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Astra Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.6/10

Best for: people ready to prepay a year of compounded semaglutide or tirzepatide for one of the lowest monthly rates

8.6
★★★★☆8.6/10

Astra scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $68 a month, paid up front; its compounded semaglutide, at $145, is 27% below the $199 median among the sellers we compare.

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$68/mo

charged as a multi-month plan up front

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 November 2026

Compare top-rated alternatives ↓

Astra is an online clinic that prescribes compounded semaglutide and tirzepatide, brand-name Wegovy, Ozempic and Zepbound, and sermorelin, NAD+ and glutathione, through a named Florida medical group and named 503A pharmacies. Plans are paid up front and renew automatically: semaglutide is $145 a month or $68 a month on a 12-month plan billed $816 at once, and tirzepatide is $250 a month or $118 a month on the 12-month plan, at any dose.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
Price shown up frontFlat across dosesIncludes medication + consultAll 50 statesPharmacy namedNo FDA warning letters found

Is Astra legit?

Yes. Astra is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 8.6/10 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 Astra promo or coupon code?

We know of no promo or coupon code for Astra. Its listed price is $68 a month. Coupon sites advertising "Astra discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.

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

Vetted alternatives to Astra

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 →
7.3/ 10
Verified partner

Ivim Health

Best for: coaching and unlimited provider visits bundled into a 12-month compounded program

★★★★☆7.3/10

Editorial score · methodology

$140/mo
CompoundedSemaglutideTirzepatideNAD+Sermorelin
Get StartedRead full Ivim Health review →
Astra logo
8.6 / 10
Our editorial rating
Visit Astra →

from $68/mo · no insurance needed

Astra at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide, Wegovy, Zepbound
Starting price
$68/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 Astra scores

Six columns, each one computed from something Astra 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%

7.3/10

$145/month is 27% below the $199 median for compounded semaglutide across the sellers we compare. A cheaper plan paid several months up front is also listed. A cheaper microdose price is also listed; Value is scored on the standard dose.

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%

9.0/10

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

Accessibility10%

10.0/10

Serves all 50 states.

Support10%

7.0/10

The price covers the medication, clinician visits and shipping.

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 Astra

Last checked November 2026
  • Checked the listed price across 17 dose or plan tiers
  • Checked state coverage: all 50
  • 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 Astra

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 Astra 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. 1Astra 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. 2Astra names 6 pharmacies that fill its prescriptions, including VialsRx, which most sellers do not do.
  3. 3The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
  • Lowest ongoing monthly price: semaglutide $68, tirzepatide $109. That leaves out membership fees, first-month rates and insurance copays.
  • Astra 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 Astra

Email
Astra offers email support

Cancelling Astra

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

Cancel any time
Yes
Minimum commitment
Monthly, 3-, 6- or 12-month plans, each paid up front and renewed automatically for the same term
Refund policy
Subscription terms: "Full refund if a provider does not prescribe. You may request a refund within 24 hours of purchase if no medication has shipped. No refund once medication has been prepared or shipped. Prior payments are not prorated."
Early-termination fee
None

Medications Astra lists

Astra lists Wegovy, Ozempic, 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.

WegovyOzempicZepboundSemaglutide(compounded + brand)Tirzepatide(compounded + brand)

Peptides Astra offers

Astra sells peptides beyond the GLP-1s. Tap one to read what the evidence says about it.

DropletGlutathioneAntioxidant infusionsDropletNAD+Energy & cellular agingSyringeSermorelinOwn growth-hormone output

Pricing

Prices re-verified

Monthly plan, same price at any doseCompounded
$145/mo
semaglutide

Product page plan table: "Monthly $145".

3-month plan, $285 paid up front every 3 monthsCompounded
$95/mo
semaglutide

Plan table: "3 Month $95" per month; $285 per 3 months as shown on the VialsRx pharmacy page for the same plan.

6-month plan, $564 paid up front every 6 monthsCompounded
$94/mo
semaglutide

Plan table: "6 Month $94" per month.

12-month plan, $816 paid up front once a yearCompounded
$68/mo
semaglutide

Plan table "12 Month $68"; pricing page "plans start at $68/mo on the 12-month plan ($816 billed once)".

Monthly plan, same price at any doseCompounded
$250/mo
tirzepatide

Subscription terms: "Monthly plan, $250 charged every month."

3-month plan, $498 paid up front every 3 monthsCompounded
$166/mo
tirzepatide

Subscription terms: "3-month plan, $498 charged every 3 months ($166/mo)".

6-month plan, $948 paid up front every 6 monthsCompounded
$158/mo
tirzepatide

Subscription terms: "6-month plan, $948 charged every 6 months ($158/mo)".

12-month plan, $1,416 paid up front once a yearCompounded
$118/mo
tirzepatide

Subscription terms: "12-month plan, $1,416 charged once per year ($118/mo)". Code NEWSTART takes $100 off this plan ($1,316).

Wegovy, listed starting price per monthBrand-name
$1,500/mo
semaglutide

Wegovy page: "Starting at $1500/month".

Ozempic, listed starting price per monthBrand-name
$1,200/mo
semaglutide

Homepage card: "Ozempic ... FROM $1200/MO".

Zepbound, listed starting price per monthBrand-name
$1,300/mo
tirzepatide

Homepage card: "Zepbound ... FROM $1300/MO".

Microdose, monthly planCompounded
$99/mo
semaglutide

Microdosing page: "Microdose Semaglutide ... Monthly $99".

Microdose, 3-month plan, paid up frontCompounded
$95/mo
semaglutide

/microdosing/: "3 Month $95" per month; subscription terms: plans are paid for the term up front.

Microdose, 6-month plan, paid up frontCompounded
$89/mo
semaglutide

/microdosing/: "6 Month $89" per month.

Microdose, monthly planCompounded
$119/mo
tirzepatide

/microdosing/: "Microdose Tirzepatide ... Monthly $119".

Microdose, 3-month plan, paid up frontCompounded
$115/mo
tirzepatide

/microdosing/: "3 Month $115" per month.

Microdose, 6-month plan, paid up frontCompounded
$109/mo
tirzepatide

/microdosing/: "6 Month $109" per month.

Check the price yourself before you pay

Every figure here comes from Astra'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 Astra pricing →

Astra compounding-pharmacy partners

Astra 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.

VialsRx

“Your customized treatment is compounded at VialsRx, a state-licensed 503A pharmacy, and shipped discreetly to your door.”

Hallandale Pharmacy

“Every pharmacy below compounds tirzepatide and semaglutide for Astra patients. ... Hallandale Pharmacy Fort Lauderdale, FL · 503A compounding pharmacy”

Boudreaux's New Drug Store

“Boudreaux's New Drug Store Lake Charles, LA · 503A compounding pharmacy”

Drug Crafters

“Drug Crafters Frisco, TX · 503A compounding pharmacy”

Compare every compounding pharmacy we’ve reviewed →

In its favor

  • Semaglutide costs $145 a month, 27% below the $199 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $250 a month, close to 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 stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • Serves all 50 states
  • Names 6 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Astra

Against it

  • 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 Astra charges

Astra lists $68/month, flat regardless of dose. 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 (monthly): $145/month
  • Compounded semaglutide (3-month plan): $95/month
  • Compounded semaglutide (6-month plan): $94/month
  • Compounded semaglutide (12-month plan): $68/month
  • Compounded tirzepatide (monthly): $250/month
  • Compounded tirzepatide (3-month plan): $166/month

For compounded semaglutide, the median across the sellers we compare is $199/month, so Astra's $145 is genuinely below the middle, not just advertised that way. Some of Astra's plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one.

Collective dispenses semaglutide and tirzepatide from $59/month + membership, which makes it the fair comparison to run before you commit here.

What Astra dispenses

Astra prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two molecules with the largest published weight-loss trial programs behind them. The choice is between an FDA-approved pen and a compounded preparation that costs less. Compounding is lawful and often appropriate, but a compounded product is not an approved one, and the price gap is largely that difference. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder. Astra also lists a microdose plan, and the published evidence on GLP-1 microdosing is letters and commentary rather than trials.

Safety and disclosure

Astra tells you its price before you start the medical questionnaire, that it treats patients in all 50 states, and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to Astra. 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.

Astra also sells NAD+, and a 2026 systematic review found no outcomes trials of injected NAD+ for anti-aging or wellness.

Who should look elsewhere

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

It fits if

  • the lowest standing monthly cost is what you are solving for
  • you want the price to stop moving as your dose climbs
  • you need access wherever you live

Our read

Astra competes on price without an obvious sacrifice elsewhere: $145/month for compounded semaglutide, no FDA warning letters, and wide state coverage.

The Bottom Line

Astra scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $68 a month, paid up front; its compounded semaglutide, at $145, is 27% below the $199 median among the sellers we compare.

Score: 8.6/10Best for: people ready to prepay a year of compounded semaglutide or tirzepatide for one of the lowest monthly ratesFrom: $68/mo

Before you pay Astra

Starting at $68 a month. Check today's price, then start the intake.

Visit Astra →

Where Astra 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 you want a human checking in, not just a prescription, consider Ivim Health.

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

Frequently Asked Questions

Astra is an online clinic that prescribes compounded semaglutide and tirzepatide, brand-name Wegovy, Ozempic and Zepbound, and sermorelin, NAD+ and glutathione, through a named Florida medical group and named 503A pharmacies. Plans are paid up front and renew automatically: semaglutide is $145 a month or $68 a month on a 12-month plan billed $816 at once, and tirzepatide is $250 a month or $118 a month on the 12-month plan, at any dose. We rate it 8.6/10 overall.
Astra starts at $68 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
Astra says it treats patients in all 50 states.
Astra lists Wegovy, Ozempic, Zepbound, compounded semaglutide and compounded tirzepatide. It lists both FDA-approved brand-name products and cheaper compounded versions.
Astra 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 Astra bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Astra 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. Astra runs that whole sequence on its own site.
We found no FDA warning letters issued to Astra. Before you buy, weigh these: 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 Astra out, but each is worth settling before you pay.
Other sellers we cover include Collective, Embody, and CoreAge Rx. 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 Astra yourself

Every seller that ships to your state, side by side: Arizona, Idaho, Kentucky, Louisiana, North Carolina, South Carolina, Vermont, Washington and every other state.

Glossary

The words sellers use, defined. Tap any term.

Sources

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

Sources & methodology — as of November 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 Astra's current pricing

Plans start at $68 a month. Whether you qualify is a clinician's decision, made after your intake.

Visit Astra →