Cheapest right now

This is the board. Advertised price in one column, billed price in the next, and the gap between them in the third — because that gap is the whole business model of half this market.

Floor of the tirzepatide board: Coreage Rx at $199 a month. Ceiling: Henry Meds at $449. Same category of compounded medication at both ends, more than double the price at one of them.

Tirzepatide

Semaglutide

Verified 2026-09-18. "Billed" includes any membership charged alongside the medication once introductory rates lapse.

1. Coreage Rx — $199/mo

Read the term beside the number: tirzepatide is $129 a month equivalent on a twelve-month plan ($1,548 total), $139 on six months, $159 on three, or $199 for one month. A lower monthly equivalent means a longer commitment; ask how payment, refills and cancellation work.

The $79 semaglutide and $129 tirzepatide rates require 12-month plans. One-month plans are $139 and $199 respectively. Read the payment and refund terms before committing to a longer plan. Full review.

2. SuperHealthy Rx — $135/mo

Online provider review for compounded semaglutide and tirzepatide; provider visit and shipping included according to the offer.

Confirm the total upfront payment, renewal, state availability and dispensing pharmacy. Full review.

3. Likeness Rx — $199/mo

These are provider-published terms checked October 4, 2026. Prescription approval is conditional. Compounded medications are not FDA-approved; we have not tested the treatment, pharmacy fulfillment or patient outcomes.

The lowest monthly equivalents accompany 12-month subscriptions: $948 for semaglutide or $1,548 for tirzepatide. One-month plans are $139 and $199. The page says the selected term renews automatically; check the amount due and cancellation date. Full review.

4. Trimi — $125/mo

No membership renewing behind it, no dose surcharge, and — unusually — the compounding pharmacies named in public: VialsRx, Texas Board of Pharmacy #35264, and GreenwichRx, with a certificate of analysis on request.

Both headline prices are annual-plan rates. Confirm the month-to-month figure and the refund terms before prepaying twelve months. Full review.

5. Ozari Health — $125/mo

The $86 is the lowest compounded semaglutide figure the desk has verified from any provider. Free expedited shipping included, cancel any time.

Confirm whether $86 is a month-to-month rate or requires a longer commitment, and ask which pharmacy compounds it. Full review.

6. Fifty 410 — $133/mo

That is $133 or $183 a month. In a market built on recurring billing, a seller that takes one payment and stops is worth flagging.

The $133 is the starter protocol. Moving to the high-dose protocol takes it to $183/month, and both are prepaid three-month commitments. Full review.

Two programmes we keep off the board

Not every monthly figure is a price for the same thing, and sorting them together would be dishonest. We hold these out and say why: LifeMD — the monthly charge buys clinical care and insurance work, not medication — the drug is billed separately; Noom Med — medication is included, but at deliberately low doses well below those used in the trials; WeightWatchers Clinic — the monthly charge buys clinical care and insurance work, not medication — the drug is billed separately.

Both are covered in full in our reviews — LifeMD and Noom — and either can be the right answer. They are simply not a price comparison against a medication-included programme.

Where the gaps come from

Six structures account for nearly every advertised-to-billed gap on this board. We break them down with worked examples in six fee traps.

Brand-name, for reference

Through LillyDirect self-pay, single-dose Zepbound vials at 5 mg, 7.5 mg and 10 mg have been listed at $499/month, with lower starting doses nearer $299-$349.

Through NovoCare, Wegovy has been offered at $199/month for the first two fills through 31 December 2026, then $349/month for 0.25-2.4 mg doses. The oral form is listed between $149 and $299/month by dose.