Belle review
The short answer: Belle charges $199 a month for compounded semaglutide month to month, the same at every dose, with no membership. Its lower advertised rate needs a 12-month plan.
By LongevityGLP1 desk, Publisher
Belle is a partner: if you join through a link on this page, we may be paid. How we make money
Belle by the numbers
- From
- $199/mo · starting dose, month to month
- Prescribes
- Compounded semaglutide · Compounded tirzepatide
- Prescriber
- Doesn't say how the visit works
- Pharmacy
- Named on its site
- States
- All 50 states
- Healthspan Score
- 72 out of 100
Our take on Belle
Belle prices compounded semaglutide at $199 a month and compounded tirzepatide at $249 on its month-to-month plan, and both prices hold at every dose. There's no membership fee. Instead, Belle returns a share of each eligible order as rewards. The figure on its treatment pages is lower because it's the 12-month rate. Two, six and twelve-month plans step the monthly price down, and Belle says every plan is billed monthly. What its pages don't spell out is what happens if you leave a longer plan early, so ask before you commit. The compounded semaglutide cost guide shows how the month-to-month figure compares.
A flat price at every dose is the part that ages well. You pay the same at the starting dose as at a maintenance dose, so month six costs what month one did. Belle also lists a microdose tirzepatide plan under its longevity menu, but that page gives only a starting figure with no plan length, so confirm how it's billed. Its help center also describes BPC-157, MOTS-c, GHK-Cu injection and compounded tesamorelin plans ordered from the patient portal. None of those peptides is cleared for pharmacy compounding, and none is part of the GLP-1 plans reviewed here. The microdose tirzepatide explainer covers what lower doses can and can't be expected to do.
Care runs through Belle's own provider group, Belle Health, with a chief medical officer and a physician assistant and nurse practitioner on its team page. A licensed clinician reviews every intake before prescribing. Belle says you can book same-day clinical, provider and support calls, take an optional welcome call, and get check-in calls and texts, and every plan includes access to a dietitian. Labs aren't part of the GLP-1 plans; at-home blood testing is listed as coming soon.
Belle is unusually open about pharmacies. Its pharmacy page names Hillstone Pharmacy in Knoxville, Tennessee, a 503A compounding pharmacy that fills its GLP-1s, along with The Pharmacy Hub in Miami Gardens, Florida, and other partners, and says which products each one fills. It serves all 50 states and DC, and you can pause, delay or cancel without fees, though shipped prescriptions can't be refunded. FDA's letter to Belle, which questioned how its website presented these drugs, appears on this page.
What Belle costs
| Product | Real monthly cost | |
|---|---|---|
| Compounded semaglutideInjection | $199/mo | $199/mo |
| Compounded tirzepatideInjection | $249/mo | $249/mo |
Prices are taken from Belle's own site and current as of this update. Real monthly cost folds in required fees and turns four-week billing into calendar months; that's our math.
Compounded semaglutide skips FDA approval: no one at the FDA judges whether it is safe, whether it works, or how well it was made before a pharmacy sends it out.
Want Belle's current price for your dose?
Your monthly price is the same through our link.
What signing up looks like
Complete the online intake
Answer questions about your health, medications and goals. Month-to-month and longer-plan prices are on the pricing page first.
A Belle clinician reviews it
A clinician from Belle's provider group, licensed in your state, reviews your intake and decides whether to prescribe.
A partner pharmacy fills it
A pharmacy licensed for your state prepares and labels the medication, such as Hillstone Pharmacy for GLP-1s, and ships it to you.
Calls, check-ins and refills
Book same-day calls, get check-in calls and texts, and pause, delay or cancel your plan without fees.
Who prescribes, and the pharmacy
Prescriptions come from clinicians in Belle's own provider group, Belle Health, licensed in your state, after an online intake review. Belle's pharmacy page names Hillstone Pharmacy in Knoxville, Tennessee, a 503A compounding pharmacy, as the partner that fills its GLP-1s, and names its other partners and what each one fills.
Where Belle does well
- One price at every dose for compounded semaglutide and tirzepatide, with no membership fee on top.
- Names its pharmacies, their cities and 503A status, and which products each one fills.
- Same-day clinical and support calls, check-in calls and texts, and dietitian access in every plan.
- Prints the month-to-month price next to its two, six and twelve-month rates on the pricing page.
- Lets you pause, delay or cancel without fees, and serves all 50 states and DC.
What to check first
- The lower advertised figure is the 12-month rate. Compare the month-to-month price before you choose a plan.
- Early-exit terms for the longer plans aren't spelled out, and shipped prescriptions can't be refunded.
- Its portal also sells BPC-157, MOTS-c and other peptides that aren't cleared for pharmacy compounding.
- The microdose tirzepatide plan shows a starting figure with no plan length. Confirm how it's billed first.
- FDA wrote to Belle about how its site presented its compounded drugs. Read the letter on this page first.
It fits you if
You want compounded semaglutide or tirzepatide at one price that doesn't rise with your dose, a care team you can call the same day, and a seller that names its pharmacies.
Look elsewhere if
You want labs built into the plan, a scheduled follow-up cadence, or written early-exit terms before you sign up for a longer plan.
How Belle scored
on the compounded semaglutide lineup
72out of 100
- Price17 of 35
$199 a month at the starting dose, month to month, fees folded in. Full points at $90 or less, none at $300 or more.
- Care15 of 25
- Shown: Who prescribes
- Shown: A clinician reviews your intake
- Not shown: Labs and who pays
- Not shown: Follow-up schedule
- 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
- Clarity15 of 15
- Shown: Price before the intake questions
- Shown: Cancel and refund terms
- Shown: States served
Other lineups: Compounded tirzepatide 75
Also on these lineups: Compounded tirzepatide under $250 a month: 16 of 36 · Compounded semaglutide under $200 a month: 19 of 41 · Compounded semaglutide programs in all 50 states: 12 of 38 · Compounded tirzepatide programs in all 50 states: 11 of 39
Three more providers to weigh
Bayan Health
From $129/mo
Nirwana Health
From $149/mo
Youth & Soul
From $149/mo
FDA warning letter
The FDA sent a warning letter to the company behind Belle on February 20, 2026. A letter is a public notice, not a ban, and it isn't part of the score. Read it and decide for yourself.
- Letter 721795, February 20, 2026 · Read the letter on the FDA's site
Questions about Belle
- How much does Belle cost a month?
- Month to month, compounded semaglutide is $199 a month and compounded tirzepatide $249, at every dose and with no membership fee. Two, six and twelve-month plans cost less per month.
- Does the price go up with my dose?
- No. Belle charges one price at every dose, from the starting dose to a maintenance dose.
- Is there a membership fee?
- No. Belle charges no membership fee and returns a share of each eligible order as rewards instead.
- Which pharmacy fills Belle prescriptions?
- Belle names Hillstone Pharmacy in Knoxville, Tennessee, a 503A compounding pharmacy, for its GLP-1s, and lists its other partner pharmacies on its pharmacy page.
- Can I cancel or pause?
- Yes. Belle says you can pause, delay or cancel anytime without fees. Prescriptions that have already shipped can't be returned or refunded.
Read next
Picked for the same drugs and questions as this page.
- ResearchOzempic and your stomach: diarrhea, nausea, constipation and burping
Ozempic's own label numbers for every stomach side effect, what the label says about why they happen and when, and the few digestive symptoms that are emergencies.
- Drug guideSemaglutide: how it works and the products that contain it
Semaglutide copies GLP-1, a hormone your gut releases after eating. It raises insulin only when blood sugar is high, lowers glucagon, slows stomach emptying and reduces appetite through the brain. That is why it lowers blood sugar and body weight. It is sold as Ozempic and Rybelsus for diabetes and as Wegovy for weight.
- 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.
- ResearchWhat happens when you stop Ozempic, Wegovy or Zepbound
Three large trials stopped the drug on purpose to see what would happen. The answer was consistent: weight came back, and some health gains faded with it. Here's what each found, in numbers.
Still weighing Belle?
Where this review comes from
- Belle GLP-1 pricing page
- Belle compounded semaglutide and tirzepatide pages
- Belle microdose tirzepatide page
- Belle pharmacy partners page
- Belle team page
- Belle terms of service
- Belle help center: peptide plans, shipments and billing
- FDA warning letter to Belle Health dba Belle (MARCS-CMS 721795) (February 20, 2026)
Every fact here comes from Belle's own public pages. Partner fees aren't one of the four checks.