iThriveMD review
The short answer: iThriveMD bills compounded semaglutide every 28 days, about $323.92 a calendar month by our math after a cheaper first cycle. It serves only California and Arizona.
By LongevityGLP1 desk, Publisher
Buttons here open each provider's own site. A few providers pay us. How we make money
iThriveMD by the numbers
- From
- $299 every 28 days (about $323.92 a month) · starting dose
- Prescribes
- Compounded semaglutide · Compounded tirzepatide · Compounded tirzepatide microdose · Metformin
- Prescriber
- Doesn't say how the visit works
- Pharmacy
- Not named on its site
- States
- 2 states
- Healthspan Score
- 40 out of 100
Our take on iThriveMD
iThriveMD is a California clinic group with telehealth, so it's only an option if you live in California or Arizona. Its compounded semaglutide is billed every 28 days, which means 13 charges a year. After a discounted first cycle of $199, the standing price comes to about $323.92 a calendar month by our math, and compounded tirzepatide about $432.25. iThriveMD says the price is the same at every dose and includes clinical oversight and coaching. Prepaid 3-, 6- and 12-month plans lower the figure but are paid up front. The compounded semaglutide cost guide shows how that compares.
The care model is more hands-on than most online programs. You start with a free consultation, then a clinical consultation that reviews diagnostic labs and sets a plan, and you can begin treatment in one of its clinics or at home. The care team on its telehealth page is named: a founding physician, Dr. Samir Damani, and eleven naturopathic doctors. Its pages don't say which of them prescribes, so ask who will write your prescription. A lower-dose tirzepatide program has no month-to-month option; the shortest plan is 12 weeks paid up front, about $211.25 a month by our math, with monthly provider visits. The microdose tirzepatide guide covers what's known about lower doses.
The fine print is thin. iThriveMD doesn't name the pharmacy that fills its compounded drugs; it says only that they're dispensed by a LegitScript-certified facility. Its return policy is one line saying all purchases are final, and no page explains how to cancel a 28-day plan, though the monthly plans say there is no long-term commitment. Ask how to cancel before you start. Optional iThrive360 memberships cost far more and also bill every 28 days; you don't need one for a GLP-1 plan.
Metformin is on the menu at $49 a month, with regular lab monitoring included, which is unusual at that price. Metformin for healthy aging is off-label, as the metformin for longevity guide explains. iThriveMD also sells NAD+, sermorelin and hormone therapy. To see how its GLP-1 plans score against other programs, open the compounded semaglutide lineup.
What iThriveMD costs
| Product | Real monthly cost | ||
|---|---|---|---|
| Compounded semaglutideInjection | $299 every 28 days | $323.92/mo$299 every 28 days | Every 28 days |
| Compounded tirzepatideInjection | $399 every 28 days | $432.25/mo$399 every 28 days | Every 28 days |
| Compounded tirzepatide microdoseInjection | $211.25/mo | $211.25/mo on the 3-month plan3-month plan | 3-month plan |
| MetforminOral | $49/mo | $49/moMonthly | Monthly |
Prices are taken from iThriveMD'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 iThriveMD's current price for your dose?
Your monthly price is the same through our link.
What signing up looks like
Book a free consultation
Schedule a free call or clinic visit, then answer a short online intake about your health and goals.
Clinical consultation and labs
A provider reviews your diagnostic labs and builds a personalized plan, including the drug and starting dose.
Start in clinic or at home
Begin treatment at a clinic or by shipped medication, dispensed by what iThriveMD calls a LegitScript-certified facility.
Ongoing check-ins, 28-day billing
The team tracks your progress and adjusts the plan, and billing repeats every 28 days unless you prepay.
Who prescribes, and the pharmacy
iThriveMD's telehealth page names its care team: founder Dr. Samir Damani, MD, and eleven naturopathic doctors, with California board-licensed providers; it doesn't say which of them prescribes. Care starts with a consultation that reviews labs, in a clinic or virtually. Its pages say medications are dispensed by a LegitScript-certified facility, but its terms, privacy, return and shipping pages don't name a pharmacy.
Where iThriveMD does well
- Names its whole care team, from the founding physician to each naturopathic doctor, on its telehealth page.
- Says the GLP-1 price is the same at every dose, with clinical oversight and coaching included.
- Treatment can start in one of its clinics in California or Scottsdale, or at home.
- Metformin includes regular lab monitoring in its monthly price.
- Prints every plan length and price on each product page, before any consultation.
What to check first
- Serves California and Arizona only. If you live elsewhere, you can't use it.
- Billing every 28 days means 13 charges a year. Budget by the calendar-month figure.
- Most of the care team are naturopathic doctors. Ask who will prescribe and review your labs.
- All purchases are final and no cancel steps are posted. Ask how to cancel before you start.
- The pharmacy is never named. Ask which facility will fill your prescription.
It fits you if
You live in California or Arizona and want compounded semaglutide or tirzepatide with lab review, coaching and the option of in-person clinic visits.
Look elsewhere if
You live outside California and Arizona, want a named pharmacy, or want written cancellation terms before you pay.
How iThriveMD scored
on the compounded semaglutide lineup
40out of 100
- Price0 of 35
$324 a month at the starting dose, month to month, fees folded in. Full points at $90 or less, none at $300 or more.
- Care20 of 25
- Shown: Who prescribes
- Shown: A clinician reviews your intake
- Shown: Labs and who pays
- Not shown: Follow-up schedule
- Shown: Dose changes at no new fee
- Pharmacy10 of 25
- Not shown: Pharmacy named
- Not 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
- Not shown: Cancel and refund terms
- Shown: States served
Other lineups: Compounded tirzepatide 40 · Longevity prescription 67
Also on these lineups: Metformin programs: 5 of 12
Three more providers to weigh
Nova
From $152/mo
You + Me MD
Price after intake
bmiMD
PartnerFrom $159/mo
Questions about iThriveMD
- How much does iThriveMD cost for semaglutide?
- After a discounted first 28-day cycle, compounded semaglutide comes to about $323.92 a calendar month, since it bills every 28 days. Prepaid 3-, 6- and 12-month plans cost less per cycle.
- Which states does iThriveMD serve?
- California and Arizona only, through its clinics and telehealth. NAD+ injections don't ship to Arizona.
- Who prescribes at iThriveMD?
- Its care team is a founding physician and eleven naturopathic doctors, with California-licensed providers. Ask which clinician will prescribe your medication.
- Can I get a refund from iThriveMD?
- Its return policy says all purchases are final. Monthly GLP-1 plans have no long-term commitment, so ask how to cancel before your next 28-day charge.
- Does iThriveMD offer microdose tirzepatide?
- Yes, on 3-, 6- or 12-month plans paid up front, with monthly provider visits. There's no month-to-month option.
Read next
Picked for the same drugs and questions as this page.
- ResearchGLP-1 drugs and blood pressure: the drop in trials, and the low-pressure risk
Blood pressure fell in the big Zepbound and Wegovy weight trials. But neither drug is approved for it, and both labels report the opposite problem too. Here are the numbers.
- 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 sideWegovy pill or Wegovy shot: cost, results and the trade-offs
Same molecule, same company, two very different routines. The pill is cheaper on NovoCare's cash prices and did nearly as well in its trial. The weekly pen covers more people and goes to a higher dose.
- Research"Ozempic face": facial changes after GLP-1 weight loss, explained
Where the nickname comes from, what imaging studies have measured, who notices it most, and why "Ozempic teeth" has even less behind it.
Still weighing iThriveMD?
Where this review comes from
- iThriveMD compounded semaglutide page
- iThriveMD compounded tirzepatide page
- iThriveMD microdosing tirzepatide page
- iThriveMD metformin page
- iThriveMD telehealth page
- iThriveMD return policy
Every fact here comes from iThriveMD's own public pages. Partner fees aren't one of the four checks.