Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.1/10
Best for: people who want a flat price at every dose from a seller that compounds in its own named pharmacy
Nimbus Healthcare scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care, and it serves 35 states. It charges from $129 a month, paid up front; its compounded semaglutide, at $179, is 10% below the $199 median among the sellers we compare.
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charged as a multi-month plan up front
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
Prices checked November 2026
Nimbus Healthcare is an Austin, Texas telehealth company founded by a compounding pharmacist, whose WeightWise program fills compounded semaglutide and tirzepatide at a pharmacy it owns. Both drugs are mixed with L-carnitine and sold under its own names, CarniSema and CarniTide, at one price for every dose. Semaglutide is $179 a month, or $129 a month on a 6-month plan; tirzepatide is $299, or $219 on the 6-month plan. Medication does not auto-refill.
Yes. Nimbus Healthcare 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.
We know of no promo or coupon code for Nimbus Healthcare. Its listed price is $129 a month. Coupon sites advertising "Nimbus Healthcare discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Nimbus Healthcare compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
Six columns, each one computed from something Nimbus Healthcare 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.
$179/month is 10% below the $199 median for compounded semaglutide across the sellers we compare. A cheaper plan paid several months up front is also listed.
Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
A price is shown before the questionnaire starts.
It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Serves 35 of 50 states and DC.
The price covers the medication, clinician visits and shipping.
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 →
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
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.
Taken from the terms Nimbus Healthcare publishes. Terms change, so check the current policy before you subscribe.
Nimbus Healthcare 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.
Prices re-verified
Plan card: "1-Month ... $179/mo Pay only when you refill, no upcharges as your dose changes." Help center: includes "medication, clinical supervision of the regime as well as shipping".
Help center: "3-Month Subscription: $447 total ($149/month)". Plan card: "Pay upfront or monthly with Klarna." Cannot be canceled mid-term.
Help center: "6-Month Subscription: $774 total ($129/month)". Cannot be canceled mid-term.
Plan card: "1-Month ... $299/mo". Help center: includes medication, clinical supervision and shipping.
Help center: "3-Month Subscription: $747 total ($249/month)". Cannot be canceled mid-term.
Help center: "6-Month Subscription: $1,314 total ($219/month)". Cannot be canceled mid-term.
Check the price yourself before you pay
Every figure here comes from Nimbus Healthcare'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.
Nimbus Healthcare 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.
“Compounded fresh at our owned and operated pharmacy in Austin, TX. ... Compounded GLP-1, doctor-prescribed, made in our NABP-accredited pharmacy. (footer link: Pharmacy -> Lake Hills Pharmacy, "An NABP-accredited 503A compounding pharmacy")”
Nimbus Healthcare charges $129/month, and holds that rate across every 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.
For compounded semaglutide, the median across the sellers we compare is $199/month, so Nimbus Healthcare's $179 is genuinely below the middle, not just advertised that way. Some of Nimbus Healthcare's plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one. For scale, the dearest tenth of compounded sellers charges about three times the cheapest tenth.
bmiMD, at about $129/month, is the closest like-for-like alternative we review.
Nimbus Healthcare 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. 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. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy.
Nimbus Healthcare tells you its price before you start the medical questionnaire, the 35 states it serves, and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to Nimbus Healthcare. 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 Nimbus Healthcare. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Nimbus Healthcare competes on price without an obvious sacrifice elsewhere: $179/month for compounded semaglutide, no FDA warning letters.
The Bottom Line
Nimbus Healthcare scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care, and it serves 35 states. It charges from $129 a month, paid up front; its compounded semaglutide, at $179, is 10% below the $199 median among the sellers we compare.
Starting at $129 a month. Check today's price, then start the intake.
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
If none of these fits, our guide to alternatives to Nimbus Healthcare sets more sellers in the same category beside Nimbus Healthcare on price, states and what the price includes.
Every seller that ships to your state, side by side: District of Columbia, Kansas, Montana, New Hampshire, New Jersey, South Dakota, Tennessee, West Virginia and every other state.
The words sellers use, defined. Tap any term.
Cited across this Nimbus Healthcare review: primary regulatory filings, and peer-reviewed studies.
Plans start at $129 a month. Whether you qualify is a clinician's decision, made after your intake.