Cash-pay, ranked · Updated October 2026
Paying without coverage means comparing the whole bill, not just the advertised number. This board compares ongoing compounded semaglutide costs on a monthly budget basis, with each actual invoice period shown and a note wherever a low starting price hides a rising bill.
The short answer
The lowest monthly budget estimate here is yourEra at $79/month for compounded semaglutide. CoreAge Rx, a featured partner, is shown first, at $99/month — a number that holds at the full maintenance dose instead of stepping up as you titrate. Providers we work with may appear first. Cheaper-looking teasers can cost more over a year; here's why.
Monthly figures compare ongoing plans on a calendar-month budget basis. A four-week bill means 13 payments per 52 weeks; we divide that annual total by 12. Rows retain each actual invoice and billing period. Unknown billing periods are excluded.
CoreAge Rx is a featured partner, and providers we work with may appear first. Scores are our own — the Editors’ Rating is printed on every row so you can check it.
The one program on this masthead whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.
A flat, all-dose compounded price with an easy async on-ramp and no long-term contract — held back for a mother by an ongoing rate the quiz keeps to itself and a pharmacy it never names.
Compounded semaglutide at $99 a month and tirzepatide at $129, flat at every dose with no membership fee — from a company carrying an FDA warning letter issued in June 2026.
Compounded semaglutide at $99 a month and tirzepatide at $149, month to month, one flat price that SnagRx says covers the medication, the supplies, the doctor review and shipping, with no membership fee and cancellation by email or phone. The $69 and $119 the homepage leads with are 12-month plans paid up front with no refund for unused months, shown under a live countdown clock, and the promise to lock that rate for life is marketing rather than a published term. It ships from licensed US pharmacies it never names, and publishes no list of the states it serves.
Compounded semaglutide at $99 a month and tirzepatide at $149 month to month, the same price at every dose, with prepaid plans down to $89 and $139 and a separate microdose line for anyone who wants a gentler metabolic effect rather than maximum weight loss. Lttl covers all 50 states and Washington D.C., says it prescribes and ships within 48 hours, and attributes compounding to U.S.A.-licensed pharmacies it does not name. The catalog runs well past weight loss into NAD+, sermorelin, glutathione and B12, so read the longevity menu as a separate business from the GLP-1 you came for. The struck-through prices and the first-month discount of up to $140 are promotional.
Compounded semaglutide at $79 a month and tirzepatide at $129, month to month, the same at every dose, with a renewal price that matches the joining price. The catch is how the homepage shows it: the only number on the page is "Starting at $49/month — Same Price Every Month", which is the twelve-month plan divided by twelve, not a monthly rate you can start on. All payments are final once made.
Lean Meds does one thing unusually well and one thing unusually badly, and both are visible before you spend anything. The good part: a single all-inclusive membership per molecule — visit, care plan, medication and shipping in one monthly charge — held flat no matter what dose you titrate to, with the entire four-tier price ladder printed on the homepage. Month to month that is $79 for compounded semaglutide and $129 for compounded tirzepatide, falling to $49 and $119 if you commit to a year; the flat-by-dose promise is worth more than either figure, because dose-priced competitors routinely double between a starting and a maintenance dose. The bad part: the $49 the homepage headlines is the twelve-month tier and runs under a live countdown timer, no clinician is named, and every payment is final the moment it is made — a three-, six- or twelve-month plan is not refunded in whole or in part.
A low, flat price: $87 a month for compounded semaglutide and $126 for compounded tirzepatide, or $75 and $124 a month on a three-month plan, with no membership fee on top and the rate held fixed as you titrate. That flat promise is worth more than the sticker, because dose-priced plans routinely double between a starting and a maintenance dose. What's missing: no pharmacy or clinician is named behind the contracted Bask Telehealth network, no labs are bundled, refunds are not guaranteed, and nothing on the site speaks to postpartum recovery, breastfeeding or PCOS.
The lowest flat sticker on our list — $88/mo semaglutide, $157/mo tirzepatide — from a telehealth platform that actually names its medical groups and pharmacies instead of hiding behind 'licensed providers.'
altRx lists compounded semaglutide at $89 a month and tirzepatide at $149, with a no-price-hike promise on its product pages. Brand-name Ozempic, Wegovy and Zepbound are priced separately. The earlier October 5 deadline passed without these product prices increasing. Its operator also runs Trinity Meds and LevelsRx; the FDA warning letter is addressed to altRx itself. The semaglutide results section still contains an unfinished drafting instruction.
There is one price on this site — "Plans from $98.99/mo · confirmed after provider review" — with no breakdown by drug or dose, and beside it a stat block reading "0 states telehealth access", an unfilled counter left live. But the line that matters most is the headline result. "~15–20% avg. body-weight change", the site says, comes from "multi-center, placebo-controlled national clinical trials of Compounded Semaglutide and Tirzepatide formulations". No such trials exist. Compounded medicines are not FDA-approved and are not put through registrational trials; those percentages belong to studies of the branded drugs.
Pepti prices its compounded GLP-1s by dose and publishes every step: semaglutide from $99 a month at the starter dose to $199 at 2.5mg, and tirzepatide (paired with vitamin B12) from $159 at 2.5mg to $319 at 15mg. Each price is all-in — medication, physician review, shipping, supplies and unlimited messaging with your care team, with no consult or membership fee. It now ships to all 50 states. The limits: the price climbs as your dose does, it is cash-pay only with no insurance billing, its compounding pharmacies are never named, and there is no FDA-approved brand option or needle-free form.
The flattest price on our list — $99/mo for either molecule, medication and consult included, per its own FAQ, in all 50 states — though its search-result description and its FAQ still disagree on the tirzepatide number, and its two named prescribers also review scripts for another provider here.
A rare price that does not climb with the dose - $99/mo semaglutide, $134/mo tirzepatide, held flat in all fifty states - sold by a company that never names itself anywhere on its own site.
Livea is one of the few names here with a history predating the GLP-1 boom — it operates as Livea Medical, PLLC under Minnesota Weight Control, Inc., a weight-management business rather than a telehealth startup. Compounded semaglutide starts at $99 a month, tirzepatide at $199 "when available", a qualification most sellers leave out. Its FAQ also does something unusual: it puts its own price next to the alternative, "compared to $1,000+ per month for brand-name Ozempic or Wegovy".
Three plain prices, each said to include the consultation, medication, supplies and shipping: semaglutide injection at $99 a month, a sublingual semaglutide you take under the tongue at $149, and tirzepatide at $199. One wrinkle to clear up before you pay: the semaglutide plan card says the $99 covers "your first 4 weeks", while the FAQ on the same page calls it a monthly price. Ask what week five costs. No states are listed and no operating company is named.
Ozi now leads with semaglutide at $99 a month, billed monthly, under a "special" banner, and some visitors are shown $79 for the same plan. Read that number with care: the 12-week plan works out to $219 a month, more than the monthly price, which suggests the monthly figure may not be the long-run rate, and the page never says what it renews at. Tirzepatide is $189 for the first 4 weeks, then $379 a month. The basics are stronger than before: base labs through Quest or Labcorp are included, the four compounding pharmacies are named, it serves all 50 states plus D.C., the price does not rise with your dose, and brand-name Ozempic ($1,299) and Zepbound ($1,399) are also on offer.
Compounded semaglutide from $99 a month and tirzepatide from $149 on a monthly plan, from the fitness-supplement brand Liv Body, with clinicians from OpenLoop Health and four named pharmacies. The catch: both prices are floors that depend on what is prescribed, and you pay before the clinician visit on fees the Terms of Service call non-refundable in whole or in part.
Velvet Rx is a study in how much a family can actually plan from what a provider publishes. On the credit side, three prices sit on its homepage before any intake, and they are competitive: injectable semaglutide as low as $99, injectable tirzepatide as low as $179, and a daily GLP-1 tablet as low as $149 — the tablet being genuinely uncommon on this page. On the debit side, all three carry 'as low as' and none is ever resolved. There is no pricing page — the 'See Pricing' button opens the intake — and no dose ladder, plan length or billing cadence. For budgeting that is the difference between a price and an opening bid, because the providers here that do publish a ladder routinely double between a starting and a maintenance dose. The homepage now leads with a celebrity, Raven-Symoné, and calls its medication 'FDA-approved' without saying whether the injections are brand-name or compounded. No compounding pharmacy, clinician or state list is named. Its operator is Rocket Health Inc., and neither the brand nor that company has an FDA warning letter on file.
A three-molecule menu — semaglutide at $99.99/mo, tirzepatide at $189.99/mo month to month, and the less commonly offered liraglutide — with 'all doses included' pricing and HSA/FSA accepted, from a St. Petersburg, FL practice with a named address and phone number. The lower 'starting at' figures are prepaid annual plans.
Semaglutide from $95 and tirzepatide from $145 every 28 days, medication and shipping included, with a promise that the price doesn't climb with your dose and a full refund if you aren't approved.
At $99 for semaglutide and $149 for tirzepatide this is one of the lower flat rates on our list, and the promise that it will not rise is one of the few we could actually confirm in the checkout data rather than the marketing. Read the calendar, though: a plan month is four weeks, and the 'twelve-month' plan at $999 buys forty-eight weeks. The bigger caveat is who you are buying from — the same company operates altRx and LevelsRx, so some of the brands you compare it with are one business under another name.
FDA warning letter #721479 (Feb. 2026), which names Bliv's own website. An explicitly no-video-visit, fully async intake — as low as $116/mo semaglutide, $199/mo tirzepatide — with CareCredit and Klarna pay-later options, though state coverage isn't published.
Trava Health publishes monthly starting-dose prices of $117.96 for semaglutide and $178.98 for tirzepatide, with cheaper quarterly averages and higher-dose prices that vary. Its Terms name seven possible pharmacy partners and Wasef Health. The provider page also mentions Beluga Health and Bask Health, so confirm your actual clinical team before enrolling.
Coivas advertises compounded semaglutide from $119 a month and tirzepatide from $199, with medication, shipping and ongoing support included and no membership fee. Its FAQ now promises a price lock while you stay on the same medication and treatment plan. It names Beluga Health as the clinical provider, but does not identify the pharmacy that will fill an individual order. Cancel before the next shipment is processed.
| # | Provider | Sema from | States | Rating |
|---|---|---|---|---|
| 1 | CoreAge Rx | $99/mo | All 50 states | 94 · A |
| 2 | yourEra | $79/mo | See review | 74 · C |
| 3 | Eden | $99/mo | All 50 states | 70 · C |
| 4 | SnagRx | $99/mo | See review | 69 · C |
| 5 | Lttl | $99/mo | All 50 states | 66 · C |
| 6 | NextMeds | $79/mo | All 50 states | 48 · C |
| 7 | Lean Meds | $79/mo | All 50 states | 47 · C |
| 8 | Mondae | $87/mo | All 50 states | 64 · C |
| 9 | Sunlight | $88/mo | All 50 states | 63 · C |
| 10 | altRx | $89/mo | All 50 states | 61 · C |
| 11 | Vitalex Health | $98.99/mo | 0 states | 27 · C |
| 12 | Pepti | $99/mo | All 50 states | 72 · C |
| 13 | Teleios Health | $99/mo | All 50 states | 68 · C |
| 14 | FitFlow | $99/mo | All 50 states | 58 · C |
| 15 | Livea | $99/mo | See review | 56 · C |
| 16 | HealthHub | $99/mo | See review | 46 · C |
| 17 | Ozi | $99/mo | All 50 states | 44 · C |
| 18 | Liv Body | $99/mo | See review | 42 · C |
| 19 | Velvet Rx | $99/mo | See review | 42 · C |
| 20 | Factor Health MD | $99.99/mo | See review | 46 · C |
| 21 | FMmeds | $95/4 wk | All 50 states | 69 · C |
| 22 | Trinity Meds | $99/4 wk | All 50 states | 56 · C |
| 23 | Bliv | $116/mo | See review | 63 · C |
| 24 | Trava Health | $117.96/mo | See review | 56 · C |
| 25 | Coivas | $119/mo | All 50 states | 57 · C |
Among providers that publish a real month-to-month semaglutide price, the lowest on our board is yourEra at $79/month as a budget estimate for compounded semaglutide. CoreAge Rx, a featured partner, is shown first, at $99/month; its price is flat at every dose. Providers we work with may appear first. The cheapest sticker is not always the cheapest year, which is the next question below.
Because GLP-1 doses climb. A rock-bottom price on the lowest starting dose can step up sharply as you titrate, so a slightly higher flat, all-in price often costs less over a year. Always price the maintenance dose, not the introductory month — that is where you will actually live.
On cash-pay, yes — compounded semaglutide is typically a fraction of brand-name Wegovy or Zepbound at the counter. But it is not the FDA-approved brand product, and if your insurance covers a brand drug, your out-of-pocket cost with coverage can end up lower than a 'cheap' compounded vial.
Watch for membership or consult fees stacked on top of the medication, dose-based pricing that rises as you titrate, lab fees, and forced auto-ship that's hard to cancel. A truly cheap program is one whose all-in monthly number is visible before you enter a card.
If you might have coverage, don't skip the best GLP-1 with insurance — with a plan, a brand drug can beat a cheap vial. Also read compounded vs brand on a family budget and the full 2026 guide for moms. Prices reflect public disclosures at last review — confirm on each provider's site. Not medical advice; compounded medications are not FDA-approved brand products.
Keep exploring
Each board answers a different mother's situation. CoreAge Rx is a featured partner, and providers we work with may appear first.