Ro vs Refills

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Ro vs Refills: Overview

Choosing between Ro and Refills for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Ro offers both semaglutide and tirzepatide at $149/month with a rating of 8.6/10. Refills also provides both semaglutide and tirzepatide at $150/month with a 7.8/10 rating.

With only a $1/month price difference, your choice will likely come down to features, support quality, and medication options.

VERIFIED

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

At a glance

Price Difference
$1/mo
Rating Difference
0.8
Winner
Ro
Best For
Budget

Ro

View full Ro review →
Rating
8.6/10Better
Monthly Price
$149Cheaper
Medications
semaglutidetirzepatide

Pros

  • Prescribes FDA-approved, brand-name GLP-1s - Zepbound, Wegovy pen and pill, Ozempic, Saxenda and the new Foundayo pill - rather than compounded copies
  • Real insurance support: a dedicated team handles prior authorizations and appeals, and there is a free GLP-1 insurance checker you can run before paying anything
  • Publishes exact cash-pay prices for the Zepbound KwikPen: $299/mo at 2.5 mg, $399/mo at 5 mg and $449/mo at 7.5-15 mg with the manufacturer offer (checked July 26, 2026)
  • Membership is $39 for the first month, and as low as $74/mo if you prepay for a year
  • Long-established: trading since 2017, BBB accredited since 2018, and one of the largest telehealth platforms in the US
  • Prescriptions are typically filled and shipped within 1-4 days
  • Cash-pay Zepbound single-dose vials are available if you want to skip the insurance process entirely
  • Ongoing provider messaging, check-ins and progress tracking are included in the membership fee

Cons

  • The membership fee does not include your medication. At $149/mo month-to-month plus $449/mo for a maintenance dose of Zepbound, the realistic all-in cost is roughly $520-600 a month
  • The discounted $449 refill price depends on completing a check-in within 45 days of your last delivery. Miss that window and the price jumps to $499 for 7.5 mg, or $699 for the 10, 12.5 and 15 mg doses
  • All sales are final. Ro states it cannot issue refunds or accept returns on prescription products, except where it has made an error filling your prescription
  • The headline $74/mo membership rate requires prepaying a full year upfront
  • BBB lists 619 complaints, and Trustpilot sits at 3.8 from 4,796 reviews, with cancellation and billing the dominant negative themes
  • No customer phone number or support email is published on the site; support runs through your account
  • Because the medication price depends on your insurance, what you will actually pay each month cannot be known until after you have signed up and been assessed
  • The homepage claim 'Lose 20% body weight on average with Zepbound' comes from the manufacturer's trial of the branded drug, not from Ro's own patients
Choose Ro

Refills

View full Refills review →
Rating
7.8/10
Monthly Price
$150
Medications
semaglutidetirzepatide

Pros

  • The largest verifiable review base of any provider in this batch: the Trustpilot profile for refills.com showed a 4-star TrustScore from roughly 1,244 reviews when we checked
  • No membership or app fees, stated as a headline promise: "Never Pay for Monthly Memberships or App Fees"
  • All dosages cost the same - "We don't charge you based on dosage changes" - which removes the titration price trap that catches most compounded GLP-1 patients
  • Both a GLP-1 (semaglutide-class) and a GIP + GLP-1 (tirzepatide-class) injectable are offered
  • A published phone number, 888-458-5061, and support@refills.com, with 24/7 health-concierge support advertised
  • Free and discreet shipping on every order
  • Unusually candid disclaimers: it states plainly that compounded drug products are not approved or evaluated by the FDA, and that Refills Health is not a medical services provider but a technology platform
  • It names its clinical partners - Beluga Health, Bask Health and Wasef Health - rather than referring vaguely to "our providers"
  • Certificates of Analysis are available on request for any batch
  • LegitScript certification is displayed

Cons

  • Pricing is quoted per day, not per month. "GLP-1s from $5/day" reads as cheap but is $150 a month, and the site never states a monthly figure
  • Refills is a technology platform, not a medical provider. It does not manufacture or dispense medication and does not employ the clinicians who prescribe
  • All prescription sales are final. State and federal rules do not allow returns of dispensed prescription medication, and once your card is charged and the package is handed to the carrier there is no refund
  • Returns are only accepted on unopened, non-prescription items within 30 days, and you pay the return shipping
  • It does not ship refrigerated products, which the returns page presents as a benefit ("your product will not be affected by increased transit time") but which is worth understanding before you order
  • The medication is compounded, so it has not been evaluated by the FDA for safety, quality or efficacy
  • Available across the US but explicitly not in the District of Columbia
  • Before/after testimonials headline losses of 40 to 120 pounds. The disclaimer that results are not typical is present but far less prominent than the numbers
Choose Refills

Feature-by-feature comparison

FeatureRoRefills
Monthly Price$149$150
Rating8.6/107.8/10
Medicationssemaglutide, tirzepatidesemaglutide, tirzepatide
Insurance AcceptedYesNo
Support HoursOn-demand provider messaging (hours not published)Company advertises free 24/7 support from a health concierge
Live ChatNoNo
Free ShippingYesYes
Shipping SpeedTypically filled and shipped within 1-4 daysFree shipping; non-refrigerated products shipped via USPS, FedEx or UPS
Mobile AppAvailableNo
Dedicated CoachIncludedNot included
Follow-up FrequencyOngoing check-ins plus on-demand provider messagingProviders reassess and adjust dose, titration pace or treatment on request
Money-back GuaranteeNone - Ro states all sales of prescription products are final, except where it filled your prescription in errorNone. All prescription sales are final once dispatched
Cancellation PolicyCancel the membership before your next billing date; charges already processed are not refundedYou can log in and cancel your subscription, change your address or change your payment method any time before the order is sent to the pharmacy

Which should you choose?

Choose Ro if you:

  • Want to save $1/month with a more affordable option
  • Prefer a higher-rated service (8.6/10 vs 7.8/10)
  • Need insurance coverage for your treatment
  • Want personalized coaching support included
  • Value: prescribes fda-approved, brand-name glp-1s - zepbound, wegovy pen and pill, ozempic, saxenda and the new foundayo pill - rather than compounded copies

Choose Refills if you:

  • Value: the largest verifiable review base of any provider in this batch: the trustpilot profile for refills.com showed a 4-star trustscore from roughly 1,244 reviews when we checked

Website previews

Ro

Ro website

Refills

Refills website

Our recommendation

Ro comes out ahead with a higher rating of 8.6/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Ro

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