Balanced Hormone Health review
The short answer: Balanced Hormone Health sells compounded semaglutide and tirzepatide by the vial, not by the month, so what you pay monthly depends on your dose. Video visits are free; every sale is final.
By LongevityGLP1 desk, Publisher
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Balanced Hormone Health by the numbers
- From
- Ask for the ongoing total
- Prescriber
- Video visit with a clinician
- Pharmacy
- Named on its site
- States
- 47 states
- Healthspan Score
- 45 out of 100
Our take on Balanced Hormone Health
Balanced Hormone Health is a family-owned telehealth practice based in Iowa, started around hormone therapy and since grown into weight care. Its compounded semaglutide and tirzepatide are priced per vial, by the total milligrams inside, and the site says plainly that it does not sell by the month. A starter vial, a larger recommended package and higher-dose refill vials each carry a single printed price, and the visit, syringes, shipping and coaching are included. There is no membership, contract or subscription. Read the compounded semaglutide guide if the drug is new to you.
Vial pricing makes the monthly cost hard to pin down. How long a vial lasts depends on your dose, so the same vial that covers many weeks at a starting dose runs out much faster once you move up. The site prints its own "per month" estimates with an asterisk, and on the tirzepatide page that estimate doesn't match the supply length printed on the starter vial, so neither is turned into a monthly figure here. Ask the care team how long your vial will last at the dose you expect in month three, then divide. The compounded semaglutide cost guide shows what monthly plans elsewhere charge.
The care side is personal. Visits are free video calls with nurse practitioners the team page names, and the practice says you can start at your current dose if you're switching from another program. Labs aren't required for weight loss, though hormone patients pay for them first. It also names its pharmacies, with street addresses, and says it works with both 503A and 503B compounders. Some product pages let you pick a pharmacy package, each with its own add-ins such as B12 or glycine and its own shipping exclusions; one pharmacy, for example, won't ship weight-loss medication to ten states.
Two rules deserve a hard look. Its refund policy says all sales are final and no refunds are issued, so buy the smallest vial first. And its state coverage reads two ways: the FAQ says the contiguous United States with no service to California, while the tirzepatide page says it is available to all states. Brand Zepbound comes through LillyDirect, with a consult fee, a monthly script-refill fee and a required monthly follow-up, and the drug billed by Lilly. The catalog also sells BPC-157, CJC-1295 with ipamorelin, tesamorelin and injectable GHK-Cu. Compare it on the compounded semaglutide lineup, or read about compounded tirzepatide.
What Balanced Hormone Health costs
A comparable ongoing monthly total is not established for Balanced Hormone Health. Confirm the treatment, supply period and all required fees before paying.
Other available treatments with a monthly total to confirm: Zepbound (injection).
Want Balanced Hormone Health's current price for your dose?
Your monthly price is the same through our link.
What signing up looks like
Fill out the client forms
Complete the new-client forms online. Weight-loss patients don't need labs first; hormone patients do.
Free video visit
A nurse practitioner meets you on a secure video call, sent as a text link, and builds the plan with you.
Buy a vial package
You buy a vial by total milligrams and, where offered, choose a pharmacy package. Each refill vial is bought the same way.
The pharmacy ships it
The compounding pharmacy prepares and ships the order, which takes about 4 to 10 days to reach you.
Who prescribes, and the pharmacy
Nurse practitioners at Balanced Hormone Health, named on its team page, prescribe after a video visit. Its FAQ names Tailormade Compounding in Kentucky and Hallandale Pharmacy in Florida and says it works with both 503A and 503B sterile compounders; product pages offer further pharmacy packages, each with its own add-ins and shipping exclusions.
Where Balanced Hormone Health does well
- Free video visits with nurse practitioners who are named on the team page.
- Names its compounding pharmacies with street addresses and says it uses both 503A and 503B pharmacies.
- No membership, contract or subscription; syringes, shipping and coaching are inside the vial price.
- You can start at your current dose if you're switching from another program.
- Interest-free payment plans and HSA or FSA receipts are offered.
What to check first
- Prices are per vial, so your monthly cost rises with your dose. Ask how long a vial lasts at your expected dose.
- All sales are final with no refunds. Start with the smallest vial until you know the drug suits you.
- Its FAQ excludes California while a product page says all states. Confirm your state before you order.
- Some pharmacy packages don't ship to every state. Check the shipping note on the package you pick.
- Also sells BPC-157, tesamorelin and similar peptides that pharmacies aren't allowed to compound. Stick to the GLP-1s.
It fits you if
You're comfortable doing your own dose-and-vial math, want a free video visit with a named nurse practitioner, and like paying once per vial with no subscription.
Look elsewhere if
You want one flat monthly price at every dose, a refund if treatment doesn't suit you, or a program that serves California.
How Balanced Hormone Health scored
on the compounded semaglutide lineup
45out of 100
- Price0 of 35
No comparable monthly total is established, so Price earns nothing.
- Care10 of 25
- Shown: Who prescribes
- Shown: A clinician reviews your intake
- Not shown: Labs and who pays
- Not shown: Follow-up schedule
- Not shown: Dose changes at no new fee
- Pharmacy25 of 25
- Shown: Pharmacy named
- Shown: Pharmacy state or type
- Shown: Brand or compounded is clear
- Shown: No "FDA-approved" claim for a compounded drug
- Clarity10 of 15
- Shown: Price before the intake questions
- Shown: Cancel and refund terms
- Not shown: States served
Other lineups: Compounded tirzepatide 45 · Brand GLP-1 self-pay 50
Also on these lineups: Tirzepatide programs that also treat menopause: 14 of 17 · Semaglutide programs that also treat menopause: 16 of 19 · Semaglutide programs that also treat low testosterone: 26 of 36 · Tirzepatide programs that also treat low testosterone: 27 of 34
Three more providers to weigh
Henry Meds
From $297/mo
Eden
PartnerFrom $99/mo
DirectMeds
PartnerFrom $297/mo
Questions about Balanced Hormone Health
- How much does Balanced Hormone Health cost?
- It prices compounded semaglutide and tirzepatide per vial, by total milligrams, with the visit and shipping included. How long a vial lasts depends on your dose, so ask how many weeks yours will cover before you buy.
- Does Balanced Hormone Health give refunds?
- No. Its refund policy says all sales are final and no refunds are issued. It reviews dispensing errors reported within 48 hours.
- Do I need labs for weight loss at Balanced Hormone Health?
- No. Its FAQ says labs aren't required for the weight-loss program, though hormone therapy patients need them before the visit.
- Which states does Balanced Hormone Health serve?
- Its FAQ says the contiguous United States with no service to California, but the tirzepatide page says all states. Confirm your state with the care team before you order.
- Can I get Zepbound through Balanced Hormone Health?
- Yes, through LillyDirect. You pay the practice a consult fee and a monthly script-refill fee, with a monthly follow-up required, and pay Lilly for the drug itself.
Read next
Picked for the same drugs and questions as this page.
- ResearchCompounded semaglutide in the fridge: how long it keeps
Why a vial of compounded semaglutide gets 28 days once opened while an Ozempic pen gets 56, and which date to trust when they disagree.
- Drug guideWhat compounded semaglutide is, and where it stands in 2026
Compounded semaglutide is a pharmacy-made version of the active ingredient in Ozempic and Wegovy. It is not FDA-approved. FDA declared the semaglutide shortage over on February 21, 2025, so pharmacies may now compound it only for individual patients in limited situations. Online programs currently list it at $75–$349 a month.
- Side by sideSemaglutide vs tirzepatide: what the head-to-head trials found
One drug acts on one gut-hormone receptor, the other on two. Here's what that difference did in the trials that tested them directly.
- ResearchGLP-1 drugs and pregnancy: what the Ozempic, Wegovy and Zepbound labels say
The weight-loss GLP-1s are not for pregnancy, and the labels add rules for the months before it and for birth-control pills. Here is what each label says, so you can take the right questions to your prescriber.
Still weighing Balanced Hormone Health?
Where this review comes from
- Balanced Hormone Health homepage
- Balanced Hormone Health GLP-1 Plus and GLP-1 with GIP pages
- Balanced Hormone Health semaglutide and tirzepatide product pages
- Balanced Hormone Health zepbound page
- Balanced Hormone Health FAQ
- Balanced Hormone Health team page
- Balanced Hormone Health refund policy and privacy policy
Every fact here comes from Balanced Hormone Health's own public pages. Partner fees aren't one of the four checks.