GLP-1 Provider Cost Comparison Chart (Verified April 2026)

Bottom line up front

The cheapest GLP-1 provider in our verified chart depends entirely on which “cheapest” you mean. The lowest 90-day total cash-pay cost is roughly $438–$473 (Yucca Health on a 6-month plan or Enhance MD’s Core monthly plan). The lowest FDA-approved 90-day cost is roughly $744–$784 through Sesame or Ro on the Wegovy® pill at the lowest dose. The lowest headline first-month price is $39 — Ro Body membership — but the medication is billed separately on top.

Every row in the chart below shows three numbers most competitors don’t combine: first-month price, refill price (months 2–3), and a calculated 90-day total. If a provider raises the price in month two, you see it. If a provider keeps the price flat, you see that too.

Best-fit verdict at a glance

Why most “cheap GLP-1” ads aren’t actually cheap (the one honest thing this page will admit)

We have to tell you something most affiliate sites won’t. The cheapest GLP-1 ad is almost never the cheapest GLP-1 plan. Several legitimate, well-known providers — including some we recommend on this page — advertise $39, $49, $99, $129, or $149 for the first month. The refill price in month two is sometimes the same. Sometimes it’s $199, $229, $249, $299, $349, or $399. Sometimes the headline number is the annual-prepay effective rate, meaning you’d need to pay six or twelve months in advance to lock it in. Sometimes the advertised price includes the membership. Sometimes it doesn’t. Occasionally a provider’s checkout page reveals a price different from the one on the landing page.

None of that is fraud. It’s standard intro pricing and tiered subscription billing in telehealth. But it makes a side-by-side price comparison genuinely confusing if all you see is “starting at $X.”

That’s why every row in the chart below shows three columns the others don’t combine: first-month price, refill price (months 2–3), and a calculated 90-day total. If a provider raises the price in month two, you see it. If a provider locks the price the whole way through, you see that too. This is what we owe you for clicking — not a ranking of who pays us best, but a chart that actually helps you decide.

Verify first-month price, refill price, and plan length before paying.

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GLP-1 Provider Cost Comparison Chart

The chart below compares 14 telehealth GLP-1 providers across first-month price, refill price, calculated first-90-day total, what’s included, dose-pricing rules, FDA route (compounded versus FDA-approved), HSA/FSA acceptance, BNPL availability, and cancellation terms. Every cell was verified against the provider’s published pricing page on April 28, 2026. Rows marked [NEEDS CHECKOUT VERIFICATION] indicate the provider’s public pages show conflicting pricing or hide the full price behind intake.

Run your real number — the GLP-1 90-Day Cost Estimator

Pick the medication, provider, plan length, and target maintenance dose and the estimator returns your month 1 cost, your month 6 cost, and your full year-1 total — including the refill jump and any dose-tier increases.

Which row is you? Pick by situation, not by hype

The right GLP-1 provider depends on which constraint matters most: brand-name access, dose-stable pricing, format options, BNPL, premium clinical support, or insurance help. Each section below names a situation and points to the row that fits it.

Which GLP-1 provider has the lowest first-90-day cost?

In our verified chart, the lowest first-90-day total cash-pay cost is roughly $438 (Yucca Health 6-month plan, compounded semaglutide). The lowest FDA-approved 90-day total is roughly $744 through Sesame on the Wegovy® pill at the lowest dose. The cheapest first-month price is $39 — Ro Body membership, with the medication billed separately on top.

The 90-day cost rankings (verified April 2026)

Why “cheapest” depends on which question you’re really asking

If your question is “which provider has the lowest sticker price for month one?” — Ro Body at $39 wins, but the medication is billed on top.

If your question is “which provider has the lowest 90-day total at a starter dose, paying cash?” — Yucca Health 6-month plan at $438 wins, but you’re committing to 6 months.

If your question is “which provider has the lowest ongoing cost without a long commitment?” — Eden monthly at $229/month is the lowest flat-rate compounded option that lets you cancel anytime.

Providers with the same price at every dose

Three providers in our verified chart use flat-rate pricing across all prescribed doses for compounded medication: Eden, Enhance MD, and Gala GLP-1 (yearly subscription effective rate). Most other providers — including MEDVi, SHED, Yucca, Hims/Hers, Sesame, and Ro’s Wegovy/Zepbound/Foundayo options — change pricing as your dose tiers up.

Most patients titrate up over 16–20 weeks. Semaglutide titration runs from 0.25 mg → 0.5 mg → 1 mg → 1.7 mg → 2.4 mg over about 16 weeks. Tirzepatide runs from 2.5 mg → 5 mg → 7.5 mg → 10 mg → 12.5 mg → 15 mg over about 20 weeks. If your provider tiers price with dose, your month-6 cost can be 30–60% higher than your month-1 cost.

The Price Trap Index — six pricing patterns that change your real cost

Six pricing patterns can make a provider’s headline price misleading: intro-month discount, annual-prepay effective rate, membership billed separately from medication, dose-tiered pricing, checkout-only price reveal, and cancellation cutoff timing. None of these is fraud — they’re standard telehealth billing practices. But you should know which patterns each provider uses before you enter your card.

Compounded vs FDA-approved: what the price difference actually buys you

FDA-approved GLP-1 medications (Wegovy®, Zepbound®, Ozempic®, Mounjaro®, Foundayo™, Rybelsus®) are produced by Novo Nordisk or Eli Lilly under FDA oversight and have completed full clinical trials. Compounded GLP-1 medications are prepared by state- or federally-licensed pharmacies based on a clinician’s prescription and are not FDA-approved as finished products. The price difference reflects different products with different regulatory status — not a generic versus a brand.

Plain-language definitions

FDA-approved finished drug

A medication produced by a manufacturer (Novo Nordisk for semaglutide products, Eli Lilly for tirzepatide and orforglipron products) that has gone through full FDA review for safety, efficacy, and manufacturing quality, plus clinical trials. Brand-name GLP-1s in this category: Ozempic®, Wegovy® pen, Wegovy® pill, Rybelsus®, Mounjaro®, Zepbound® pen, Zepbound® vials, Zepbound® KwikPen, Foundayo™, and Saxenda®.

503A pharmacy

A state-licensed compounding pharmacy that prepares medications for individual patients based on a prescription. State boards of pharmacy regulate them.

503B outsourcing facility

A federally-registered compounding facility inspected by the FDA itself, with manufacturing standards closer to a drug manufacturer. 503B registration and inspection is not FDA approval of the finished compounded medication.

Compounded medication

A medication prepared by a compounding pharmacy. Not FDA-approved as a finished drug. Can be lawful when prescribed and dispensed under applicable 503A or 503B conditions.

Provider deep-dives: what each provider actually costs and includes

Hidden GLP-1 fees you should check before paying

The most commonly missed costs are membership fees billed separately from medication, dose-tier price increases, required labs not included in the plan, shipping or supplies, annual prepay requirements, refill-timing surprises, cancellation cutoff windows, and what happens if you’re not approved for a prescription. Run through the checklist below before you click any provider’s eligibility button.

The pre-payment checklist

• Is the medication included in the monthly price, or billed separately?
• Is there a membership or program fee on top of the medication price?
• Are labs required to start? Are they included in the price or extra?
• Is shipping included?
• Are needles, alcohol swabs, or sharps disposal included for injectable plans?
• Does the price tier up when your prescribed dose increases?
• Is the advertised monthly price the actual monthly rate, or the annual-prepay effective rate?
• Is the lower price contingent on prepaying 3, 6, or 12 months?
• How do refills work — automatic, or manual reorder?
• What is the cancellation cutoff window? Can you cancel anytime?
• What happens if your provider doesn't approve you for a prescription? Is the program fee or first-month payment refunded?
• Is the medication compounded or FDA-approved? Both can be lawful when prescribed appropriately; they are different products.
• For compounded medications, which pharmacy fills your prescription? The FDA tells consumers to verify licensed pharmacy details and the source of compounded GLP-1 drugs.

What to screenshot before paying

• The pricing page with the date visible (browser timestamp counts).
• The full checkout total before clicking “pay.”
• The cancellation and refund policy.
• The medication and pharmacy disclosure.
• The non-approval refund policy.

Can I use insurance, HSA, or FSA for online GLP-1 providers?

Insurance is most useful for FDA-approved brand-name medications through providers like Ro and Sesame, where prior-authorization support is built in. Most cash-pay compounded providers don’t bill insurance directly; some — Eden, SHED, Yucca Health, Direct Meds, Willow, and bmiMD — accept HSA/FSA at checkout, while others issue itemized receipts you can submit to your HSA/FSA administrator for reimbursement. HSA/FSA eligibility for GLP-1s for weight loss often requires a Letter of Medical Necessity from your prescribing clinician.

Best route for insurance help

Ro. Ro’s free GLP-1 Insurance Coverage Checker tells you whether your plan covers Wegovy®, Zepbound®, Ozempic®, or Foundayo™ before you commit. Ro’s insurance concierge handles prior-authorization paperwork. If your insurance covers a GLP-1, this is the cleanest way to find out without surprises.

HSA/FSA at checkout

In our verified chart, the providers that accept HSA/FSA cards directly at checkout are Eden, SHED, Yucca Health, Direct Meds, Willow, and bmiMD. MEDVi, Enhance MD, Gala, and Peter MD operate cash-pay; you can submit an itemized receipt to your HSA/FSA administrator for reimbursement consideration. Verify with your specific administrator first — FSA reimbursement for GLP-1s for weight loss often requires a Letter of Medical Necessity that your prescribing clinician can write.

What’s typically covered vs not

• GLP-1s prescribed for type 2 diabetes (Ozempic®, Mounjaro®) are more commonly covered by insurance than GLP-1s prescribed for weight loss.
• GLP-1s for weight loss (Wegovy®, Zepbound®, Foundayo™, Saxenda®) are inconsistently covered. Check your specific plan’s formulary or use Ro’s free checker.
• Compounded GLP-1s are generally not covered by insurance.
• Medicare: the Medicare GLP-1 Bridge runs July 1, 2026 through December 31, 2027 and makes eligible GLP-1 drugs available to eligible Part D beneficiaries. CMS currently lists Foundayo™, Wegovy® injection and tablets, and Zepbound® KwikPen as eligible drugs in the Bridge program. Verify your specific eligibility on Medicare.gov.

Real customer experiences (process, not medical results)

The testimonials below are sourced from public, provider-hosted review pages and reflect individual experience with the signup, support, and delivery process. They are not evidence of medical safety, efficacy, or typical weight-loss results.

Disclosure: These quotes describe individual user experience with sign-up, communication, and delivery. They are not testimony to medical outcomes, and we do not present them as evidence of typical weight loss. GLP-1 prescribing decisions are made by licensed clinicians based on your individual health profile.

How we verified this GLP-1 provider cost comparison chart

We open each provider’s published pricing page, capture the price cell with the date, and store the source URL. Where a provider hides full pricing behind intake, where the public pages show conflicting numbers, or where we relied on a third-party review, we mark the row [NEEDS CHECKOUT VERIFICATION] rather than guess. We verify quarterly and update the Last Verified date when any cell changes.

What we checked on April 28, 2026

• Provider-published pricing pages for every row in the chart.
• First-month price, refill price, plan-length variations, dose-pricing rules, and cancellation terms as published by the provider.
• Manufacturer pricing for the FDA-approved medications (LillyDirect®, NovoCare®, TrumpRx) where Ro and Sesame match those prices.
• FDA pages for compounding policy, warning letters to telehealth companies, and consumer cautions.
• CMS pages for the Medicare GLP-1 Bridge program.
• Public review and complaint sources for consumer-friction signals (cancellation, billing, support quality) — used as objection inputs for the segmentation, not as medical evidence.

What we did not claim

• We did not call any compounded GLP-1 “the same as” or a “generic version of” a brand-name FDA-approved drug.
• We did not claim compounded products are FDA-approved.
• We did not present testimonials as proof of medical outcomes or typical results.
• We did not invent star ratings or “medically reviewed by” credentials.
• We did not assign schema to content that isn’t visibly published on the page.
• We did not call third-party review pricing “verified” — only provider-published pricing and direct checkout confirmations get the verified label.

Price Clarity Score (0–10)

We score each provider on how transparently they publish what they charge. Higher score = the published price is the price you actually pay. Components: public starting price visible (1 pt), ongoing/refill price visible without intake (2 pts), membership clearly stated (2 pts), fees itemized (1 pt), dose-pricing rules stated (1 pt), cancellation terms visible (1 pt), FDA vs compounded route clearly separated (1 pt), no material unresolved verification flag (1 pt). The Score rewards transparency, not the lowest price. A provider can be expensive and score 10/10.

How readers can report corrections

Provider pricing changes constantly. If you find a cell in our chart that’s out of date, send a screenshot of the current pricing page to [email protected] and we’ll re-verify and update the chart with a new Last Verified date.

Red flags to avoid when buying a GLP-1 online

Avoid any GLP-1 seller that doesn’t require clinician review, sells “research use only” peptides, hides its pharmacy or sourcing, guarantees specific weight-loss outcomes, or markets compounded products as FDA-approved or as generics of brand-name drugs.

Frequently asked questions

Sources and verification

All pricing verified April 28, 2026 from each provider’s published pricing page. Direct sources:

• Ro: ro.co/weight-loss/pricing, ro.co/weight-loss/foundayo-cost, ro.co/weight-loss/glp1-insurance-checker
• Sesame Care: sesamecare.com, sesamecare.com/blog/costco-half-price-ozempic-wegovy
• MEDVi: glp.medvi.org
• Eden: tryeden.com/treatment/glp-1-treatments
• SHED (ShedRx): tryshed.com
• Gala GLP-1: galaglp1.com
• Enhance MD: enhance.md
• Direct Meds: directmeds.com
• Yucca Health: tryyucca.com
• Hims & Hers: hims.com/weight-loss, forhers.com
• Peter MD: getpetermd.com/glp1-b12
• FDA compounding and consumer information: fda.gov
• CMS Medicare GLP-1 Bridge: cms.gov