Manifest Pharmacy
“compounded GLP-1 medications with Vitamin B12 are prepared by Manifest Pharmacy, a licensed compounding pharmacy, and delivered to your door. ... *Manifest Pharmacy, 1018 S. Batesville Rd, Building 4-A, Greer, SC 29650”
FMmeds Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8/10
Best for: coverage in all 50 states, which most sellers will not confirm
8.0
★★★★☆8.0/10
FMmeds scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $225 a month; its compounded tirzepatide, at $265, is 1% below the $269 median among the sellers we compare.
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$225/mo
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
See plans →See plans at FMmeds →
Compare top-rated alternatives ↓Prices checked October 2026
Vitamin B12 is co-formulated into both the compounded semaglutide and the compounded tirzepatide sold here. No membership charge applies, and the first visit is free unless the patient is approved. Dose strength does not move the price. Commit to 12 months and semaglutide falls to $95/mo, tirzepatide to $145/mo. FMmeds works out of Manhattan Beach, names Manifest Pharmacy of Greer, SC as its 503A partner, and covers all 50 states and DC.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $225/moPrice shown up frontFlat across dosesAll 50 states and DCPharmacy namedNo FDA warning letters found
Is FMmeds legit?
Yes. FMmeds is a real, operating US company, and we found no FDA warning letters issued to it. Its site shows LegitScript certification. We rate it 8.0/10 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 a FMmeds promo or coupon code?
We know of no promo or coupon code for FMmeds. Its listed price is $225 a month. Coupon sites advertising "FMmeds discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how FMmeds compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to FMmeds
9.1/ 10
Verified partnerCollective
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 partnerEmbody
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 partnerLuvo 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 →FMmeds at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $225/mo
- Pricing model
- Flat: the price stays the same as the dose goes up
- What's included
- Shipping
- Availability
- All 50 states + DC
- FDA status
- No FDA warning letters found
How FMmeds scores
Six columns, each one computed from something FMmeds 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%
5.1/10$265/month is 1% below the $269 median for compounded tirzepatide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
10.0/10It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
10.0/10Serves all 50 states and DC.
Support10%
5.0/10States too little about what the monthly cost covers to score the bundle. Held at the midpoint rather than assumed.
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 FMmeds
Last checked October 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
- Recorded which pharmacies the seller names as filling its prescriptions, with the page and date
- Checked FDA warning letters for FMmeds
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 FMmeds 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.
- 1FMmeds 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.
- 2Manifest Pharmacy fills the prescriptions, and FMmeds names it publicly, which most sellers do not.
- 3The monthly price includes shipping.
Price shown before you start
- Lowest ongoing monthly price: semaglutide $225, tirzepatide $265. That leaves out membership fees, first-month rates and insurance copays.
- FMmeds serves all 50 states and DC.
- 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 FMmeds
- Phone
- (877) 720-8885
- FMmeds offers email support
Medications FMmeds lists
FMmeds 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.
Pricing
Prices re-verified
Compounded semaglutide + B12, month-to-month (flat price at every dose)Compounded
$225/mo
semaglutide
Standing month-to-month rate. Prepay plans: $465 for 3 months ($155/mo), $810 for 6 months ($135/mo), $1,140 for 12 months ($95/mo). $95 is what the homepage advertises; it requires paying for a year.
Compounded tirzepatide + B12, month-to-month (flat price at every dose)Compounded
$265/mo
tirzepatide
Standing month-to-month rate. Prepay plans: $675 for 3 months ($225/mo), $1,170 for 6 months ($195/mo), $1,740 for 12 months ($145/mo). $145 is the advertised figure and needs a year paid.
Check the price yourself before you pay
Every figure here comes from FMmeds'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.
FMmeds compounding-pharmacy partners
FMmeds 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.
In its favor
- Semaglutide costs $225 a month, close to the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $265 a month, 1% 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 shipping
- Serves all 50 states and DC
- Names Manifest Pharmacy as the pharmacy that fills its prescriptions, which most sellers do not
- We found no FDA warning letters issued to FMmeds
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
What FMmeds charges
FMmeds lists $225/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: $225/month
- Compounded tirzepatide: $265/month
For compounded tirzepatide, the median across the sellers we compare is $269/month, so FMmeds' $265 lands mid-market. Price is unlikely to be the deciding factor.
Belle Health dispenses semaglutide and tirzepatide from $199/month, which makes it the fair comparison to run before you commit here.
What FMmeds dispenses
FMmeds 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. These are compounded preparations from a licensed pharmacy rather than approved pens, which is where the lower price comes from. A compounded drug is not FDA-approved as a finished product: the specific preparation has not been reviewed for safety, efficacy or manufacturing quality. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy. Some of FMmeds' preparations are mixed with B12; why compounders add it separates what is established from what is only claimed.
Safety and disclosure
FMmeds tells you its price before you start the medical questionnaire, that it treats patients in all 50 states, the pharmacy that fills its prescriptions, and that its pharmacy is accredited. We found no FDA warning letters issued to FMmeds. 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 publishes seven warning signs for telehealth medicine sellers, and they take a minute to run against FMmeds. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether FMmeds 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
FMmeds lands mid-market on price without a standout advantage or an obvious problem. It comes down to whether its particular package fits you. Wellorithm is the nearest comparison we review, and worth reading alongside this.
The Bottom Line
FMmeds scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $225 a month; its compounded tirzepatide, at $265, is 1% below the $269 median among the sellers we compare.
Score: 8/10Best for: coverage in all 50 states, which most sellers will not confirmFrom: $225/mo
Before you pay FMmeds
Starting at $225 a month. Check today's price, then start the intake.
Where FMmeds 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 FMmeds sets more sellers in the same category beside FMmeds on price, states and what the price includes.
Frequently Asked Questions
Vitamin B12 is co-formulated into both the compounded semaglutide and the compounded tirzepatide sold here. No membership charge applies, and the first visit is free unless the patient is approved. Dose strength does not move the price. Commit to 12 months and semaglutide falls to $95/mo, tirzepatide to $145/mo. FMmeds works out of Manhattan Beach, names Manifest Pharmacy of Greer, SC as its 503A partner, and covers all 50 states and DC. We rate it 8.0/10 overall.
FMmeds starts at $225 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
FMmeds says it treats patients in all 50 states.
FMmeds lists compounded semaglutide and compounded tirzepatide.
FMmeds 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 FMmeds bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
FMmeds says the price covers 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. FMmeds runs that whole sequence on its own site.
We found no FDA warning letters issued to FMmeds. 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 FMmeds out, but each is worth settling before you pay.
Other sellers we cover include Wellorithm, RxSpan MD, and Direct Meds. 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 FMmeds yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- Is Ozempic Available Over the Counter? No GLP-1 Is, and What Is Sold Instead
- FDA Warning Letters to Peptide Sellers: What FDA Has Cited, 2023 to 2026
Every seller that ships to your state, side by side: Arkansas, Maryland, Mississippi, New York, North Dakota, South Carolina, South Dakota, West Virginia and every other state.
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this FMmeds review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 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.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See FMmeds's current pricing
Plans start at $225 a month. Whether you qualify is a clinician's decision, made after your intake.
Not sold on FMmeds?
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