Mochi Health Cost: What You Actually Pay in 2026
Mochi charges a membership plus a medication fee that rises with your dose. All-in, tirzepatide runs about $170–$280 a month, and semaglutide costs less.
One of the biggest GLP-1 telehealth services in the US, with board-certified providers that include obesity medicine doctors. Semaglutide comes as a weekly shot or a pill. Since August 2026, the medicine price rises with your dose. The pharmacy record is the fair knock: the Aequita shutdown in 2025 was serious.
What you will actually pay
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First-time GLP-1 users who want the most affordable entry point (price scales with dose: $60–$99/mo medication from 0.22 to 2.67 mg, $151 at 4.5 mg and $189 at 6.48 mg, + $79/mo membership)
Get startedPatients who want the dual GIP/GLP-1 mechanism for greater weight loss (price scales with dose, $90–$199/mo medication + $79/mo membership)
Get startedNeedle-averse patients who prefer a weekly pill ($62–$89/mo medication by dose, 1.25 to 7 mg, + $79/mo membership)
Get startedPatients who require or prefer FDA-approved branded medications, or want a shot at insurance coverage
Get startedWomen who want FDA-approved hormone therapy for menopause symptoms on the same membership
Get startedLowers the membership to about $69, $59 or $49 a month if you commit up front
Get startedPeople with private health insurance: visits are billed to the plan, and the membership drops to under $20 a month. Medicine billed separately; Medicare and Medicaid not supported yet
Get startedEstimated all-in cost: $1,668–$3,336/yr (compounded semaglutide to tirzepatide, membership included; $79 less in year one where the free first month applies; branded medication without a successful PA runs higher)
- ✓ More than 400 board-certified providers, including doctors board-certified in obesity medicine
- ✓ Semaglutide as a weekly shot or a weekly pill, plus tirzepatide and a microdosing plan
- ✓ Compounded medicine is priced by dose and stays well below brand-name cash prices: about $60–$190/mo for semaglutide, about $90–$200/mo for tirzepatide
- ✓ One of the biggest GLP-1 telehealth services, with more than 500,000 members by Mochi's count
- ✓ You compare partner pharmacies on price and speed and choose where your prescription goes
- ✓ Founded by physician Myra Ahmad; clinical focus on metabolic and hormonal health
- ✓ Branded Ozempic, Wegovy, Mounjaro, Zepbound available, with prior-authorization support for patients whose insurance might cover them
- ✓ Menopausal and perimenopausal patients supported by metabolically informed providers
- ✓ Also offers menopause hormone therapy on the same membership: FDA-approved estradiol pill or patch, and progesterone
- ✓ Prepaid membership brings the fee down to about $49 a month on a 12-month plan
- ✓ FSA/HSA accepted for membership, and a superbill is available on request for reimbursement attempts
- ⚑ Pharmacy track record is spotty: the Aequita shutdown in March 2025 caused shipping delays
- ⚑ New reporting in 2026 added detail on the Aequita failures, so ask which pharmacy fills your prescription
- ⚑ Labs not included; patients must arrange monitoring independently
- ⚑ Cash-pay for membership and all compounded medication; branded GLP-1s route through insurance only if a prior authorization Mochi submits is approved. With private insurance, the Covered With Mochi plan bills visits to your plan instead
- ⚑ The FDA's April 2026 proposal to keep GLP-1s off the 503B bulks list adds some supply risk, mainly for outsourcing facilities
- ⚑ The $79/mo membership comes on top of the medicine. It is already in the compounded all-in prices above, but adds to any brand-name cash price. The first month is free for new members, though not in every state
What does Mochi Health cost per month?
Mochi bills in two parts. You pay a monthly membership for your care. You pay for the medication separately, and that price depends on your dose.
- Compounded semaglutide shot: about $140–$270 a month all-in · Medication about $60–$190 by dose
- Compounded semaglutide pill: about $140–$170 a month all-in
- Compounded tirzepatide: about $170–$280 a month all-in · Medication about $90–$200 by dose
- First month: membership free for new members · $60 all-in for semaglutide · $90 for tirzepatide
- Branded GLP-1s like Wegovy, Ozempic, Zepbound or Mounjaro: the drug price varies, and the membership still applies. See how Mochi handles insurance
- Shipping: included in the medication price
On its own, the membership is $79 a month. Prepaying brings it down:
- 3 months: about $70 a month · About $205 upfront
- 6 months: about $60 a month · About $355 upfront
- 12 months: about $50 a month · About $590 upfront
The medication keeps billing monthly on its own cycle, however you pay for the membership. Prices were checked on joinmochi.com on September 26, 2026.
Does the price go up as my dose increases?
Yes. Since August 2026, Mochi prices the medication by dose. It used to charge one flat fee. If an older review quotes a single price for every dose, that is why it no longer matches.
- Semaglutide: about $60 a month at the lowest dose, up to about $190 at the highest doses
- Tirzepatide: about $90 a month at the lowest dose, up to about $200 at the top
- Membership: the same at every dose
Even at the top, the medication usually costs less than branded cash prices. Over a year, budget near the top of each range once you reach your maintenance dose. That is the dose you stay on long term, so your starting price won't hold all year.
What does the $79 membership actually cover?
The membership pays for your care team. Mochi says it has more than 400 board-certified providers. Several of its doctors are also board-certified in obesity medicine, which means dedicated training in how weight and metabolism work. It matters in perimenopause, when hormones and metabolism shift together.
The standard plan includes regular video visits with a physician and a health coach. You also get 24/7 patient support, direct messaging with your provider and an online portal. Labs, genetic testing and sleep apnea checks are options, not automatic. A registered dietitian comes only with Mochi's insurance-based Wellness Plus plan.
- Included: video visits with a board-certified physician and a health coach
- Included: 24/7 support, provider messaging and an online portal
- Included: prescriptions at any dose level
- Not included: the medication itself, billed by dose
- Not included: lab work, which is an optional add-on
- Not included: a registered dietitian, unless you qualify for the insurance-based Wellness Plus plan
- Not included: insurance billing for the membership or compounded medication. See Mochi's insurance and FSA/HSA breakdown for branded-drug approvals and HSA details.
You can pay the membership with an HSA or FSA card. Those are pre-tax health savings accounts. Mochi can also prepare a superbill on request. That is an itemized receipt you can send to your insurer for possible partial repayment. Whether the medication qualifies for HSA or FSA depends on your plan, so check first.
How much is Mochi Health per year? The full annual math
Here is what a full year costs all-in, by dose. The first figure uses the monthly membership. The second uses the 12-month prepay.
- Semaglutide: about $1,670–$3,215 a year · About $1,310–$2,855 with the 12-month prepay
- Tirzepatide: about $2,030–$3,335 a year · About $1,670–$2,975 with the 12-month prepay
- Prepay savings: about $360 a year on the membership alone
Labs are the most likely extra cost. Most GLP-1 providers suggest checking metabolic markers before you start and again in the first year. Direct-pay lab prices vary a lot by lab and panel, so ask for a quote. If your primary care doctor orders them, your insurance may cover them.
In perimenopause or menopause, a broader first-year baseline can make sense. It might include estrogen, thyroid, cholesterol and FSH, a hormone that rises around menopause. It could also include HbA1c, a measure of average blood sugar. That baseline is useful whoever prescribes, especially if hormone therapy is on your mind. Our perimenopause labs guide covers which tests to ask for.
How does Mochi Health's price compare to competitors?
Even with per-dose pricing, Mochi stays competitive. Here is how the main compounded GLP-1 programs compare, paying month to month in cash.
Henry Meds: about $250–$350/mo, no separate membership
Henry Meds puts visits, supplies and shipping into one subscription. There is no separate membership fee, which keeps the bill simple.
- Oral semaglutide: about $250 a month
- Injectable semaglutide: about $300 a month
- Injectable tirzepatide: about $450 a month
Henry's prices drop if you prepay for longer. Mochi's per-dose pricing still comes in lower at most doses. The gap narrows at the top of Mochi's range. Full details are in the Henry Meds review and the Henry Meds cost breakdown.
Fridays: about $150–$390/mo, depending on commitment
Fridays bundles medication, doctor visits, coaching, a fitness app and messaging into one subscription. There is no separate membership fee.
- Semaglutide: about $280 a month, month to month · About $150 a month on the annual plan
- Tirzepatide: about $390 a month, month to month · About $240 a month on the annual plan
- Fall promo: codes on joinfridays.com currently lower the annual plans to about $115 (semaglutide) and $200 (tirzepatide), with no end date shown
The annual semaglutide plan is the lowest all-in price here. But it means paying for the year upfront, with limited refunds if you stop. Month to month, Mochi is competitive on both drugs. The Fridays review covers the program in depth.
Hers: about $300–$450/mo all-in, women-focused
Hers is built for women, which suits many women in perimenopause. It now centers on brand-name GLP-1s: the Wegovy pill and pen, and the Zepbound vial. It no longer leads with compounded semaglutide.
- Membership: about $150 a month · First month $39
- All-in with the Wegovy pill: about $300–$450 a month, by dose
- With the Wegovy pen or Zepbound: higher
That sits above Mochi's comparable tiers. Whether the women-first approach is worth the premium depends on what you want beyond the medication. See the Hers review and the Hers cost breakdown for every plan.
The short version: Mochi is one of the better month-to-month prices for tirzepatide. It holds its own on semaglutide, especially at lower doses. If you can prepay a year and want everything bundled, Fridays' annual semaglutide plan can undercut it. If you want one price with no separate membership, compare Henry Meds at your expected dose. Either way, compare at your maintenance dose, not your starting price.
Any hidden fees or billing surprises to know about?
Mochi's prices are clearly listed. The billing structure is the main source of frustration. The membership and the medication are two separate recurring charges. Canceling one does not cancel the other.
Many complaints come from exactly this. People thought they had canceled everything, then got billed again because only one subscription had stopped.
Refunds are limited too. Mochi treats all prescription medication sales as final, since medicine can't be returned or resold. If your situation changes mid-month, expect to pay for that cycle.
- Two subscriptions: cancel the membership and the medication separately to stop all billing
- Refunds: all prescription medication sales are final
- Labs: not included; billed as an add-on if ordered through Mochi
- Insurance: not accepted for the membership or compounded medication. Branded GLP-1s can go through insurance if a prior authorization Mochi submits is approved. That is the insurer's approval before it pays for a drug.
- Shipping: included in medication prices
The Aequita pharmacy closure: what happened and where Mochi stands now
In March 2025, Washington State regulators shut down Aequita Pharmacy. It was one of Mochi's main compounding partners at the time. The state cited sterile compounding violations, including unlicensed workers handling medicine. Mochi patients who relied on Aequita faced delays.
Mochi has since grown its network to more than 33 pharmacy partners. A new patient today will not get medicine from Aequita, which has closed. Still, the closure was serious, and it raised fair questions about oversight. Ask which pharmacy will fill your prescription, and check that it holds a current state license.
There is also a lawsuit. Eli Lilly sued Mochi Health over how it marketed compounded tirzepatide. An earlier version of the complaint was dismissed. In April 2026, a federal judge let Lilly's revised claims go forward. They fall under California's unfair competition law and the Lanham Act, a federal trademark law. The case is ongoing, with no final ruling. For the full story, see is Mochi Health legit?
The FDA 503B proposal: real risk or distant threat?
On April 30, 2026, the FDA proposed keeping semaglutide, tirzepatide and liraglutide off the 503B bulks list. That list names the bulk ingredients large outsourcing pharmacies may compound with. The FDA found no clinical need for them to use these three. The comment period was extended and closed July 30, 2026. As of this update, no final decision has been announced.
If it is finalized, 503B outsourcing facilities could no longer compound these drugs from bulk ingredients. The effect on Mochi depends on which kind of pharmacy fills your order. 503A pharmacies make medicine for one named patient at a time. They follow a different legal path and are not directly covered by this proposal. Ask your Mochi provider which type fills your prescription.
For now, Mochi keeps dispensing compounded GLP-1s. Treat this as a medium-term supply risk to watch, not an immediate disruption.
Is Mochi Health worth the cost for perimenopausal women?
Most people's dose climbs to a maintenance level, and Mochi's pricing still holds up there. Tirzepatide at its top dose runs about $280 a month all-in. That buys board-certified obesity doctors, a health coach and 24/7 support. Starting doses cost noticeably less.
Mochi also offers more choice than most. You can take semaglutide as a weekly shot or a weekly pill, or ask about its microdosing plan.
For women in perimenopause or menopause, Mochi's metabolism-focused doctors know this stage. That includes changes in insulin sensitivity, and how falling estrogen shifts where fat is stored. Mochi now also offers menopause hormone therapy, such as estradiol pills and patches and progesterone. So you may be able to handle weight and hormones in one place. It is a separate service, so ask how it is billed.
The honest caveats:
- two subscriptions to manage when you cancel
- labs not included
- a medication price that now rises with dose
- a documented pharmacy problem in its past
- a legal picture for compounded GLP-1s that is still changing
None of these are reasons to avoid Mochi outright. Each is worth knowing before you start.
Frequently asked questions
What does Mochi Health cost per month?+–
Mochi charges a $79 monthly membership plus your medicine, priced by dose. With the membership, compounded semaglutide shots run about $140 to $270 a month. Compounded tirzepatide runs about $170 to $280. New members get the first month of membership free, though not in every state.
Does Mochi Health's price go up as I need higher doses?+–
Yes, since Mochi's August 2026 pricing change. Semaglutide medicine runs about $60 to $190 a month, depending on your dose. Tirzepatide runs about $90 to $200. The $79 membership comes on top. This replaced Mochi's old flat pricing.
What happened with Mochi Health's pharmacy partner Aequita?+–
In March 2025, Washington regulators ordered Aequita to stop sterile compounding. Inspectors found unlicensed workers handling medicine. Mochi now spreads its orders across a network of partner pharmacies, which it runs as a marketplace. Ask which pharmacy will fill your prescription, and check that its state license is current.
Are Mochi's providers actual obesity medicine specialists?+–
Some are. Mochi says it has more than 400 board-certified providers. Several of its doctors are also board-certified in obesity medicine, a specialty built on the biology of weight. Mochi does not say every provider holds that certification, so you can ask for one when you choose.
Does Mochi Health include lab work?+–
No. Lab tests are not part of the membership. If your provider asks for bloodwork, you arrange it and pay for it separately, often through your own doctor.
What is the regulatory risk for Mochi's compounded medications?+–
On April 30, 2026, the FDA proposed not to add semaglutide, tirzepatide and liraglutide to the 503B bulks list. That list covers large outsourcing facilities, not the 503A pharmacies that fill one patient's prescription at a time. The comment period closed on July 30, 2026, and no final rule has been reported since. The impact depends on which kind of pharmacy fills your order.
Can Mochi Health prescribe to patients in all 50 states?+–
Yes. Mochi says you can join from anywhere in the United States, and it lists no state limits for compounded medicine.