Updated September 2026 · 12 providers · real prices

What online GLP-1 programs actually cost.

Real 2026 starting prices, medications and visit types for 12 telehealth weight-loss providers — semaglutide and tirzepatide — in one comparison. Every figure sourced; rankings never bought.

From $39/mo
Lowest advertised starting rate
12 providers scored
On 4 factors · September 2026
Independently reviewedNo pay-to-rank
Top editorial score
9.1/10
· our #1
Real, sourced pricesas of September 2026
12 providers rated· Every price sourced & dated· Payment never affects rankings· Updated September 2026
The comparison

Every provider, real starting price first

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Sorted by lowest advertised starting price. Filter by budget or medication type. Prices are the cheapest published rate as of September 2026 — tap a provider for the full breakdown and source.

Provider
Starting price
Medications & visit
Editor rating
RoThe most established, most transparent option — a full FDA-approved suite (Wegovy, Zepbound, Ozempic, Foundaya) with a dedicated insurance concierge.
$39/mo+ medication
BrandedWegovy, Zepbound, Ozempic & FoundayaAsync + optional video
9.1Excellent
FoundKeeps both paths — compounded and branded — with real coaching and insurance navigation.
$198/mo+ medication
Compounded + brandedWegovy, ZepboundVideo (insurance) or async (self-pay)
8.8Great
ShedA full care team — MD, dietitian and coach — behind a dose-tiered compounded plan.
$149/moall-in
CompoundedSemaglutide & tirzepatideAsync questionnaire
8.5Great
bmiMDConsistent low tiers plus unlimited provider messaging and physician monitoring.
$99/moall-in
CompoundedSemaglutide & tirzepatideTelehealth consult + unlimited messaging
8.4Very good
EmbodyCompounded GLP-1 as an injection or a daily oral — from a promo $69/mo.
$69/moall-in
CompoundedSemaglutide & tirzepatideClinician-reviewed telehealth
8.2Very good
MedviFlat cash pricing across all 50 states, cheapest on a 12-month prepay.
$179/moall-in
CompoundedSemaglutide & tirzepatideAsync, ~24h provider review
8.2Very good
HealthRxSame price at every dose, with a weight-loss money-back guarantee.
$99/moall-in
CompoundedSemaglutide & tirzepatideAsync health assessment
8.0Very good
DirectMedsLegitScript-certified, with a sublingual option and next-day shipping.
$179/moall-in
CompoundedSemaglutide & tirzepatideAsync, reviewed within ~6h
8.0Very good
WellMedrAmong the lowest advertised rates — but the $49 figure needs a long prepay to reach.
$49/moall-in
CompoundedSemaglutide & tirzepatideAsync intake + video/messaging
7.9Good
SproutSimple intro pricing with monthly check-ins; maintenance dosing costs more.
$149/moall-in
CompoundedSemaglutide & tirzepatideAsync questionnaire + monthly check-ins
7.7Good
TrimRxNo-appointment async program spanning compounded and branded — light on coaching.
$179/moall-in
Compounded + brandedSemaglutide & tirzepatideAsync questionnaire (limited coaching)
7.6Good
AltRx Low bundled starting price — but its parent drew an FDA warning letter over misleading claims.
$89/moall-in
CompoundedSemaglutide & tirzepatideAsync, video when needed
7.4Good

Prices are the lowest advertised starting rates as of September 2026. Most compounded programs quote these on a prepaid multi-month or promotional plan; month-to-month and higher-dose prices run higher, and membership programs bill medication separately. Always confirm current pricing at the provider before you buy.

Some "See pricing" buttons are affiliate links; we may earn a commission if you start treatment, but rankings stay editorially independent. How this works.
Detailed reviews

Our top three, and why

The three that balance price, medication choice, real support and transparency best. Full facts, sources and watch-outs in each review.

#1
RoEditor's pick
9.1/10Editorial score

The most established, most transparent option — a full FDA-approved suite (Wegovy, Zepbound, Ozempic, Foundaya) with a dedicated insurance concierge.

Starts at$39/mo · + medication
MedicationsWegovy, Zepbound, Ozempic & Foundaya
Visit typeAsync + optional video
InsuranceDedicated insurance concierge
What we liked
  • One of the most recognized names in direct-to-consumer telehealth
  • Mature logistics: pharmacy coordination, refills, and reminders are smooth
  • Support navigating branded GLP-1s and insurance where possible
See Ro pricing → Read full review
#2
Found
8.8/10Editorial score

Keeps both paths — compounded and branded — with real coaching and insurance navigation.

Starts at$198/mo · + medication
MedicationsCompounded + branded (Wegovy, Zepbound)
Visit typeVideo (insurance) or async (self-pay)
InsuranceUses insurance + navigation
What we liked
  • The strongest coaching and behavior-change program in our lineup
  • Polished app and an active member community
  • Whole-person approach that looks past the injection
See Found pricing → Read full review
#3
Shed
8.5/10Editorial score

A full care team — MD, dietitian and coach — behind a dose-tiered compounded plan.

Starts at$149/mo · all-in
MedicationsCompounded semaglutide & tirzepatide
Visit typeAsync questionnaire
InsuranceCash-pay
What we liked
  • Quick, uncomplicated signup
  • A clear focus on getting you started
  • Reasonable, middle-of-the-road pricing
See Shed pricing → Read full review
The rest9 more providers, ranked
How we score

Four factors, weighted — nothing bought

Every provider gets a 0–10 on each factor below, from the real data we collected. The overall score is the weighted average. See the full methodology →

Value15%

What you get for the price — not just the lowest sticker. A premium program that includes FDA-approved medication, insurance help and real support can be good value.

Support30%

Real clinician access, coaching and follow-up — video visits and a care team score higher than async-only.

Medications25%

Medication options and legitimacy — FDA-approved branded (Wegovy, Zepbound) rates above compounded-only, and breadth and flexibility add points.

Transparency30%

How clearly and publicly pricing, terms and availability are stated — plus track record and any regulatory red flags.

Provider watch

Get price changes by email

These prices move. We'll send one short email when a major provider changes pricing, adds states, or updates its medication options.

The framework

How to choose your GLP-1 provider

Five questions, in order. Answer them and you'll narrow 12 providers down to two or three.

Skip the framework

Jump straight to the ranked comparison of all 12 providers.

See the comparison →
01 · BudgetHow much can you spend, monthly?

Compounded semaglutide and tirzepatide run far cheaper than branded Wegovy or Zepbound. If cost is the priority, the lowest advertised starting rates in our table are Ro and WellMedr — but read the fine print: those figures usually need a prepaid multi-month plan, and month-to-month is higher.

02 · InsuranceDo you want to use insurance?

Insurance rarely covers compounded GLP-1s, so most compounded programs are cash-pay. If you want to try insurance for branded Wegovy or Zepbound, Ro and Found both run insurance navigation — expect a branded price if it doesn't come through.

03 · MedicationBranded or compounded?

Branded (Wegovy, Zepbound) is FDA-approved and consistent but costs $300–$600+/mo; compounded is cheaper ($49–$299/mo) but isn't FDA-approved and supply rules shift. Ro is branded-only in 2026; Found keeps both paths; most others are compounded-only.

04 · Support levelHow much guidance do you want?

If you want a real care team, coaching and clinician time, weight Support heavily — Found and Ro score highest there. If you just want the medication handled, an async, questionnaire-only program will be cheaper and faster.

05 · Visit styleVideo visit or async messaging?

Most compounded programs are async: you fill in a questionnaire, a clinician reviews it, and medication ships — no appointment. A few (Ro, Found, WellMedR) offer a live video visit. Async is faster and cheaper; video gives you face time. Pick the one you'll actually use.

Frequently asked questions

How do online weight-loss programs work?

You complete a medical intake online, a licensed clinician reviews it (often over a video or structured visit) to decide whether a medication such as a GLP-1 is appropriate and safe for you, and if so a prescription is sent to a pharmacy and delivered to your door. The better programs add coaching and ongoing check-ins on top of the prescription.

Who qualifies for a GLP-1 weight-loss medication?

Eligibility is a clinical decision, but these medications are generally considered for adults with a higher body-mass index, or a slightly lower BMI alongside a weight-related condition. A licensed clinician weighs your full health history, current medications and any contraindications. No legitimate program can promise a prescription before that review.

How much do these programs cost?

It varies widely by provider, medication (branded vs compounded), and your dose. Rather than publish prices that go stale within weeks, we show a relative tier ($–$$$) and link you to each provider's current offer. When comparing, always look at the total monthly cost at your expected maintenance dose — not just the intro price.

Is it safe to get weight-loss medication online?

It can be, when there is a genuine clinical evaluation by a licensed prescriber, clear medication and pharmacy information, and a real way to reach someone about side effects. Be wary of any service that ‘guarantees’ a prescription with no meaningful review. Every program we rank is scored partly on exactly these safety signals.

Semaglutide or tirzepatide — which is better?

Neither is universally better; they work in related but different ways, and the right choice depends on your tolerance, health profile, availability and your clinician's judgment. Some programs specialize in one. If you're undecided, a broad program keeps both options open.

Will I regain weight if I stop?

Because these medications work on appetite regulation, stopping without a plan can bring hunger — and weight — back. That's why we weight ongoing coaching and maintenance support heavily: the programs that help you build habits and taper carefully give you the best shot at keeping results.

Can I use insurance for an online program?

Sometimes. Coverage for GLP-1 medications varies a lot by plan and by whether the drug is branded or compounded. Some programs help you check and navigate insurance; many members pay out of pocket, which is part of why compounded options are popular. Check current coverage with the provider and your insurer.

How is this different from seeing my own doctor?

The medicine and the need for a prescription are the same — the difference is convenience and structure. Online programs handle the visit, prescription, pharmacy and follow-up in one place, often with coaching built in. If you have a complex medical history, a provider with deeper clinical oversight (or your own physician) may be the better route.