Compounded GLP-1 medications are prepared by compounding pharmacies rather than manufactured by Novo Nordisk or Eli Lilly. They are not FDA-approved: the agency has not reviewed them for safety, effectiveness or manufacturing quality, and they are not generics. That is not a reason nobody should use them, but it is a reason to choose carefully. The providers below are ranked on the things that actually distinguish one compounder from another.
Only providers whose headline plans are compounded appear here. We rank on disclosure: does the provider name its pharmacy, describe its batch testing, publish a flat price across doses, and state the compounding disclaimer plainly rather than burying it? A compounder that names Rush Pharmacy or Clover Pharmacy has told you something checkable. One that says "a licensed US pharmacy" has not.
Best point: $179/month is genuinely all-in. Henry states the price 'includes the cost of your provider visits, medication, supplies, and ongoing support' - there is no separate membership fee stacked on top, which is the trap several competitors rely on
Watch out for: Cancelling early can cost you. The terms note you 'may be required to pay out the rest of your balance unless you're unable to continue for medical-related reasons as determined by a healthcare provider', so a plan is not simply walk-away
Membership fee: None separate. Henry describes one monthly payment covering the provider visit, medication, supplies and ongoing care.
The most checkable compounder we have reviewed: the pharmacy is named (Rush Pharmacy, 503A), the clinicians are listed with NPI numbers, shipping is cold-chain, and the semaglutide rate is flat at every dose.
Best point: Flat pricing that does not climb as you titrate: $149.99/month covers compounded semaglutide from 0.25 mg through 2.5 mg, and $249.99/month covers tirzepatide from 2 mg through 15 mg
Watch out for: The headline product is compounded, not FDA-approved. Compounded semaglutide and tirzepatide are not reviewed by the FDA for safety, efficacy or manufacturing quality
Membership fee: None separate from the plan price - the site states everything is included and no subscription is required
Best point: Efficacy claims are cited to the actual trials with duration and source: 'Average 15% body-weight loss at 68 weeks in STEP-1' for semaglutide and 'Average 21% body-weight loss at 72 weeks in pivotal phase-3 trial' for tirzepatide, referencing NEJM 2021, each followed immediately by 'Not FDA-approved'
Watch out for: The '4.8 · 12,000+ members' rating shown in the header has no traceable source - we found no Trustpilot profile for the domain and no other public review platform carrying it
Best point: The mandatory program fee is shown next to the medication price rather than buried in a footnote: compounded semaglutide from $75/mo and tirzepatide from $133/mo, each plus a $74.99/mo program fee (checked July 27, 2026)
Watch out for: The $74.99 monthly program fee effectively doubles the cost of the entry semaglutide plan, taking a '$75/mo' headline to about $150 all-in
Membership fee: A programme fee of $74.99/month is charged on top of the medication.
Best point: Publishes cash prices for brand-name drugs openly, which almost no competitor does: Ozempic $1,100/mo, Mounjaro around $1,100/mo, and Wegovy and Zepbound from $650/mo
Watch out for: On the branded route the medication cost is separate from your Found membership, so the advertised membership discounts do not touch the $650-$1,100 monthly drug bill unless insurance covers it
Membership fee: A membership plan, with up to $100 off currently advertised. Longer 3, 6 and 12-month plans lower the monthly cost.
Best point: The branded-drug pricing model is the most cost-honest we have seen: $50 + cost of medication for the Wegovy pill, and $65 + medication for Wegovy or Zepbound, with the drug supplied through the manufacturer's own direct programme rather than marked up
Watch out for: The core compounded offering is microdosing, which is not an evidence-based protocol. The trials behind semaglutide and tirzepatide used full therapeutic doses; there is no comparable evidence for the lower doses sold here, and AgelessRx's own wording only claims it 'may support moderate weight loss'
Membership fee: Subscription-based products bill automatically at the interval chosen at checkout.
Best point: It states the full cost structure openly in the headline rather than the footnotes: 'Alloy Weight Care is $99/month plus the cost of medication. Medication starting at $70/month', so the realistic entry is about $169/month (checked July 28, 2026)
Watch out for: The $99/month care fee buys access, not medication - your real monthly cost is the fee plus medication starting at $70, and rising with dose and product
Membership fee: Cash-pay with no insurance billing.
What that price buys: The $79 is the membership alone. Mochi states that "medications and diagnostic services not included in membership subscription", and does not publish what the medication costs, so no all-in monthly figure can be given.
Best point: Roughly 16,000 Trustpilot reviews averaging 4.4 - the largest independent evidence base of any brand we cover
Watch out for: The $79 membership is the platform fee - confirm what medication costs on top before committing, as that is not published up front
Membership fee: $79 per month, currently discounted to $39 for a new member's first month. Prepaid multi-month plans are available and terms vary by state.
Best point: The clearest pricing disclosure of any compounded seller we have reviewed. The headline '$99/month' is immediately followed, everywhere it appears, by '$99/month reflects the 6-month plan. Month-to-month: $149 first month, then $179/month'
Watch out for: The page runs a 15-minute countdown claiming 'Price increases in 14:59:58'. A price that resets every quarter of an hour is a sales device, not a deadline
Membership fee: None. YourEra states you pay the same price regardless of dose, with no membership fees and no hidden costs.
Best point: Publishes a complete price ladder rather than a single teaser figure: compounded semaglutide is $175 billed monthly, $145/mo on quarterly, $120/mo on bi-annual and $99/mo on annual billing ($1,188 upfront), checked July 26, 2026
Watch out for: The headline $99/mo requires paying $1,188 up front for a year. Billed monthly the same treatment is $175 - a 77% difference the landing page does not put next to the $99
Best point: Offers FDA-approved Zepbound pens and vials alongside its compounded range, so the branded route is available without leaving the platform
Watch out for: The semaglutide page quotes two different starting prices in the same view: 'Get started for $183' in one block and 'Starting at $189/first month' in another, with no explanation of the difference
Best point: Compounded semaglutide advertised from $159/mo and compounded tirzepatide from $239/mo, alongside brand-name Wegovy, Zepbound and the new Foundayo pill (checked July 26, 2026)
Watch out for: The '120-Day Weight Loss Guarantee' is far more demanding than the asterisk suggests. To qualify you must log at least two weigh-ins a month (eight over the period), complete at least 50% of daily app check-ins - 60 days out of 120 - and submit every provider follow-up form on time. Miss the check-in quota and the guarantee lapses
Best point: The most rigorous evidence handling of any provider on this site: trial figures are attributed to named studies with the population and duration stated, and the site says outright that those results come from FDA-approved formulations rather than the compounded product it sells
Watch out for: The affiliate link for this offer lands on MyDrHank's erectile dysfunction promotion, not its GLP-1 pages, so anyone following it for weight loss arrives at the wrong product entirely
Best point: The entire price ladder is published with no intake required, and it shows the per-week equivalent alongside the total: compounded semaglutide injection $249 for 4 weeks ($62/week), tirzepatide injection $339 ($85/week), semaglutide tablets $279 ($70/week) - checked July 28, 2026
Watch out for: There is no Trustpilot profile and no BBB record, so there is no independent evidence about what the service is actually like. For a provider asking upwards of $2,000 for a year's supply, that is a real gap
Best point: The lowest advertised GLP-1 pricing we have found: $97 for the standard GLP-1 injection and $77 for the microdose plan (checked July 27, 2026)
Watch out for: The refund policy gives you no defined entitlement. It states IVY RX is 'unable to accept returns' and then invites you to 'contact us so we can work together to find a solution' - there is no stated circumstance in which you are owed money back
Compounding itself is legal and regulated by state boards of pharmacy and, for outsourcing facilities, by the FDA. What has changed is the shortage justification: while semaglutide and tirzepatide were in official shortage, compounders had wide latitude to produce copies. With the shortages resolved, that latitude narrowed considerably, and the FDA has issued repeated rounds of warning letters to telehealth firms over how compounded GLP-1s are marketed.
Which pharmacy fills it and under what licence; whether a Certificate of Analysis is available for your batch; whether the price changes as your dose increases; what happens to your money if the provider declines to prescribe; and whether the product is shipped cold. A provider that cannot answer all five in writing is not one to hand a card to.
Compounders do not carry the cost of the clinical trial programme, the patent, or retail pharmacy distribution. That gap has narrowed sharply now that both manufacturers sell direct to consumers - brand-name semaglutide at $149 to $199 a month competes directly with most compounded plans.
Best GLP-1 providers
Best semaglutide providers
Best tirzepatide providers
Cheapest GLP-1 programs
What the trials actually showed, how the two drugs differ, and which one suits which patient.
What compounded actually means, why the price gap has narrowed, and the questions to ask first.
Every pricing model in the market, decoded - and why the advertised number is rarely the real one.
The BMI thresholds, the contraindications that rule people out, and what providers actually check.
The common ones, the serious ones, and the practical steps that reduce the day-to-day misery.
Cold chain, room-temperature windows, what to do when a package sits in the sun, and why it matters.
This page is editorial research, not medical advice. GLP-1 medications are prescription drugs with real risks and contraindications, and a ranking cannot tell you whether one is right for you. Only a licensed clinician who knows your history can do that. Prices and policies in this market change frequently - confirm the current terms with any provider before you buy.