Roman Health Pharmacy LLC
“you may select Roman Health Pharmacy LLC or one of our partner pharmacies (collectively, the 'Ro Pharmacy Network')”
Ro Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.4/10
Best for: knowing which pharmacy fills the vial: it names Roman Health Pharmacy LLC
7.4
★★★★☆7.4/10
Ro scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price. It charges from $149 a month for the medication, plus a required membership.
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$149/mo
medication only; a membership is required on top
Covered by the monthly price
Medication
Charged on top
Clinician visits
In the price
Shipping
Not stated
Lab work
In the price
Coaching
In the price
See plans →See plans at Ro →
Compare top-rated alternatives ↓Prices checked October 2026
Ro sells brand-name GLP-1s only: the Wegovy pill and pen, Zepbound, Ozempic and Foundayo (orforglipron), the oral GLP-1 from Eli Lilly. Cash prices match NovoCare and LillyDirect, starting at $149 a month for the Wegovy pill or Foundayo, and an insurance team checks coverage for the pens. Every medication is billed on top of the Ro Body membership. In the US, only a handful of direct-to-patient telehealth companies are larger.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $149/mo + membershipPrice shown up frontIncludes consult + labsAll 50 statesPharmacy namedNo FDA warning letters found
Is Ro legit?
Yes. Ro is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 7.4/10 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 Ro promo or coupon code?
Ro has no code to type in. The current offer: $39 for the first month, then $149/month (as low as $74/month with annual prepay); membership only, medication separate. It applies at checkout on its own. Coupon sites advertising a "Ro promo code" are not a source we can vouch for.
See how Ro compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to Ro
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 →Ro at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide, Wegovy, Zepbound, Ozempic
- Starting price
- $149/mo + membership
- What's included
- Consult · Labs · Coaching
- Availability
- All 50 states
- FDA status
- No FDA warning letters found
How Ro scores
Six columns, each one computed from something Ro 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%
3.0/10The listed figure is not a comparable monthly price for a named GLP-1 (it may be a membership fee, an insured copay, a per-vial rate or a starting-dose price), so Value is capped rather than scored against other sellers.
Effectiveness25%
10.0/10Dispenses orforglipron, 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%
9.0/10It 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.
Support10%
5.5/10The price covers clinician visits, lab work and coaching.
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 Ro
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 Ro
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 Ro 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.
- 1Ro 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.
- 2Roman Health Pharmacy LLC fills the prescriptions, and Ro names it publicly, which most sellers do not.
- 3The monthly price includes clinician visits, lab work and coaching.
Price shown before you start
- Before you commit, get the ongoing monthly price of the medication itself, not a first-month rate, a membership fee or a per-vial price.
- Ro serves all 50 states.
Contacting Ro
- Ro offers email support
Cancelling Ro
Taken from the terms Ro publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None on the monthly plan; 3, 6 and 12-month plans are prepaid
- Refund policy
- Membership fees are not refunded; the $39 first month is refunded if you are not eligible
Medications Ro lists
Ro lists Wegovy, Ozempic, Zepbound and Foundayo. 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
Wegovy pill, from; medication only; Ro Body membership billed separatelyBrand-name
$149/mo + membership
semaglutide
"Wegovy® pill Starting at $149 /mo". Per dose: 1.5 mg $149, 4 mg $199, 9 mg and 25 mg $299. Cash pay only. Membership: $39 first month, then $149/mo month to month, or $99, $89 or $74/mo prepaid on 3-, 6- or 12-month plans.
Wegovy pen, from; medication only; Ro Body membership billed separatelyBrand-name
$199/mo + membership
semaglutide
"Wegovy® pen Starting at $199 /mo" for 0.25 mg and 0.5 mg, an offer for the first two months (sign up by Dec 31, 2026; $349 without it); 1 mg to 2.4 mg $349, 7.2 mg (Wegovy HD) $399. Insurance or cash pay. Membership: $39 first month, then $149/mo month to month, or $99, $89 or $74/mo prepaid on 3-, 6- or 12-month plans.
Zepbound KwikPen 2.5 mg; medication only; Ro Body membership billed separatelyBrand-name
$299/mo + membership
tirzepatide
Cash pay only: $299/mo for 2.5 mg, $399/mo for 5 mg, $449/mo for 7.5 to 15 mg with the manufacturer offer (refill check-in within 45 days, or $499 to $699). The Zepbound pen is insurance or cash pay. Membership: $39 first month, then $149/mo month to month, or $99, $89 or $74/mo prepaid on 3-, 6- or 12-month plans.
Foundayo pill 0.8 mg; medication only; Ro Body membership billed separatelyBrand-name
$149/mo + membership
orforglipron
"Foundayo starts at $149/mo": 0.8 mg $149; 2.5 mg $149 and 5.5 mg $199 through Dec 31, 2026; 9 mg $299; 14.5 and 17.2 mg $299 with the manufacturer offer ($349 without). Cash pay only. Membership: $39 first month, then $149/mo month to month, or $99, $89 or $74/mo prepaid on 3-, 6- or 12-month plans.
Check the price yourself before you pay
Every figure here comes from Ro'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.
Ro compounding-pharmacy partners
Ro 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
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes clinician visits, lab work and coaching
- Serves all 50 states
- Names Roman Health Pharmacy LLC as the pharmacy that fills its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Ro
Against it
- Not included in the monthly price: medication
What Ro charges
The standing price at Ro is $149/month for the medication, plus a required membership. A membership is billed on top of the medication at Ro, so read the terms you agree to at checkout before you pay.
- Wegovy pill: $149/month + membership
- Wegovy pen with insurance: $199/month + membership
- Zepbound KwikPen with insurance: $299/month + membership
- Foundayo pill: $149/month + membership
Found, at about $149/month + membership, is the closest like-for-like alternative we review.
What Ro dispenses
Ro 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. These are FDA-approved brand-name products rather than compounded preparations, which is the more expensive route and the one where what is in the pen has been reviewed. Brand names vs molecules sorts out which pen holds which drug. The Wegovy pill is priced by dose; what it costs each way you can pay compares the routes.
Safety and disclosure
Ro 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. It also offers coaching as part of the plan. We found no FDA warning letters issued to Ro. 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.
Who should look elsewhere
- You need insurance to cover the cost. Check whether Ro bills your plan before you start.
It fits if
- you want coaching bundled in rather than billed on top
- you need access wherever you live
Our read
Ro charges $149/month for the medication, plus a required membership. Too few sellers offer the same drug and form to say whether that is cheap or expensive, so judge it on what the package includes.
The Bottom Line
Ro scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price. It charges from $149 a month for the medication, plus a required membership.
Score: 7.4/10Best for: knowing which pharmacy fills the vial: it names Roman Health Pharmacy LLCFrom: $149/mo + membership
Before you pay Ro
Starting at $149 a month for the medication, plus a required membership. Check today's price, then start the intake.
If you are weighing other sellers, our guide to alternatives to Ro sets more sellers in the same category beside Ro on price, states and what the price includes.
Compare Ro head to head
Our head-to-head pages for Ro are Ro vs Hims, Ro vs Mochi Health, Ro vs Noom, Ro vs Gala, Ro vs Hers, and Ro vs Fridays.
Frequently Asked Questions
Ro sells brand-name GLP-1s only: the Wegovy pill and pen, Zepbound, Ozempic and Foundayo (orforglipron), the oral GLP-1 from Eli Lilly. Cash prices match NovoCare and LillyDirect, starting at $149 a month for the Wegovy pill or Foundayo, and an insurance team checks coverage for the pens. Every medication is billed on top of the Ro Body membership. In the US, only a handful of direct-to-patient telehealth companies are larger. We rate it 7.4/10 overall.
Ro starts at $149 a month for the medication, plus a required membership. The pricing table above lists every tier.
Ro says it treats patients in all 50 states.
Ro lists Wegovy, Ozempic, Zepbound and Foundayo. Everything it lists is the FDA-approved brand product.
Check whether Ro bills your insurance before you sign up.
Ro says the price covers the clinician visit, lab work and coaching. 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. Ro runs that whole sequence on its own site.
We found no FDA warning letters issued to Ro. Before you buy, weigh these: Not included in the monthly price: medication. None of them rules Ro out, but each is worth settling before you pay.
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 Ro yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- Buying Tirzepatide as a Research Chemical: What "Research Use Only" Really Means
- How to Get a GLP-1 Prescription
Every seller that ships to your state, side by side: Minnesota, Montana, New Mexico, North Dakota, Ohio, South Dakota, Utah, 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 Ro 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 Ro's current pricing
Plans start at $149 a month for the medication, plus a required membership. Whether you qualify is a clinician's decision, made after your intake.
Not sold on Ro?
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