You’ve seen the ads. “$49 a month for compounded semaglutide.” “$179 for compounded tirzepatide.” “$99 a month, no membership.” Then you click through, and the actual checkout total is $297, or $449, or $799 with a contract you didn’t realize you were signing.
If you’ve spent any time comparing compounded GLP-1 telehealth programs in 2026, you’ve probably had this experience. The advertised price is rarely the real price. Memberships are bundled (or unbundled, depending on the program). Doses are tiered. First-month discounts vanish. Some programs require six or twelve months upfront.
We did the work. We pulled the public pricing pages of every major compounded GLP-1 telehealth provider, ran the math on what a patient would actually pay, and built the comparison below. The goal isn’t to push anyone toward one provider — it’s to make the numbers visible so a person comparing options can decide for themselves. This post will be updated every 90 days as pricing shifts.
How to Read This Comparison
A few notes on methodology so you can evaluate the data the same way we did.
- All pricing was pulled from each provider’s public pricing page in early May 2026, supplemented by independent third-party reviews where pricing was opaque or split across multiple pages.
- We’re showing the actual monthly cost a patient would pay — including any required membership fees, separate consultation fees, or shipping charges.
- For programs that require multi-month commitments to access their lowest rate, we show both the per-month rate AND the total upfront cost.
- We’re focusing on compounded semaglutide and compounded tirzepatide. Brand-name Ozempic, Wegovy, Mounjaro, and Zepbound are not included — those are priced through manufacturers and pharmacy benefit managers, not the telehealth platform.
- Compounded GLP-1 pricing changes frequently. Always confirm current pricing on the provider’s own page before committing to a plan.
Where we cite a price below, the source is linked directly to the provider’s pricing page (for example, Henry Meds Programs) or to a recent published review (such as Forbes Health’s 2026 Mochi review).
Compounded Semaglutide Pricing Comparison
Semaglutide is the more accessible of the two compounded GLP-1s in 2026. Most providers list it at a lower price point than tirzepatide. The spread between the cheapest advertised plan and the actual all-in monthly cost varies widely.
What stands out: the “monthly cost” headline for most programs hides additional fees. Mochi’s $99 medication price is real — but you also pay $66 to $79 a month for the membership, which puts the all-in cost closer to $165–$178 a month. Ro’s $149 medication price is real — but you also pay $39 to $149 a month for the membership. Henry Meds doesn’t have a separate membership fee, but their compounded semaglutide is $297 a month month-to-month, with the lower $247 rate requiring a twelve-month upfront commitment. Hims has the lowest sticker price on its $49 introductory offer — but it’s a five-month plan, and the compounded oral pill product launch was suspended in early 2026, so confirm what form is actually available before signing up.
Compounded Tirzepatide Pricing Comparison
Tirzepatide is the more expensive of the two compounded GLP-1s, and the spread between providers is wider. Because tirzepatide is the medication most patients are interested in for weight loss in 2026, this is also the comparison most worth running carefully. Note that compounded tirzepatide availability has been affected by recent FDA policy shifts and ongoing legal action from manufacturers, so confirm availability with each provider directly.
The spread is wider here. Henry Meds’s $179/mo headline is for an oral tablet program with a longer commitment — the injectable tirzepatide most patients are seeking is $449/mo month-to-month. Mochi’s effective cost lands in the $265–$278 range once the membership is added in. Ro’s effective cost crosses $400 a month at higher doses. SkinnyVIP’s tirzepatide pricing is structured as a one-time payment at the start of a three-month plan: $595 for the starter dose range (2.5–5 mg per week) or $695 for the standard dose range (7.5–15 mg per week), with no separate membership and no contract beyond the three-month supply itself.
The Five Hidden-Cost Patterns to Watch For
After looking at every public pricing page in this category, the same patterns show up again and again. None of these are illegal or even unusual — but they’re the reason the headline price almost never matches the checkout price.
Pattern 1: The “Starting At” Trap
The lowest advertised price is usually a twelve-month prepay. The month-to-month price is often 30 to 80 percent higher. When a page says “starting at $179/month,” the asterisk almost always points to a one-year commitment paid in full at signup.
Pattern 2: Separate Membership Fees
Some programs charge a $39–$149 a month “membership” or “platform” fee on top of the medication price. This effectively doubles the monthly cost in some cases. The medication line item alone may be competitive — but you’re not paying just for medication.
Pattern 3: Dose-Based Upcharges
On a GLP-1, the dose typically titrates upward over three to six months. Some programs raise your monthly cost at each dose increase. A program that quotes you a low starter price may charge a substantially higher rate once you’re at a therapeutic dose. Ask in advance whether the price will change as the dose changes.
Pattern 4: Non-Refundable Multi-Month Plans
Some programs require six or twelve months upfront to access the lowest rate. If you stop early — for medical reasons, side effects, a pregnancy, a job change, or any reason — you may not get a refund for the remaining months. The discount is real; the risk is also real.
Pattern 5: Auto-Renewal With Hard-to-Find Cancellation
Some programs auto-renew unless you cancel via a phone call during business hours, often routed to a retention specialist whose job is to keep you on. Look for one-click cancellation in the patient portal — or, better, look for a program where there’s no recurring subscription to cancel in the first place. Coverage from industry reporting on compounded GLP-1 pricing dynamics and first-person patient threads on Reddit document a steady trickle of these experiences.
What “All-Inclusive” Should Actually Mean
A truly all-inclusive monthly price for compounded GLP-1 telehealth includes:
- Physician consultation
- Medication itself
- Injection supplies (needles, syringes, alcohol swabs) where applicable
- Follow-up appointments and dose adjustments
- Shipping
- Any pharmacy fees
Anything outside that list is an add-on. Not all “all-inclusive” programs include all of these — and a few include none of them outside the medication itself, despite using the phrase.
The simplest test: ask the program “What is the most I would pay in a single month, including everything?” If the answer requires more than thirty seconds to explain, the pricing isn’t transparent.
Why SkinnyVIP Built Pricing This Way
SkinnyVIP was built by a physician who got tired of watching patients get caught in subscription traps. The pricing is structured around three principles that came directly out of that experience.
One all-inclusive price. The price you see on the pricing page is the total. Medication, physician consultation, follow-up care, shipping — one number, paid once at the start of a three-month plan. No platform fee. No membership.
No membership. No contract. No auto-billing. If you decide a GLP-1 isn’t right for you after the first month, there’s nothing to cancel — there’s no membership. If you finish a three-month plan and want time to think, there’s no auto-renewal pulling money in the background.
The price doesn’t shift with the dose. Within a three-month plan, your dose can be titrated up across the supported range without a price change. The starter plan covers 2.5–5 mg per week. The standard plan covers 7.5–15 mg per week. The price is set when the plan starts.
SkinnyVIP’s 2026 pricing for compounded tirzepatide:
- Starter plan: $595 for three months ($198 a month effective) — covers 2.5 to 5 mg per week
- Standard plan: $695 for three months ($232 a month effective) — covers 7.5 to 15 mg per week
- Month-to-month: Starts at $250 a month for patients who prefer monthly billing
- Included in every plan: Physician consultation, medication, follow-up care, shipping
Compounded semaglutide is offered case-by-case based on the physician’s clinical judgment during the consultation. Semaglutide pricing is quoted at the visit because dose, duration, and clinical fit vary more on the semaglutide side than the tirzepatide side.
SkinnyVIP provides care via telemedicine to patients in all 50 states, with the strongest patient bases in Florida and Texas.
About compounded medications: Compounded semaglutide and compounded tirzepatide are prepared by licensed compounding pharmacies under physician supervision. They are not FDA-approved products. Many patients choose them because they offer affordability and access under the care of a licensed physician.
A Quick Decision Framework
Different patients are optimizing for different things. A short framework for thinking through which provider fits your situation:
- If you want the lowest sticker price and you’re comfortable with a long contract: compare Hims, Mochi, and Ro carefully — and read the fine print on commitment length and cancellation terms.
- If you want injectable compounded medication with no separate membership fee: compare Henry Meds and SkinnyVIP. Both publish straightforward medication-inclusive pricing, though the structures differ.
- If you want all-inclusive pricing, no contracts, and the freedom to step away after three months without a recurring subscription: SkinnyVIP is built for that.
- If you want brand-name Ozempic, Wegovy, Mounjaro, or Zepbound through insurance: a telehealth platform is rarely the lowest-cost path. That conversation is usually best had with a prescribing physician who can run a benefits check with your pharmacy benefits manager.
The Bottom Line
Compounded GLP-1 telehealth is one of the most fragmented, opaque pricing markets in healthcare in 2026. The advertised price is rarely the real price. The real price often involves a membership fee, a contract, a dose-based upcharge, or all three.
A patient deserves to know three things in plain English: What is the most I’ll pay this month, including everything? When does the price change? Can I leave whenever I want?
If a program won’t answer those three questions clearly — that’s the answer.
We update this post every 90 days. Pricing is accurate as of May 2026. If you find a number that’s out of date, let us know and we’ll update it in the next revision.