The GLP-1 Cost Guide
What semaglutide and tirzepatide actually cost in 2026 — published telehealth pricing, typical clinic pricing, and the fees programs don't advertise.
The short version
Compounded semaglutide now starts around $149–$299/month through telehealth and $250–$500/month at in-person clinics. Brand-name Ozempic, Wegovy, Mounjaro, and Zepbound retail at $900–$1,400/month without insurance. The spread between the cheapest and most expensive route to the same medication can exceed $1,000 a month — which is why comparing before you commit matters.
The biggest trap in 2026 isn't the medication price — it's subscription structure. Many programs advertise a low starting-dose price, then raise it as you titrate to a maintenance dose, add a separate membership fee, or require labs and visit minimums. The only number that matters is the all-in monthly cost at the dose you'll actually stay on.
Published telehealth pricing, compared
From each provider's published pricing pages. Rates change — confirm on the provider's site before signing up.
| Provider | Membership | Medication Cost | Pharmacy |
|---|---|---|---|
| Ro | $145/month | Starting at $149/mo | 503A |
| Hims | N/A | $134 | 503B |
| Mochi Health | $39/month | Compounded Semaglutide: $99/month or Compounded Tirzepatide: $199/month | 503A |
| Henry Meds | N/A | N/A | Undisclosed |
| Sesame | $50 | 149/month | Undisclosed |
| Form Health | $299 | $299 | 503A |
| Weight Watchers Clinic | $84-$149 | $84-$149 | Undisclosed |
The five fees to ask about before you pay anything
- Membership vs. medication. Some programs quote "$145/month" — that's the membership; medication is billed on top. Ask for one all-in number.
- Dose-based increases. Starting-dose pricing (0.25mg semaglutide) is often 30–50% below maintenance-dose pricing. Ask what month 4 costs, not month 1.
- Labs and visit minimums. In-person clinics may require baseline labs ($100–$300) and periodic follow-ups. Sometimes valuable — but it belongs in your cost math.
- Cancellation terms. Multi-month commitments and "pause fees" are common. Read the terms before entering a card number.
- Pharmacy sourcing. Ask which pharmacy fills the prescription and whether it's a licensed 503A or 503B facility. If a program won't name its pharmacy, walk away. How to verify sourcing →
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Find providers near you
Telehealth is the price floor, but local clinics add supervision, labs, and body-composition tracking that shipping a vial can't. Compare what's actually available where you live: