Roman Health Pharmacy LLC
“you may select Roman Health Pharmacy LLC or one of our partner pharmacies (collectively, the 'Ro Pharmacy Network')”
Ro Review
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
★★★★☆3.7/5
Ro rates best on simply being available where you are.
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$149/mo
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 September 2026
Foundayo (orforglipron), the new oral GLP-1 from Eli Lilly, joined Ro on April 9 2026 at $149/month for the lowest dose, membership on top. Beside it sit compounded semaglutide and the brand-name pair, Zepbound and Wegovy. No obesity care formulary in the category is more comprehensive. In the US, only a handful of direct-to-patient telehealth companies are larger.
By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
GLP-1 from $149/moPrice 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 weight-loss injection providers.
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9.4/ 10
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★★★★★4.7/5
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CompoundedSemaglutideTirzepatide
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CompoundedSemaglutideTirzepatideOrforglipronGHK-Cu
Get StartedRead full ShedRx review →★★★★★4.5/5
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CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full bmiMD review →Ro at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide, Wegovy, Zepbound
- Starting price
- $149/mo (Additional membership fees apply)
- 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%
5.0/10$149/month is exactly the median for brand-name orforglipron across the sellers we compare.
Effectiveness25%
8.0/10Dispenses orforglipron, 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 50 of 50 states.
Support10%
5.5/10The price covers clinician visits, lab work and coaching.
6weighted dimensions
588sellers 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 September 2026- Checked the listed price across 1 dose or plan tier
- Checked state coverage: all 50
- Checked what the monthly price covers, and what it leaves out
- Confirmed which compounding pharmacy fills the order, and its accreditation
- 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
- Lowest ongoing monthly price: orforglipron $149. That leaves out membership fees, first-month rates and insurance copays.
- 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
GLP-1 medications Ro offers
Each one has its own guide: how the molecule works, the dosing schedule, the side effects that show up in practice, and what the trials actually measured.
Pricing
Prices re-verified
Foundayo (lowest dose, cash pay)Brand-name
$149/mo
orforglipron
Additional membership fees apply
Check the price yourself before you pay
Every figure here was read off Ro's own checkout on 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
Each partner below is a 503A or 503B pharmacy that Ro routes prescriptions through. Each entry is anchored to a verbatim primary-source quote from the provider’s or pharmacy’s own site.
In its favor
- Orforglipron costs $149 a month, close to the $149 median for brand-name orforglipron 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 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.
- Brand-name orforglipron: $149/month
For brand-name orforglipron, the median across the sellers we compare is $149/month, so Ro's $149 lands mid-market. Price is unlikely to be the deciding factor.
HealthRX dispenses semaglutide and tirzepatide from $133/month, which makes it the fair comparison to run before you commit here.
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.
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. 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 lands mid-market on price without a standout advantage or an obvious problem. It comes down to whether its particular package fits you. Found is the nearest comparison we review, and worth reading alongside this.
The Bottom Line
Ro rates best on simply being available where you are.
Score: 7.4/10Best for: knowing which pharmacy fills the vial: it names Roman Health Pharmacy LLCFrom: $149/mo
Before you pay Ro
Starting at $149 a month. Check today's price, then start the intake.
Compare Ro head to head
The sellers closest to Ro on medication and price.
Frequently Asked Questions
Foundayo (orforglipron), the new oral GLP-1 from Eli Lilly, joined Ro on April 9 2026 at $149/month for the lowest dose, membership on top. Beside it sit compounded semaglutide and the brand-name pair, Zepbound and Wegovy. No obesity care formulary in the category is more comprehensive. 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. The pricing table above lists every tier.
Ro says it treats patients in all 50 states.
Ro sells semaglutide (sold as Wegovy and Ozempic) and tirzepatide (sold as Zepbound and Mounjaro). 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.
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 September 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.
See Ro's current pricing
Plans start at $149 a month. Whether you qualify is a clinician's decision, made after your intake.
Not sold on Ro?
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