If you're paying more than about $99 a month for compounded semaglutide, you're probably overpaying. In 2026 the cheapest legitimate telehealth options start around $83/month, and the gap between the cheapest and priciest provider is over $3,000 a year for essentially the same medication.
💸 Estimate your exact cost with the free calculator →These are the lowest starting monthly prices we track for compounded semaglutide, compiled from each provider's publicly listed rates. Prices reflect starting/introductory pricing; always confirm the current cost and your maintenance-dose price on the provider's own site before enrolling.
| Provider | From / month | Est. / year | Notable |
|---|---|---|---|
| OrderlyMeds | $83 | $996 | 3-month SimpleStart plan; dose-flat pricing |
| GobyMeds | $99 | $1,188 | Lowest single-plan entry; fully online |
| Trimi GLP-1 | $99 | $1,188 | Flat pricing at every dose; free overnight shipping |
| Willow | $129 | $1,548 | Direct-to-door delivery |
| BrelloHealth | $133 | $1,596 | Straightforward subscription |
| Alan Meds | $149 | $1,788 | Subscription model |
| Ro (Ro Body) | $149 | $1,788 | Well-known brand, clinician support |
| MEDVi | $179 | $2,148 | No contract; easy to pause |
Brand-name GLP-1 medications like Wegovy and Ozempic can exceed $1,000 per month without insurance. Compounded semaglutide contains the same active ingredient but is prepared by a licensed compounding pharmacy and prescribed through a telehealth clinician, which is how cash-pay prices land in the $83–$179/month range. Compounded versions are not FDA-approved the way the brand-name drugs are, so it's important to check each provider's pharmacy credentials and talk to a licensed clinician before starting.
The headline price is rarely what you'll actually pay long-term. Two things to check before you enroll:
Three legitimate levers cut the cost further: prepay by the quarter (most providers discount 20–40% for three or more months), pay with an HSA or FSA card (prescription GLP-1 programs are typically eligible), and start at the lowest effective dose. Stacking these can turn a $149/month plan into an effective cost closer to $100.
🎯 Not sure which provider fits you? Take the 3-tap match quiz →For most people comparing on price alone in 2026, OrderlyMeds ($83/mo on the 3-month plan), GobyMeds ($99/mo), and Trimi GLP-1 ($99/mo, flat pricing) are the cheapest legitimate compounded semaglutide options we track. Run your own numbers with the free cost calculator and compare the full table on GLP-1 Cost Guides.
GLP-1 Cost Guides is independent and reader-supported. Some links are affiliate links; we may earn a commission if you enroll through them, at no additional cost to you. This never influences our pricing data or rankings. This article is for informational purposes only and is not medical advice, always consult a licensed clinician before starting any GLP-1 medication. Prices are subject to change; confirm current cost with each provider.