leaves out membership fees, first-month rates and insurance copays.
  • Aspire Health serves 29 of 50 states, so check that yours is one of them.
  • 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 Aspire Health

Email
Aspire Health offers email support

Cancelling Aspire Health

Taken from the terms Aspire Health publishes. Terms change, so check the current policy before you subscribe.

Cancel any time
Yes
Minimum commitment
$49 Weight Management fee every 28 days, required while on medication
Refund policy
No refunds for partial billing periods; compounded charges are non‑refundable once sent to the pharmacy
Early-termination fee
None

Medications Aspire Health lists

Aspire Health lists Wegovy, Zepbound, compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.

Pricing

Prices re-verified

0.5 mg weekly, 5‑week vialCompounded
$103/mo + care fee
semaglutide

$129 for one vial, which Aspire's table says covers 5 weeks at 0.5 mg a week — about $103/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free. Aspire also lists a 0.25 mg starting-dose vial at $129 that its table says covers ten weeks, about $52/month; that is the titration starting rung, not a rate anyone stays on.

1 mg weekly, 5‑week vialCompounded
$127/mo + care fee
semaglutide

$159 for one vial, which Aspire's table says covers 5 weeks at 1 mg a week — about $127/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

1.7 mg weekly, 5.8‑week vialCompounded
$130/mo + care fee
semaglutide

$189 for one vial, which Aspire's table says covers 5.8 weeks at 1.7 mg a week — about $130/month of medication. Two vials cost $378; three cost $499 (about $166 a vial), the only multi-vial discount on Aspire's table. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

2.4 mg weekly, 4.1‑week vialCompounded
$184/mo + care fee
semaglutide

$189 for one vial, which Aspire's table says covers 4.1 weeks at 2.4 mg a week — about $184/month of medication. Two vials cost $378; three cost $499 (about $166 a vial), the only multi-vial discount on Aspire's table. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

2.5 mg weekly (starting dose), 4‑week vialCompounded
$149/mo + care fee
tirzepatide

$149 for one vial covering 4 weeks at the 2.5 mg starting dose. This is the titration starting rung only. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

5 mg weekly, 4‑week vialCompounded
$249/mo + care fee
tirzepatide

$249 for one vial, which Aspire's table says covers 4 weeks at 5 mg a week — about $249/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

7.5 mg weekly, 5.3‑week vialCompounded
$211/mo + care fee
tirzepatide

$279 for one vial, which Aspire's table says covers 5.3 weeks at 7.5 mg a week — about $211/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

10 mg weekly, 5‑week vialCompounded
$231/mo + care fee
tirzepatide

$289 for one vial, which Aspire's table says covers 5 weeks at 10 mg a week — about $231/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

12.5 mg weekly, 4.8‑week vialCompounded
$249/mo + care fee
tirzepatide

$299 for one vial, which Aspire's table says covers 4.8 weeks at 12.5 mg a week — about $249/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

15 mg weekly, 4‑week vialCompounded
$299/mo + care fee
tirzepatide

$299 for one vial, which Aspire's table says covers 4 weeks at 15 mg a week — about $299/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Wegovy, 0.25‑0.5 mg, 4‑week supplyBrand-name
$199/mo + care fee
semaglutide

$199 for a 4‑week supply of brand Wegovy at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Wegovy, all other doses, 4‑week supplyBrand-name
$399/mo + care fee
semaglutide

$399 for a 4‑week supply of brand Wegovy at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Zepbound, 2.5 mg, 4‑week supplyBrand-name
$299/mo + care fee
tirzepatide

$299 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Zepbound, 5 mg, 4‑week supplyBrand-name
$399/mo + care fee
tirzepatide

$399 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Zepbound, all other doses, 4‑week supplyBrand-name
$449/mo + care fee
tirzepatide

$449 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Check the price yourself before you pay

Every figure here comes from Aspire Health's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.

See Aspire Health pricing →

Aspire Health compounding-pharmacy partners

Aspire Health names each pharmacy below as one that compounds or fills its prescriptions, in its own site, terms or filings. The quote under each one is the seller’s own wording.

Strive Pharmacy

  • 503A
License footprint
1 states: AZ
“Pharmacy information Strive Pharmacy 1275 E Baseline Rd #104, Gilbert, AZ 85233”

Boudreaux's New Drug Store

  • 503A
License footprint
1 states: LA
“Pharmacy information ... Boudreaux's New Drug Store 404 East Prien Lake Rd Lake Charles, LA 70601”

Rush Pharmacy

  • 503A
License footprint
2 states: FL, TX
“Pharmacy information ... Rush Pharmacy 1977 Alafaya Trail #1121 Oviedo, FL 32765 4690 McDermott Rd, Ste 177 Plano, TX 75024”

Compare every compounding pharmacy we’ve reviewed →

In its favor

  • Semaglutide costs $103 a month for the medication, plus a required care fee, 48% below the $199 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $211 a month for the medication, plus a required care fee, 22% below the $269 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 coaching
  • Names 3 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Aspire Health

Against it

  • Not included in the monthly price: lab work
  • Serves only 29 states, so check that yours is one of them
  • Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

What Aspire Health charges

Aspire Health lists $103/month for the medication, plus a required care fee. That sits at the affordable end of what we see.

  • Compounded semaglutide (0.5 mg): $103/month + care fee
  • Compounded semaglutide (1 mg): $127/month + care fee
  • Compounded semaglutide (1.7 mg): $130/month + care fee
  • Compounded semaglutide (2.4 mg): $184/month + care fee
  • Compounded tirzepatide (2.5 mg): $149/month + care fee
  • Compounded tirzepatide (5 mg): $249/month + care fee

For compounded semaglutide, the median across the sellers we compare is $199/month, so Aspire Health's $103 is genuinely below the middle, not just advertised that way. A membership is billed on top of the medication at Aspire Health, so read the terms you agree to at checkout before you pay. Across the compounded market the dearest tenth of sellers charges about three times what the cheapest tenth does; how much GLP-1 prices actually vary explains the spread.

Oak dispenses semaglutide and tirzepatide from $100/month, which makes it the fair comparison to run before you commit here.

What Aspire Health dispenses

Aspire Health prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two best-evidenced weight-loss molecules currently on the market. You can take the approved brand pen or the cheaper compounded preparation. What separates them is review: the approved product went through it, the compounded one did not, and that is the whole of the trade. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder.

Safety and disclosure

Aspire Health tells you its price before you start the medical questionnaire, the 29 states it serves, the pharmacy that fills its prescriptions, and that its pharmacy is accredited. It also offers coaching as part of the plan. We found no FDA warning letters issued to Aspire Health. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. The FDA's warning signs for online medicine sellers are a quick check to run on any seller before you pay. How we weigh oversight, disclosure and price is set out in our scoring methodology.

Who should look elsewhere

  • You need insurance to cover the cost. Check whether Aspire Health bills your plan before you start.

It fits if

  • the lowest standing monthly cost is what you are solving for
  • you want coaching bundled in rather than billed on top

Our read

Aspire Health competes on price without an obvious sacrifice elsewhere: $103/month + care fee, no FDA warning letters.

The Bottom Line

Aspire Health scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability, and it serves 29 states. Its compounded semaglutide costs $103 a month plus a required care fee, 48% below the $199 median among the sellers we compare.

Score: 9/10Best for: a published price you can check dose by dose before handing over any health informationFrom: $103/mo + care fee

Before you pay Aspire Health

Starting at $103 a month for the medication, plus a required care fee. Check today's price, then start the intake.

Where Aspire Health is the wrong choice

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

  • If the standing monthly cost is what decides it, consider WellMedRx (from $49/mo).
  • If your state is outside the area this one covers, consider Embody.

If none of these fits, our guide to alternatives to Aspire Health sets more sellers in the same category beside Aspire Health on price, states and what the price includes.

Frequently Asked Questions

Aspire Health is a Nebraska‑based telehealth practice that publishes dose‑by‑dose prices before any intake. Compounded semaglutide works out to about $103/month at 0.5 mg and $184 at the 2.4 mg maintenance dose; compounded tirzepatide is about $249/month at 5 mg. Brand Wegovy and Zepbound are priced separately. Medication is billed on top of a $49 medical‑care fee charged every 28 days, and the cost of lab work is not included. A named PA/NP team prescribes, and all three dispensing pharmacies are named publicly. We rate it 9.0/10 overall.
Aspire Health starts at $103 a month for the medication, plus a required care fee. The pricing table above lists every tier.
Aspire Health names 29 states. Check that yours is on the list before you go any further.
Aspire Health lists Wegovy, Zepbound, compounded semaglutide and compounded tirzepatide. It lists both FDA-approved brand-name products and cheaper compounded versions.
Aspire Health lists both. Compounded semaglutide and tirzepatide come out of a licensed compounding pharmacy and cost less. The brand pens are the FDA-approved reference products and cost more. What you give up on each path is set out in the review above.
Check whether Aspire Health bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Aspire Health says the price covers medication, the clinician visit and coaching. Lab work is billed on top. 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. Aspire Health runs that whole sequence on its own site.
We found no FDA warning letters issued to Aspire Health. Before you buy, weigh these: Not included in the monthly price: lab work. Serves only 29 states, so check that yours is one of them. Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality. None of them rules Aspire Health out, but each is worth settling before you pay.
Other sellers we cover include Oak, SnagRx, and Lttl. Which one fits depends on the medication, the monthly price you can sustain and whether it ships to your state, so compare those three facts before you switch.

How to check Aspire Health yourself

Every seller that ships to your state, side by side: Hawaii, Illinois, Maine, Massachusetts, Minnesota, Montana, New Hampshire, Virginia and every other state.

Glossary

The words sellers use, defined. Tap any term.

Sources

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

Sources & methodology — as of October 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 (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.

See Aspire Health's current pricing

Plans start at $103 a month for the medication, plus a required care fee. Whether you qualify is a clinician's decision, made after your intake.