Compounded semaglutide cost $75–$349 a month across the online programs in the table below as of this update. Every figure is the ongoing price: required memberships are added, four-week billing is stretched to calendar months, and first-month deals are left out of the headline. For what the drug is and where it stands legally, see the compounded semaglutide guide.
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 [1]. Keep that in mind when a low price looks like the whole story.
What each program charges right now
The table runs from the smallest real monthly cost to the largest. Each entry links to a full review, and the billing column tells you how the money actually leaves your account. Weekly injection plans only; non-injection forms have their own table further down.
| Provider | Real monthly cost | First-month offer | Pharmacy named |
|---|---|---|---|
| CollectivePartner | $75.58/moMonthly, plus a required yearly membership (added in) | No | No |
| EmbodyPartner | $86/moEvery 4 weeks; same price at every dose | No | Yes |
| altRx | $89/moSubscription; same price at every dose | No | Yes |
| EdenPartner | $99/moMonthly; no long-term plan required | No | Yes |
| SnagRxPartner | $99/moMonthly; its headline price is the 12-month prepay | No | Yes |
| LttlPartner | $107.25/moMonthly auto-refill, or 3-, 6- or 12-month prepay | No | Yes |
| Strut HealthPartner | $129/moMonthly auto-refill | No | No |
| Live VitalPartner | $130.01/moOne total for a 10-week protocol | No | No |
| CoreAge RxPartner | $139/moMonthly, or 3-, 6- or 12-month packages; any dose up to 2.5 mg | No | Yes |
| Brightmeds | $139.75/moEvery 4 weeks, month to month | Yes | No |
| bmiMDPartner | $159/moMonth to month, or prepaid plans; same price at every dose | No | No |
| Sprout Health | $161.42/moEvery 4 weeks; same price at any dose | No | No |
| HealthRXPartner | $165/moMonthly after an intro month; prepaid plans | Yes | No |
| RNK Health | $197/moMonthly subscription | No | No |
| BellePartner | $199/moBilled monthly on every plan length; same price at every dose | No | Yes |
| ShedPartner | $215.58/moMonth to month | No | No |
| Luvo HealthPartner | $226.42/moEvery 28 days; plans of 4 to 24 weeks | Yes | Yes |
| Gala GLP-1Partner | $249/moMonthly, every 3 months, or yearly | No | No |
| RxSpan MDPartner | $249/moMonthly | No | No |
| TMates | $249/moMonthly, or 3-, 6- or 12-month prepay; same price at all doses | No | No |
| WellorithmPartner | $268/moEvery 28 days; same price at every dose | Yes | No |
| Enhance MD | $269.75/moEvery 4 weeks; longer plans billed every 12, 24 or 48 weeks | No | Yes |
| Maximus | $270.82/moMonthly; 28-day supply per shipment | Yes | Yes |
| HumeCare+Partner | $279/mo3-month plan shown as a total at checkout | Yes | No |
| DirectMedsPartner | $297/moEvery 30 days; no contract | No | No |
| Willow | $299/moMonthly subscription | No | No |
| MEDGmPartner | $299/moMonthly; labs included; prepay options | Yes | Yes |
| MEDVi | $299/moMonthly, no contract | Yes | Yes |
| Found | $314/moEvery 28 days; one price at every dose | Yes | No |
Prices from each provider's own site. Real monthly cost includes any required membership and turns 4-week billing into calendar months.
Also offered by (no standing monthly price published): Midi Health, Bodybuilding Health+Partner, TrimRx.
Some programs keep their monthly price behind the intake questions or sell only long plans. Oak lists a 12-month plan only, and Ivím Health, YourEra and Wellmedr show the full price at checkout. Low-dose plans are priced on their own; see microdosing GLP-1s.
Novo Nordisk's own prices have narrowed the gap
The Wegovy pill costs $149 a month at 1.5 mg through NovoCare, and the Wegovy pen costs $349 a month once the intro fills run out [2]. That puts the brand pill inside the compounded range at its lower doses. New pen patients pay $199 for each of their first two monthly fills at 0.25 or 0.5 mg, an offer that runs through December 31, 2026.
| Product | Dose | Monthly price | Condition |
|---|---|---|---|
| Wegovy pill | 1.5 mg | $149/mo | One month = 1 bottle of 30 tablets |
| Wegovy pill | 4 mg | $199/mo | Self-pay |
| Wegovy pill | 9 mg or 25 mg | $299/mo | Self-pay |
| Wegovy pen | 0.25 mg or 0.5 mg | $199/mo | New patients, first 2 monthly fills, through December 31, 2026 |
| Wegovy pen | 0.25 to 2.4 mg | $349/mo | After the intro fills |
| Wegovy HD pen | 7.2 mg | $399/mo | Self-pay |
Prices from NovoCare's Wegovy savings page. NovoCare says pricing will be updated after December 31, 2026.
NovoCare sells the drug, but a prescriber still has to write the prescription. Telehealth programs that handle the visit for brand Wegovy charge a fee on top, shown here as one real monthly figure. The pill itself is explained in our oral semaglutide guide.
| Provider | Product | Real monthly cost | What the fee covers |
|---|---|---|---|
| Ivím Health | Wegovy pill | $224/mo | Monthly membership billed separately |
| Ro | Wegovy pill | $298/mo | Monthly membership charged separately |
| AgelessRx | Wegovy pen | $414/mo | Monthly membership included |
| Ro | Wegovy pen | $498/mo | Monthly membership charged separately |
Prices from each provider's own site.
Also offered by (no standing monthly price published): Sesame, Sesame.
Why compounded semaglutide costs less than the brand
Three things keep the compounded price down. A compounding pharmacy doesn't pay for the large trials and FDA review that sit behind Wegovy. Compounded GLP-1s are often dispensed in multi-dose vials rather than pens [1]. And many programs sell at one flat monthly price. None of that tells you the product is equal in strength or purity; FDA doesn't check either before a compounded drug is sold.
That's also why FDA lists "deep discounts or prices that seem too good to be true" among its red flags for telehealth sellers [1]. The safety side is covered in is compounded semaglutide safe.
Month one rarely predicts month two
One program in three in the table runs a first-month offer, and the price rises after it at every one. HealthRX's monthly plan, for example, starts at $99 and then bills $165 a month. Compare programs on their ongoing price, which is the column the table sorts by.
Billing every four weeks adds a 13th charge to the year. Embody, Sprout Health, Luvo Health, Wellorithm, Found and Enhance MD bill on a four-week cycle, so a sticker of the same size costs you about 8% more over a year than a true monthly plan. The real monthly cost column already includes that.
Flat pricing is common; dose tiers are the exception
Wegovy's pen schedule climbs from 0.25 mg to 2.4 mg over about four months [3], so a dose-tiered price can change several times in your first half year. Midi Health is the clearest tiered example: its 4-week supply price steps up as the dose band rises, and visits are billed on top. Embody, altRx, Belle, bmiMD, Sprout Health, TMates, Wellorithm and Found say they charge one price at every dose. CoreAge Rx includes any dose up to 2.5 mg a week.
Prepay, memberships and what the price covers
Longer plans lower the monthly figure in exchange for paying ahead. SnagRx's homepage headline is its 12-month rate, paid up front; the monthly plan costs more. Gala bills monthly, every three months, or once a year. Collective requires a yearly membership on top of the medication, which the table spreads across twelve months. Live Vital sells one 10-week protocol at a single total.
What the price covers varies too. MEDGm folds labs into its price; Midi Health bills visits separately. Most programs include the prescriber visit and shipping. To test a prepaid plan against a monthly one, plug both into the monthly cost tool.
Insurance, HSA and FSA: what to expect
Insurance almost never pays for compounded semaglutide. The online programs are built around cash pay, and several, including Collective and MEDGm, say they don't bill insurance at all. Brand Wegovy is a different story: NovoCare says eligible Medicare patients pay $50 a month for Wegovy through the Medicare GLP-1 Bridge program, for weight loss only, with eligibility set by CMS [2].
Paying from a health savings or flexible spending account turns on two IRS rules. A drug that needs a prescription qualifies as a medical expense, and weight-loss treatment qualifies when it's for a disease a doctor has diagnosed, with obesity among the IRS's own examples [4]. An HSA uses that same definition of medical care [5]. The IRS is silent on compounded drugs specifically, so your plan administrator has the final word. Among the programs here, Eden, Gala, Embody, altRx and DirectMeds say their checkout takes HSA or FSA cards.
Drops, lozenges and tablets aren't reliably cheaper
Several programs sell compounded semaglutide as sublingual drops, lozenges or dissolving tablets. At most programs that sell both, the non-injection version costs the same as the injection or more; only a couple charge less. No published human trial has tested these compounded forms. The approved pill is a different product, Wegovy tablets, built around an absorption enhancer.
| Provider | Form | Real monthly cost | Same program's injection |
|---|---|---|---|
| ShedPartner | Lozenge | $199/mo | $215.58/mo |
| ShedPartner | Sublingual drops | $199/mo | $215.58/mo |
| LttlPartner | Dissolving tablet | $229/mo | $107.25/mo |
| RxSpan MDPartner | Capsule | $249/mo | $249/mo |
| DirectMedsPartner | Sublingual drops | $249/mo | $297/mo |
| HumeCare+Partner | Daily oral | $279/mo | $279/mo |
| Luvo HealthPartner | Tablet | $280.58/mo | $226.42/mo |
| Willow | Tablet | $299/mo | $299/mo |
| MangoRx | Dissolving tablet (with B6) | $299/mo | Not sold |
| MEDGmPartner | Dissolving tablet | $369/mo | $299/mo |
| MEDVi | Dissolving tablet | $369/mo | $299/mo |
Prices from each provider's own site. Starting-dose prices; some programs charge more at higher doses.
Also offered by (no standing monthly price published): Strut HealthPartner, Midi Health.
The lowest real monthly price, with its conditions
The first entry in the main table is the lowest real monthly price as of this update. Before it decides for you, look at three things: any membership folded into it, whether the compounding pharmacy is named, and the states it ships to. The providers are scored on more than price on the compounded semaglutide scores, and the sign-up steps are in how to get compounded semaglutide. If you're pricing tirzepatide too, it has its own cost page.