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Ranked #232 for moms · Grade C

Clume Health review

Clume names four dispensing pharmacies outright and tells you who prescribes, which almost nothing else here does, and it charges the same price whichever molecule you pick — $259 a month on the full-dose Signature program, $219 on maintenance and microdosing, semaglutide or tirzepatide, oral or injectable. For a family set on the dual agonist that is worth real money, since most sellers add $80 to $150 a month for it. The pricing you meet first is where it goes wrong. The homepage advertises programs starting at $199 and $159, nothing on the site is priced at either, and the asterisks beside both lead to no footnote anywhere on the page. The cheaper rates it does publish are prepaid terms rather than monthly bills: $186 a month means committing 52 weeks and $200 means twelve. Canceling needs 72 hours' notice before the next billing date or that cycle is charged anyway, and no refund is given for the month you cancel or any month before it.

$259/mo
Flat price · every dose
Consult Medication
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By Margaux Ellery, Editor-in-Chiefa mother on the MetabolicMoms desk, not a treating clinician

Every medical claim in this piece is footnoted to the record it came from — the trial or the FDA label — so you can read the source rather than take the masthead's word for it. No one on this desk is your clinician.

Clume Health at a glance

Semaglutide
$259/mo
Tirzepatide
$259/mo
Coverage
Not published
Brand-name
Compounded only

How we scored Clume Health

Each score comes out of Clume Health's published pricing, disclosures and oversight, and the six combine into the 44/100 Editors' Rating on the same weighted six-factor framework we apply to every provider — never nudged by whether a provider pays us.

Family-budget value45/100 · Weak

Cost is unpredictable, premium, or hides behind a plan commitment.

Clinical oversight & labs62/100 · Weak

Oversight and lab support fall short of the top of this roster — the review below says exactly where.

Pricing transparency35/100 · Weak

The headline rate obscures a plan requirement or a hidden step-up.

Fits around motherhood30/100 · Weak

Little here is shaped around a mother's week or her life stage.

Ongoing support & titration55/100 · Weak

Support is thin once the prescription ships.

Flexibility to pause or cancel30/100 · Weak

Leaving costs you — notice windows, minimum terms or fees you don't get back.

How we verified this review

Last verified
September 2026
Confidence
medium
Primary source
www.clumehealth.com

It names four dispensing pharmacies outright, which almost no compounded seller does, and it charges the same whichever molecule you choose — $259 a month on the full-dose program and $219 on maintenance and microdosing, semaglutide or tirzepatide, oral or injectable. The pricing you meet first is not the pricing you can buy. The homepage advertises programs starting at $199 and $159 and nothing costs either figure, with asterisks that lead to no footnote at all. The cheaper published rates are prepaid terms: $186 a month means committing a full 52 weeks. Canceling needs 72 hours' notice or that cycle is billed, and no month is refunded.

Pricing

Prices re-verified

MedicationMonthlyPlan
Compounded semaglutide$259Signature program, full dose, month to monthThe rate you can actually pay month to month. The $186 advertised beside it requires prepaying a 52-week term.
Compounded tirzepatide$259Signature program, full dose, month to monthIdentical to semaglutide — Clume prices by program rather than by molecule, so the dual agonist costs no more.
Compounded semaglutide$219Microdose/Maintain program, month to monthThe maintenance and microdosing track. Its cheaper $200 rate requires a 12-week prepaid term.
Compounded tirzepatide$219Microdose/Maintain program, month to monthAgain the same price as semaglutide on the same program.

Swipe the table to see plan details →

GLP-1 telehealth is usually HSA- and FSA-eligible, so check your own plan. Everything above comes from Clume Health's public disclosures at last review and change often; confirm the current number on Clume Health's own site.

What we like

  • Names four dispensing pharmacies outright, which most compounded sellers never do
  • Names OpenLoop as the prescribing layer rather than leaving the clinical relationship vague
  • The same price for semaglutide or tirzepatide, oral or injectable
  • A separate maintenance and microdosing program at a lower rate
  • Names its operating company, North Atelier LLC, in its own terms

The caveats

  • The homepage advertises "starting at *$199/month" and "*$159/month" and no program costs either
  • Those asterisks lead to no footnote anywhere on the page
  • The cheapest advertised rates require prepaying a full term — $186/mo means 52 weeks
  • Canceling needs 72 hours' notice before the next billing date or that cycle is charged
  • No refund for the month you cancel, or for any prior month
  • No state list published, and nothing addresses pregnancy, breastfeeding or postpartum timing

Clume Health for mothers: our verdict

Clume names four dispensing pharmacies outright and tells you who prescribes, which almost nothing else here does, and it charges the same price whichever molecule you pick — $259 a month on the full-dose Signature program, $219 on maintenance and microdosing, semaglutide or tirzepatide, oral or injectable. For a family set on the dual agonist that is worth real money, since most sellers add $80 to $150 a month for it. The pricing you meet first is where it goes wrong. The homepage advertises programs starting at $199 and $159, nothing on the site is priced at either, and the asterisks beside both lead to no footnote anywhere on the page. The cheaper rates it does publish are prepaid terms rather than monthly bills: $186 a month means committing 52 weeks and $200 means twelve. Canceling needs 72 hours' notice before the next billing date or that cycle is charged anyway, and no refund is given for the month you cancel or any month before it. It runs about $259/month, flat across every dose — a premium to the category, so the extras have to earn it.

We weigh Clume Health the way mothers actually have to: not just the real monthly cost, but the real monthly cost once the dose climbs and whether a real clinician stands behind it — the things a generic roundup never gets to.

What Clume Health actually costs

  • Compounded semaglutide — Signature program, full dose, month to month: $259/mo
  • Compounded tirzepatide — Signature program, full dose, month to month: $259/mo
  • Compounded semaglutide — Microdose/Maintain program, month to month: $219/mo
  • Compounded tirzepatide — Microdose/Maintain program, month to month: $219/mo

For context, the typical ongoing price across our roster is around $179/month, so Clume Health sits at the premium end.

The medications Clume Health prescribes

Clume Health prescribes semaglutide and tirzepatide — the pair with the strongest evidence behind them, and having both under one account matters when insulin resistance, familiar from PCOS and gestational diabetes, makes tirzepatide the better fit. These are compounded formulations from a licensed pharmacy — the reason the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are.

A needle-free oral or sublingual option is on the menu, which draws in mothers who've been avoiding injections — just set expectations: oral and buccal delivery of these peptides is far less studied than the injectable versions the trials used.

Where Clume Health fits — and where it doesn't — for mothers

Worth it if…

  • you may need to move between semaglutide and tirzepatide as your body and hormones change.

Give it a miss if…

  • you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
  • you want frictionless cancellation — the fine print here is where the complaints cluster.
  • you'd rather a prescriber talk through timing around the real monthly cost once the dose climbs — that's what our #1 pick, CoreAge Rx, is built for.

Trust, safety, and oversight

Our confidence is moderate — the core facts check out, but some details (per-state availability, program mechanics) aren't fully public. As with any compounded GLP-1, the most useful thing mothers can do is confirm which licensed pharmacy fills the prescription and what's in the formulation — we explain how we weigh oversight in our Editors' Rating methodology.

One line that applies to every provider on this masthead: no GLP-1 is established as safe in pregnancy or while breastfeeding, and the labels advise against use. This is a review of a commercial program, not a green light — the timing decision belongs to you and your clinician.

The bottom line

Clume Health is a reasonable option — weigh it on the real monthly cost once the dose climbs and whether a real clinician stands behind it against the alternatives below. For most mothers, CoreAge Rx remains the stronger all-round fit — see why it tops our ranking.

The bottom line for mothers

Best for: A family that wants tirzepatide without paying a premium for it, and that cares enough about who compounds the medication to choose a seller which says so.

Alternatives to Clume Health

Providers we have a referral relationship with, ordered by their Editors' Rating — highest first. A fee never moves a rating, but it does decide who appears here, so this is not the whole roster: the full ranking lists every provider we cover.

  • CoreAge RxOur #1 pick

    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.

    Visit CoreAge Rx
  • A flat $179 for either molecule and a genuinely gentle microdosing tier — a reasonable, all-doses-included option, if you can live with a yearly plan and a pharmacy the marketing never names.

    Visit Gala Health
  • A high-trust telehealth marketplace that took a clear side: FDA-approved brand GLP-1 only, no compounded shortcut. You pay a brand cash price and book a real video visit — but you get on-label pens and one of the cleaner reputations on this masthead.

    Visit Sesame

Keep comparing Clume Health

Clume Health, answered

Why does the homepage price match nothing?
Because it matches nothing. The homepage advertises GLP-1 and microdose programs "starting at *$199/month" and cellular optimization "starting at *$159/month", and no program on the site is priced at either. The asterisks that should explain the gap lead to no footnote anywhere on the page. The real menu opens at $259 for the full-dose program and $219 for maintenance and microdosing.
Does tirzepatide cost more here?
No, and that is genuinely unusual. Clume prices by program rather than by molecule, so $259 buys the full-dose Signature program whether you take semaglutide or tirzepatide, in oral or injectable form. Most sellers charge $80 to $150 more a month for the dual agonist, so anyone set on tirzepatide should notice this.
What does $186 a month require?
A 52-week commitment. The $186 rate on Signature and the $200 rate on Microdose/Maintain are prepaid terms, not lower monthly bills — 52 weeks and 12 weeks respectively. If you want to keep the option of stopping, budget $259 and $219.
Who prescribes and who compounds?
Clume names both, which is rare. The prescribing layer is OpenLoop — the intake requires agreeing to OpenLoop's telehealth consent and the terms reference OpenLoop Medical Practices — and the terms name four dispensing pharmacies outright rather than calling them accredited partners. The operating company is North Atelier LLC, trading as Clume Health, under Iowa law.

Pricing, states and verification reflect Clume Health's public disclosures at last review; the Editors' Rating is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.

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