$74 or $449. Same drug. Your move.

We price 23 GLP-1 programmes on what they bill, not what they advertise — and publish the gap between the two.

New provider reviews

Offers and terms checked October 15, 2026; no numerical care-quality ratings.

• Contour Health review: a weekly price, a vial purchase and no auto-refill

  Contour Health advertises semaglutide from $30 a week and tirzepatide from $50. We check what the vial price includes and which subscription terms apply.

• Healis review: the microdosing offer, total charge and cancellation cutoff

  Healis microdosing selectors show different semaglutide and tirzepatide bills. We compare the displayed totals with the renewal and refund policy.

Tirzepatide, cheapest first

The full board →

Semaglutide, cheapest first

The full board →

Rankings

• Cheapest right now

  Every programme sorted on what it bills, not what it advertises. Floor: $199/mo tirzepatide, $139/mo semaglutide.

• Where the traps are

  The biggest advertised-to-billed gaps on our board, and the programmes charging most for the same category of medication.

• Best value on the board

  Cheapest is one question. Best value — where the money buys something — is another.

• The cheapest tirzepatide online

  Every provider whose monthly price actually includes the medication, sorted on what you are billed in month two.

• The cheapest semaglutide online

  Semaglutide programmes ranked on the billed monthly figure, with membership fees counted and teaser rates discarded.

• Cheapest GLP-1 without insurance

  Cash-pay only: no coverage, no prior authorisation, no insurer. What each programme charges and what it includes.

• GLP-1s under $150 a month

  A hard price ceiling. Every programme billing $150 or less a month with the medication included.

• The best GLP-1 programmes

  Every provider we track, scored on the same five weighted criteria, whichever medication they dispense.

• No membership fee

  Providers that charge for the medication and nothing else. The single most reliable way to avoid a surprise in month two.

• The most transparent providers

  Ranked on whether the advertised price is the billed price, and whether the company tells you where the medication comes from.

• Zepbound alternatives

  Zepbound is tirzepatide. Here is what else delivers the same molecule, what it costs, and what you give up.

• Wegovy alternatives

  Wegovy is semaglutide. These are the cheaper routes to the same molecule, and the newer approved pill that changed the maths.

• Ozempic alternatives

  Ozempic is approved for type 2 diabetes, not weight loss. If weight is your goal, these are the options actually intended for it.

• Tirzepatide 2.5 mg: what it costs

  Step 1 of the tirzepatide ladder, around weeks 1-4. 6 providers charge the same here as at the starting dose — the rest may not.

• Tirzepatide 10 mg: what it costs

  Step 4 of the tirzepatide ladder, around weeks 13-16. 6 providers charge the same here as at the starting dose — the rest may not.

• Tirzepatide 15 mg: what it costs

  Step 6 of the tirzepatide ladder, around weeks 21+. 6 providers charge the same here as at the starting dose — the rest may not.

• Semaglutide 1.7 mg: what it costs

  Step 4 of the semaglutide ladder, around weeks 13-16. 6 providers charge the same here as at the starting dose — the rest may not.

• Semaglutide 2.4 mg: what it costs

  Step 5 of the semaglutide ladder, around weeks 17+. 6 providers charge the same here as at the starting dose — the rest may not.

• GLP-1 coverage by state

  Only 13 state Medicaid programmes cover GLP-1s for obesity. Four dropped coverage in the last year. Here is the national picture and where it changed.

• GLP-1 coverage in California

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Pennsylvania

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in South Carolina

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in New Hampshire

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in North Carolina

  Medicaid coverage was dropped and then restored. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Texas

  Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Mississippi

  Notable for its obesity prevalence rather than its coverage rules. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Michigan

  Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Massachusetts

  Coverage exists but has been proposed for removal. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Rhode Island

  Coverage exists but has been proposed for removal. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Missouri

  Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Kansas

  Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• The pharmacies behind the prescriptions

  The pharmacy is the part that is actually regulated — and most providers will not name theirs. Here are the ones that have been named publicly.

• Belmar Pharmacy

  503A compounding pharmacy in Wichita, Kansas, shipping to all 50 states. Named publicly by PlexusDx. What is checkable, and how to check it.

• Strive Pharmacy

  PCAB-accredited compounding pharmacy, licensed across multiple states. Named publicly by PlexusDx. What is checkable, and how to check it.

• Epiq Scripts

  Digital mail-order compounding pharmacy licensed in 45 states plus Puerto Rico and DC. Named publicly by PlexusDx. What is checkable, and how to check it.

• VialsRx

  State-licensed 503A pharmacy with a published Texas Board of Pharmacy licence number. Named publicly by Trimi. What is checkable, and how to check it.

• Empower Pharmacy

  Large Houston compounder running both a 503A pharmacy and a 503B outsourcing facility. Named publicly by . What is checkable, and how to check it.

• Hallandale Pharmacy

  503A compounding pharmacy in Florida with extensive telehealth partnerships. Named publicly by . What is checkable, and how to check it.

• Olympia Pharmacy

  503B outsourcing facility in Orlando, Florida. Named publicly by . What is checkable, and how to check it.

• ReviveRX

  Houston 503A compounding pharmacy built around prescriber partnerships, shipping to 45 states. Named publicly by . What is checkable, and how to check it.

• BPI Labs

  503B outsourcing facility in Largo, Florida. Named publicly by . What is checkable, and how to check it.

• Tailor Made Compounding

  503A compounding pharmacy in Nicholasville, Kentucky. Named publicly by . What is checkable, and how to check it.

• Pavilion Compounding Pharmacy

  503A compounding pharmacy in Atlanta, Georgia. Named publicly by . What is checkable, and how to check it.

• APS Pharmacy

  503A sterile compounding pharmacy in Palm Harbor, Florida, operating as Drug Depot, Inc. Named publicly by . What is checkable, and how to check it.

• Wells Pharmacy Network

  Multi-site network running a 503A pharmacy in Florida and a 503B outsourcing facility in Tennessee. Named publicly by . What is checkable, and how to check it.

• Asteria Health

  503B outsourcing facility in Birmingham, Alabama, operating as FH Investments Inc. Named publicly by . What is checkable, and how to check it.

Briefings

• Six fee traps

  Compare the product, supply period, recurring charge and commitment before treating a headline as the full bill.

• The compounding rules

  Cheap GLP-1s exist because of compounding. The FDA moved against it again in April. What that means for the board.

• Tirzepatide vs semaglutide

  A head-to-head trial settled the results question. The price question goes the other way.

• How to spot a bad seller

  The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.

• The twelve-month cost

  Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.

• Medicare, GLP-1s and the $50 month

  CMS is running a time-limited programme giving eligible Part D members certain GLP-1s for $50 a month. If you are on Medicare, read this before paying cash for anything.

• The approved pills changed the maths

  Two oral GLP-1s were approved either side of the new year, both starting at $149 a month. That undercuts a large part of the compounded market.

• What happens when you stop

  Most people regain a substantial share of the weight. Here is what the research actually found, and what that means for how you plan and budget.

• GLP-1s after 50

  These drugs work at any age. The risks are not identical at every age, and the muscle and bone question deserves more attention than it usually gets.

• Titration, properly explained

  When to step up, when to hold, when to go back down, and why restarting after a gap is the one genuinely dangerous mistake.

• How to read your prescription

  What the abbreviations mean, and the mg-versus-mL distinction that is the one genuine hazard in this category.

Board verified 2026-09-18