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Brello Health Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.1/10

Best for: seeing what it charges before you answer any medical questions

8.1
★★★★☆8.1/10

Brello Health scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care, and it serves 40 states. It charges from $157.72 a month, paid up front; its compounded tirzepatide, at $176.69, paid up front, is 34% below the $269 median among the sellers we compare.

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$157.72/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

Not stated

Lab work

Not stated

Coaching

Not stated

Compare top-rated alternatives ↓

Brello Health is a cash-pay telehealth seller of compounded semaglutide and tirzepatide, run by Brello, LLC. Plans have a 3-month minimum and renew every 11 weeks, so the advertised monthly figures understate the cost. Semaglutide is $399 per 11-week cycle, about $158 a month; tirzepatide is $499, about $197.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
Price shown up frontFlat across doses40 states and DCPharmacy namedNo FDA warning letters found

What is Brello Health?

Brello Health is an online weight-loss platform run by Brello, LLC that sells compounded semaglutide and tirzepatide in prepaid 3-month and 6-month plans. Telegra MD clinicians review your intake after you pay, and SouthEnd Pharmacy fills the prescription. It suits cash payers who want a fixed price that does not rise with the dose and can commit to three months.

Is Brello Health legit?

Yes. Brello Health is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 8.1/10 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 a Brello Health promo or coupon code?

We know of no promo or coupon code for Brello Health. Its listed price is $157.72 a month. Coupon sites advertising "Brello Health discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.

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

Brello Health logo
8.1 / 10
Our editorial rating
Visit Brello Health →

from $157.72/mo · no insurance needed

Brello Health at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$157.72/mo
Pricing model
Flat: the price stays the same as the dose goes up
What's included
Medication · Consult
Availability
40 states + DC
FDA status
No FDA warning letters found

Vetted alternatives to Brello 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 →

How Brello Health scores

Six columns, each one computed from something Brello 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%

6.0/10

$176.69/month is 34% below the $269 median for compounded tirzepatide across the sellers we compare. Every listed price requires paying for several months up front, so Value is capped at 6.

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%

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%

8.4/10

Serves 40 of 50 states and DC.

Support10%

5.5/10

The price covers the medication and clinician visits.

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 Brello Health

Last checked October 2026
  • Checked the listed price across 3 dose or plan tiers
  • Checked state coverage: 40 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 Brello 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 Brello 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. 1Brello 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. 2Brello Health does not require a live video visit or baseline bloodwork before a first prescription.
  3. 3SouthEnd Pharmacy fills the prescriptions, and Brello Health names it publicly, which most sellers do not.
  4. 4The monthly price includes the medication and clinician visits.
Price shown before you start
  • Lowest ongoing monthly price: semaglutide $157.72, tirzepatide $176.69. That leaves out membership fees, first-month rates and insurance copays.
  • Brello Health serves 40 of 50 states and DC, 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 Brello Health

Email
Brello Health offers email support
Hours
Monday to Friday, 8 AM to 7 PM Central

Cancelling Brello Health

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

Cancel any time
No, a minimum commitment applies
Minimum commitment
3-month prepay (6-month plan optional)
Refund policy
Full refund before a prescription; $50 fee within 24 hours after; none once dispensed

Medications Brello Health lists

Brello Health lists 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.

Peptides Brello Health offers

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

Pricing

Prices re-verified

3-month plan, charged $399 every 11 weeks (auto-renews)Compounded
$157.72/mo
semaglutide

Advertised as $133/month, which is $399 divided by three. The cycle is 11 weeks.

3-month plan, charged $499 every 11 weeks (auto-renews)Compounded
$197.25/mo
tirzepatide

Advertised as $166/month.

6-month plan, charged $894 every 22 weeks (auto-renews)Compounded
$176.69/mo
tirzepatide

Advertised as averaging $149/month. Ships in two 3-month shipments.

Check the price yourself before you pay

Every figure here comes from Brello 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 Brello Health pricing →

Brello Health compounding-pharmacy partners

Brello 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.

SouthEnd Pharmacy

“Currently, we provide access to prescription fulfillment services offered by AP Max, Inc. d/b/a Southend Pharmacy.”

Compare every compounding pharmacy we’ve reviewed →

In its favor

  • Semaglutide costs $157.72 a month, 21% below the $199 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $176.69 a month, 34% 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 stays the same as your dose goes up
  • The monthly price includes the medication and clinician visits
  • Serves 40 states and DC
  • Names SouthEnd Pharmacy as the pharmacy that fills its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Brello Health

Against it

  • 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

Brello Health in brief

Brello Health offers two compounded drugs, tirzepatide and semaglutide, and only in prepaid plans; there is no month-to-month option. You pay at checkout, fill in the medical intake afterward, and a clinician decides whether to prescribe. Brello, LLC runs the website and the billing. The medical practice is Telegra MD, LLC, and the pharmacy named in Brello's terms is SouthEnd Pharmacy.

Two things set it apart. The price is locked: Brello promises no increase when your dose goes up and none at renewal. And the plans renew every 11 weeks, so the monthly figure in its ads is lower than what you actually pay over a year.

What a plan includes

  • The medication, if prescribed, plus syringes, needles and injection instructions
  • A clinician's review of your intake
  • The Brello app for tracking progress and reaching support
  • Brello Rise, a library of fitness and nutrition classes (classes, not one-to-one coaching)
  • A private Facebook group for members
  • Shipping, which Brello says takes 3 to 5 business days after approval

Brello's terms also describe a clinical encounter fee and a pharmacy service fee that are collected and passed through to the clinician and the pharmacy, and both are non-refundable. Brello is not alone in this: across the checkout terms of 560 GLP-1 sellers, twenty-four keep the consult fee whatever happens. The plan pages do not show either fee as a separate line, so ask at checkout whether anything is billed on top of the plan price.

What it costs, and what changes at refill

There are three plans, each with its exact charge in the pricing table above. Semaglutide and the 3-month tirzepatide plan each bill one charge up front and the same charge again every 11 weeks. The 6-month tirzepatide plan bills every 22 weeks and arrives in two shipments about 11 weeks apart.

The advertised monthly figures divide each charge by three. Because the cycle is 11 weeks, not 13, you are charged about 4.7 times a year, not 4. Spread over a year, semaglutide works out to about $157.72 a month, the 3-month tirzepatide plan to about $197.25, and the 6-month tirzepatide plan to about $176.69. Even on that yearly basis the semaglutide plan sits below the middle of a market where the dearest tenth of compounded sellers charges about three times the cheapest tenth.

What does not change at refill is the price itself. Brello's price-lock notice for new members reads: no extra fees, no increase when the dosage changes, no increase at renewal. If you expect to climb to a maintenance dose over several months, that matters more than the headline number, because many sellers charge more at each step.

Already taking one of these drugs elsewhere? Brello's transfer protection says that if the clinician does not keep you at or near your current dose, you may get your first order refunded. You must have taken the drug in the last 30 days, show proof of the prescription before the review, and it applies once.

How sign-up works

Pick a plan and pay first; Brello says so outright. Once the order goes through, you fill out the medical questionnaire in your telehealth account and have a government-issued ID ready. A clinician then looks over your answers. Approval means the kit ships; a decline means Brello refunds the whole charge.

Paying first is the reverse of how many sellers work. The upside is that you see the full price before answering any medical questions. The downside is that your money is held while you wait for a decision.

Pharmacy and clinicians

Brello's terms say prescription fulfillment is provided by AP Max, Inc., doing business as SouthEnd Pharmacy, and the plan pages say orders ship from a US-based 503A compounding pharmacy. Because the pharmacy is named, you can look it up yourself. You may also ask for the prescription to go to a pharmacy you choose, but then you pay that pharmacy directly and Brello's plan price no longer applies.

Telegra MD, LLC provides the clinical care through Brello's platform, according to its telehealth consent. Brello says it does not decide your dose and does not prescribe or dispense medication itself.

Where it is available

Brello's state map lists 40 states and Washington, DC as available. It is not licensed in Alabama, Arkansas, California, Connecticut, Indiana, Massachusetts, Michigan, New Jersey, North Carolina or South Carolina. Residents of those ten states can find other sellers in our state guides.

Canceling and refunds

Every GLP-1 plan has a 3-month minimum. Canceling stops the next renewal, and the refund depends on timing:

  • Before the clinician's review, or if no prescription is written: full refund
  • After a prescription is written, before anything is dispensed: refund minus a fifty-dollar fee, and only when your email arrives within 24 hours of the review-complete notice
  • After the medication is dispensed: no refund
  • Delivered but missing: Brello will not reship once the carrier marks a package delivered; you file the claim with the carrier

The 24-hour window is short. If you are unsure, decide before you check out, not after the prescription arrives, and compare these rules with other GLP-1 sellers' cancellation and refund policies while you still can.

Customer service

Brello steers members to the phone. Its contact page says calls are answered by people, not bots, Monday to Friday from 8 AM to 7 PM Central, with wait times of two to three minutes and a callback option. Email is slower, with replies in 48 to 72 business hours. There is no live chat, and no support on weekends.

What Brello does not tell you

  • Whether insurance or HSA/FSA cards can be used; none of its pages mention either
  • The amounts of the clinical encounter and pharmacy fees its terms describe
  • A per-dose chart; the price lock means you do not need one, but the doses offered are not listed
  • Any promo code; none is published, and the struck-through list price on each plan is the only discount shown

Who it suits, and who should look elsewhere

Brello fits someone who pays cash, expects to raise the dose, and is happy to commit to three months for a price that will not move. The named pharmacy and the transfer protection are real points in its favor. If you already know you will stay on the drug, the 6-month plan is the cheaper way to buy tirzepatide over a year.

Look elsewhere if you want month-to-month billing, weekend support, or the option to pay with insurance or an HSA card. Compounded drugs are not FDA-approved, and compounded semaglutide differs from Ozempic and Wegovy in formulation, concentration and dose ladder, so anyone who needs brand-name Wegovy or Zepbound should compare other sellers. For how each of these factors moves a score, see how we score sellers.

For a like-for-like, Found ($149/month + membership) and HealthRX ($165/month) are the two we would put beside Brello Health.

Questions people ask about Brello Health

How much does Brello cost, and does the price change with the dose?

Semaglutide is $399 and the 3-month tirzepatide plan is $499, each charged again every 11 weeks. The 6-month tirzepatide plan is $894, charged every 22 weeks. Brello's price-lock notice says the price does not rise when your dose changes or at renewal.

Why is Brello's monthly price higher than the one it advertises?

The advertised monthly figures are the plan charge divided by three. The plan renews every 11 weeks, not every 13, so you pay that charge about 4.7 times a year. Spread over a year, semaglutide works out to about $157.72 a month and the 3-month tirzepatide plan to about $197.25.

Are you charged before a clinician approves you?

Yes. Brello takes payment at checkout, and the intake form comes afterward, along with a photo ID. If the clinician does not approve you, you get a full refund. Once a prescription is written, you have 24 hours to cancel for a refund less a fifty-dollar fee; after the medication is dispensed there is no refund.

Does Brello take insurance or HSA/FSA cards?

Brello's plan pages, FAQ and terms do not mention insurance or HSA/FSA payment. Treat it as a cash-pay program and ask before you check out if you want to use a health savings card.

How fast does Brello ship?

Brello says approved orders ship in 3 to 5 business days in states its map marks as available with no shipping delays. The 6-month plan arrives in two shipments: the first three months right away, the second about 11 weeks later.

Which pharmacy fills Brello prescriptions?

Brello's terms name SouthEnd Pharmacy, operated by AP Max, Inc., and its plan pages say orders ship from a US-based 503A compounding pharmacy. You can ask to have the prescription sent to a pharmacy of your choice, but then you pay that pharmacy directly.

Does Brello have promo codes?

None are published on Brello's own pages. The plan pages show a struck-through list price above the plan charge, and that is the only discount on offer.

How do you cancel Brello, and how do you reach customer service?

Every plan has a 3-month minimum, and canceling stops the next renewal. Brello asks you to call or email; its contact page recommends the phone line, which is staffed Monday to Friday, 8 AM to 7 PM Central, with a callback option. Email replies take 48 to 72 business hours, and no chat is offered.

Which states does Brello serve?

Brello's state map lists 40 states and Washington, DC as available. It is not licensed in Alabama, Arkansas, California, Connecticut, Indiana, Massachusetts, Michigan, New Jersey, North Carolina or South Carolina.

The Bottom Line

Brello Health scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care, and it serves 40 states. It charges from $157.72 a month, paid up front; its compounded tirzepatide, at $176.69, paid up front, is 34% below the $269 median among the sellers we compare.

Score: 8.1/10Best for: seeing what it charges before you answer any medical questionsFrom: $157.72/mo

Before you pay Brello Health

Starting at $157.72 a month. Check today's price, then start the intake.

Where Brello Health 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 WellMedRx.
  • If the standing monthly cost is what decides it, consider Collective (from $59/mo + membership).
  • If you want a human checking in, not just a prescription, consider Eden.

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

Compare Brello Health head to head

Our head-to-head pages for Brello Health are Brello Health vs PlushCare, Brello Health vs Nurx, Brello Health vs Polly, Brello Health vs Noom, Brello Health vs Hers, and Brello Health vs Direct Meds.

Frequently Asked Questions

Brello Health starts at $157.72 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
Brello Health names 40 states. Check that yours is on the list before you go any further.
Brello Health lists compounded semaglutide and compounded tirzepatide.
Brello Health 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.
Check whether Brello Health bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Brello Health says the price covers medication and the clinician visit. 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. Brello Health runs that whole sequence on its own site.
We found no FDA warning letters issued to Brello Health. Before you buy, weigh these: 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. None of them rules Brello Health out, but each is worth settling before you pay.
Other sellers we cover include HealthRX, Sesame Care, and ShedRx. 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 Brello Health yourself

Every seller that ships to your state, side by side: Arizona, Hawaii, Kansas, Maine, New Mexico, North Dakota, Rhode Island, South Dakota and every other state.

Glossary

The words sellers use, defined. Tap any term.

Sources

Cited across this Brello 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 Brello Health's current pricing

Plans start at $157.72 a month. Whether you qualify is a clinician's decision, made after your intake.