GLP-1 Cost in 2026: The Cheapest Legitimate Ways to Get Wegovy, Zepbound or Tirzepatide

Start with coverage: eligible Medicare enrollees pay $50 a month, and covered commercial plans can drop to $25 with a savings card. Without coverage, brand-name GLP-1s bought direct now cost $149 to $449 a month: the Wegovy pill or Foundayo from $149, the Wegovy pen $199 for two fills then $349, Zepbound $299 to $449. Compounded tirzepatide ($1,788 to $4,668 a year) and semaglutide ($1,188 to $3,647) from 6 clinics are compared after that, with the FDA caveat. Prices checked Oct 7, 2026.

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

Last reviewed · Written by the CalcMyPeptide editorial team · Medical review pending

The cheapest legitimate ways to get a GLP-1

  1. Insurance or Medicare first. Since July 1, 2026, eligible people with Medicare drug coverage pay $50 a month for Wegovy (pen or pill), Zepbound KwikPen (not vials or single-dose pens) and Foundayo through the Medicare GLP-1 Bridge (until December 31, 2027). With employer or marketplace coverage that includes the drug, manufacturer savings cards bring Wegovy, Zepbound or Foundayo to as little as $25 a month. Check your formulary before paying cash.
  2. No coverage? Buy brand-name direct. Through TrumpRx.gov, LillyDirect and NovoCare Pharmacy, the FDA-approved drugs now cost: Wegovy pill $149 (1.5 mg; $199 at 4 mg, $299 at 9–25 mg), Foundayo $149 to start ($299 at maintenance), Wegovy or Ozempic pen $199 for the first two fills (through Dec 31, 2026) then $349, and Zepbound $299 (2.5 mg), $399 (5 mg), $449 (7.5–15 mg with refills within 45 days; otherwise $499–$699).
  3. Use telehealth for the prescription, not the drug markup. You still need a prescriber. Your own doctor is usually cheapest; online, Ro charges $39 for the first month then $74–$149 a month on top of those same cash prices. Compounded semaglutide or tirzepatide plans are listed further down, after the brand-name options, because they are not FDA-approved.

Which path is cheapest for you

Which path is cheapest for you. Prices from Medicare.gov, TrumpRx.gov, LillyDirect and NovoCare, checked Oct 7, 2026.
If this is youCheapest legitimate pathWhat you pay for the drugWatch for
You have Medicare Part D and meet the BMI criteria (no type 2 diabetes, sleep apnea or fatty liver disease)Medicare GLP-1 Bridge$50 a month for Wegovy, Zepbound KwikPen or FoundayoJuly 1, 2026 to Dec 31, 2027; your prescriber files a prior authorization.
You have Medicare and type 2 diabetes, or Zepbound for sleep apneaYour regular Part D planYour plan’s copayOzempic and Mounjaro are covered drugs for diabetes on many plans; check your formulary.
Your employer or marketplace plan covers the drugInsurance + the manufacturer savings cardAs little as $25 a monthAsk HR or check your formulary for Wegovy, Zepbound or Foundayo; prior authorization is common.
No coverage, and a daily pill is fineWegovy pill (NovoCare/TrumpRx) or Foundayo (LillyDirect)$149 to start, $299 a month at maintenance dosesFDA-approved; plus whatever you pay for the prescription visit.
No coverage, and you want a weekly injectionWegovy pen (NovoCare/TrumpRx) or Zepbound (LillyDirect)Wegovy $199 for 2 fills then $349; Zepbound $299 / $399 / $449Zepbound’s $449 needs every refill within 45 days.
An FDA-approved drug can’t meet your needs (for example a documented allergy to an ingredient, or a dose that isn’t made)Compounded semaglutide or tirzepatide through a telehealth clinicSee the compounded tables belowNot FDA-approved; FDA says compounded versions are for patients whose needs an approved drug can’t meet.

With Medicare or insurance

  • Medicare GLP-1 Bridge ($50/month): Medicare Part D (or Medicare Advantage with drug coverage), age 18+, and a BMI of 35+; or 30+ with heart failure with preserved ejection fraction, uncontrolled high blood pressure or stage 3a+ kidney disease; or 27+ with prediabetes, a past heart attack or stroke, or symptomatic peripheral artery disease. Not for people who already get a GLP-1 through their Part D plan, or who have type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease (their Part D plan may cover a GLP-1 instead). Your prescriber submits a prior authorization. The $50 does not count toward your Part D deductible or out-of-pocket cap, and Extra Help does not lower it. Sources: Medicare.gov, CMS.
  • Employer or marketplace insurance: Zepbound savings card with commercial insurance that covers it: as little as $25 for a 1-, 2- or 3-month fill (savings capped at $100 a month and $1,300 a year; ends Dec 31, 2026). If your commercial plan does not cover Zepbound, the card brings the single-dose pen to as low as $499 and the KwikPen to the self-pay prices ($299 / $399 / $449). Wegovy savings offer with commercial insurance: as little as $25 a month (savings capped at $100 a month; government beneficiaries excluded). Foundayo savings card with commercial coverage: as little as $25 a month (government beneficiaries excluded). Sources: Lilly, NovoCare, LillyDirect.
  • Paying cash outside insurance (TrumpRx coupons, LillyDirect, NovoCare self-pay) does not count toward your deductible or out-of-pocket maximum, and you agree not to claim it from your plan.

Brand-name prices direct from the manufacturer

These are the FDA-approved drugs, sold at the manufacturers' self-pay prices through LillyDirect, NovoCare Pharmacy and TrumpRx.gov coupons. You need a prescription; the medication price does not include the prescriber's fee.

Manufacturer self-pay prices (no insurance), checked Oct 7, 2026. Year one assumes the label's monthly dose steps and on-time refills; medication only, before any prescriber fee.
MedicationWhere to buyPrice by dose (per fill)Year one
Wegovy pillDaily semaglutide tablet. FDA-approved for chronic weight management.NovoCare Pharmacy or a TrumpRx coupon at a retail pharmacy
  • 1.5 mg: $149
  • 4 mg: $199
  • 9 mg: $299
  • 25 mg: $299
The $149 headline is the 1.5 mg starting dose only; maintenance doses are $299. Government beneficiaries are excluded from the self-pay offer.		$3,33812 fills of 30 days
FoundayoDaily orforglipron tablet, no food or water timing rules. FDA-approved for chronic weight management (April 2026).LillyDirect
  • 0.8 mg: $149
  • 2.5 mg: $149reduced from $199 through Dec 31, 2026
  • 5.5 mg: $199reduced from $299 through Dec 31, 2026
  • 9 mg: $299
  • 14.5 mg: $299when refilled within 45 days; otherwise $349
  • 17.2 mg: $299when refilled within 45 days; otherwise $349
$3,18812 fills of 30 days
Wegovy penWeekly semaglutide injection. FDA-approved for chronic weight management.NovoCare Pharmacy or a TrumpRx coupon at a retail pharmacy
  • 0.25 mg or 0.5 mg, first 2 fills: $199new patients; fills between Nov 17, 2025 and Dec 31, 2026
  • 0.25 mg to 2.4 mg, after that: $349
  • 7.2 mg (Wegovy HD): $399
$4,23713 fills of 28 days
OzempicWeekly semaglutide injection (approved for type 2 diabetes). FDA-approved for type 2 diabetes; weight loss is off-label.TrumpRx coupon at a retail pharmacy, or NovoCare Pharmacy
  • 0.25 mg or 0.5 mg, first 2 fills: $199new self-pay patients; through Dec 31, 2026
  • 0.25, 0.5 or 1 mg, after that: $349
  • 2 mg: $499
$4,23713 fills of 28 days
ZepboundWeekly tirzepatide injection (single-dose vial or KwikPen). FDA-approved for chronic weight management and obstructive sleep apnea with obesity.LillyDirect (TrumpRx links there)
  • 2.5 mg: $299
  • 5 mg: $399
  • 7.5 mg to 15 mg: $449Self Pay Journey price when each refill is within 45 days; otherwise $499 (7.5 mg) or $699 (10–15 mg)
$5,63713 fills of 28 days

Getting the prescription: what telehealth costs on top

A telehealth service is worth paying for when you have no regular clinician or want ongoing dose support. It does not make the medication cheaper: Ro, for example, charges the same cash prices as LillyDirect and NovoCare plus its membership.

What the prescription costs. The medication is billed separately on every route, at the prices above. Checked Oct 7, 2026.
RoutePrescriber feeFirst-year feeNotes
Your own doctor or nurse practitionerOffice or video visit at your usual copay-Usually the cheapest route if you have insurance; they can send the prescription to LillyDirect, NovoCare Pharmacy or a retail pharmacy with a TrumpRx coupon, and file a Medicare Bridge prior authorization.
Ro (Body membership)$39 first month, then $74/mo (12-month prepay), $89 (6-month), $99 (3-month) or $149 month-to-month$853Brand-name only (Wegovy, Foundayo, Zepbound, Ozempic) at the same cash prices as LillyDirect, NovoCare and TrumpRx; insurance check included; $39 refunded if not eligible.
MEDGm (brand-name membership)$99 membership for Zepbound or Wegovy; $171 for Ozempic (plus medication)-Also sells compounded plans; billing period for the membership is shown at checkout.
LillyDirect and NovoCare “find a doctor” linksSet by the independent telehealth provider you pick-Both manufacturers link to independent virtual-care companies that can prescribe and send the prescription straight to their pharmacy.

Compounded GLP-1 plans (not FDA-approved)

Compounded semaglutide and tirzepatide are made by pharmacies for individual prescriptions and are not FDA-approved. FDA says they should only be used when an FDA-approved drug can't meet your medical needs. Price-wise: month-to-month compounded plans cost $165 to $399 a month, no cheaper than the brand-name prices above. Prepaid 3- to 12-month plans can cost less per month, but you pay upfront and most brands don't refund dispensed medication.

Compounded plans: quick answer

  • Lowest published 12-month tirzepatide total: HealthRX, $2,148 billed upfront ($179/mo). Gala also works out to $2,148 a year at $179/mo, but publishes no 12-month total.
  • Lowest headline price: CoreAge Rx, tirzepatide "starting at" $149/mo ($1,788 a year). Plan terms appear only at checkout, and its checkout page shows a different, lower price.
  • Most included in the price: MEDGm's 12-month tirzepatide supply, $3,228 ($269/mo), includes lab work, side-effect medication and shipping; it also sells compounded tablets and a brand-name route.
  • Semaglutide: $1,188 a year at the low end (HealthRX 12-month plan; CoreAge Rx starting price); MEDGm's 12-month supply is $2,028.
  • Biggest trap: month-to-month. The same tirzepatide costs $4,668 for a year month-to-month at MEDGm and $4,527 at Found (13 four-week charges).

GLP-1 cost calculator

1. Medication
2. How long
BrandCheapest way to cover 12 monthsPlan usedNo-commitment plan
CoreAge Rx$1,788Starting price (terms at checkout)$1,788
HealthRX$2,14812-month plan$2,547
Gala$2,148Flat monthly price (“Yearly subscription”)$2,148
Found$3,107Cash, 12-month term$4,527
Luvo Health$3,112.50Every 4 weeks$3,112.50
MEDGm$3,22812-month supply$4,668

Cash prices from each brand's own site. Brands that bill every 28 days charge 13 times a year. Published first-month offers are included; insurance copays, taxes and promo codes not shown on the brand's page are not.

Planning doses? The GLP-1 dose escalation scheduler maps a week-by-week titration, and the reconstitution calculator turns a vial into syringe units.

Compounded tirzepatide cost, brand by brand

Tirzepatide is the active ingredient in Zepbound and Mounjaro. The 5 brands with exact plan prices bill it at $179 to $399 a month; the cheapest year comes from a 12-month prepay or a flat monthly price, never from month-to-month.

Compounded tirzepatide (injection), cash prices from each brand's own site, checked Oct 7, 2026. Sorted by 12-month cost.
#BrandLowest per month12 months, cheapest planFirst charge, no commitment12 months, no commitment
1CoreAge Rx$149“starting at”$1,788Starting price (terms at checkout) · source$149$1,788
2Gala$179$2,148Flat monthly price (“Yearly subscription”) · source$179$2,148
3HealthRX$179$2,14812-month plan · source$193$2,547
4Found$259.63$3,107Cash, 12-month term · source$219$4,527
5Luvo Health$270.49$3,112.50Every 4 weeks · source$124.50$3,112.50
6MEDGm$269$3,22812-month supply · source$279$4,668

12-month tirzepatide plans compared

Three brands publish a 12-month tirzepatide price. HealthRX bills $2,148 upfront and renews at $2,123. MEDGm bills $3,228 upfront ($269/mo) and is the only one that says lab work and side-effect medication are included; Klarna can split the payment. Found charges $239 per 28-day cycle on its 12-month cash term (about $3,107 for 13 cycles), or $179 on its insurance track plus copays. Whichever you choose, a 12-month plan is a commitment: dispensed prescriptions generally can't be returned, and MEDGm gives no refund on cancellation.

Cash paid if you stay on each plan for 1, 3, 6 or 12 months, counted in whole billing periods (a year is 12 monthly or 13 four-week charges). “min. term” = you pay for the plan's minimum length even if you stop sooner.
Brand and planBilledPer month1 month3 months6 months12 months
CoreAge Rx · Starting price (terms at checkout)Its checkout landing page shows $129/month.source$149monthly$149$149$447$894$1,788
Found · Cash, 12-month termsource$239every 28 days$259.63$2,868min. term$2,868min. term$2,868min. term$3,107
Found · Cash, 6-month termsource$289every 28 days$313.94$1,734min. term$1,734min. term$2,023$3,757
Found · Cash, 3-month termsource$309every 28 days$335.67$927min. term$927$2,163$4,017
Found · Cash, month to monthsource$359every 28 days; first $219$389.99$219$937$2,373$4,527
Gala · Flat monthly price (“Yearly subscription”)source$179monthly$179$179$537$1,074$2,148
HealthRX · 12-month plansource$2,148once a year (upfront); renews at $2,123$179$2,148min. term$2,148min. term$2,148min. term$2,148
HealthRX · 6-month plansource$1,194every 6 months (upfront); renews at $1,169$199$1,194min. term$1,194min. term$1,194$2,363
HealthRX · 3-month plansource$627every 3 months (upfront); renews at $602$209$627min. term$627$1,229$2,433
HealthRX · Monthly Subscribe & Savesource$214monthly; first $193$214$193$621$1,263$2,547
Luvo Health · Every 4 weekssource$249every 28 days; first $124.50$270.49$124.50$622.50$1,618.50$3,112.50
MEDGm · 12-month supplysource$3,228once a year (upfront)$269$3,228min. term$3,228min. term$3,228min. term$3,228
MEDGm · 6-month supplysource$1,734every 6 months (upfront)$289$1,734min. term$1,734min. term$1,734$3,468
MEDGm · 3-month supplysource$897every 3 months (upfront)$299$897min. term$897$1,794$3,588
MEDGm · Month to monthFirst month with code WELCOME120OFF, shown on the MEDGm page.source$399monthly; first $279$399$279$1,077$2,274$4,668

Compounded semaglutide cost, brand by brand

Semaglutide is the active ingredient in Wegovy and Ozempic. Compounded injections run $99 to about $313.94 a month depending on the term.

Compounded semaglutide (injection), cash prices from each brand's own site, checked Oct 7, 2026. Sorted by 12-month cost.
#BrandLowest per month12 months, cheapest planFirst charge, no commitment12 months, no commitment
1CoreAge Rx$99“starting at”$1,188Starting price (terms at checkout) · source$99$1,188
2HealthRX$99$1,18812-month plan · source$149$1,964
3MEDGm$169$2,02812-month supply · source$179$3,468
4Gala$179$2,148Flat monthly price (“Yearly subscription”) · source$179$2,148
5Found$183.59$2,197Cash, 12-month term · source$179$3,647
6Luvo Health$227.04$2,612.50Every 4 weeks · source$104.50$2,612.50
Cash paid if you stay on each plan for 1, 3, 6 or 12 months, counted in whole billing periods (a year is 12 monthly or 13 four-week charges). “min. term” = you pay for the plan's minimum length even if you stop sooner.
Brand and planBilledPer month1 month3 months6 months12 months
CoreAge Rx · Starting price (terms at checkout)Its checkout landing page shows $79/month.source$99monthly$99$99$297$594$1,188
Found · Cash, 12-month termsource$169every 28 days$183.59$2,028min. term$2,028min. term$2,028min. term$2,197
Found · Cash, 6-month termsource$219every 28 days$237.90$1,314min. term$1,314min. term$1,533$2,847
Found · Cash, 3-month termsource$249every 28 days$270.49$747min. term$747$1,743$3,237
Found · Cash, month to monthsource$289every 28 days; first $179$313.94$179$757$1,913$3,647
Gala · Flat monthly price (“Yearly subscription”)A headline on galaglp1.com/weight-loss says “Semaglutide from $129/mo”; no plan card shows that price.source$179monthly$179$179$537$1,074$2,148
HealthRX · 12-month plansource$1,188once a year (upfront); renews at $1,163$99$1,188min. term$1,188min. term$1,188min. term$1,188
HealthRX · 6-month plansource$714every 6 months (upfront); renews at $689$119$714min. term$714min. term$714$1,403
HealthRX · 3-month plansource$399every 3 months (upfront); renews at $374$133$399min. term$399$773$1,521
HealthRX · Monthly Subscribe & Savesource$165monthly; first $149$165$149$479$974$1,964
Luvo Health · Every 4 weekssource$209every 28 days; first $104.50$227.04$104.50$522.50$1,358.50$2,612.50
MEDGm · 12-month supplysource$2,028once a year (upfront)$169$2,028min. term$2,028min. term$2,028min. term$2,028
MEDGm · 6-month supplysource$1,134every 6 months (upfront)$189$1,134min. term$1,134min. term$1,134$2,268
MEDGm · 3-month supplysource$597every 3 months (upfront)$199$597min. term$597$1,194$2,388
MEDGm · Month to monthFirst month with code WELCOME120OFF, shown on the MEDGm page.source$299monthly; first $179$299$179$777$1,674$3,468

Semaglutide tablets (needle-free)

Of the brands here, MEDGm publishes prices for compounded semaglutide tablets: $239/mo on its 12-month supply ($2,868), $369/mo month-to-month. Compounded tablets are not the FDA-approved oral semaglutide products and are not established as equivalent to them.

Cash paid if you stay on each plan for 1, 3, 6 or 12 months, counted in whole billing periods (a year is 12 monthly or 13 four-week charges). “min. term” = you pay for the plan's minimum length even if you stop sooner.
Brand and planBilledPer month1 month3 months6 months12 months
MEDGm · 12-month supplysource$2,868once a year (upfront)$239$2,868min. term$2,868min. term$2,868min. term$2,868
MEDGm · 6-month supplysource$1,734every 6 months (upfront)$289$1,734min. term$1,734min. term$1,734$3,468
MEDGm · 3-month supplysource$957every 3 months (upfront)$319$957min. term$957$1,914$3,828
MEDGm · Month to monthFirst month with code WELCOME120OFF, shown on the MEDGm page.source$369monthly; first $249$369$249$987$2,094$4,308

With insurance: Found's insurance track

Found is the only brand here that bills insurance. On that track the plan price is lower, a synchronous video visit is required, and each visit is billed to your insurance at your copay (typically around $30, per Found). The figures below exclude copays.

Cash paid if you stay on each plan for 1, 3, 6 or 12 months, counted in whole billing periods (a year is 12 monthly or 13 four-week charges). “min. term” = you pay for the plan's minimum length even if you stop sooner.
Brand and planBilledPer month1 month3 months6 months12 months
Found · Insurance, 12-month termPlus visit copays (typically around $30, per Found).source$179every 28 days$194.45$2,148min. term$2,148min. term$2,148min. term$2,327
Found · Insurance, month to monthPlus visit copays (typically around $30, per Found).source$289every 28 days; first $149$313.94$149$727$1,883$3,617
Cash paid if you stay on each plan for 1, 3, 6 or 12 months, counted in whole billing periods (a year is 12 monthly or 13 four-week charges). “min. term” = you pay for the plan's minimum length even if you stop sooner.
Brand and planBilledPer month1 month3 months6 months12 months
Found · Insurance, 12-month termPlus visit copays (typically around $30, per Found).source$99every 28 days$107.54$1,188min. term$1,188min. term$1,188min. term$1,287
Found · Insurance, month to monthPlus visit copays (typically around $30, per Found).source$199every 28 days; first $99$216.18$99$497$1,293$2,487

Brand-name Wegovy, Zepbound and Ozempic through these clinics

Compare any clinic's brand-name price with the manufacturer self-pay prices above; the clinic's fee is on top.

  • MEDGm: Zepbound or Wegovy for a $99 membership plus the medication's cost; Ozempic for a $171 membership plus medication cost. The medication price is not published.
  • Found:brand-name GLP-1s can be prescribed; their cost is billed separately from Found's plan price. Found's pricing page lists Wegovy and Zepbound "from $650/mo+" and Ozempic at $1,100/mo.
  • Luvo Health: brand-name Ozempic or Zepbound are available; see its product pages for current cash prices.
  • HealthRX, CoreAge Rx and Gala do not sell brand-name GLP-1s.

How we calculated these numbers

  • Every price is the brand's own published cash price on Oct 7, 2026, linked in the tables. We did not use affiliate-network copy.
  • A period of treatment is counted in whole billing periods: a year is 12 monthly charges, 13 four-week charges (Found, Luvo Health) or one upfront charge. Prepaid plans that renew at a lower published price (HealthRX's $25 renewal credit) use it.
  • Published first-month offers count, including MEDGm's code shown on its product pages. Copays, taxes and unpublished promotions don't.
  • Where a brand's own pages disagree, we use the figure on its main product page and show the other one: CoreAge Rx ($149/$99 vs $129/$79 on its checkout page) and Gala ($129 semaglutide headline vs a $179 plan card).
  • Tables are sorted by cost. Affiliate commissions never change the order or the numbers.

FDA's red flags when buying a GLP-1 online

  • Claims the compounded drug is the same as an FDA-approved drug
  • Prices that seem too good to be true
  • No screening and prescription by a licensed clinician before medicine is sent
  • No licensed clinician available for questions after you receive the medicine
  • Medicine labelled “for research purposes” or “not for human consumption”
  • Injectables that arrive warm or without enough cold packs

Paraphrased from FDA's consumer page on unapproved GLP-1 drugs, which also advises discarding multi-dose vials 28 days after first use.

The brands, in order of 12-month tirzepatide cost

CoreAge Rx

Visit CoreAge Rx →

Compounded semaglutide and tirzepatide (plus microdosing plans) prescribed by US board-certified physicians through MD Integrations, same price at every dose.

  • Tirzepatide: from $149/mo; a year costs $1,788 on its starting price (terms at checkout).
  • Semaglutide: from $99/mo; a year costs $1,188 on its starting price (terms at checkout).
  • Brand-name GLP-1: No brand-name GLP-1 sales listed.
  • Insurance: No insurance needed; FSA/HSA badge shown.
  • Labs: Labs not listed as part of the plan.
  • States: US only; state restrictions, if any, are disclosed during intake (no state is excluded on its site).
  • Refunds: 100% refund if the provider does not approve you, minus a $50–$100 consultation fee once review has begun; sales are final once a prescription is sent to the pharmacy, and all orders are final after 30 days.
  • Cancelling: No membership; plan terms are shown at checkout.

Also: Same price at every dose · Free shipping · Klarna / Affirm financing.

Watch for: Its main site says semaglutide “starting at $99/mo” and tirzepatide “starting at $149/mo”, but the checkout landing page it links to (get.coreagerx.com) shows $79 and $129 a month as a one-time purchase. Plan length and billing appear only inside checkout, so we use the higher main-site figures.

Gala

Visit Gala →

Compounded semaglutide or tirzepatide at one flat price at every dose, with provider visits, coaching and an app included. Self-pay only.

  • Tirzepatide: from $179/mo; a year costs $2,148 on its flat monthly price (“yearly subscription”).
  • Semaglutide: from $179/mo; a year costs $2,148 on its flat monthly price (“yearly subscription”).
  • Brand-name GLP-1: No. Gala says it does not sell or ship brand-name medications.
  • Insurance: Self-pay only; FSA/HSA accepted.
  • Labs: Labs not listed as part of the plan.
  • States: Its pages say both “most US states” and “licensed providers in all 50 states”; eligibility is confirmed at intake.
  • Refunds: Full refund only if its medical provider disqualifies you; no refund on cancellation otherwise.
  • Cancelling: Cancellation needs 72 hours’ notice before the billing date.

Also: Same price at every dose · Video provider visits and live coaching included · Free 2-day shipping.

Watch for: Gala publishes one price, $179 a month, for compounded semaglutide or tirzepatide, labelled “Yearly subscription”, while its FAQ says there is no long-term commitment. No 3-, 6- or 12-month totals are published. A headline on its weight-loss page also says “Semaglutide from $129/mo”, a figure no plan card shows.

HealthRX

Visit HealthRX →

Compounded semaglutide and tirzepatide injections with one flat price at every dose, from a licensed 503A pharmacy. Monthly or prepaid 3-, 6- and 12-month plans.

  • Tirzepatide: from $179/mo; a year costs $2,148 on its 12-month plan; month to month starts at $193.
  • Semaglutide: from $99/mo; a year costs $1,188 on its 12-month plan.
  • Brand-name GLP-1: No brand-name GLP-1 sales listed.
  • Insurance: No insurance needed; HSA/FSA eligible.
  • Labs: Labs not listed as part of the plan.
  • States: All 50 states, adults 18 and older (per HealthRX).
  • Refunds: Full refund if a provider does not approve you; unshipped doses refunded on cancellation.
  • Cancelling: Cancel any time by email; renewals carry a $25 credit off the plan price.

Also: Same price at every dose · Overnight shipping · Publishes renewal prices next to signup prices.

Found

Visit Found →

Compounded semaglutide and tirzepatide, brand-name GLP-1 prescriptions and other weight-loss medications, on a cash track or an in-network insurance track. Billed per 28-day cycle.

  • Tirzepatide: from $259.63/mo; a year costs $3,107 on its cash, 12-month term; month to month starts at $219.
  • Semaglutide: from $183.59/mo; a year costs $2,197 on its cash, 12-month term.
  • Brand-name GLP-1: Yes: brand-name GLP-1s can be prescribed; their cost is billed separately and not included in plan prices.
  • Insurance: Insurance track available (lower plan price plus visit copays, typically around $30 per Found); its state checker shows no insurance plans for California.
  • Labs: Labs not listed as part of the plan.
  • States: Prescriptions are at the provider’s discretion and not available in all states (per Found).
  • Refunds: See Found’s offer terms; not summarized on the pricing pages.
  • Cancelling: 1-, 3-, 6- and 12-month terms; the 12-month price is paid upfront.

Also: Same price at every dose · Medication included in compounded plans · 503A pharmacies with third-party testing · HSA/FSA eligible.

Watch for: Found bills every 28 days, so a year is 13 charges, not 12.

Luvo Health

Visit Luvo Health →

Compounded semaglutide (injection or tablets) and tirzepatide, low-dose “microdosing” plans, and brand-name Ozempic or Zepbound, all with clinician review by licensed providers. Billed every 28 days.

  • Tirzepatide: from $270.49/mo; a year costs $3,112.50 on its every 4 weeks.
  • Semaglutide: from $227.04/mo; a year costs $2,612.50 on its every 4 weeks.
  • Brand-name GLP-1: Yes: brand-name Ozempic or Zepbound available.
  • Insurance: Cash pay; no insurance required.
  • Labs: Labs not listed as part of the plan.
  • States: Not stated on the pages we read; confirmed at intake.
  • Refunds: Not charged for medication if a clinician decides treatment isn’t right for you.
  • Cancelling: Cancel any time.

Also: Half price on the first 28-day cycle · No consult or membership fee · Microdosing plans from $179.

Watch for: Luvo bills every 28 days, so a year is 13 charges. Its pricing page mentions plans up to 24 weeks but does not print their prices.

MEDGm

Visit MEDGm →

Compounded tirzepatide and semaglutide injections, compounded semaglutide tablets, and a membership route to brand-name Zepbound, Wegovy or Ozempic. Care is provided by OpenLoop Health clinicians.

  • Tirzepatide: from $269/mo; a year costs $3,228 on its 12-month supply; month to month starts at $279.
  • Semaglutide: from $169/mo; a year costs $2,028 on its 12-month supply.
  • Brand-name GLP-1: Yes: Zepbound or Wegovy for a $99 membership plus medication cost; Ozempic for a $171 membership plus medication cost.
  • Insurance: No insurance needed; HSA/FSA accepted.
  • Labs: Lab work and a metabolic report are included in the price (per MEDGm).
  • States: Terms say services are available in all 50 states and DC, but certain services or medications may not be available in every state.
  • Refunds: Full refund if a licensed provider determines you don’t qualify; no refund on cancellation otherwise.
  • Cancelling: Cancel any time; the request must arrive at least 72 hours before the next billing date.

Also: Same price at every dose · Side-effect medications included · Klarna on 3-, 6- and 12-month plans · $120 off the first month on the month-to-month plan with the code shown on its pages (WELCOME120OFF).

Watch for: Month-to-month is the most expensive way to buy here; the 12-month plan is billed upfront.

FAQ

What is the cheapest way to get a GLP-1 in 2026?

Check coverage first. Eligible Medicare Part D enrollees pay $50 a month for Wegovy, Zepbound KwikPen or Foundayo through the Medicare GLP-1 Bridge (July 1, 2026 to Dec 31, 2027), and commercial plans that cover the drug plus a manufacturer savings card can bring it to as little as $25 a month. Without coverage, the cheapest FDA-approved options are the Wegovy pill or Foundayo at $149 for the starting dose ($299 a month at maintenance) and the Wegovy pen at $199 for the first two fills, bought through TrumpRx.gov, NovoCare Pharmacy or LillyDirect (prices checked Oct 7, 2026).

How much is Zepbound through TrumpRx or LillyDirect?

$299 for 2.5 mg, $399 for 5 mg and $449 for 7.5 to 15 mg per 4-week supply, vial or KwikPen, if each refill is within 45 days of the last delivery; otherwise $499 for 7.5 mg and $699 for 10 to 15 mg. A first year on the usual dose steps costs about $5,637 for the medication (Lilly terms checked Oct 7, 2026).

How much is the Wegovy pill or Wegovy pen without insurance?

Wegovy pill: $149 a month at 1.5 mg, $199 at 4 mg and $299 at 9 mg or 25 mg (about $3,338 in year one). Wegovy pen: $199 for each of the first two monthly fills at 0.25 or 0.5 mg for new patients (through Dec 31, 2026), then $349 a month, and $399 for Wegovy HD 7.2 mg (about $4,237 in year one). Foundayo, Lilly's daily pill, runs $149 to $299 a month (about $3,188 in year one).

Is compounded GLP-1 cheaper than brand-name now?

Month-to-month, usually not: published compounded plans cost $165 to $399 a month with no commitment, the same or more than brand-name Wegovy, Foundayo or Zepbound at their self-pay prices. Prepaid 3- to 12-month compounded plans can work out cheaper per month (from $99), but you pay upfront, refunds are limited, and compounded drugs are not FDA-approved. FDA says compounded versions are for patients whose needs an approved drug cannot meet.

How much does compounded tirzepatide cost without insurance?

Across 6 telehealth brands we checked on Oct 7, 2026, a year of compounded tirzepatide costs $1,788 to $4,668, depending on the brand and whether you prepay. The lowest published 12-month plan total is $2,148 (HealthRX, billed upfront); MEDGm's 12-month supply is $3,228 and includes lab work and side-effect medication.

How much does a 12-month tirzepatide plan cost?

Published 12-month tirzepatide plans: HealthRX $2,148 upfront ($179/mo), MEDGm $3,228 upfront ($269/mo, labs and side-effect medication included), and Found $239 per 28-day cycle, about $3,107 for 13 cycles. Gala charges $179/mo on what it labels a yearly subscription ($2,148 a year) without publishing a 12-month total.

How much does compounded semaglutide cost per month?

From $99/mo (HealthRX's 12-month plan or CoreAge Rx's starting price) to about $314/mo on the priciest month-to-month plans. A year runs $1,188 to $3,647.

Why is month-to-month so much more expensive?

Brands discount prepaid terms heavily. At MEDGm, tirzepatide is $399 a month month-to-month (after a $279 first month with its published code) but $269 a month on the 12-month supply. Prepaying saves money only if you stay on treatment; check the refund terms first, because most brands do not refund medication once it is dispensed.

Does the price go up as the dose goes up?

Not at the brands on this page. MEDGm, HealthRX, CoreAge Rx, Found and Gala all state one price at every dose; Luvo Health publishes one price per medication. Some other telehealth companies price by dose, so check before you compare.

Is compounded semaglutide or tirzepatide FDA-approved?

No. Compounded semaglutide and tirzepatide are not FDA-approved: FDA does not review compounded drugs for safety, effectiveness or quality before they are sold. FDA says compounded drugs should only be used when a patient’s medical needs cannot be met by an FDA-approved drug. Wegovy (semaglutide) and Zepbound (tirzepatide) are FDA-approved for chronic weight management; Ozempic and Mounjaro are FDA-approved for type 2 diabetes and are sometimes prescribed off-label for weight loss.

Can I use insurance for a GLP-1 online?

Yes, for brand-name drugs: if your plan covers Wegovy, Zepbound or Foundayo, any prescriber (your own doctor or a telehealth service such as Ro) can send the prescription and the manufacturer savings card can bring the copay to as little as $25. Insurance does not pay for compounded GLP-1s; Found is the only compounding clinic here that bills insurance for its visits, with compounded tirzepatide from $179 per 28-day cycle on a 12-month term plus copays.

Related

Best online GLP-1 providers →The same brands compared on brand-name options, labs, insurance and refunds.GLP-1 dose escalation scheduler →Week-by-week titration for semaglutide and tirzepatide.Tirzepatide profile →Mechanism, half-life and research dosing.Semaglutide profile →Mechanism, half-life and research dosing.

Sources

Prices and terms come from each brand's own pages, read Oct 7, 2026. We did not use affiliate-network copy or third-party price lists. Regulatory and study lines link to the primary source.