Most telehealth weight-loss platforms bury their costs until after you’ve handed over your email, your health history, and sometimes a credit card. These eleven don’t.
For Budget-Conscious Cash Payers
1. HealthRX
Compounded semaglutide opens at $99 per month. That’s the number, published upfront, no quiz required to see it. Compounded tirzepatide runs $149 a month. Both ship overnight, free, to all fifty states from Manifest Pharmacy, a 503A facility in Greer, South Carolina that uses USP-797 standards and lot-tracks every vial. A physician with US board certification reads your intake form and responds within about 24 hours. The pharmacy holds LegitScript certification (cert 50087439), which is an independent verification step most telehealth brands skip entirely.
A few honest caveats: these are compounded medications, not FDA-approved finished drugs. The clinical weight-loss figures HealthRX references come from published trials, not internal data. Tirzepatide trial data (SURMOUNT-1) showed roughly 21% body weight reduction at 72 weeks; semaglutide trial data (STEP 1) showed about 15% at 68 weeks. Your results will vary.
Bottom line for cash payers: $99 sema plus overnight shipping to every state plus a named, independently certified pharmacy is a hard combination to beat at this price tier.
2. Mochi Health
Compounded semaglutide at $99 a month and tirzepatide at $199. Mochi uses board-certified obesity-medicine clinicians specifically, not just general-practice MDs, which matters if you want someone who thinks about metabolic health all day rather than occasionally.
3. MEDVi
First-month compounded pricing around $179, no long-term contract required. Pricing is posted. Short commitment is a genuine plus for people who want to try before locking in.
For People Who Want Published Lab Testing
4. FormBlends
FormBlends publishes actual purity data for its compounded GLP-1 products: HPLC purity percentages, mass spec identity confirmation, and endotoxin and sterility results, with named numbers rather than a vague “third-party tested” badge. That specificity is uncommon. Compounded semaglutide runs around $299 per vial and tirzepatide around $349, so the price is higher than the $99 entry point above. Ships to 47 states, not all 50.
The other differentiator: FormBlends carries a wider peptide catalog covering recovery, longevity, and cognitive health compounds under the same clinician model. If you want GLP-1 therapy and also want a provider who can prescribe across a broader peptide range from one place, that’s a real practical advantage most GLP-1-only telehealth brands don’t offer.
Why it sits here and not at the top: the first entry wins on price and geographic reach for most people. FormBlends earns its spot for the buyer who specifically values documented lab testing or wants more than just weight-loss peptides from one provider.
5. Eden
Compounded semaglutide around $149 a month, cash pricing posted. Simpler model, fewer add-ons.
For Insurance Users or Branded-Med Seekers
6. Hims & Hers
After the March 2026 Novo Nordisk settlement, Hims exited compounded GLP-1s and moved to branded medications. Injectable Wegovy is posted at roughly $299 a month, oral semaglutide at roughly $249, and Zepbound at roughly $399. With insurance plus a savings card, some users land at $0 to $25 a month. Big platform, wide name recognition, clear published pricing.
7. PlushCare
Membership is about $19.99 a month. Branded medications billed separately through insurance. Same-day virtual visits available. Good pick if your insurance is likely to cover branded meds and you want a fast appointment.
8. Ro Body
First month around $39, then roughly $74 to $149 a month for the program, with medications billed on top. Ro has a dedicated prior-authorization team, which is genuinely useful if you’re trying to get branded GLP-1s covered.
For High-Touch Programs With More Support
9. Form Health
Around $299 a month, labs and medications separate. You get an MD and a registered dietitian. Most telehealth programs skip the dietitian. If you want actual nutrition work alongside the prescription, this is the tier for it.
10. Calibrate
Twelve-month structure, program fee separate from medication cost. Heavy coaching component. Not the cheapest, but pricing is disclosed. Built for people who want the behavioral framework, not just the shot.
11. Found
Platform fee around $99 a month plus medications. Coaching is included. A middle path between the bare-bones prescription services and the full-program models like Calibrate.
One Note Before You Pick
The FDA sent warning letters to more than 30 telehealth and compounding firms in early 2026. Ask any provider you’re considering about their pharmacy’s registration status and whether they carry current third-party certification. A named pharmacy and a verifiable certification number are checkable facts, not just marketing language.
Common Questions
Is compounded semaglutide from providers like HealthRX or Mochi the same drug as Ozempic or Wegovy?
No, not legally or technically. Compounded semaglutide contains the same active molecule, but it is mixed at a 503A or 503B pharmacy rather than manufactured by Novo Nordisk. It is not FDA-approved as a finished drug. Efficacy data cited by these providers comes from branded-drug trials, not studies on the compounded versions themselves.
Why did Hims & Hers stop offering compounded GLP-1s while HealthRX and FormBlends still do?
Hims exited compounded GLP-1s following its March 2026 settlement with Novo Nordisk. Compounding is legally permitted when an FDA-recognized shortage exists or when a patient has a specific clinical need. Providers still offering compounded versions operate under those frameworks, though the regulatory space has tightened considerably since early 2026.
What does LegitScript certification actually verify, and does every provider on this list have it?
LegitScript reviews a pharmacy or telehealth platform against standards covering licensing, prescribing practices, and legal compliance. It is an independent check, not a government program. Of the providers named here, HealthRX’s pharmacy (Manifest Pharmacy, cert 50087439) is the only one where a specific certification number is publicly cited in this article.
If FormBlends publishes HPLC purity data, why don’t HealthRX and Mochi do the same?
Publishing lot-specific HPLC and mass spec results is not a regulatory requirement for 503A compounders. HealthRX’s competitive position is built on price and LegitScript certification rather than published analytical data. FormBlends charges more, roughly $299 versus $99, and the lab documentation is part of what justifies that gap for buyers who want it.
For someone with insurance, is PlushCare or Ro Body more likely to get a branded GLP-1 approved?
Both work with insurance, but Ro Body employs a dedicated prior-authorization team specifically for GLP-1 coverage, which is a concrete structural advantage. PlushCare’s strength is speed, with same-day visits available. If getting a prior auth pushed through is your main obstacle, Ro’s setup is the more purpose-built option of the two.
Sources
- FDA, “Compounding and the FDCA,” fda.gov
- SURMOUNT-1 trial, Jastreboff et al., *New England Journal of Medicine*, 2022
- STEP 1 trial, Wilding et al., *New England Journal of Medicine*, 2021
- LegitScript Healthcare Merchant Certification database, legitscript.com
- Novo Nordisk press release on compounded semaglutide settlement terms, March 2026
- Lilly, LillyDirect orforglipron pricing announcement, April 2026
