15 Cheapest Semaglutide Providers (2026)

The cheapest semaglutide for your situation

Start with the line that sounds like you.

• Cheapest if you can prepay six months: Nu Image Medical, about $90 a month, billed every six months.
• Cheapest if you can prepay a year: BetterMe Rx or Arbor, about $100 a month. You pay about $1,190 at once.
• Cheapest without prepaying: Mochi Health, about $140 a month at the lowest dose, rising with the dose. Or JoinSkinny, $149 every 28 days at any dose.
• Built around menopause care: Alloy Health, about $170 a month at the starting dose.
• Coaching and a dietitian included: Fridays, about $150 a month on a prepaid year.
• You want brand-name Wegovy: Ro or Hers, from about $225 to $300 a month with the membership. NovoCare, Novo Nordisk's own pharmacy, sells the Wegovy pill from about $150 with no membership.
• Your insurance covers Wegovy: the Wegovy savings card can bring your copay down to $25 a month. It takes off at most $100 a month.
• On Medicare: the Medicare GLP-1 Bridge, Wegovy for $50 a month if you qualify.

Every program below except Hers and Ro sells compounded semaglutide. It has the same active drug as Wegovy and Ozempic, mixed by a licensed pharmacy for you. It is not FDA-approved as a finished product.

JoinSkinny: lowest flat price without prepaying, no membership and no dose ladder

JoinSkinny sells compounded semaglutide at $149 per 28-day cycle. The price is the same at every dose. Clinician care and shipping are included, with no membership on top. That makes it the lowest flat price we track without paying months ahead. Discounted 3-, 6- and 12-month bundles also exist.

The catch is the calendar. Billing runs every 28 days, so a year has 13 charges, not 12. That comes to about $1,940.

It is also a young program, with about 100 Trustpilot reviews. Your first charge lands when you submit the intake. It is refunded only if a clinician turns you down. The home page advertises a 365-day money-back guarantee. The written policy is a six-month weight-loss warranty with strict conditions, so read it before counting on it.

Prescriptions come through the OpenLoop medical groups and named US compounding pharmacies. That is more openness about the supply chain than many cheaper-looking sites offer.

Nu Image Medical: about $90 a month on a 6-month plan, the same at every dose

Nu Image Medical is a Tampa clinic, online since 2008. Its 6-month plan is the lowest semaglutide price we track. You pay for six months at a time.

• 6-month plan: $89 a month, billed every six months
• 3-month plan: $199 a month
• Month to month: $299

The price stays the same at every dose, and shipping is free. Its semaglutide is mixed with vitamin B12.

Its terms name the prescribing medical group and four compounding pharmacies. Read the billing rules before you prepay. All sales are final. Plans renew on their own until you cancel, at least 48 hours before the renewal date. Most complaints to the Better Business Bureau are about those renewals and refunds. Trustpilot rates it 4.4 out of 5, on about 1,000 reviews.

BetterMe Rx: about $100 a month if you pay 12 months upfront

BetterMe Rx ties Arbor for the lowest 12-month semaglutide rate we track. That plan works out to about $100 a month. You pay it once, about $1,190.

• 6-month plan: about $140 a month
• 3-month plan: about $160 a month
• Month to month: about $200

The price stays the same at every dose, with no membership. Visits and shipping are included. Its FAQ names the doctor networks that prescribe, TelegraMD and Dr. TelX, and seven US pharmacies. The signup page calls these rates limited-time intro pricing, with no end date.

Think hard before paying for a year. Once an order is processed, nothing is refunded, including unused prepaid months. Reviews are mixed, at 3.6 out of 5 on Trustpilot. Complaints mention leaking vials and slow support. The site does not publish the company's legal name. If you're not sure you'll stay on treatment, JoinSkinny's no-prepay price is the safer start.

Arbor: about $100 a month on a 12-month plan, the same at every dose

Arbor, formerly Harbor, ties BetterMe Rx for the lowest 12-month plan price we track. Its 12-month plan works out to $99 a month. You pay $1,188 once, upfront.

• 6-month plan: $109 a month
• 3-month plan: $119 a month
• Month to month: $149

The price stays the same at every dose, with no membership fee. Its partner medical group, MD Integrations, handles the doctor visits. A dietitian is included.

Arbor does not name its pharmacies. It says they include 503A pharmacies, which mix medicine for one patient at a time. It says they also include 503B outsourcing facilities, larger compounders registered with the FDA.

Read the refund rules before you prepay. Once a prescription is written, nothing is refunded, including months not yet shipped. Its 12-month money-back guarantee excludes anyone who took a weight-loss drug in the year before. Trustpilot rates it 4.5 out of 5, but on only 51 reviews under its old Harbor name.

Oak: about $120 a month on a 12-month plan

Oak is a small cash-pay telehealth brand run by Oak Longevity Holdings Corp. It sells compounded semaglutide and tirzepatide. No card is charged until a provider reviews your intake.

On a 12-month plan, compounded semaglutide costs from about $120 a month. Shorter plans exist, but their price only appears at checkout. Oak's terms also allow the subscription price to change with your dose.

The trade-off is openness. Oak never names its medical group or its pharmacy. Nothing is refunded once an order reaches the pharmacy. Trustpilot rates it 4.4 out of 5, on only 54 reviews.

Alloy Health: best for women in perimenopause who want menopause-focused care

Alloy is the cheapest program we track that is built around menopause care. Its compounded semaglutide starts at $70 a month. The Weight Care membership adds $99 a month, so the total is about $170.

Alloy lists $70 as a starting price and does not publish its higher-dose prices. The membership price stays flat. It covers messaging with doctors trained in menopause, check-ins, dose changes and help with side effects.

For women dealing with hormone changes and weight gain at the same time, that menopause focus matters. Alloy also prescribes hormone therapy on the same platform.

The trade-off is geography. Alloy's compounded weight-care medicines are not available in Alabama, Arkansas, California, Louisiana, Mississippi, Nevada or DC. If you live in one of those, look at Mochi or Fridays.

Mochi Health: low starter price, no prepay

Since August 2026, Mochi prices compounded semaglutide by dose. The medicine costs $60 a month at the starter dose. It reaches $189 at the top dose. The $79 monthly membership comes on top, so the all-in cost is about $140 to $270 a month.

New members currently get the first month of membership free, so month one can cost $60. That offer is not available in every state. Prepaying the membership lowers it to about $50 to $70 a month.

Up to the 2.67 mg dose, Mochi stays at about $180 a month or less. That is below the flat-rate programs that charge about $250. Its two new top doses cost more, up to about $270 a month. Mochi says you can join from anywhere in the US.

Mochi now works as a marketplace of partner pharmacies. They may be 503A pharmacies or 503B outsourcing facilities. The medicine price can vary a little by pharmacy.

Fridays: annual plan with coaching and care bundled

Fridays charges one monthly price that covers the medicine, provider visits, a one-on-one dietitian and coach, group coaching and a fitness app. There is no separate membership.

On the annual plan, that works out to about $150 a month. Month to month, it costs about $280.

If you'll use the coaching, the annual plan is good value. A program that charges $150 for the medicine alone costs more once a membership is added.

Annual prepayments are generally not refundable. Fridays' Better Business Bureau file shows many unanswered refund complaints. Trustpilot reviewers give it 4.1 out of 5. Fridays does not serve Louisiana. See our full Fridays review for the coaching model.

Joi: about $180 a month with HRT and a health coach on the same platform

Joi is a hormone-focused telehealth company that added compounded GLP-1s. A woman in perimenopause can have her semaglutide and her estradiol or progesterone managed by one care team.

The plan costs $99 for the first month, then $179 a month. Unlimited health coaching and clinician messaging are included, with no membership fee. Joi says compounded semaglutide is not available in every state. Prices differ in New York and New Jersey.

The catch is the contract. Every plan is billed every three months, about $540 at a time, with a three-month minimum. The terms say all products are non-refundable. So you commit to month three before you know how month two feels.

TrimRx: from about $180 a month prepaid, with the price locked as your dose climbs

TrimRx's main selling point is a locked price. Whatever plan rate you start at stays the same as your dose goes up. Medicine, supplies, shipping and check-ins are included.

The $179 headline is an entry rate that needs a prepaid plan. Month to month, TrimRx's terms list $199 for the first month. After that, it is $299 a month.

Read the billing terms first. Prepaid months are non-refundable once medicine ships. TrimRx scores 3.7 out of 5 on Trustpilot, and about 30% of reviews are one-star. Most of those are about auto-renewals and slow refunds.

The Better Business Bureau rates TrimRx F. In March 2026, it looked into complaints of charges before medical approval. Customers also reported multi-month charges when they had picked a monthly plan. The medicine and delivery get good marks. The billing does not.

Henry Meds: month to month with everything bundled, no membership

Henry Meds charges no membership fee. One monthly price covers the medicine, provider visits, supplies and shipping.

• Shot, month to month: about $300 a month
• Shot, 6-month prepay: about $250 a month
• Shot, 12-month prepay: about $200 a month
• Pill: about $250 a month, less on a prepay

Henry says its price varies with your plan and dose. Its published price list covers the shot up to about 1 mg a week. It does not publish prices above that amount.

Its pages say the medicine may come from a 503A pharmacy or a 503B outsourcing facility. Henry does not serve every state. See our Henry Meds review for the clinical model.

ReadyRx: about $200 to $250 a month at every dose, with a written guarantee

ReadyRx charges one price at every dose. Month to month, it is $249 a month. Prepaying three months brings it to $199 a month. That covers the clinician review, unlimited messaging and free cold shipping, with no membership on top.

It has the deepest review base of the flat-rate programs here. Trustpilot rates it 4.7 out of 5, across about 1,000 reviews. It also writes a weight-loss guarantee into its terms of use.

There are two limits. Care is by text only, with no video or phone visit. And it does not serve every state. Arkansas, Kansas, Kentucky, Louisiana, Mississippi, New Mexico and South Carolina are excluded, which you only learn at intake. It doesn't name its pharmacy before you enroll either.

LevelsRx: video visits, a needle-free option and one price at every dose

LevelsRx lists compounded semaglutide from $249 a month as a weekly shot. A daily liquid you take by mouth starts at $269 a month. Unlimited video visits, one-on-one nutrition coaching and shipping are included, with no membership fee. It says the price stays the same at every dose.

At those regular rates, LevelsRx is not among the cheapest programs here. Plan prices only appear after you start the intake. A discounted first month carries a three-month minimum. Canceling takes a phone call seven days before the next cycle.

It is also the newest program here, with only a handful of Trustpilot reviews. It does not serve Louisiana. Get your plan price in writing.

Hers: brand-name Wegovy with women-focused support

Hers now sells brand-name, FDA-approved Wegovy, as a pill or a pen. In September 2025, the FDA sent Hims & Hers a warning letter about how it marketed compounded semaglutide. After a March 2026 agreement with Novo Nordisk, Hers stopped promoting compounded GLP-1s. They no longer appear on its storefront.

In July 2026, the FTC, Utah and California sued Hims & Hers over subscription billing and sharing health data with advertisers. The company denies the claims, and the case is ongoing.

The all-in cost is higher than the compounded programs above. The membership is $149 a month, after a $39 first month.

• Wegovy pill: $149 a month at 1.5 mg, $199 at 4 mg, $299 at 9 and 25 mg
• Wegovy pen: $199 for the first two fills, then $349 a month, or $399 for Wegovy HD
• All-in: about $300 a month at the pill's starting dose, rising with the dose, up to about $550 with Wegovy HD

If your insurance covers Wegovy, the brand becomes far more competitive. Trustpilot reviewers give Hers 3.3 out of 5. Our Hers review covers what changed.

Ro: brand-name Wegovy on an established telehealth platform

Ro prescribes FDA-approved brands only, including Wegovy at Novo Nordisk's self-pay prices. The Ro Body membership is $149 a month, with a $39 first month.

• Membership prepay: $99 a month for 3 months, $89 for 6, or $74 for a year
• Wegovy pill: $149 a month at 1.5 mg, $199 at 4 mg, $299 at 9 and 25 mg
• Wegovy pen: $199 for the first two fills for new patients through December 31, 2026, then $349 a month, or $399 for Wegovy HD
• All-in: about $225 a month with the yearly prepay and the starting pill dose, up to about $550 with the monthly membership and Wegovy HD

Ro also sells prepaid plans for the Wegovy pen and pill. They appear only after the maker's starter prices end. Ro says they save up to $1,800 a year on the pen.

Ro makes most sense if you want the FDA-approved brand inside a managed program. Trustpilot reviewers give it 3.9 out of 5. See our Ro review for the full breakdown.

How we calculate the real all-in price, and why intro rates mislead

Every program posts a headline number. Few show the full monthly cost on the landing page. What matters is the all-in rate you keep paying at the dose you'll stay on.

Intro rates, first-month discounts and prepaid averages are real savings, but they end. The table shows the ongoing price. It also says when a low price needs a prepay or rises with the dose.

• Medicine fee: what you pay for the drug itself each month.
• Membership fee: a separate monthly charge for provider access and messaging, common at Alloy, Mochi, Hers and Ro.
• Shipping: most compounded programs include it. Check before you enroll.
• Labs: some programs bill blood tests separately. Ask.
• Dose increases: many programs charge more at higher doses. Get the price at the dose you'll stay on, not just the starting dose.

Is compounded semaglutide still legal in 2026?

Yes, with tighter limits than two years ago. The FDA took semaglutide off its shortage list on February 21, 2025. That ended most large-scale compounding.

What remains is narrower. A state-licensed 503A pharmacy can fill a prescription for one named patient. The prescriber must document a need the brand cannot meet. Lower cost alone does not count.

503B outsourcing facilities are larger compounders registered with the FDA. Without a shortage, they cannot make semaglutide from the raw ingredient. On April 30, 2026, the FDA proposed not adding semaglutide to the list of raw ingredients they may use. The comment period closed on July 30, 2026, and no final decision has been announced. The proposal does not cover 503A pharmacies.

Programs on this list differ on which pharmacies they use. Henry Meds, Mochi Health, Arbor and Nu Image Medical say the medicine may come from either type. TrimRx uses a 503A pharmacy that third-party reviews name. ReadyRx and Oak don't name their pharmacies. Ask your provider which pharmacy makes your medicine and which type it is. Our compounded semaglutide guide covers the rules in full.

What semaglutide costs over a year

Monthly rates look manageable. The yearly number is where the commitment becomes real. Here is each provider on its cheapest plan, with the condition that comes with it.

• Wegovy with insurance and the savings card: about $325 a year at best. The card takes off at most $100 a month.
• Medicare GLP-1 Bridge: $50 a month for Wegovy, about $600 a year, if you qualify
• Nu Image Medical, two 6-month plans: about $1,070, paid six months at a time, the same at every dose. Month to month, about $3,590.
• BetterMe Rx, 12-month plan: about $1,190 paid at once, the same at every dose. Month to month, about $2,390.
• Arbor, 12-month plan: about $1,190 paid at once, the same at every dose. Month to month, about $1,790.
• Oak, 12-month plan: about $1,430 at the plan rate
• Mochi Health: about $1,590 at the lowest dose all year, with the free first month. More as your dose rises, up to about $3,200 at the top dose.
• Fridays, prepaid year: about $1,800, with coaching and a dietitian
• JoinSkinny: about $1,940 for 13 cycles, the same at every dose
• Alloy Health: about $2,030 at the starting price all year. Higher-dose prices are not published.
• Joi: about $2,070 in the first year, billed every three months
• TrimRx, prepaid entry rate: about $2,150. Month to month, about $3,490.
• Henry Meds shot, 12-month prepay: about $2,360 at the starting-dose price
• ReadyRx, 3-month prepay: about $2,390. Month to month, about $2,990.
• LevelsRx: about $2,990 for the shot at the regular rate
• Wegovy pill from NovoCare: about $3,340 in year one as the dose steps up
• Ro, yearly prepay plus the Wegovy pill: about $4,230 in year one as the dose steps up
• Wegovy pen from NovoCare: about $4,240 in year one, 13 fills counting the two cheaper starter fills
• Hers, Wegovy pill: about $5,020 in year one as the dose steps up

If your insurance covers Wegovy and your copay is low, that beats every compounded program. Without coverage, the NovoCare pill starts at about $150 a month. By the third month, it reaches about $300. Compounded programs make the most financial sense when you're paying cash.

How to choose, and red flags to watch for

Price is one part of the choice. A few others matter when you compare programs.

• Get the price at your long-term dose: ask what you'll pay at month three, month six and the dose you'll likely need. Get it in writing.
• Ask which pharmacy fills it: a named, accredited pharmacy is a good sign. Be wary of programs that can't name theirs.
• Check your state: Alloy, Joi, ReadyRx, Henry Meds, Fridays and LevelsRx each skip some states. Confirm before you pay.
• Read the refund rules: several cheap yearly plans refund nothing once an order is processed.
• Intro price or ongoing price: a cheap first month is not the price you'll keep paying.
• Watch the marketing: the FDA has warned companies about suggesting compounded drugs are the same as Ozempic or Wegovy. Treat "same as Ozempic" claims with caution.
• Check insurance first: if your plan covers Wegovy, the savings card can bring your copay down to $25 a month.

Why semaglutide matters for women in perimenopause

Weight changes in your forties are not just about calories. As estrogen falls, fat tends to shift toward the belly. Blood sugar control can get harder too. Strategies that used to work often stop working.

Semaglutide mimics GLP-1, a gut hormone that curbs appetite and helps the body handle blood sugar. Some programs, Alloy and Joi among them, also offer hormone therapy. The two treat different parts of the same transition.