Telehealth providers compared: who offers what, at what real price

Every service our vetted partners offer, side by side: effective monthly cost, what you pay to start, what is included and how much proof of trust each provider shows. Answer three questions to see your best match, or re-weight our scoring rubric yourself.

By CalcMyPeptide Editorial · Published · Prices checked · How we rank

Find your match · 3 questions

Which provider fits you best?

We rank on published prices and terms only. A licensed clinician decides whether any treatment is right for you.

1What are you looking for?
2Monthly budget?
3What matters most?

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Service
GLP-1 medication
Form
Must have
Effective monthly budget
$0$275+

GLP-1

Our pick: HealthRX (82/100)

TRT

Women's HRT

Our pick: Gala (79/100)

ED

20 options · prices verified Oct 8, 2026

GLP-1 weight care (semaglutide, tirzepatide)

11 of 11 shown · Full GLP-1 comparison
  • Gold · Our pick

    HealthRX

    Compounded semaglutide injection

    $99/mo effective

    $149 to start (monthly subscribe & save)

    Cheapest over a year: 12-month plan, $1,188 yearly, upfront

    Why it wins: Lowest effective cost for compounded semaglutide injection ($99/mo); 503A pharmacy stated and a LegitScript seal.

    • Best value
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included

    Lower first month on Subscribe & Save, and a $25 credit on every renewal (as of Oct 7, 2026)

    Prices on HealthRX’s site
    Price math, trust and fine print
    Effective monthly
    $1,188 = $1,188 a year ÷ 12
    No-commitment option
    $149 first, then $165 monthly
    Includes
    Provider review, prescription, medication, overnight shipping
    Trust
    Independently licensed providers (no named medical group on the pricing page). US-licensed Section 503A compounding pharmacy. LegitScript certified, cert. 50087439 (site footer).
    Reviews
    No rating found on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)
    ⚠ The lower first month is the Subscribe & Save price stated in HealthRX’s pricing text; its plan table shows the one-time monthly plan ($239 tirzepatide, $190 semaglutide). HealthRX dates these prices “current as of July 28, 2026”.

    Last verified Oct 8, 2026 on the provider’s own page

  • HealthRX

    Compounded tirzepatide injection

    $179/mo effective

    $193 to start (monthly subscribe & save)

    Cheapest over a year: 12-month plan, $2,148 yearly, upfront

    • Best value
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included

    Lower first month on Subscribe & Save, and a $25 credit on every renewal (as of Oct 7, 2026)

    Prices on HealthRX’s site
    Price math, trust and fine print
    Effective monthly
    $2,148 = $2,148 a year ÷ 12
    No-commitment option
    $193 first, then $214 monthly
    Includes
    Provider review, prescription, medication, overnight shipping
    Trust
    Independently licensed providers (no named medical group on the pricing page). US-licensed Section 503A compounding pharmacy. LegitScript certified, cert. 50087439 (site footer).
    Reviews
    No rating found on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)
    ⚠ The lower first month is the Subscribe & Save price stated in HealthRX’s pricing text; its plan table shows the one-time monthly plan ($239 tirzepatide, $190 semaglutide). HealthRX dates these prices “current as of July 28, 2026”.

    Last verified Oct 8, 2026 on the provider’s own page

  • Silver

    Found

    Compounded tirzepatide injection

    $259/mo effective

    $219 to start (cash, month to month)

    Cheapest over a year: cash, 12-month term, $239 every 28 days

    Why it wins: 503A pharmacy stated and a LegitScript seal; 4.2★ from 754 Trustpilot reviews.

    • Brand-name option
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included

    $100 off your first month (cash plans with compounded GLP-1) One-time per account, today’s checkout only, cash plans; on insurance the discount is $50 and applies to brand-name GLP-1 plans. Med Kit plans excluded (per Found). (as of Oct 8, 2026)

    Prices on Found’s site
    Price math, trust and fine print
    Effective monthly
    13 × $239 = $3,107 a year ÷ 12
    No-commitment option
    $219 first, then $359 every 28 days
    With insurance
    From $179 every 28 days. Plus visit copays, typically around $30 (per Found).
    Includes
    Clinical care, medication and membership in one price per 28-day cycle; free shipping
    Trust
    Found-affiliated board-certified clinicians (named on its pages). Licensed US 503A compounding pharmacies; every batch third-party tested. LegitScript seal in site footer.
    Reviews
    4.2★ · 754 on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)
    ⚠ Billed every 28 days: a year is 13 charges, not 12.

    Last verified Oct 8, 2026 on the provider’s own page

  • Bronze

    MEDGm

    Compounded tirzepatide injection

    $269/mo effective

    $279 to start (month to month)

    Cheapest over a year: 12-month supply, $3,228 yearly, upfront

    Why it wins: Labs included in the price; named prescriber group and a LegitScript seal.

    • Labs included
    • Brand-name option
    • Labs included
    • Medication included
    • Visits included
    • Shipping included

    $120 off your first month on the month-to-month plan with code WELCOME120OFF (as of Oct 8, 2026)

    Prices on MEDGm’s site
    Price math, trust and fine print
    Effective monthly
    $3,228 = $3,228 a year ÷ 12
    No-commitment option
    $279 first, then $399 monthly
    Includes
    Provider visit, lab work and metabolic report, medication, side-effect medications, free shipping
    Trust
    OpenLoop Health (network of US-licensed clinicians). Certified US partner pharmacies (list in its terms); 503A/503B type not stated on the product page. LegitScript seal in site footer, links to LegitScript.
    Reviews
    No reviews yet on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)

    Last verified Oct 8, 2026 on the provider’s own page

  • Gala

    Compounded tirzepatide injection

    $179/mo effective

    $179 to start (flat monthly price, yearly subscription)

    Cheapest over a year: flat monthly price, yearly subscription, $179 monthly

    • Best value
    • Best for women
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included
    Prices on Gala’s site
    Price math, trust and fine print
    Effective monthly
    12 × $179 = $2,148 a year ÷ 12
    Includes
    Provider visit, medication at any dose, coaching app, free shipping
    Trust
    OpenLoop Healthcare Partners, Reliant.MD Medical Associates and MECNB Physician Services groups (named in its terms). Licensed compounding pharmacies (type not stated). LegitScript seal in site footer.
    Reviews
    4.6★ · 3,961 on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)
    ⚠ Gala prints the $179 as a “Yearly subscription”, so we score it as a 12-month commitment. Its homepage FAQ quotes $199 a month on a 3-month plan; no month-to-month price is published.

    Last verified Oct 8, 2026 on the provider’s own page

  • MEDGm

    Compounded semaglutide injection

    $169/mo effective

    $179 to start (month to month)

    Cheapest over a year: 12-month supply, $2,028 yearly, upfront

    • Labs included
    • Brand-name option
    • Labs included
    • Medication included
    • Visits included
    • Shipping included

    $120 off your first month on the month-to-month plan with code WELCOME120OFF (as of Oct 8, 2026)

    Prices on MEDGm’s site
    Price math, trust and fine print
    Effective monthly
    $2,028 = $2,028 a year ÷ 12
    No-commitment option
    $179 first, then $299 monthly
    Includes
    Provider visit, lab work and metabolic report, medication, side-effect medications, free shipping
    Trust
    OpenLoop Health (network of US-licensed clinicians). Certified US partner pharmacies (list in its terms); 503A/503B type not stated on the product page. LegitScript seal in site footer, links to LegitScript.
    Reviews
    No reviews yet on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)

    Last verified Oct 8, 2026 on the provider’s own page

  • Found

    Compounded semaglutide injection

    $183/mo effective

    $169 to start (cash, 12-month term)

    Cheapest over a year: cash, 12-month term, $169 every 28 days

    • Brand-name option
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included

    $100 off your first month (cash plans with compounded GLP-1) One-time per account, today’s checkout only, cash plans; on insurance the discount is $50 and applies to brand-name GLP-1 plans. Med Kit plans excluded (per Found). (as of Oct 8, 2026)

    Prices on Found’s site
    Price math, trust and fine print
    Effective monthly
    13 × $169 = $2,197 a year ÷ 12
    No-commitment option
    $179 first, then $289 every 28 days
    With insurance
    From $99 every 28 days. Plus visit copays, typically around $30 (per Found).
    Includes
    Clinical care, medication and membership in one price per 28-day cycle; free shipping
    Trust
    Found-affiliated board-certified clinicians (named on its pages). Licensed US 503A compounding pharmacies; every batch third-party tested. LegitScript seal in site footer.
    Reviews
    4.2★ · 754 on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)
    ⚠ Billed every 28 days: a year is 13 charges, not 12.

    Last verified Oct 8, 2026 on the provider’s own page

  • MEDGm

    Compounded semaglutide tablets

    $239/mo effective

    $249 to start (month to month)

    Cheapest over a year: 12-month supply, $2,868 yearly, upfront

    • Labs included
    • Brand-name option
    • Labs included
    • Medication included
    • Visits included
    • Shipping included

    $120 off your first month on the month-to-month plan with code WELCOME120OFF (as of Oct 8, 2026)

    Prices on MEDGm’s site
    Price math, trust and fine print
    Effective monthly
    $2,868 = $2,868 a year ÷ 12
    No-commitment option
    $249 first, then $369 monthly
    Includes
    Provider visit, lab work, medication, free shipping
    Trust
    OpenLoop Health (network of US-licensed clinicians). Certified US partner pharmacies (list in its terms); 503A/503B type not stated on the product page. LegitScript seal in site footer, links to LegitScript.
    Reviews
    No reviews yet on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)

    Last verified Oct 8, 2026 on the provider’s own page

  • Luvo Health

    Compounded tirzepatide injection

    $259/mo effective

    $124.50 to start (every 4 weeks)

    Cheapest over a year: every 4 weeks, $124.50 every 28 days

    • Brand-name option
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included

    50% off your first 4 weeks (as of Oct 8, 2026)

    Prices on Luvo Health’s site
    Price math, trust and fine print
    Effective monthly
    $124.50 + 12 × $249 = $3,112.50 a year ÷ 12
    Includes
    Medication, clinician review, check-ins, shipping; no membership fee
    Trust
    Licensed clinicians (no named medical group on the pages read). Licensed pharmacies (type not stated). LegitScript seal in site footer.
    Reviews
    No reviews yet on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)
    ⚠ Billed every 28 days: a year is 13 charges.

    Last verified Oct 8, 2026 on the provider’s own page

  • Gala

    Compounded semaglutide injection

    $179/mo effective

    $179 to start (flat monthly price, yearly subscription)

    Cheapest over a year: flat monthly price, yearly subscription, $179 monthly

    • Labs not included
    • Medication included
    • Visits included
    • Shipping included
    Prices on Gala’s site
    Price math, trust and fine print
    Effective monthly
    12 × $179 = $2,148 a year ÷ 12
    Includes
    Provider visit, medication at any dose, coaching app, free shipping
    Trust
    OpenLoop Healthcare Partners, Reliant.MD Medical Associates and MECNB Physician Services groups (named in its terms). Licensed compounding pharmacies (type not stated). LegitScript seal in site footer.
    Reviews
    4.6★ · 3,961 on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)
    ⚠ Gala prints the $179 as a “Yearly subscription”, so we score it as a 12-month commitment. Its homepage FAQ quotes $199 a month on a 3-month plan; no month-to-month price is published.

    Last verified Oct 8, 2026 on the provider’s own page

  • Luvo Health

    Compounded semaglutide injection

    $218/mo effective

    $104.50 to start (every 4 weeks)

    Cheapest over a year: every 4 weeks, $104.50 every 28 days

    • Lowest upfront
    • Brand-name option
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included

    50% off your first 4 weeks (as of Oct 8, 2026)

    Prices on Luvo Health’s site
    Price math, trust and fine print
    Effective monthly
    $104.50 + 12 × $209 = $2,612.50 a year ÷ 12
    Includes
    Medication, clinician review, check-ins, shipping; no membership fee
    Trust
    Licensed clinicians (no named medical group on the pages read). Licensed pharmacies (type not stated). LegitScript seal in site footer.
    Reviews
    No reviews yet on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)
    ⚠ Billed every 28 days: a year is 13 charges.

    Last verified Oct 8, 2026 on the provider’s own page

Medication / planIncludedTrustFirst-order offerAction
Gold · Our pick
HealthRX

Lowest effective cost for compounded semaglutide injection ($99/mo); 503A pharmacy stated and a LegitScript seal.

  • Best value
Compounded semaglutide injection
12-month plan · yearly, upfront
Compounded (not FDA-approved)
$99
$1,188 = $1,188 a year ÷ 12
$149
Monthly Subscribe & Save
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · 503A pharmacyNo rating foundLower first month on Subscribe & Save, and a $25 credit on every renewal
Prices on HealthRX’s siteVerified Oct 8, 2026 · source
HealthRX
  • Best value
Compounded tirzepatide injection
12-month plan · yearly, upfront
Compounded (not FDA-approved)
$179
$2,148 = $2,148 a year ÷ 12
$193
Monthly Subscribe & Save
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · 503A pharmacyNo rating foundLower first month on Subscribe & Save, and a $25 credit on every renewal
Prices on HealthRX’s siteVerified Oct 8, 2026 · source
Silver
Found

503A pharmacy stated and a LegitScript seal; 4.2★ from 754 Trustpilot reviews.

  • Brand-name option
Compounded tirzepatide injection
Cash, 12-month term · every 28 days
Compounded (not FDA-approved)
$259
13 × $239 = $3,107 a year ÷ 12
$219
Cash, month to month
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · 503A pharmacy · Named prescribers4.2★ · 754$100 off your first month (cash plans with compounded GLP-1)
Prices on Found’s siteVerified Oct 8, 2026 · source
Bronze
MEDGm

Labs included in the price; named prescriber group and a LegitScript seal.

  • Labs included
  • Brand-name option
Compounded tirzepatide injection
12-month supply · yearly, upfront
Compounded (not FDA-approved)
$269
$3,228 = $3,228 a year ÷ 12
$279
Month to month
  • Labs included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · Named prescribersNo reviews yet$120 off your first month on the month-to-month plan · WELCOME120OFF
Prices on MEDGm’s siteVerified Oct 8, 2026 · source
Gala
  • Best value
  • Best for women
Compounded tirzepatide injection
Flat monthly price, yearly subscription · monthly
Compounded (not FDA-approved)
$179
12 × $179 = $2,148 a year ÷ 12
$179
Flat monthly price, yearly subscription
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · Named prescribers4.6★ · 3,961None published
Prices on Gala’s siteVerified Oct 8, 2026 · source
MEDGm
  • Labs included
  • Brand-name option
Compounded semaglutide injection
12-month supply · yearly, upfront
Compounded (not FDA-approved)
$169
$2,028 = $2,028 a year ÷ 12
$179
Month to month
  • Labs included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · Named prescribersNo reviews yet$120 off your first month on the month-to-month plan · WELCOME120OFF
Prices on MEDGm’s siteVerified Oct 8, 2026 · source
Found
  • Brand-name option
Compounded semaglutide injection
Cash, 12-month term · every 28 days
Compounded (not FDA-approved)
$183
13 × $169 = $2,197 a year ÷ 12
$169
Cash, 12-month term
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · 503A pharmacy · Named prescribers4.2★ · 754$100 off your first month (cash plans with compounded GLP-1)
Prices on Found’s siteVerified Oct 8, 2026 · source
MEDGm
  • Labs included
  • Brand-name option
Compounded semaglutide tablets
12-month supply · yearly, upfront
Compounded (not FDA-approved)
$239
$2,868 = $2,868 a year ÷ 12
$249
Month to month
  • Labs included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · Named prescribersNo reviews yet$120 off your first month on the month-to-month plan · WELCOME120OFF
Prices on MEDGm’s siteVerified Oct 8, 2026 · source
Luvo Health
  • Brand-name option
Compounded tirzepatide injection
Every 4 weeks · every 28 days
Compounded (not FDA-approved)
$259
$124.50 + 12 × $249 = $3,112.50 a year ÷ 12
$124.50
Every 4 weeks
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript sealNo reviews yet50% off your first 4 weeks
Prices on Luvo Health’s siteVerified Oct 8, 2026 · source
Gala
Compounded semaglutide injection
Flat monthly price, yearly subscription · monthly
Compounded (not FDA-approved)
$179
12 × $179 = $2,148 a year ÷ 12
$179
Flat monthly price, yearly subscription
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · Named prescribers4.6★ · 3,961None published
Prices on Gala’s siteVerified Oct 8, 2026 · source
Luvo Health
  • Lowest upfront
  • Brand-name option
Compounded semaglutide injection
Every 4 weeks · every 28 days
Compounded (not FDA-approved)
$218
$104.50 + 12 × $209 = $2,612.50 a year ÷ 12
$104.50
Every 4 weeks
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript sealNo reviews yet50% off your first 4 weeks
Prices on Luvo Health’s siteVerified Oct 8, 2026 · source

Testosterone therapy (TRT)

1 of 1 shown · Full TRT comparison
  • MangoRx

    Testosterone therapy

    $149/mo effective (from)

    $149 to start (monthly)

    Cheapest over a year: monthly, $149 monthly

    • Labs included
    • Labs included
    • Medication not included
    • Visits included
    • Shipping included
    Prices on MangoRx’s site
    Price math, trust and fine print
    Effective monthly
    12 × $149 = $1,788 a year ÷ 12
    Includes
    Lab panel at LabCorp or Quest, provider video consult, treatment plan, free shipping, full refund if you don’t qualify (per its TRT page).
    Trust
    Board-certified physicians in a third-party network. Texas compounding pharmacy (URAC, ACHC-PCAB accredited). LegitScript Certified seal in site footer.
    Reviews
    4.4★ · 18 on Trustpilot (as of Oct 7, 2026)
    Form
    Formulation set by prescriber
    ⚠ Available in 14 states only.
    ⚠ MangoRx’s FAQ calls the $149 a “Testing Kit” (labs + consult); your ongoing medication plan is set at the consultation. Confirm the recurring charge before you pay.

    Last verified Oct 8, 2026 on the provider’s own page

Medication / planIncludedTrustFirst-order offerAction
MangoRx
  • Labs included
Testosterone therapy
Monthly · monthly
Formulation set by prescriber
$149 from
12 × $149 = $1,788 a year ÷ 12
$149
Monthly
  • Labs included
  • Medication not included
  • Visits included
  • Shipping included
LegitScript seal4.4★ · 18None published
Prices on MangoRx’s siteVerified Oct 8, 2026 · source

Women's HRT and menopause care

3 of 3 shown · Full Women's HRT comparison
  • Winona

    Estrogen tablets only

    $54/mo effective (from)

    $54 to start (estrogen tablets, from, per month)

    Cheapest over a year: estrogen tablets, from, per month, $54 monthly

    • Lowest upfront
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included
    Prices on Winona’s site
    Price math, trust and fine print
    Effective monthly
    12 × $54 = $648 a year ÷ 12
    Includes
    Physician visit and unlimited messaging, FDA-approved estradiol tablets (per Winona), free shipping
    Trust
    30+ board-certified physicians (listed on its physicians page). Owns two 503A compounding pharmacies. “Verify LegitScript Approval” seal in the bywinona.com footer.
    Reviews
    4.6★ · 8,478 on Trustpilot (as of Oct 7, 2026)
    Form
    FDA-approved forms (per provider)
    ⚠ Estrogen alone; people with a uterus are usually also prescribed progesterone.
    ⓘ Estrogen alone suits only people without a uterus, so it is priced against the field but does not set the price benchmark or compete for a medal.

    Last verified Oct 8, 2026 on the provider’s own page

  • Gold · Our pick

    Gala

    HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal)

    $69/mo effective (from)

    $69 to start (flat monthly price, from)

    Cheapest over a year: flat monthly price, from, $69 monthly

    Why it wins: Lowest effective cost for hrt program (estradiol, progesterone, vaginal estradiol, non-hormonal) ($69/mo); 4.6★ from 3,961 Trustpilot reviews.

    • Best value
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included
    Prices on Gala’s site
    Price math, trust and fine print
    Effective monthly
    12 × $69 = $828 a year ÷ 12
    Includes
    Medication, provider review and telehealth visit, dose adjustments, free 1–2 day shipping; no membership fee
    Trust
    OpenLoop Healthcare Partners, Reliant.MD Medical Associates and MECNB Physician Services groups (named in its terms). Prescriptions ship free; Gala says it prescribes FDA-approved bioidentical forms. LegitScript seal in site footer.
    Reviews
    4.6★ · 3,961 on Trustpilot (as of Oct 7, 2026)
    Form
    FDA-approved forms (per provider)
    ⚠ “From” price: Gala’s offer page says $69 a month flat; its hormone hub no longer prints the number. Gala does not publish what a combined estradiol + progesterone plan costs.

    Last verified Oct 8, 2026 on the provider’s own page

  • Silver

    Winona

    Estrogen tablets + progesterone capsules

    $93/mo effective (from)

    $93 to start (estrogen tablets ($54) + progesterone capsules ($39), from, per month)

    Cheapest over a year: estrogen tablets ($54) + progesterone capsules ($39), from, per month, $93 monthly

    Why it wins: 503A pharmacy stated and a LegitScript seal; 4.6★ from 8,478 Trustpilot reviews.

    • Labs not included
    • Medication included
    • Visits included
    • Shipping included
    Prices on Winona’s site
    Price math, trust and fine print
    Effective monthly
    12 × $93 = $1,116 a year ÷ 12
    Includes
    Physician visit and unlimited messaging, FDA-approved estradiol and progesterone (per Winona), free shipping
    Trust
    30+ board-certified physicians (listed on its physicians page). Owns two 503A compounding pharmacies. “Verify LegitScript Approval” seal in the bywinona.com footer.
    Reviews
    4.6★ · 8,478 on Trustpilot (as of Oct 7, 2026)
    Form
    FDA-approved forms (per provider)
    ⚠ “From” prices ($54 tablets + $39 capsules); dose can change it.

    Last verified Oct 8, 2026 on the provider’s own page

Medication / planIncludedTrustFirst-order offerAction
Winona
  • Lowest upfront
Estrogen tablets only
Estrogen tablets, from, per month · monthly
FDA-approved forms (per provider)
$54 from
12 × $54 = $648 a year ÷ 12
$54
Estrogen tablets, from, per month
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · 503A pharmacy · Named prescribers4.6★ · 8,478None published
Prices on Winona’s siteVerified Oct 8, 2026 · source
Gold · Our pick
Gala

Lowest effective cost for hrt program (estradiol, progesterone, vaginal estradiol, non-hormonal) ($69/mo); 4.6★ from 3,961 Trustpilot reviews.

  • Best value
HRT program (estradiol, progesterone, vaginal estradiol, non-hormonal)
Flat monthly price, from · monthly
FDA-approved forms (per provider)
$69 from
12 × $69 = $828 a year ÷ 12
$69
Flat monthly price, from
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · Named prescribers4.6★ · 3,961None published
Prices on Gala’s siteVerified Oct 8, 2026 · source
Silver
Winona

503A pharmacy stated and a LegitScript seal; 4.6★ from 8,478 Trustpilot reviews.

Estrogen tablets + progesterone capsules
Estrogen tablets ($54) + progesterone capsules ($39), from, per month · monthly
FDA-approved forms (per provider)
$93 from
12 × $93 = $1,116 a year ÷ 12
$93
Estrogen tablets ($54) + progesterone capsules ($39), from, per month
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · 503A pharmacy · Named prescribers4.6★ · 8,478None published
Prices on Winona’s siteVerified Oct 8, 2026 · source

ED treatment

1 of 1 shown
  • MangoRx

    Tadalafil or sildenafil dissolving tablet

    $59/mo effective (from)

    $59 to start (starting as low as)

    Cheapest over a year: starting as low as, $59 monthly

    • Labs not included
    • Medication included
    • Visits included
    • Shipping included
    Prices on MangoRx’s site
    Price math, trust and fine print
    Effective monthly
    12 × $59 = $708 a year ÷ 12
    Includes
    Free provider visit and shipping
    Trust
    Board-certified physicians in a third-party network. Texas compounding pharmacy (URAC, ACHC-PCAB accredited). LegitScript Certified seal in site footer.
    Reviews
    4.4★ · 18 on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)

    Last verified Oct 7, 2026 on the provider’s own page

Medication / planIncludedTrustFirst-order offerAction
MangoRx
Tadalafil or sildenafil dissolving tablet
Starting as low as · monthly
Compounded (not FDA-approved)
$59 from
12 × $59 = $708 a year ÷ 12
$59
Starting as low as
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal4.4★ · 18None published
Prices on MangoRx’s siteVerified Oct 7, 2026 · source

NAD+

2 of 2 shown
  • Gold · Our pick

    HealthRX

    Injection

    $129/mo effective

    $161 to start (1-month plan)

    Cheapest over a year: 12-month plan ($1,548 billed every 12 months), $1,548 yearly, upfront

    Why it wins: Lowest effective cost for injection ($129/mo); 503A pharmacy stated and a LegitScript seal.

    • Best value
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included
    Prices on HealthRX’s site
    Price math, trust and fine print
    Effective monthly
    $1,548 = $1,548 a year ÷ 12
    No-commitment option
    $161 monthly
    Includes
    Medication and supplies, injection kit, provider visit and follow-ups, free shipping
    Trust
    Independently licensed providers (no named medical group on the pricing page). US-licensed Section 503A compounding pharmacy. LegitScript certified, cert. 50087439 (site footer).
    Reviews
    No rating found on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)

    Last verified Oct 7, 2026 on the provider’s own page

  • Silver

    Luvo Health

    Injection

    $207/mo effective

    $99.50 to start (every 4 weeks)

    Cheapest over a year: every 4 weeks, $99.50 every 28 days

    Why it wins: 50% off your first 4 weeks.

    • Lowest upfront
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included

    50% off your first 4 weeks (as of Oct 7, 2026)

    Prices on Luvo Health’s site
    Price math, trust and fine print
    Effective monthly
    $99.50 + 12 × $199 = $2,487.50 a year ÷ 12
    Includes
    Medication, clinician review, check-ins, shipping
    Trust
    Licensed clinicians (no named medical group on the pages read). Licensed pharmacies (type not stated). LegitScript seal in site footer.
    Reviews
    No reviews yet on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)

    Last verified Oct 7, 2026 on the provider’s own page

Medication / planIncludedTrustFirst-order offerAction
Gold · Our pick
HealthRX

Lowest effective cost for injection ($129/mo); 503A pharmacy stated and a LegitScript seal.

  • Best value
Injection
12-month plan ($1,548 billed every 12 months) · yearly, upfront
Compounded (not FDA-approved)
$129
$1,548 = $1,548 a year ÷ 12
$161
1-month plan
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · 503A pharmacyNo rating foundNone published
Prices on HealthRX’s siteVerified Oct 7, 2026 · source
Silver
Luvo Health

50% off your first 4 weeks.

  • Lowest upfront
Injection
Every 4 weeks · every 28 days
Compounded (not FDA-approved)
$207
$99.50 + 12 × $199 = $2,487.50 a year ÷ 12
$99.50
Every 4 weeks
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript sealNo reviews yet50% off your first 4 weeks
Prices on Luvo Health’s siteVerified Oct 7, 2026 · source

Sermorelin

2 of 2 shown
  • Gold · Our pick

    HealthRX

    Injection

    $143/mo effective

    $179 to start (1-month plan)

    Cheapest over a year: 12-month plan ($1,716 billed every 12 months), $1,716 yearly, upfront

    Why it wins: Lowest effective cost for injection ($143/mo); 503A pharmacy stated and a LegitScript seal.

    • Best value
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included
    Prices on HealthRX’s site
    Price math, trust and fine print
    Effective monthly
    $1,716 = $1,716 a year ÷ 12
    No-commitment option
    $179 monthly
    Includes
    Provider visit and follow-ups, injection kit, free overnight shipping
    Trust
    Independently licensed providers (no named medical group on the pricing page). US-licensed Section 503A compounding pharmacy. LegitScript certified, cert. 50087439 (site footer).
    Reviews
    No rating found on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)

    Last verified Oct 7, 2026 on the provider’s own page

  • Silver

    Luvo Health

    Injection

    $207/mo effective

    $99.50 to start (every 4 weeks)

    Cheapest over a year: every 4 weeks, $99.50 every 28 days

    Why it wins: 50% off your first 4 weeks.

    • Lowest upfront
    • Labs not included
    • Medication included
    • Visits included
    • Shipping included

    50% off your first 4 weeks (as of Oct 7, 2026)

    Prices on Luvo Health’s site
    Price math, trust and fine print
    Effective monthly
    $99.50 + 12 × $199 = $2,487.50 a year ÷ 12
    Includes
    Medication, clinician review, check-ins, shipping
    Trust
    Licensed clinicians (no named medical group on the pages read). Licensed pharmacies (type not stated). LegitScript seal in site footer.
    Reviews
    No reviews yet on Trustpilot (as of Oct 7, 2026)
    Form
    Compounded (not FDA-approved)

    Last verified Oct 7, 2026 on the provider’s own page

Medication / planIncludedTrustFirst-order offerAction
Gold · Our pick
HealthRX

Lowest effective cost for injection ($143/mo); 503A pharmacy stated and a LegitScript seal.

  • Best value
Injection
12-month plan ($1,716 billed every 12 months) · yearly, upfront
Compounded (not FDA-approved)
$143
$1,716 = $1,716 a year ÷ 12
$179
1-month plan
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript seal · 503A pharmacyNo rating foundNone published
Prices on HealthRX’s siteVerified Oct 7, 2026 · source
Silver
Luvo Health

50% off your first 4 weeks.

  • Lowest upfront
Injection
Every 4 weeks · every 28 days
Compounded (not FDA-approved)
$207
$99.50 + 12 × $199 = $2,487.50 a year ÷ 12
$99.50
Every 4 weeks
  • Labs not included
  • Medication included
  • Visits included
  • Shipping included
LegitScript sealNo reviews yet50% off your first 4 weeks
Prices on Luvo Health’s siteVerified Oct 7, 2026 · source

How we score

Re-weight the rubric

Every provider gets the same five pillar scores. Move the sliders to weigh what matters to you; “Your pick” updates, our medals do not.

Filters

Service
GLP-1 medication
Form
Must have
Effective monthly budget
$0$275+

Side by side

Legend: medals, badges and icons

  • Gold: highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
  • Silver: second-highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
  • Bronze: third-highest score on our default weights in that service. One medal per provider per service, and only where at least two providers compete. Gold is “Our pick”.
  • Your pick: the top score after you re-weight the rubric. It can differ from ours, and that is the point.
  • Best value: Lowest effective monthly cost for the same medication or service.
  • Lowest upfront: Smallest first charge to start, in this service.
  • Labs included: Lab work is part of the published price.
  • Brand-name option: The provider also offers a brand-name route (priced separately).
  • Best for women: Highest-scoring provider built for women in this service.
  • Icons: flask = labs, pill = medication, stethoscope = clinician visits, truck = shipping; struck-through means not in the price.
  • Score ring: 0–100 weighted score. Green 80+, orange 65–79, amber below 65.

How we score

Five pillars, each scored 0–100 from facts on the provider’s own pages, then weighted: Price and value 30%, What's included 20%, Trust and compliance 20%, Customer reviews 15%, Offer strength and flexibility 15%.

  • Price and value (30%): Effective monthly cost over 12 months on the cheapest published cash plan, including intro prices, renewal credits and 28-day billing. The cheapest option for the same medication scores 100; others score cheapest ÷ theirs × 100.
  • What's included (20%): Labs 30, medication in the price 30, clinician visits and follow-ups 20, shipping 20, as the provider’s own page states.
  • Trust and compliance (20%): LegitScript seal on the site 40; a named prescriber group or named physicians 30 (licensed but unnamed 15); a 503A/503B pharmacy stated on its pages 30 (US-licensed, type not stated 15; not stated 5).
  • Customer reviews (15%): Trustpilot star rating, shrunk toward 3.5 stars until a provider has enough reviews (rating × count + 3.5 × 50, ÷ count + 50), mapped 1–5 stars to 0–100. No verifiable rating scores 40, not zero and not average.
  • Offer strength and flexibility (15%): A published first-order discount or intro price 40, a cancel-anytime or month-to-month plan 30, HSA/FSA 15, full refund if a clinician declines you 15.

Effective monthly cost is the cash you would pay for 12 months on the cheapest published plan, divided by 12: the first charge (including any published intro price or first-order discount), then the regular or renewal price for the rest of the year, with 28-day plans counted as 13 charges. Prepaid plans count their full upfront price. “To start” is the smallest first charge on any plan.

Who is listed: providers whose affiliate program has approved us and that pass our vetting (licensed prescribers, a named or licensed pharmacy, honest compounded-drug labelling, no research-use-only products). Providers that have not approved us are not shown, so this is not every option on the market. Dataset version 2026-10-08.1, prices verified Oct 8, 2026. Full methodology · Disclosure

Where offerings overlap

GLP-1

  • 5 providers sell compounded tirzepatide injection: effective cost runs from $179/mo (HealthRX, 12-month plan) to $269/mo (MEDGm). Same molecule; the gap is billing structure, what is bundled and how long you commit.
  • 5 providers sell compounded semaglutide injection: effective cost runs from $99/mo (HealthRX, 12-month plan) to $218/mo (Luvo Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
  • Labs are in the price only at MEDGm.
  • Found, Luvo Health bill every 28 days, which is 13 charges a year; our effective monthly figure already counts that.

TRT

  • Only MangoRx offers this among the providers we list, so there is nothing to compare it against yet.

Women's HRT

  • Gala, Winona publish “starting at” prices; the final price is set at checkout or after intake, so treat those rows as a floor.

ED

  • Only MangoRx offers this among the providers we list, so there is nothing to compare it against yet.

NAD+

  • 2 providers sell injection: effective cost runs from $129/mo (HealthRX, 12-month plan ($1,548 billed every 12 months)) to $207/mo (Luvo Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
  • Luvo Health bill every 28 days, which is 13 charges a year; our effective monthly figure already counts that.

Sermorelin

  • 2 providers sell injection: effective cost runs from $143/mo (HealthRX, 12-month plan ($1,716 billed every 12 months)) to $207/mo (Luvo Health). Same molecule; the gap is billing structure, what is bundled and how long you commit.
  • Luvo Health bill every 28 days, which is 13 charges a year; our effective monthly figure already counts that.

FAQ

What does “effective monthly cost” mean?

It is the cash you would pay for 12 months on the cheapest published plan, divided by 12. It counts intro prices and first-order discounts, renewal credits, prepaid totals and 28-day billing (13 charges a year), so plans with different billing can be compared fairly.

Why are only some providers listed?

We list providers whose affiliate programs have approved us and that pass our vetting: licensed prescribers, a licensed pharmacy, honest labelling of compounded drugs and no research-use-only products. That means this is not every option on the market.

Do affiliate payments change the scores or medals?

No. Every listed provider is an affiliate partner and is scored with the same public rubric. Medals go to the three highest scores in each service, and you can re-weight the rubric to see your own pick.

Are compounded medications FDA-approved?

No. Compounded medications are prepared by a pharmacy for an individual prescription and are not FDA-approved; FDA does not review them for safety, effectiveness or quality before they are sold.

Is this medical advice?

No. This page compares published prices and terms. A licensed clinician decides whether any treatment is appropriate for you.

Sources

Related