Shapely review
For anyone with coverage in California, Florida, New York or Texas, this is the one on the page that changes the arithmetic: Shapely says it is in network with Medicare and most PPO plans, and quotes brand-name co-pays of "typically $25 per month". It is also careful about the limits, noting that Medicare covers these drugs only for patients with diabetes, cardiovascular disease or obstructive sleep apnea. Read the membership terms closely, though. It costs $99 a month and it explicitly excludes medications and labs, so the $99 semaglutide and $166 tirzepatide are additions to that figure, not replacements for it.
- Six-factor Editors' Rating
- Public signup walkthrough
This review draws on the provider’s public pricing, terms and disclosures. No one on this desk is your clinician.
Shapely at a glance
- Semaglutide
- $198/mo all-in ($99 medication + the required $99/mo membership)
- Tirzepatide
- $265/mo all-in ($166 medication + the required $99/mo membership)
- Coverage
- California, Florida, New York and Texas
- Brand-name
- Yes
How we scored Shapely
Each score comes out of Shapely's published pricing, disclosures and oversight, and the six combine into the 59/100 Editors' Rating on our weighted six-factor framework. A commission never changes a provider's score.
The headline rate obscures a plan requirement or a hidden step-up.
Cost is unpredictable, premium, or hides behind a plan commitment.
Little here is shaped around a mother's week or her life stage.
Support is thin once the prescription ships.
Oversight and lab support fall short of the best we track — the review below says exactly where.
Leaving costs you — notice windows, minimum terms or fees you don't get back.
How we verified this review
- Primary source
- The company's own site
It is the rare provider here that takes insurance, saying it is in network with Medicare and most PPO plans, and quoting brand-name co-pays of "typically $25 per month but depending on the plan may be higher" — while noting honestly that Medicare covers these medications only for patients with diabetes, cardiovascular disease or obstructive sleep apnea. Its membership is $99 a month, $49 for the first, and the site states plainly that it does not include medications or labs, which cost around $75 if insurance does not cover them. Compounded semaglutide starts at $99 a month and tirzepatide at $166, both on top of the membership, so plan on $198 and $265 all-in. It currently serves California, Florida, New York and Texas, and operates as Zaghi Medical, Inc., a California Professional Corporation.
What to expect when you sign up
We walked Shapely's public signup — a first-hand look at the flow. We don't create accounts, enter medical data, or complete checkout, so this is what any visitor sees, not a patient outcome.
These signup observations are from . The flow and offers may have changed; use the current pricing and terms in this review.
- 1The signup button keeps you on Shapely's own site
- 2The intake opens straight away
- 3We stopped at the intake's first screen, without entering personal information
What we noticed
- Signup runs through a general online form (Typeform) rather than a dedicated patient portal
- A monthly price is visible on the public homepage before any intake — you do not have to hand over information to see a number
Pricing
| Medication | Price | Plan |
|---|---|---|
| Compounded semaglutide | $198 | Cash-pay, including the required $99/mo membershipAll-in: $99 medication + $99/mo membership. "Semaglutide Starting at $99/month", cash-pay only. The $99/mo membership is separate and does not include medications. |
| Compounded tirzepatide | $265 | Cash-pay, including the required $99/mo membershipAll-in: $166 medication + $99/mo membership. "Tirzepatide Starting at $166/month", cash-pay only, also on top of the membership. |
| Brand semaglutide | $25 | Wegovy or Ozempic through insurance"For patients with commercial insurance, medication co-pays are typically $25 per month but depending on the plan may be higher." A co-pay, not a price — it depends entirely on your plan. |
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 Shapely's public disclosures at last review and change often; confirm the current number on Shapely's own site.
What we like
- Takes insurance — in network with Medicare and major PPO plans, which almost nothing else here does
- Quotes brand co-pays honestly: "typically $25 per month but depending on the plan may be higher"
- States the Medicare limitation rather than hiding it — coverage applies only to patients with diabetes, cardiovascular disease or obstructive sleep apnea
- Says outright what the membership excludes, medications and labs, instead of leaving it to checkout
- Monthly video visits with a weight-loss provider, monthly dietitian visits and unlimited chat support are named as included
- Operates as Zaghi Medical, Inc., a California Professional Corporation, with a published Los Angeles address
The caveats
- The membership is a second cost: $99 a month on top of the medication, discounted to $49 for a first month
- Labs are excluded and run about $75 where insurance does not cover them
- The compounded prices are "starting at", so dose may move them
- Serves only California, Florida, New York and Texas for now
- The insurance route only helps if your plan is among those accepted, and the site notes exclusions
Shapely in short
Expect to pay around $198/month with Shapely, close to the typical price. Where it earns its score is support as your dose changes. Where it loses ground is flexibility to pause or cancel.
The program includes coaching, not just a prescription. It offers brand-name pens as well as compounded medication, so you can choose between the two on one account.
What you'll pay at Shapely
- Compounded semaglutide — Cash-pay, including the required $99/mo membership: $198/mo
- Compounded tirzepatide — Cash-pay, including the required $99/mo membership: $265/mo
- Brand-name semaglutide — Wegovy or Ozempic through insurance: $25/mo
That's close to the roughly $196/month most providers we've reviewed charge. A full year at the regular rate comes to roughly $2,376.
The price covers the clinician consult and coaching. The medication and lab work are not included, so add those to the total.
The medications Shapely prescribes
Shapely prescribes semaglutide and tirzepatide — the two GLP-1 medications with the strongest evidence. If insulin resistance is part of your story (PCOS, a history of gestational diabetes), tirzepatide is often the better fit, and you won't need a new provider to try it. Brand-name pens are available too, and their official labeling on pregnancy and breastfeeding is easier to discuss with an OB than a compounded vial.
There's also an oral or under-the-tongue option for mothers who'd rather skip injections. Keep expectations modest: these forms have far less research behind them than the weekly shot.
Getting started
You can see the price before you share any health history, so comparing it takes minutes, not an evening.
Similar providers
If you're weighing Shapely, these are priced nearby:
- TeleClinic — $199/mo, semaglutide and tirzepatide, same price at every dose
- Pallas Health — $199/4 wks, semaglutide and tirzepatide, same price at every dose, brand-name pens available
- Luvo Health — $209/4 wks, semaglutide and tirzepatide, same price at every dose, brand-name pens available
Who Shapely suits, and who should look elsewhere
A good fit if…
- You'd like the option to move to tirzepatide (or back) without changing providers.
- You want coaching alongside the prescription.
- You want to see the price before you share any health information.
Look elsewhere if…
- You're planning another baby and want that timing discussed before you start — compare CoreAge Rx, a featured partner.
Safety and oversight
It's fair to ask any compounded provider two things: which pharmacy makes the medication, and what's in it. Our methodology shows how oversight feeds the score.
Weight-loss treatment is not recommended during pregnancy. If you are breastfeeding or planning pregnancy, discuss the exact medicine, formulation and timing with your own clinician; limited milk-transfer data do not establish infant safety.
Questions to ask before you pay
- Will I need lab work, and who pays for it?
- What happens to my plan if I become pregnant?
Should you sign up?
Shapely is a reasonable choice at a typical price. It's strongest on support as your dose changes, so that's the reason to pick it. CoreAge Rx, a featured partner, is worth a side-by-side look before you decide.
The bottom line for mothers
Best for: A family with Medicare or a major PPO, for whom an in-network route may undercut every cash price here.
Alternatives to Shapely
These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.
- Visit CoreAge RxCoreAge RxFeatured partner
The one program on our list 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 Luvo Health
Luvo Health publishes a standing price for every program before asking you for anything, and sells almost everything: semaglutide as an injection at $209 or tablets at $259, tirzepatide at $249, a low-dose microdosing tier at $179, and real FDA-approved Ozempic and Zepbound at $1,299 and $1,399 for anyone who wants the on-label product — all per four weeks, with the first four weeks half price on the main programs. Its LegitScript certification is real — the seal ID returns a live image where an invented one errors — and it commits to not charging you if a clinician decides you aren't eligible. Two things hold it back. It never names the pharmacy that compounds any of this, which is a step behind the providers that do.
- Visit ShedRx
The highest-paying program on our list advertises a prepaid rate as if it were the price, promises a flat dose price its own help center contradicts, and bills every 28 days whether or not the medicine arrives. The blog on nursing is better than the company behind it.
Providers like Shapely
Keep comparing Shapely
Head-to-head & alternatives
Ranked boards
- The 2026 guide to the best GLP-1 for moms
- Best GLP-1 for women — PCOS & menopause
- Best GLP-1 for first-timers & beginners
- Cheapest GLP-1 without insurance
- Best GLP-1 after baby — postpartum providers ranked
- Best GLP-1 with insurance & coverage help
- Best GLP-1 providers for PCOS
- Best GLP-1 for perimenopause & menopause
- Cheapest tirzepatide online, month to month
- Cheapest semaglutide online, month to month
Shapely, answered
- How much does Shapely cost?
- When we last checked, the lowest eligible ongoing compounded price at Shapely worked out to an estimated $198 per calendar month. This is a monthly budget equivalent; the actual charge and billing interval may differ. Confirm today's all-in invoice amount, renewal dates and dose-specific rate before signing up.
- Is Shapely safe to use while breastfeeding?
- Discuss breastfeeding with your prescriber before starting treatment through Shapely. Advice depends on the exact medicine and formulation, your treatment needs and your infant's circumstances; limited milk data do not establish infant safety. Oral and injectable products can have different labeling, and a compounded preparation needs its own assessment. Tell the clinician if you are pregnant or planning pregnancy so treatment and any stopping interval can be planned individually.
- Does Shapely offer both semaglutide and tirzepatide?
- Shapely discloses both semaglutide and tirzepatide options. Confirm the specific product, formulation, current availability in your state and eligibility with the provider; a listed menu does not mean either medicine is appropriate for you.
- Where does Shapely rank for mothers?
- Shapely takes 59/100 in our Editors' Rating, placing it #130. Six factors chosen for mothers feed that number. CoreAge Rx, a featured partner, is worth a side-by-side look.
Pricing, states and verification reflect Shapely'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.