What you actually pay

Real cost of compounded semaglutide and tirzepatide by provider

The lowest calendar-month continuing price for compounded semaglutide in this calculator is $89 a month at yourEra. SnagRX lists $69 a month, which is $828 paid for 12 months, a prepaid effective rate. Its month-to-month price is $99. CoreAge Rx lists $79 a month, which is $948 paid for 12 months, a prepaid effective rate. This plan does not record a separate month-to-month price. Trimi lists $89 a month, which is $267 paid for 3 months, a prepaid effective rate. Its month-to-month price is $99. Some published prices are a visit with the medication billed separately. This calculator turns each headline into month 1, month 2 onward, and a year-1 total for 108 published plans from 28 telehealth providers, using each company's own pricing page, consultation-fee terms, shipping statement, and refund policy, last checked 27 October 2026.

How much does prescribed semaglutide cost per month through telehealth?

As of 27 October 2026, 14 providers in this catalog publish a continuing compounded semaglutide price from $89 to $299 a month, median $162. yourEra publishes the $89 price. This is a calendar-month range, not a 10-week program and not Wegovy. See the price data.

Month one vs month two

As of 27 October 2026, 4 of 15 commission-earning providers we track charge more in month two than in month one for compounded (not FDA-approved) semaglutide injection; the step-up ranges from $50 to $120 (median $88).

Compounded semaglutide injection: commission-earning providers whose month-two price is higher
ProviderMonth 1Month 2Step-upCheckedSource
MEDGm$179$299$12027 October 2026Pricing page
Found Health$179first 4-week period$289every 4 weeks$11026 October 2026Pricing page
HealthRX$99$165$6627 October 2026Pricing page
Enhance.MD$199first 4-week period$249every 4 weeks$5027 October 2026Pricing page

As of 27 October 2026, 4 of 14 commission-earning providers we track charge more in month two than in month one for compounded (not FDA-approved) tirzepatide injection; the step-up ranges from $50 to $140 (median $117.50).

Compounded tirzepatide injection: commission-earning providers whose month-two price is higher
ProviderMonth 1Month 2Step-upCheckedSource
Found Health$219first 4-week period$359every 4 weeks$14026 October 2026Pricing page
MEDGm$279$399$12027 October 2026Pricing page
HealthRX$99$214$11527 October 2026Pricing page
Enhance.MD$279first 4-week period$329every 4 weeks$5026 October 2026Pricing page

As of 27 October 2026, 1 of 7 commission-earning providers we track charge more in month two than in month one for compounded (not FDA-approved) oral semaglutide; the step-up is $120.

Compounded oral semaglutide: commission-earning providers whose month-two price is higher
ProviderMonth 1Month 2Step-upCheckedSource
MEDGm$249$369$12026 October 2026Pricing page

As of 27 October 2026, 0 of 4 commission-earning providers we track charge more in month two than in month one for compounded (not FDA-approved) oral tirzepatide.

As of 27 October 2026, 0 of 3 commission-earning providers we track charge more in month two than in month one for Ozempic injection.

As of 27 October 2026, 0 of 3 commission-earning providers we track charge more in month two than in month one for Wegovy injection.

As of 27 October 2026, 0 of 3 commission-earning providers we track charge more in month two than in month one for Zepbound injection.

Each figure is that provider’s own plan: month one is the introductory price when one is recorded, and the continuing price when it is not. A 4-week plan is compared on its 4-week charges and is not converted into a calendar month. A prepaid effective rate is not included. A one-month sale with no published renewal price is not included. A price labeled only as a first month, with no later monthly price on file, is left out.

The per-plan calculator below prices month 1, month 2, and a year for one plan at a time.

Real price calculator

Compounded semaglutide injectioncompounded (not FDA-approved)

CoreAge Rx: Compounded semaglutide injection

A prepaid plan: the headline is an effective monthly price, but the charge is the full term.

Price checked 26 October 2026
Month 1$948compounded (not FDA-approved)$948 charged up front for 12 months ($79 effective a month)
Month 2 onward$0compounded (not FDA-approved)nothing more until month 13; the prepay already covers months 1 to 12
Year 1 total$948compounded (not FDA-approved)$948 paid once for 12 months
  • Medication includedYes, the price covers the medication
  • Consultation feeNo dollar figure is published, so nothing is added. The policy retains a $50–$100 provider consultation fee range, non-refundable once consultation or medical review begins. Source, checked 7 October 2026
  • ShippingIncluded. CoreAge says shipping is included; timing and dispensing pharmacy remain order-specific. Source, checked 18 August 2026
  • CancellationThe policy requires cancellation before renewal processing; exact plan timing needs checkout confirmation. Source, checked 18 August 2026
  • RefundOrders become final and non-refundable 30 calendar days after purchase, subject to applicable law; this does not prevent cancellation of future renewals. Source, checked 7 October 2026
  • Cheapest verified alternativeyourEra lists Compounded Semaglutide month-to-month at $89 a month; CoreAge Rx is already the cheapest verified semaglutide price we track. Compare every semaglutide price

We may earn a commission if you start a program through links on this page. It doesn't change prices or how we sort them. Disclosure

Semaglutide pricing questions

What does compounded semaglutide injection really cost per month through telehealth?
20 telehealth providers publish a comparable compounded semaglutide injection price on the pages Telehealth Ledger checked. Sprout Health bills $149 every four weeks after the initial $149 charge. Its calculator total covers 52 weeks, not a 365-day calendar year. Affinity Direct bills $152.15 every four weeks after the initial $152.15 charge. Its calculator total covers 52 weeks, not a 365-day calendar year. Enhance.MD bills $249 every four weeks after the initial $199 charge. Its calculator total covers 52 weeks, not a 365-day calendar year. Found Health bills $289 every four weeks after the initial $179 charge. Its calculator total covers 52 weeks, not a 365-day calendar year. Month-to-month continuing rates run from $89 at yourEra to $299 at MEDGm. Embody lists a one-month sale of $79 against a regular price of $299. That sale is not a continuing price, and the page does not state a renewal rate. The lowest effective monthly price is $69 at SnagRX, which means paying $828 for 12 months up front rather than $69 each month. The lowest introductory first month is $99 at HealthRX, after which the price is $165 a month.
Do semaglutide telehealth providers charge a consultation fee on top of the price?
CoreAge Rx, PlexusDx, bmiMD, Affinity Direct, GobyMeds, Enhance.MD and Embody mention a consultation or visit charge in their terms, usually as a fee that is not refunded once the consultation happens. Published figures: CoreAge Rx: "The policy retains a $50–$100 provider consultation fee range, non-refundable once consultation or medical review begins"; GobyMeds: "GobyMeds may charge, or retain from your refund, a consultation or clinical-review fee of $50". Strut Health, Sprout Health, RxSpan MD, MyDrHank and MEDGm state that the consultation is included in the program price or free. Where a fee is mentioned without a single dollar figure, the calculator shows the provider's own wording and adds nothing to the total.
Can I get a refund if I am not prescribed semaglutide?
SnagRX, HealthRX, Embody, MEDGm and Found Health state a refund, or no charge, when a clinician declines to prescribe. SnagRX's wording: "Voluntary cancellation does not refund paid single-month or bundled plans, including unshipped months. Medical disqualification refunds only the unused portion after deducting provider reviews, consultations, prescriptions, medication or lab services already rendered". CoreAge Rx, yourEra, Trimi, Strut Health, bmiMD, Shed Rx, Sprout Health, Affinity Direct, GobyMeds, RxSpan MD, Enhance.MD and Willow publish refund terms that do not specifically address a decline, so confirm before paying. Oak Longevity, PlexusDx and MyDrHank have no refund term recorded yet.
Do telehealth GLP-1 programs charge more after the first month?
As of 27 October 2026, 4 of 15 commission-earning providers we track charge more in month two than in month one for compounded (not FDA-approved) semaglutide injection; the step-up ranges from $50 to $120 (median $88). As of 27 October 2026, 4 of 14 commission-earning providers we track charge more in month two than in month one for compounded (not FDA-approved) tirzepatide injection; the step-up ranges from $50 to $140 (median $117.50). As of 27 October 2026, 1 of 7 commission-earning providers we track charge more in month two than in month one for compounded (not FDA-approved) oral semaglutide; the step-up is $120. As of 27 October 2026, 0 of 4 commission-earning providers we track charge more in month two than in month one for compounded (not FDA-approved) oral tirzepatide. As of 27 October 2026, 0 of 3 commission-earning providers we track charge more in month two than in month one for Ozempic injection. As of 27 October 2026, 0 of 3 commission-earning providers we track charge more in month two than in month one for Wegovy injection. As of 27 October 2026, 0 of 3 commission-earning providers we track charge more in month two than in month one for Zepbound injection.

Visit CoreAge RxAffiliate link · we may earn a commission

What “effective monthly price” means on telehealth pricing pages

An effective monthly price is a prepaid total divided by the number of months it covers. It is not a monthly charge. SnagRX lists a prepaid rate where $69 a month is $828 paid for 12 months; its month-to-month price is $99. CoreAge Rx lists a prepaid rate where $79 a month is $948 paid for 12 months, and this plan does not record a separate month-to-month price. Trimi lists a prepaid rate where $89 a month is $267 paid for 3 months; its month-to-month price is $99. HealthRX lists a prepaid rate where $97 a month is $1,163 paid for 12 months; its month-to-month price is $165 after a first month at $99. When you compare telehealth GLP-1 prices, put every effective monthly price next to the lump sum it comes from and the continuing month-to-month rate. The calculator above shows all three side by side.

Consultation fees, shipping, and other charges telehealth providers add

Most compounded GLP-1 programs we track bundle the clinician visit into the program price, but the terms differ in ways that matter if you are declined or cancel. Embody and Bodybuilding Health+ both state that medical consult fees are not refundable once a consultation happens. Pallas Health takes the opposite line: “one price, provider care included, no separate membership fee.” Shipping is usually free or included: SnagRX advertises free 1–2 day delivery, and Embody folds standard shipping into its published totals. The calculator adds a consultation fee once, in month 1, only when a provider publishes an unhedged dollar amount; otherwise it shows the provider’s exact wording and adds nothing, so no hidden fees are invented and none are ignored.

Month-to-month vs 12-month prepaid GLP-1 plans

A month-to-month plan is the price you can walk away from; a prepaid plan is a discount for giving that up. On compounded semaglutide, SnagRX lists $99 a month, or $828 prepaid for 12 months ($69 a month). Embody's one-month semaglutide page, checked 27 October 2026, shows a $79 sale and a $299 regular price and does not publish a prepaid total or a renewal rate. On compounded tirzepatide, SnagRX lists $149 a month or $1,428 prepaid for 12 months. Embody's one-month tirzepatide page shows a $129 sale and a $349 regular price, with no prepaid total on the page. GobyMeds sells a 3-month starter plan at $299, equal to $99 a month, before its $169 continuing rate. Before you prepay, check what happens to the unused months if your dose changes or you stop.

Does the price include the medication?

For compounded semaglutide and compounded tirzepatide, every priced plan in this calculator includes the medication in the published figure; the pharmacy-compounded vial or pen is what you are paying for. Brand-name programs record medication inclusion on each offer. Sesame Care lists the Wegovy pen at $199 a month for the first 2 months and $349 after, plus $99 a month for care. The recorded medication price includes the medication. Sesame Care lists Zepbound at $299 a month, plus $99 a month for care. The recorded medication price includes the medication. The medication-included line on the output card flags every plan where the headline is a consultation or service price rather than the cost of the drug.

How refunds and cancellations work at online GLP-1 providers

“Cancel anytime” and “refund if not prescribed” are the two promises worth reading closely. HealthRX states there is no charge until a licensed provider writes a prescription and that you can cancel anytime in one click. Pallas Health refunds in full if a clinician decides treatment is not right for you. He & She MD says you are only charged if the medication is prescribed. Embody and SnagRX both give a full refund for medical disqualification but limit refunds once medication is ordered, and both require notice at least 72 hours before a billing date to cancel. Found Health refunds its membership fee only if you cancel within three days of purchase. The cancellation and refund lines on the card quote each provider’s current policy with a dated source link, because the refund you get if you are not prescribed depends on the exact wording, not the headline.

Where these numbers come from

Every price is read from the provider’s own public pricing page on the date shown beside it, and every consultation, shipping, cancellation, and refund line is quoted from the provider’s terms with a link to the page checked. Telehealth Ledger does not prescribe, dispense, or decide whether a treatment suits you; a clinician sets the dose after intake, and a dose change can change the charge. Compare the full field on the compounded semaglutide and compounded tirzepatide pages, or read how prices are verified on the methodology page.

What the first year costs by provider is computed from the recorded introductory price, continuing price, 28-day flag, and prepaid total.

Sources

Each calculator price uses the provider source and check date below.

  1. Compounded semaglutide injection · checked 26 October 2026
  2. Compounded Semaglutide month-to-month · checked 26 October 2026
  3. Compounded semaglutide injection · checked 26 October 2026
  4. Compounded Semaglutide · checked 26 October 2026
  5. Compounded GLP-1 · checked 27 October 2026
  6. Compounded Semaglutide Injectable · checked 27 October 2026
  7. Semaglutide Injection · checked 27 October 2026
  8. Compounded semaglutide injection · checked 27 October 2026
  9. Compounded Semaglutide Injections (12 months) · checked 26 October 2026
  10. Compounded Semaglutide · checked 27 October 2026
  11. Compounded Semaglutide · checked 27 October 2026
  12. Compounded Semaglutide — 1 mg/week · checked 27 October 2026
  13. Compounded Semaglutide Starter Plan · checked 27 October 2026
  14. Semaglutide Injection · checked 27 October 2026
  15. Compounded Semaglutide · checked 26 October 2026
  16. GLP-1 Core (semaglutide) 1-month · checked 27 October 2026
  17. Compounded semaglutide injection · checked 27 October 2026
  18. Compounded Semaglutide · checked 27 October 2026
  19. Compounded Semaglutide Injection · checked 27 October 2026
  20. Compounded Semaglutide · checked 26 October 2026
  21. Compounded tirzepatide injection · checked 26 October 2026
  22. Compounded Tirzepatide — 2.5 mg/week · checked 27 October 2026
  23. Tirzepatide Injection · checked 27 October 2026
  24. Compounded Tirzepatide · checked 27 October 2026
  25. Tirzepatide injection · checked 27 October 2026
  26. Compounded Tirzepatide Injections (12 months) · checked 26 October 2026
  27. Compounded tirzepatide injection · checked 27 October 2026
  28. Compounded tirzepatide injection · checked 27 October 2026
  29. Compounded Tirzepatide · checked 26 October 2026
  30. GLP-1 Advanced (tirzepatide) 1-month · checked 26 October 2026
  31. Compounded Tirzepatide · checked 26 October 2026
  32. Compounded Tirzepatide · checked 27 October 2026
  33. Compounded Tirzepatide Injection · checked 27 October 2026
  34. GHK-Cu · checked 27 October 2026
  35. Glutathione · checked 27 October 2026
  36. Glutathione Injection · checked 26 October 2026
  37. Glutathione · checked 26 October 2026
  38. Glutathione injection · checked 26 October 2026
  39. Mounjaro · checked 27 October 2026
  40. NAD+ injectable · checked 26 October 2026
  41. NAD+ · checked 27 October 2026
  42. NAD+ injection · checked 26 October 2026
  43. NAD+ injection · checked 27 October 2026
  44. NAD+ Injection · checked 26 October 2026
  45. NAD+ injection · checked 25 October 2026
  46. NAD+ Injection · checked 26 October 2026
  47. NAD+ Therapy injection 1-month · checked 26 October 2026
  48. NAD+ Injection · checked 26 October 2026
  49. NAD+ Injection · checked 26 October 2026
  50. Compounded NAD+ · checked 25 October 2026
  51. NAD+ nasal spray · checked 26 October 2026
  52. NAD+ Nasal Spray · checked 25 October 2026
  53. NAD+ nasal spray · checked 25 October 2026
  54. NAD+ Nasal Spray · checked 26 October 2026
  55. NAD+ Drops · checked 26 October 2026
  56. Semaglutide Oral · checked 25 October 2026
  57. Oral Semaglutide · checked 26 October 2026
  58. Slim · checked 25 October 2026
  59. Compounded Semaglutide Tablets · checked 26 October 2026
  60. Compounded Semaglutide Tablets · checked 26 October 2026
  61. Tirzepatide Oral · checked 25 October 2026
  62. Oral tirzepatide · checked 27 October 2026
  63. Compounded Tirzepatide Tablets · checked 26 October 2026
  64. Ozempic® · checked 27 October 2026
  65. Ozempic · checked 27 October 2026
  66. Overnight Rebound sermorelin · checked 25 October 2026
  67. Compounded Sermorelin Injectable · checked 27 October 2026
  68. Sermorelin injection · checked 25 October 2026
  69. Sermorelin · checked 26 October 2026
  70. Sermorelin Injections · checked 25 October 2026
  71. Sermorelin · checked 26 October 2026
  72. Sermorelin · checked 26 October 2026
  73. Sermorelin tablets · checked 25 October 2026
  74. Oral Compounded Sermorelin · checked 27 October 2026
  75. Wegovy® pen · checked 26 October 2026
  76. Wegovy · checked 26 October 2026
  77. Zepbound · checked 26 October 2026