PerfectRx/PerfectionRx
“What pharmacies does OrderlyMeds use to compound their medications? We currently partner with PerfectRx/PerfectionRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx.”
OrderlyMeds Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.1/10
Best for: new GLP-1 users who want a low 2-month starter price and the same rate at every dose
8.1
★★★★☆8.1/10
OrderlyMeds scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on disclosure, and the FDA has issued it a warning letter. Its compounded semaglutide costs $149 a month, 25% below the $199 median among the sellers we compare.
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$74/mo for the first two months
then $149/mo ongoing
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 →See plans at OrderlyMeds →
Compare top-rated alternatives ↓Prices checked October 2026
OrderlyMeds sells compounded semaglutide at $149 a month and compounded tirzepatide at $299, the same price at every dose, with no membership fee. For new customers, the first two months cost half: $149 for two months of semaglutide or $299 for tirzepatide. Brand Wegovy and Zepbound are also sold. Visits are text-based, it serves all 50 states, and it names its five compounding pharmacies.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $149/moPrice shown up frontFlat across dosesIncludes medication + consultAll 50 statesPharmacy named
Is OrderlyMeds legit?
OrderlyMeds is a real, operating US company, and the FDA has issued it a warning letter. The letter is summarized at the top of this review. Read what it alleges before you decide, and raise it with the clinician who would prescribe for you. We rate OrderlyMeds 8.1/10 overall.
Is there an OrderlyMeds promo or coupon code?
OrderlyMeds has no code to type in. The current offer: New-patient starter pricing on lowest dose paid upfront: compounded semaglutide 'get started for as little as $74/mo' (then $149/mo); compounded tirzepatide $149/mo (then $299/mo). It applies at checkout on its own. Coupon sites advertising an "OrderlyMeds promo code" are not a source we can vouch for.
See how OrderlyMeds compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to OrderlyMeds
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 →OrderlyMeds at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide, Wegovy, Zepbound
- Starting price
- $149/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
- 1 FDA warning letter (details below)
How OrderlyMeds scores
Six columns, each one computed from something OrderlyMeds 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%
7.1/10$149/month is 25% below the $199 median for compounded semaglutide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, including the FDA-approved product. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
6.0/10The FDA has issued it a warning letter. It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
10.0/10Serves all 50 states.
Support10%
7.0/10The 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 OrderlyMeds
Last checked October 2026- Checked the listed price across 4 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 OrderlyMeds
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 OrderlyMeds 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.
- 1OrderlyMeds 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.
- 2OrderlyMeds names 5 pharmacies that fill its prescriptions, including PerfectRx/PerfectionRx, which most sellers do not do.
- 3The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
- Lowest ongoing monthly price: semaglutide $149, tirzepatide $299. That leaves out membership fees, first-month rates and insurance copays.
- OrderlyMeds serves all 50 states.
- The FDA has issued OrderlyMeds a warning letter. It is covered in the enforcement section below; read what it alleges before you decide.
- 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 OrderlyMeds
- Phone
- 866.971.5161
- OrderlyMeds offers email support
Cancelling OrderlyMeds
Taken from the terms OrderlyMeds publishes. Terms change, so check the current policy before you subscribe.
- Minimum commitment
- Month-to-month and multi-month plans offered
- Refund policy
- Full refund if a prescription is denied; no cancellation once the prescription is written
Medications OrderlyMeds lists
OrderlyMeds 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
Injectable, monthly plan (all doses)Compounded
$149$74/mo
Save 50% right nowsemaglutide
New customers: 2-month starter $149 total ($74/mo), then $149/mo. A second offer is $224 for 2 months.
Injectable, monthly plan (all doses)Compounded
$299$149/mo
Save 50% right nowtirzepatide
New customers: 2-month starter $299 total ($149/mo), then $299/mo. A second offer is $449 for 2 months.
Wegovy pen, monthly planBrand-name
$1,839/mo
semaglutide
Zepbound pen, monthly planBrand-name
$1,498/mo
tirzepatide
Check the price yourself before you pay
Every figure here comes from OrderlyMeds'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.
OrderlyMeds compounding-pharmacy partners
OrderlyMeds 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.
ProRx
“What pharmacies does OrderlyMeds use to compound their medications? We currently partner with PerfectRx/PerfectionRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx.”
Casa Pharma Rx
“What pharmacies does OrderlyMeds use to compound their medications? We currently partner with PerfectRx/PerfectionRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx.”
The Pharmacy Hub
“What pharmacies does OrderlyMeds use to compound their medications? We currently partner with PerfectRx/PerfectionRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx.”
SmartPharmaRx
“What pharmacies does OrderlyMeds use to compound their medications? We currently partner with PerfectRx/PerfectionRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx.”
In its favor
- Semaglutide costs $149 a month, 25% below the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $299 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 5 pharmacies that fill its prescriptions, which most sellers do not
Against it
- The FDA has issued OrderlyMeds a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- 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 OrderlyMeds charges
OrderlyMeds advertises $74/month for the first two months. The standing rate is $149/month, and that is the one worth doing the math on.
- Compounded semaglutide: $74/month for the first two months, then $149/month
- Compounded tirzepatide: $149/month for the first two months, then $299/month
- Wegovy pen: $1,839/month
- Zepbound pen: $1,498/month
For compounded semaglutide, the median across the sellers we compare is $199/month, so OrderlyMeds' $149 is genuinely below the middle, not just advertised that way. Before you pay, compare OrderlyMeds' cancellation terms with other sellers' cancellation and refund policies. For scale, the dearest tenth of compounded sellers charges about three times the cheapest tenth.
Found, at about $149/month + membership, is the closest like-for-like alternative we review.
What OrderlyMeds dispenses
OrderlyMeds prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. Both routes are available: the FDA-approved pen, or a compounded version at lower cost. The difference is not cosmetic. The approved product has been reviewed for safety, efficacy and manufacturing quality, and a compounded preparation has not. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy.
Safety and disclosure
OrderlyMeds 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. The FDA has issued OrderlyMeds a warning letter, summarized at the top of this page. A letter flags a problem rather than ruling a seller out, so read what it says before deciding what it means for you. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. Across the market, the FDA's GLP-1 warning letters are mostly about what sellers said rather than what pharmacies made. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You would be choosing on the advertised figure. The price for the first two months is real, but it is not what you will pay once that ends.
- You need insurance to cover the cost. Check whether OrderlyMeds bills your plan before you start.
- A seller's regulatory history matters to you more than price. Read the warning letter summarized above before deciding.
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 want a cheap way to find out whether the medication suits you before committing
- you need access wherever you live
Our read
OrderlyMeds is a cheap way to start and an ordinary way to continue. Use the first two months at $74/month to find out whether the medication works for you, and re-run the numbers against $149/month before the regular price starts. Whatever you decide, read the warning letter summarized at the top of this page first, and raise it with the clinician who would prescribe for you.
The Bottom Line
OrderlyMeds scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on disclosure, and the FDA has issued it a warning letter. Its compounded semaglutide costs $149 a month, 25% below the $199 median among the sellers we compare.
Score: 8.1/10Best for: new GLP-1 users who want a low 2-month starter price and the same rate at every doseFrom: $149/mo
Before you pay OrderlyMeds
Starting at $149 a month. Check today's price, then start the intake.
Where OrderlyMeds 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 Eden.
If none of these fits, our guide to alternatives to OrderlyMeds sets more sellers in the same category beside OrderlyMeds on price, states and what the price includes.
Frequently Asked Questions
OrderlyMeds sells compounded semaglutide at $149 a month and compounded tirzepatide at $299, the same price at every dose, with no membership fee. For new customers, the first two months cost half: $149 for two months of semaglutide or $299 for tirzepatide. Brand Wegovy and Zepbound are also sold. Visits are text-based, it serves all 50 states, and it names its five compounding pharmacies. We rate it 8.1/10 overall.
The standing rate at OrderlyMeds is $149 a month. The $74/month price for the first two months is not what you pay after that. Cost also moves with the medication and the dose, so read the row in the pricing table above that matches yours.
OrderlyMeds says it treats patients in all 50 states.
OrderlyMeds lists Wegovy, Zepbound, compounded semaglutide and compounded tirzepatide. It lists both FDA-approved brand-name products and cheaper compounded versions.
OrderlyMeds 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 OrderlyMeds bills your insurance before you sign up. It also takes FSA and HSA cards. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
OrderlyMeds 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. New patients are currently quoted $74/month for the first two months. OrderlyMeds runs that whole sequence on its own site.
The FDA warning letter is the one that matters, and it is summarized at the top of this review. Also weigh these before you buy: Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Other sellers we cover include Sesame Care, ShedRx, and Found. 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 OrderlyMeds yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- Buying Tirzepatide as a Research Chemical: What "Research Use Only" Really Means
- Is Ozempic Available Over the Counter? No GLP-1 Is, and What Is Sold Instead
Every seller that ships to your state, side by side: Alaska, Delaware, Hawaii, Maine, Minnesota, New Hampshire, New Jersey, Pennsylvania 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
Regulatory notice
OrderlyMeds has an FDA warning letter on record, dated June 8, 2026
This letter concerns false & misleading claims/misbranded (telehealth). A warning letter is public correspondence from FDA, not an adjudication. On its own it establishes no finding of illegal activity, and a company that gets one often answers with corrective action.
Sources
Cited across this OrderlyMeds 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 OrderlyMeds's current pricing
Plans start at $74 a month. Whether you qualify is a clinician's decision, made after your intake.
Not sold on OrderlyMeds?
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