$74 or $449. Same drug. Your move.

We price 21 GLP-1 programmes on what they bill, not what they advertise — and publish the gap between the two.

Tirzepatide, cheapest first

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Semaglutide, cheapest first

The full board →

Rankings

• Cheapest right now

  Every programme sorted on what it bills, not what it advertises. Floor: $199/mo tirzepatide, $149/mo semaglutide.

• Where the traps are

  The biggest advertised-to-billed gaps on our board, and the programmes charging most for the same category of medication.

• Best value on the board

  Cheapest is one question. Best value — where the money buys something — is another.

• The cheapest tirzepatide online

  Every provider whose monthly price actually includes the medication, sorted on what you are billed in month two.

• The cheapest semaglutide online

  Semaglutide programmes ranked on the billed monthly figure, with membership fees counted and teaser rates discarded.

• Cheapest GLP-1 without insurance

  Cash-pay only: no coverage, no prior authorisation, no insurer. What each programme charges and what it includes.

• GLP-1s under $150 a month

  A hard price ceiling. Every programme billing $150 or less a month with the medication included.

• The best GLP-1 programmes

  Every provider we track, scored on the same five weighted criteria, whichever medication they dispense.

• No membership fee

  Providers that charge for the medication and nothing else. The single most reliable way to avoid a surprise in month two.

• The most transparent providers

  Ranked on whether the advertised price is the billed price, and whether the company tells you where the medication comes from.

• Zepbound alternatives

  Zepbound is tirzepatide. Here is what else delivers the same molecule, what it costs, and what you give up.

• Wegovy alternatives

  Wegovy is semaglutide. These are the cheaper routes to the same molecule, and the newer approved pill that changed the maths.

• Ozempic alternatives

  Ozempic is approved for type 2 diabetes, not weight loss. If weight is your goal, these are the options actually intended for it.

• Tirzepatide 2.5 mg: what it costs

  Step 1 of the tirzepatide ladder, around weeks 1-4. 6 providers charge the same here as at the starting dose — the rest may not.

• Tirzepatide 10 mg: what it costs

  Step 4 of the tirzepatide ladder, around weeks 13-16. 6 providers charge the same here as at the starting dose — the rest may not.

• Tirzepatide 15 mg: what it costs

  Step 6 of the tirzepatide ladder, around weeks 21+. 6 providers charge the same here as at the starting dose — the rest may not.

• Semaglutide 1.7 mg: what it costs

  Step 4 of the semaglutide ladder, around weeks 13-16. 6 providers charge the same here as at the starting dose — the rest may not.

• Semaglutide 2.4 mg: what it costs

  Step 5 of the semaglutide ladder, around weeks 17+. 6 providers charge the same here as at the starting dose — the rest may not.

• GLP-1 coverage by state

  Only 13 state Medicaid programmes cover GLP-1s for obesity. Four dropped coverage in the last year. Here is the national picture and where it changed.

• GLP-1 coverage in California

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Pennsylvania

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in South Carolina

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in New Hampshire

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in North Carolina

  Medicaid coverage was dropped and then restored. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Texas

  Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Mississippi

  Notable for its obesity prevalence rather than its coverage rules. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Michigan

  Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Massachusetts

  Coverage exists but has been proposed for removal. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Rhode Island

  Coverage exists but has been proposed for removal. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Missouri

  Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• GLP-1 coverage in Kansas

  Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

• The pharmacies behind the prescriptions

  The pharmacy is the part that is actually regulated — and most providers will not name theirs. Here are the ones that have been named publicly.

• Belmar Pharmacy

  503A compounding pharmacy in Wichita, Kansas, shipping to all 50 states. Named publicly by PlexusDx. What is checkable, and how to check it.

• Strive Pharmacy

  PCAB-accredited compounding pharmacy, licensed across multiple states. Named publicly by PlexusDx. What is checkable, and how to check it.

• Epiq Scripts

  Digital mail-order compounding pharmacy licensed in 45 states plus Puerto Rico and DC. Named publicly by PlexusDx. What is checkable, and how to check it.

• VialsRx

  State-licensed 503A pharmacy with a published Texas Board of Pharmacy licence number. Named publicly by Trimi. What is checkable, and how to check it.

• Empower Pharmacy

  Large Houston compounder running both a 503A pharmacy and a 503B outsourcing facility. Named publicly by . What is checkable, and how to check it.

• Hallandale Pharmacy

  503A compounding pharmacy in Florida with extensive telehealth partnerships. Named publicly by . What is checkable, and how to check it.

• Olympia Pharmacy

  503B outsourcing facility in Orlando, Florida. Named publicly by . What is checkable, and how to check it.

• ReviveRX

  Houston 503A compounding pharmacy built around prescriber partnerships, shipping to 45 states. Named publicly by . What is checkable, and how to check it.

• BPI Labs

  503B outsourcing facility in Largo, Florida. Named publicly by . What is checkable, and how to check it.

• Tailor Made Compounding

  503A compounding pharmacy in Nicholasville, Kentucky. Named publicly by . What is checkable, and how to check it.

• Pavilion Compounding Pharmacy

  503A compounding pharmacy in Atlanta, Georgia. Named publicly by . What is checkable, and how to check it.

• APS Pharmacy

  503A sterile compounding pharmacy in Palm Harbor, Florida, operating as Drug Depot, Inc. Named publicly by . What is checkable, and how to check it.

• Wells Pharmacy Network

  Multi-site network running a 503A pharmacy in Florida and a 503B outsourcing facility in Tennessee. Named publicly by . What is checkable, and how to check it.

• Asteria Health

  503B outsourcing facility in Birmingham, Alabama, operating as FH Investments Inc. Named publicly by . What is checkable, and how to check it.

Briefings

• Six fee traps

  Every advertised-to-billed gap on our board comes from one of these six structures. Learn them and you can read any of these sites in ninety seconds.

• The compounding rules

  Cheap GLP-1s exist because of compounding. The FDA moved against it again in April. What that means for the board.

• Tirzepatide vs semaglutide

  A head-to-head trial settled the results question. The price question goes the other way.

• How to spot a bad seller

  The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.

• The twelve-month cost

  Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.

• Medicare, GLP-1s and the $50 month

  CMS is running a time-limited programme giving eligible Part D members certain GLP-1s for $50 a month. If you are on Medicare, read this before paying cash for anything.

• The approved pills changed the maths

  Two oral GLP-1s were approved either side of the new year, both starting at $149 a month. That undercuts a large part of the compounded market.

• What happens when you stop

  Most people regain a substantial share of the weight. Here is what the research actually found, and what that means for how you plan and budget.

• GLP-1s after 50

  These drugs work at any age. The risks are not identical at every age, and the muscle and bone question deserves more attention than it usually gets.

• Titration, properly explained

  When to step up, when to hold, when to go back down, and why restarting after a gap is the one genuinely dangerous mistake.

• How to read your prescription

  What the abbreviations mean, and the mg-versus-mL distinction that is the one genuine hazard in this category.

Board verified 2026-09-18