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Rift Review

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

Best for: people who want cheap compounded tirzepatide and are happy to pick a pharmacy based on their state

8.1
★★★★☆8.1/10

Rift scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability. It charges from $133 a month, paid up front; its compounded tirzepatide, at $179, is 33% below the $269 median among the sellers we compare.

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$133/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 ↓

Rift is an online platform that connects you with independent providers for compounded semaglutide and tirzepatide, plus NAD+, sermorelin and glutathione. You pick the dispensing pharmacy yourself, and the price depends on that pharmacy and the plan length, the same at every dose. Tirzepatide starts at $179 a month through one pharmacy in 25 states; semaglutide is $199 a month, or about $133 to $140 a month on 12-week plans paid up front.

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

Is Rift legit?

Yes. Rift 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 Rift promo or coupon code?

We know of no promo or coupon code for Rift. Its listed price is $133 a month. Coupon sites advertising "Rift discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.

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

Vetted alternatives to Rift

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 →
8.7/ 10
Verified partner

Eden

Best for: coverage in all 50 states, which most sellers will not confirm

★★★★☆8.7/10

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideGHK-CuGlutathione
Get StartedRead full Eden review →
6.6/ 10
Verified partner

HumeCare+

Best for: an oral route if you will not self-inject

★★★☆☆6.6/10

Editorial score · methodology

$199/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full HumeCare+ review →
Rift logo
8.1 / 10
Our editorial rating
Visit Rift →

from $133/mo · no insurance needed

Rift at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$133/mo
Pricing model
Flat: the price stays the same as the dose goes up
What's included
Medication · Consult · Shipping
FDA status
No FDA warning letters found

How Rift scores

Six columns, each one computed from something Rift 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%

7.9/10

$179/month is 33% below the $269 median for compounded tirzepatide across the sellers we compare. A cheaper plan paid several months up front is also listed.

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%

8.0/10

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

Accessibility10%

5.0/10

No state list is available to check, so this is held at the midpoint rather than scored on reach.

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 Rift

Last checked November 2026
  • Checked the listed price across 9 dose or plan tiers
  • 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 Rift

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 Rift 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. 1Rift 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. 2Rift names 7 pharmacies that fill its prescriptions, including Hallandale Pharmacy, 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 $133, tirzepatide $156. That leaves out membership fees, first-month rates and insurance copays.
  • Confirm that Rift serves your state before you start.
  • 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 Rift

Email
Rift offers email support
Hours
Monday to Friday, 11 AM to 5:30 PM ET; limited support on weekends

Cancelling Rift

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

Cancel any time
Yes
Minimum commitment
Monthly, 2-month or 12-week plans depending on the pharmacy, multi-month plans billed up front; Hallandale, Southend and Drug Crafters plans auto-renew, Nova/WhiteLabel plans are one-time orders
Refund policy
Refund & Cancellation Policy (updated September 5, 2026): "Refunds are available only if treatment is not approved by a licensed healthcare provider"; "Prescription medications and related charges are non-refundable once an order enters provider review and pharmacy fulfillment".

Medications Rift lists

Rift 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 Rift offers

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

Pricing

Prices re-verified

Monthly plan, Hallandale Pharmacy (same price at every dose)Compounded
$199/mo
semaglutide

Product page selection "1 month · Hallandale $199 per month". Hallandale is "unavailable in CA, KS, AR, MI, MN, MA, AL, HI, MS".

Monthly plan with vitamin B3, OptioRx (all 50 states)Compounded
$199/mo
semaglutide

"1 month · OptioRx $199 per month"; FAQ "OptioRx offers compounded semaglutide with Vitamin B3 (Niacinamide) in all 50 states, including California. Plans are $199 monthly or $329 total for 2 months."

12-week plan, Hallandale Pharmacy, $419 paid up frontCompounded
$140/mo
semaglutide

"Quarterly · 12 weeks · Hallandale $140 per month $419 total", "Billed upfront as $419 for 12 weeks".

12-week plan, Nova/WhiteLabel (adds vitamin B12), $399 paid up front (one-time order, no auto-renew)Compounded
$133/mo
semaglutide

"Quarterly · 12 weeks · Nova/WhiteLabel $133 per month $399 total". Nova/WhiteLabel is "Unavailable in CA". Product page: "One-time order, no auto-renew. Reorder from the patient portal when ready." Whether a reorder keeps the sitewide $50 launch discount is not stated.

Monthly plan, Premium Compounding Pharmacy (25 states and DC only)Compounded
$179/mo
tirzepatide

"1 month · Premium Compounding Pharmacy $179 per month"; "Currently available on the intake: Alabama, New York, Tennessee, South Dakota, Wisconsin, Wyoming, Idaho, Maryland, Missouri, Nebraska, Pennsylvania, Maine, Kansas, Colorado, Utah, Vermont, Florida, Alaska, Hawaii, Kentucky, Oklahoma, Rhode Island, Washington, D.C., New Hampshire, Oregon, and Illinois."

Monthly plan with vitamin B3, OptioRx (all 50 states)Compounded
$219/mo
tirzepatide

"1 month · OptioRx $219 per month"; 2-month plan "$200 per month $399 total".

Monthly plan, Hallandale PharmacyCompounded
$249/mo
tirzepatide

"1 month · Hallandale $249 per month".

12-week plan, Southend Pharmacy, $469 paid up frontCompounded
$156/mo
tirzepatide

"Quarterly · 12 weeks · Southend Pharmacy $156 per month $469 total". Southend is "Unavailable in AL, AR, CA, CT, IN, MA, MI, NV, NJ, NC, SC." Drug Crafters and Nova/WhiteLabel 12-week plans are $499 ($166 a month).

12-week plan, Hallandale Pharmacy, $499 paid up frontCompounded
$166/mo
tirzepatide

"Quarterly · 12 weeks · Hallandale $166 per month $549 $499 total": the $549 is struck through under a "NEW LOWER PRICING" badge (site bundle: total 499, originalTotal 549), so $499 is recorded as the current price, not a promo. The banner "Sitewide pricing shown includes $50 introductory discount already applied" covers every price; whether renewals keep it is not stated.

Check the price yourself before you pay

Every figure here comes from Rift'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 Rift pricing →

Rift compounding-pharmacy partners

Rift 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.

Hallandale Pharmacy

“Hallandale Pharmacy ... 503A Compounding Pharmacy ... BUDs up to 90 days ... Service Area Restrictions: Currently unavailable in CA, KS, AR, MI, MN, MA, AL, HI, MS. Available in Puerto Rico.”

Southend Pharmacy

“Southend Pharmacy ... Unavailable in AL, AR, CA, CT, IN, MA, MI, NV, NJ, NC, SC.”

OptioRx

“OptioRx is available in all 50 states, including California, with Vitamin B3 (Niacinamide): $219 monthly or $399 total for 2 months.”

Drug Crafters

“Drug Crafters ... Temporarily unavailable in AR. Unavailable in AL, AK, CA, HI, KY, LA, MD, MN, MS, NE, NV, OR, VA.”

Premium Compounding Pharmacy

“Premium Compounding Pharmacy Formulation: No Additional Additives Currently available on the intake: Alabama, New York, Tennessee, ...”

The Pharmacy Hub

“Compounded by Olympia Pharmacy · Shipped & fulfilled by The Pharmacy Hub · All 50 states”

Olympia Pharmacy

“Compounded by Olympia Pharmacy · Shipped & fulfilled by The Pharmacy Hub · All 50 states”

Compare every compounding pharmacy we’ve reviewed →

In its favor

  • Semaglutide costs $199 a month, close to the $199 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $179 a month, 33% 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, clinician visits and shipping
  • Names 7 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Rift

Against it

  • Confirm it serves your state before you start the intake
  • 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 Rift charges

The standing price at Rift is $133/month, unchanged as the dose goes up. 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): $199/month
  • Compounded semaglutide (monthly, with B3): $199/month
  • Compounded semaglutide (12-week plan): $140/month
  • Compounded semaglutide (12-week plan, with B12): $133/month
  • Compounded tirzepatide (monthly): $179/month
  • Compounded tirzepatide (monthly, with B3): $219/month

For compounded tirzepatide, the median across the sellers we compare is $269/month, so Rift's $179 is genuinely below the middle, not just advertised that way. Some of Rift's plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one.

Live Vital dispenses semaglutide and tirzepatide from $130/month, which makes it the fair comparison to run before you commit here.

What Rift dispenses

Rift 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. The medication is compounded rather than dispensed as an approved pen. Compounding serves real clinical needs and is entirely lawful; what it is not is reviewed, and the cost difference reflects that. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder. Some of Rift's preparations are mixed with B12; why compounders add it separates what is established from what is only claimed.

Safety and disclosure

Rift tells you its price before you start the medical questionnaire and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to Rift. 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.

Rift 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 want the FDA-approved pen specifically. Everything listed here is compounded.
  • You need insurance to cover the cost. Check whether Rift 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

Our read

Rift competes on price without an obvious sacrifice elsewhere: $179/month for compounded tirzepatide, no FDA warning letters.

The Bottom Line

Rift scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability. It charges from $133 a month, paid up front; its compounded tirzepatide, at $179, is 33% below the $269 median among the sellers we compare.

Score: 8.1/10Best for: people who want cheap compounded tirzepatide and are happy to pick a pharmacy based on their stateFrom: $133/mo

Before you pay Rift

Starting at $133 a month. Check today's price, then start the intake.

Where Rift 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 Rift sets more sellers in the same category beside Rift on price, states and what the price includes.

Frequently Asked Questions

Rift is an online platform that connects you with independent providers for compounded semaglutide and tirzepatide, plus NAD+, sermorelin and glutathione. You pick the dispensing pharmacy yourself, and the price depends on that pharmacy and the plan length, the same at every dose. Tirzepatide starts at $179 a month through one pharmacy in 25 states; semaglutide is $199 a month, or about $133 to $140 a month on 12-week plans paid up front. We rate it 8.1/10 overall.
Rift starts at $133 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
Ask Rift whether it serves your state before you start the intake, and get the answer in writing.
Rift lists compounded semaglutide and compounded tirzepatide.
Rift 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 Rift bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Rift 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. Rift runs that whole sequence on its own site.
We found no FDA warning letters issued to Rift. Before you buy, weigh these: Confirm it serves your state before you start the intake. 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 Rift out, but each is worth settling before you pay.
Other sellers we cover include Live Vital, bmiMD, and Ivim Health. 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 Rift yourself

Glossary

The words sellers use, defined. Tap any term.

Sources

Cited across this Rift 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 Rift's current pricing

Plans start at $133 a month. Whether you qualify is a clinician's decision, made after your intake.