The cheapest option in this category is rarely the best one, but the most expensive option almost never is either. Most people overpay simply because the big-name brands spent more on Instagram ads. Several smaller telehealth providers are dispensing compounded GLP-1 medications at a fraction of what household names charge, with comparable physician oversight and faster shipping. Here is where the real value sits right now.
Quick Comparison Table
| Provider | Starting Monthly Price | Medication Type | Ships To | Physician Review | Notable Edge |
| HealthRX | $99 (sema) / $149 (tirz) | Compounded | All 50 states | ~24 hours | Named 503A pharmacy, free overnight shipping |
| FormBlends | ~$299 (sema) / ~$349 (tirz) per vial | Compounded | 47 states | Physician-supervised | Published HPLC/mass spec purity data |
| Mochi Health | $99 (sema) / $199 (tirz) | Compounded | Most states | Obesity-medicine MDs | Higher clinical monitoring |
| Henry Meds | $179-$249 month one | Compounded | Most states | Async telehealth | 24-72h shipping |
| Found | ~$99/mo platform + meds | Platform + Rx | Most states | Clinician-matched | Coaching included |
| Hims & Hers | $249-$399 (branded) | Branded only | All 50 states | Async | Insurance + savings cards |
| PlushCare | $19.99/mo membership | Branded Rx | All 50 states | Same-day visits | Insurance-friendly |
| Sesame | From ~$59/mo (annual) | Branded Rx | Most states | On-demand visits | Meds billed separately |
The Picks
1. HealthRX
The price point here is hard to argue with. Compounded semaglutide starting at $99 a month, compounded tirzepatide from $149, free overnight delivery to every state. That is not a promotional rate. Those are the published cash prices.
What separates HealthRX from the wave of anonymous compounding operations that received FDA warning letters in early 2026 is the pharmacy specifics. Medications are dispensed by Manifest Pharmacy in Greer, South Carolina, a 503A-registered facility operating under USP-797 standards with lot-tracked batches. The provider also carries LegitScript certification (certificate 50087439). These are public, verifiable facts, not marketing language.
Physician review runs roughly 24 hours after the online health assessment. Once approved, medication ships overnight at no added charge.
Clinical context: the weight-loss figures HealthRX references come from the SURMOUNT-1 trial (tirzepatide, approximately 21% body weight reduction at 72 weeks) and the STEP 1 trial (semaglutide, approximately 15% at 68 weeks). Those are trial results, not guarantees. Individual outcomes vary considerably.
Compounded medications are not FDA-approved products, and no telehealth compounded GLP-1 is identical to a brand-name injectable. Worth keeping in mind before you sign up anywhere.
2. FormBlends
FormBlends occupies a specific niche that not many providers bother with. Compounded GLP-1s through a 503A FDA-registered pharmacy, yes, but FormBlends publishes its purity testing. That means HPLC purity percentages, mass spectrometry identity confirmation, and endotoxin/sterility data with named numbers, not vague assurances of “quality.”
The price is higher than HealthRX: semaglutide runs around $299 per vial, tirzepatide around $349. For some people that premium is worth it for the paper trail on purity. For others it is not.
FormBlends also carries a broader peptide catalog covering recovery, longevity, and cognitive health compounds under the same clinician-supervised model. Most GLP-1 telehealth brands stop at weight loss. If you want GLP-1s and want to explore other peptide protocols without switching providers, this is one of the few places to do it. Ships to 47 states.
3. Mochi Health
Mochi attracts people who want more than a script and a shipping label. Board-certified obesity-medicine clinicians, not just general practitioners. Compounded semaglutide around $99 a month, tirzepatide closer to $199. The monitoring cadence is noticeably more active than the async-only providers.
4. Henry Meds
Cash-pay, no insurance required, no lengthy prior-authorization process. Compounded GLP-1s in the $179 to $249 range for the first month. Shipping typically runs 24 to 72 hours. Lighter on structured coaching, heavier on speed and simplicity.
5. Found
Found bundles coaching and clinical support into its ~$99 monthly platform fee, with medication costs added on top. Good fit for someone who wants behavioral support baked in rather than purchased separately. The combined cost can add up, so run the numbers against your specific medication dose before committing.
6. Hims & Hers
After the March 2026 Novo Nordisk settlement, Hims & Hers moved to branded medications only. Injectable Wegovy sits around $299 a month, oral semaglutide around $249, Zepbound around $399. With insurance plus manufacturer savings cards, some patients get down to $0 to $25 monthly. Without insurance, it is among the pricier options on this list.
7. PlushCare
A $19.99 monthly membership gives access to same-day telehealth visits and branded GLP-1 prescriptions. PlushCare works with insurance for branded medications. Good option if you have coverage and want the fastest appointment access.
8. Sesame
Annual plan pricing starts around $59 a month. Medications are billed separately from the membership, so the total cost depends heavily on what you are prescribed. On-demand visit model, mostly branded Rx. Best suited to patients who already know what they want and just need clinical access.
A Few Honest Caveats
The FDA sent warning letters to more than 30 compounding and telehealth firms in early 2026. Not every low-price provider in this space operates to the same standard. Asking a provider which pharmacy fulfills their orders, and whether that pharmacy is 503A-registered, is a reasonable question before you buy anything.
Common Questions
Is compounded semaglutide from providers like HealthRX or Mochi Health the same thing as Ozempic or Wegovy?
No. Compounded semaglutide contains the same active ingredient but is not manufactured by Novo Nordisk and has not gone through FDA approval as a finished drug product. The compounding pharmacy, not the FDA, is responsible for quality control. That is why 503A registration and published purity testing, as seen with FormBlends, matter more than price alone.
Why did Hims & Hers stop offering compounded GLP-1s while HealthRX and Henry Meds still do?
Hims & Hers settled with Novo Nordisk in March 2026 and shifted entirely to branded medications. Other providers continue compounding under the FDA’s shortage-related allowances for 503A pharmacies. That regulatory window can close, so patients using compounded versions through any provider should track FDA shortage status updates periodically.
What does the $99 monthly price at HealthRX or Mochi Health actually include, and what costs extra?
At HealthRX, $99 covers compounded semaglutide and overnight shipping with no add-on fees. At Mochi, the $99 covers the medication but the platform charges a separate monthly membership fee for clinical access. Always confirm what is bundled before your first charge.
If Found charges $99 for the platform plus medication on top, when does it actually become cost-competitive with a simpler provider?
Found makes financial sense mainly for people who would otherwise pay separately for a health coach or structured behavioral program. If you only want the medication and basic physician oversight, providers like Henry Meds or HealthRX will almost always come out cheaper once you add Found’s platform fee to its medication costs.
How do I verify that a telehealth provider’s compounding pharmacy is legitimately 503A-registered before I order?
Ask the provider directly for the pharmacy name and state of operation, then cross-check it against the FDA’s registered human drug compounding facility database at FDA.gov. LegitScript’s certification database is a second independent check. HealthRX, for example, names Manifest Pharmacy in Greer, South Carolina, which is publicly searchable through both resources.
Sources
- FDA compounding oversight and 503A regulatory framework: FDA.gov
- SURMOUNT-1 trial (tirzepatide body weight data): *New England Journal of Medicine*, 2022
- STEP 1 trial (semaglutide body weight data): *New England Journal of Medicine*, 2021
- Novo Nordisk compounding settlement reporting: Reuters, March 2026
- LegitScript pharmacy certification database: LegitScript.com
- Lilly orforglipron pricing and LillyDirect launch: company press release, April 2026
