Twentyeight Health Review
Semaglutide GLP-1 weight-loss telehealth · Independently scored 6.4/10
Best for: women with insurance or Medicaid who want low-cost provider support for a brand-name GLP-1
Twentyeight Health scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price, and it serves 21 states.
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Covered by the plan
Medication
Not stated
Clinician visits
Not stated
Shipping
Not stated
Lab work
Not stated
Coaching
Not stated
Prices checked November 2026
Twentyeight Health is an online women's health service, best known for birth control, that added a Weight Care program. Its Complete Care membership costs $19.99 a month and covers provider visits, messaging and nutrition support; FDA-approved GLP-1s such as Wegovy are prescribed when appropriate and billed separately by the pharmacy, often through insurance or Medicaid. Weight Care is offered in 22 states.
Is Twentyeight Health legit?
Yes. Twentyeight Health is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 6.4/10 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 Twentyeight Health promo or coupon code?
We know of no promo or coupon code for Twentyeight Health. Coupon sites advertising "Twentyeight Health discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Twentyeight Health compares on our rankings of the best semaglutide providers.
Vetted alternatives to Twentyeight Health
Collective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
Embody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Luvo Health
Best for: moving between compounded and brand without changing seller
Editorial score · methodology
Twentyeight Health at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Wegovy
- Availability
- 21 states + DC
- FDA status
- No FDA warning letters found
How Twentyeight Health scores
Six columns, each one computed from something Twentyeight Health 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%
9.0/10Dispenses semaglutide, including the FDA-approved product. Anchored to STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
7.5/10No pharmacy is named for its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
5.4/10Serves 21 of 50 states and DC.
Support10%
5.0/10States too little about what the monthly cost covers to score the bundle. Held at the midpoint rather than assumed.
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 Twentyeight Health
Last checked November 2026- Checked the listed price across 1 dose or plan tier
- Checked state coverage: 21 states
- Checked FDA warning letters for Twentyeight Health
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 Twentyeight Health 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.
- 1Twentyeight Health 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.
- 2Ask Twentyeight Health which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 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.
- Twentyeight Health serves 21 of 50 states and DC, so check that yours is one of them.
Contacting Twentyeight Health
- Phone
- 1-844-982-0728
- Twentyeight Health offers email support
Cancelling Twentyeight Health
Taken from the terms Twentyeight Health publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- Monthly membership subscription; medication refills on a subscription you can pause or cancel by email or text
- Refund policy
- Refunds, Cancellation & Shipping Policy: "Once a package is dispensed by the pharmacy, it cannot be canceled, returned or refunded." "All initial orders are final after you complete the payment page."
- Early-termination fee
- None
Medications Twentyeight Health lists
Twentyeight Health lists Wegovy. 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
/services/weight-care-medication: "Get Started for $19.99/month", "$19.99 + Medication Cost / month", "Cost of medication is not included and will be billed separately by the pharmacy." FAQ names "GLP-1s (such as Wegovy)". No medication price is published.
Check the price yourself before you pay
Every figure here comes from Twentyeight Health'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.
In its favor
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- We found no FDA warning letters issued to Twentyeight Health
Against it
- Serves only 21 states and DC, so check that yours is one of them
- Ask which pharmacy fills the prescription before you pay, so you can check its license
What Twentyeight Health charges
There is no standard monthly price to quote for Twentyeight Health, so you cannot compare it with other sellers until you have been through an intake and received a quote. When you get one, ask for the ongoing monthly figure and what it includes, not the first-month rate and not a program total divided by its length. Before you pay, compare Twentyeight Health's cancellation terms with other sellers' cancellation and refund policies. Twentyeight Health is not alone in this: about a fifth of GLP-1 sellers publish no price at all.
What Twentyeight Health dispenses
Twentyeight Health prescribes semaglutide (approved as Wegovy and Ozempic). That is one of the most heavily studied molecules in this class. 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.
Safety and disclosure
Twentyeight Health tells you its price before you start the medical questionnaire and the 21 states it serves. It also offers coaching as part of the plan. We found no FDA warning letters issued to Twentyeight Health. 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 want to compare prices before spending time on an intake. There is no standard monthly price to compare.
It fits if
- you want coaching bundled in rather than billed on top
- you want to try routing the cost through your insurance, where coverage is decided in three steps
Our read
Whether Twentyeight Health is priced well is impossible to judge before an intake, because there is no standard price to compare. That does not rule it out, and plenty of legitimate sellers quote after intake, but it puts the comparison after you have spent the time, which is the wrong order for you as the buyer. WellMedRx is the nearest comparison we review, and worth reading alongside this.
The Bottom Line
Twentyeight Health scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price, and it serves 21 states.
Before you pay Twentyeight Health
Check today's price, then start the intake.
Where Twentyeight Health 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 you want a human checking in, not just a prescription, consider Eden.
- If your state is outside the area this one covers, consider Embody.
If none of these fits, our guide to alternatives to Twentyeight Health sets more sellers in the same category beside Twentyeight Health on price, states and what the price includes.
Frequently Asked Questions
How to check Twentyeight Health yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- How to Get a GLP-1 Prescription
- 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: Idaho, Kansas, Maine, Mississippi, Montana, Nevada, North Dakota, Vermont 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 Twentyeight Health review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of November 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.
See Twentyeight Health's current pricing
Whether you qualify is a clinician's decision, made after your intake.