Rankings
Sorted on what gets billed.
- 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.