Introduction
Published 5 November 2026. A first-month price is the opening charge. The continuing price is the later monthly or 4-week charge. A prepaid plan divides an upfront total by the number of months and is not the same bill. The rows in this note were checked from 26 October 2026 through 2 November 2026.
Those dates stay on the rows. This page does not turn a later reading of a source into a new price verification. Compounded drugs are not FDA-approved. Wegovy, on the Sesame row, is the brand name printed on that program page.
Three ways a first charge is priced
The first pattern is an introductory month, then a higher continuing price. HealthRX, checked 27 October 2026, prints $99 for the first month of semaglutide, then $165 a month, and $99 then $214 a month for tirzepatide. MEDGm's injection cards, checked the same day, print $179 then $299 a month for semaglutide and $279 then $399 a month for tirzepatide. MEDGm's oral semaglutide card, checked 2 November 2026, prints $249 then $369 a month. Sesame Care, checked 26 October 2026, prints Wegovy at $199 a month for two months, then $349 a month.
The second pattern is a prepaid term. HealthRX's 12-month semaglutide plan is $1,163, which the page shows from $97/mo. The 12-month tirzepatide plan is $2,123, shown from $177/mo. Those per-month figures are the plan's own labels for the upfront total. They are not the $165 or $214 month-to-month prices.
The third pattern is a flat price. yourEra, checked 2 November 2026, prints month-to-month semaglutide at $89 a month. The first month on that line is the same as the continuing price. On the price comparison, that $89 is the lowest calendar-month continuing price with medication included.
A calendar month and a 4-week bill are not the same cycle
A charge every 4 weeks lands 13 times in 52 weeks. A calendar-month charge lands 12 times in a year. Affinity Direct's price file, last updated 17 October 2026, lists compounded tirzepatide at 2.5 mg/week as an auto-refill of $147.90 for 4 weeks (28 days). The Telehealth Ledger price guide, last checked 1 November 2026, prints that $147.90 and a 365-day annualized equivalent of $160.67. The $160.67 figure is not a second bill and not a first-month discount.
HealthRX and MEDGm print a monthly price. Affinity Direct prints a 4-week price. Sesame prints a monthly Wegovy price. Putting $147.90 next to $165 without saying which cycle it is compares different bills.
What the page itemizes, and what it does not
HealthRX calls $99 a first-month introductory price and says the prices shown are before any promo code. It does not, in those lines, itemize a separate consult fee. MEDGm's product cards print the first month and the later monthly price. Sesame's program page states the Wegovy medication amounts for the two-month opening and the later month. yourEra's month-to-month line states $89 and says the price is the same at every dose. Affinity Direct's file states a 4-week auto-refill and says the compounded product is not FDA-approved.
If a page does not say whether a consult, shipping, or a membership is inside the figure, check that provider's page before paying. This note does not fill in a fee the row did not print.
The rows, with the check date on each line
Published 5 November 2026. Each check date below is the date that figure was recorded. Found Health, Enhance.MD, and Embody are not in the table. A read of their source pages on 5 November 2026 did not confirm the earlier first-month dollars, and Embody's product page did not load. That read is not a new price verification, and this note does not substitute a different dollar.
| Provider | Medication | First month | Continuing | Prepaid | Checked |
|---|---|---|---|---|---|
| HealthRX | Semaglutide injection | $99 first month | $165 a month | $97/mo if $1,163 for 12 months | 27 Oct 2026 |
| HealthRX | Tirzepatide injection | $99 first month | $214 a month | $177/mo if $2,123 for 12 months | 27 Oct 2026 |
| MEDGm | Semaglutide injection | $179 first month | $299 a month | None in this row | 27 Oct 2026 |
| MEDGm | Oral semaglutide | $249 first month | $369 a month | None in this row | 2 Nov 2026 |
| MEDGm | Tirzepatide injection | $279 first month | $399 a month | None in this row | 27 Oct 2026 |
| Sesame Care | Wegovy injection | $199 for 2 months | $349 a month | None in this row | 26 Oct 2026 |
| yourEra | Semaglutide injection | Same as continuing | $89 a month | None in this row | 2 Nov 2026 |
| Affinity Direct | Tirzepatide 2.5 mg/week | None in this row | $147.90 every 4 weeks ($160.67 ledger equivalent) | None in this row | 1 Nov 2026 |
How to compare the bill
Read the continuing price before the first-month price. Ask whether the continuing figure is a calendar month or every 4 weeks. Ask whether a per-month prepaid figure is an upfront total. Ask whether medication is inside the number. Then read the date on the row.
Compounded drugs are not FDA-approved. This note does not say which program fits a person, and it does not describe a clinical result. Editor: Brady Hanlon.
- Name the continuing price, not only the first month.
- Keep a 4-week charge separate from a calendar-month charge.
- Treat a prepaid per-month figure as the upfront plan, not as the month-to-month price.
- Leave a row out when the source no longer shows the recorded dollar.
Where the dates and the links sit
This note was published 5 November 2026. The row dates run from 26 October 2026 through 2 November 2026, plus the Affinity Direct ledger line of 1 November 2026. There is no separate visit link on this page. The research links are the price comparison, the semaglutide and tirzepatide program pages, the price index, and the HealthRX profile.
Common questions
- Is the first-month price the price that continues?
- Not on the introductory rows. HealthRX semaglutide is $99 the first month and $165 a month after that, checked 27 October 2026. yourEra's month-to-month semaglutide is $89 with no lower first month, checked 2 November 2026. Affinity Direct's $147.90 is a 4-week charge, not a first-month discount, ledger 1 November 2026.
- Is a prepaid per-month figure the monthly bill?
- No. HealthRX shows $97/mo when the 12-month semaglutide plan is $1,163, and $177/mo when the 12-month tirzepatide plan is $2,123, both checked 27 October 2026. Those are the page's labels for the upfront plans, not the $165 and $214 month-to-month prices.
- Are the compounded rows FDA-approved?
- No. Compounded drugs are not FDA-approved. The Sesame row names Wegovy, the brand on that program page. The other rows are compounded.
Read the later bill, and the date
Published 5 November 2026. The first month is lower than the continuing price on the HealthRX, MEDGm, and Sesame rows. yourEra's month-to-month semaglutide stays $89. Affinity Direct is $147.90 every 4 weeks, with a ledger equivalent of $160.67 that is not a second bill. Compounded drugs are not FDA-approved.
Sources
- HealthRX semaglutide product pageHealthRX · Accessed 27 October 2026
Checked 27 October 2026. The page states $99 due today, then $165 every month until canceled, and calls $99 a first-month introductory price. The 12-month plan is $1,163, and the page also shows from $97/mo. Prices are shown before any promo code.
- HealthRX tirzepatide product pageHealthRX · Accessed 27 October 2026
Checked 27 October 2026. The page states $99 due today, then $214 every month until canceled, and calls $99 a first-month introductory price. The 12-month plan is $2,123, and the page also shows from $177/mo.
- MEDGm compounded semaglutide injectionMEDGm · Accessed 27 October 2026
Checked 27 October 2026. The product card shows $179 for the first month, then $299/mo.
- MEDGm compounded semaglutide tabletsMEDGm · Accessed 2 November 2026
Checked 2 November 2026. The product card shows $249 for the first month, then $369/mo.
- MEDGm compounded tirzepatide injectionMEDGm · Accessed 27 October 2026
Checked 27 October 2026. The product card shows $279 for the first month, then $399/mo.
- Sesame Care weight-loss programSesame Care · Accessed 26 October 2026
Checked 26 October 2026. Eligible patients pay $199 per month for the first two consecutive months at the 0.25 mg or 0.5 mg dose of Wegovy, then Wegovy is $349 per month. The offer window on the page runs through 31 December 2026.
- yourEra hello pageyourEra · Accessed 2 November 2026
Checked 2 November 2026. Month-to-month semaglutide is $89/mo. That line is the continuing price. The page does not print a lower first month for it. On the price comparison, this is the lowest calendar-month continuing price with medication included.
- Affinity Direct GLP-1 price fileAffinity Direct · Accessed 17 October 2026
The file last_updated is 2026-10-17. SKU tirz-2-5-1mo auto-refill total is 147.9 for a 4-week, 28-day supply at 2.5 mg/week. The file says these compounded products are not FDA-approved.
- Affinity Direct price guideTelehealth Ledger · Accessed 1 November 2026
Ledger line last checked 1 November 2026. Compounded tirzepatide at 2.5 mg is $147.90 every 4 weeks. The 365-day annualized equivalent on that line is $160.67. The equivalent is not a second bill.
- Compounding and the FDA: questions and answersU.S. Food and Drug Administration · Accessed 10 September 2026
States that compounded drugs are not FDA-approved.
Refresh triggers
- HealthRX changing the $99 first month, the $165 or $214 monthly price, or the 12-month totals
- MEDGm changing a first-month card or the later monthly price
- Affinity Direct's 4-week tirzepatide auto-refill or the ledger's $160.67 equivalent changing