01
Is medication included?
A $149 medication price can become a $188 first-month total when a required membership is billed separately.
U.S. cash-pay research · 10 providers checked
See what online GLP-1 programs really cost.
We reviewed provider-owned pricing pages, added required fees, separated promotions from ongoing costs, and identified the commitment behind each offer.
Research updated August 28, 2026. No health information is collected on this site.
A sample of entry prices in this review
*Medication types, promotions, and billing terms differ. The full table explains each number.
10 provider-owned sourcesRequired fees addedPromotions and renewals separatedCompounded vs. brand identified
Ten programs, compared on the terms that change what you pay.
We evaluated entry price, required commitment, included services, and stated availability. The table keeps different medication types visible instead of pretending every offer is identical.
How to read this comparison
Read the complete methodologyUse the entry price to build a shortlist, then check the medication format, renewal terms, dose pricing, and required fees. This is a shopping comparison, not a clinical-quality ranking.
| Provider | Entry price | Semaglutide | Tirzepatide | What is included and required | Next step |
|---|---|---|---|---|---|
SurpassMDOur pick Compounded injections |
$114/mo Starting promotional price; medication and dose affect price |
$114/mo | $177/mo | Medication, clinician review, fulfillment and cold-chain shipping Recurring subscription; cancel anytime |
|
MEDVi Compounded injections |
$116 first month Landing page contains both sale and full-price figures |
$116 start; $166 ongoing | $166 start; $199 ongoing | Medication, physician review, care plan, guidance and shipping Promotional first month; ongoing price lock stated |
|
Fridays Compounded injections |
$150/mo $249 semaglutide or $359 tirzepatide month-to-month |
$150/mo | $240/mo | Medication and program services Discounted price uses prepaid multi-month billing |
|
DirectGLP Compounded injections |
$166/mo Bundled starting price; no separate membership fee |
$166/mo | $199/mo | Provider review, medication, shipping and support Price is based on a 3-month plan |
|
Found Compounded injections |
$169/mo $169 monthly equivalent prepaid for 12 months; $289 month-to-month |
GLP-1 from $169/mo | Varies by plan | Cash-pay GLP-1 treatment program Lowest rate requires a 12-month prepaid plan |
|
Ro FDA-approved brand options |
$188 first month $149 medication plus $39 first-month membership; ongoing membership from $74 |
$149 pill / $199 pen | $299 pen | Medication plus a separate Body membership Lowest $74 membership rate is prepaid annually |
|
Hims & Hers FDA-approved brand options |
$188 first month Ongoing total begins around $298 if medication stays $149 |
Medication from $149 | Varies by option | Medication plus separate weight-loss membership Membership $39 first month, then $149 monthly |
|
Direct Meds Compounded injections |
$197 promotional Page advertises injections from $197 while its FAQ lists $297/$497 full prices |
$197 promo; $297 listed | $197 promo; $497 listed | Medication, clinician review, supplies and shipping Monthly program; verify current checkout terms |
|
ReflexMD Compounded injections |
$199/mo Page displays promotional and higher standard prices |
$199 promotional | $297 promotional | Prescription review, medication and shipping Promotional pricing; verify current renewal terms |
|
WeightWatchers Med+ FDA-approved Wegovy |
$224 first month $199 starter-dose fill plus $25 first-month membership; later costs rise |
$199 first 2 pen fills | Not on cited page | Wegovy plus separate Med+ membership $74 membership requires a 12-month plan |
Prices and provider terms checked August 28, 2026. Entry prices can reflect a starter dose, promotion, prepaid commitment, or different medication format. Read each row before comparing.
Our pick for cash-pay value
SurpassMD
We chose SurpassMD because it combined the lowest semaglutide entry price in this comparison with recurring billing, a bundled program, and broad stated availability.
- Entry price
- $114/month for semaglutide, the lowest in this comparison
- Commitment
- Recurring subscription with no required annual prepayment
- What is included
- Medication, clinician review, fulfillment, and cold-chain shipping
- Availability
- 50 states and D.C.; services can vary by location
The tradeoff: SurpassMD’s listed options are compounded injections, which are not FDA-approved. If you want an FDA-approved brand or insurance support, use the table above to compare other paths.
Still not sure? Find your best fit.
Answer four shopping questions. We will compare your answers with the same price, commitment, inclusions, and availability criteria used in our review.
- Price and program preferences only
- No health information requested
- Answers stay in your browser and are not saved
Looking only for an FDA-approved brand or insurance support? Use the full comparison instead.
Question 1 of 425%
What matters most when you compare programs?
Which medication would you like to ask a clinician about?
How much commitment are you comfortable with?
What do you most want clarified before you start?
Our recommendation
SurpassMD is the best match for your priorities.
Recommended program starts at$114/mo
Recommendation based on the four shopping factors in this quiz and the provider terms reviewed on August 28, 2026. See how we evaluate providers.
This result matches shopping preferences, not medical eligibility. A licensed clinician determines whether treatment and any medication are appropriate. A prescription is not guaranteed.
Read the fine print fast
Three questions catch most pricing surprises.
02
What happens at the next dose?
Some compounded prices rise with dose. Some brand offers cover only the first two starter fills.
03
What must you prepay?
The lowest monthly equivalent may require paying three, six, or twelve months in advance.
Answers before checkout
Common no-insurance questions.
What is the cheapest online GLP-1 without insurance in this comparison?
Among the 10 providers reviewed, SurpassMD had the lowest semaglutide entry price at $114 per month. Medication, dose, promotion, and clinical approval can affect the final cost, so verify the current offer before purchasing.
Does the monthly price always include medication?
No. Some programs bundle medication, clinical care, shipping, and supplies. Others charge a membership plus the medication. Our table states what is included and any commitment attached to the listed price.
Are compounded GLP-1 medications FDA-approved?
No. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality. A licensed prescriber must decide whether any treatment is appropriate.
Why can prices rise after the first month?
Common reasons include the end of an introductory offer, a higher prescribed dose, a separate membership renewal, or moving from a starter dose to an ongoing dose.
Can I get a prescription just by choosing a provider?
No. Prescription treatment requires an evaluation by a licensed clinician. Eligibility, medication choice, and dose are clinical decisions, and a prescription is not guaranteed.
Shortlist by the cost you will actually pay.
Use the provider directory for source links, pricing dates, and program-by-program caveats.