17 Compounded Semaglutide Providers (2026)

Compounded semaglutide prices compared: 17 providers

Each price includes the visit, the medicine and shipping unless the line says otherwise. Start with the line that sounds like you.

• One low price, no prepay: JoinSkinny.
• Lowest price overall: Nu Image Medical, if you can prepay six months. On a prepaid year, BetterMe Rx or Arbor, with Oak close behind.
• Lowest month-to-month price: Eden, about $100 a month at every dose, all in.
• Cheapest first months: Mochi Health, whose price rises with the dose.
• Hormone therapy on the same account: Joi.
• The most support: Fridays, with a dietitian and group coaching.
• Video visits with a clinician: LevelsRx.
• No needle: Henry Meds sells a pill, LevelsRx a daily liquid and Direct Meds drops under the tongue. These forms have less evidence than the weekly shot.
• If you have insurance: it never covers compounded semaglutide. Check whether it covers brand-name Wegovy in our semaglutide insurance guide.

JoinSkinny: about $150 every 28 days, the same at every dose

JoinSkinny has one of the lowest flat prices on this page with no prepayment. Compounded semaglutide costs about $150 every 28 days. That number does not move as your dose goes up. Doctors from the OpenLoop medical groups prescribe. Its terms name the partner pharmacies, so you can check who makes your medicine. It also offers a six-month weight-loss warranty in writing.

Two things to know before you enroll. Billing is every 28 days, not monthly, so you pay thirteen times a year. That makes the real yearly cost about $1,940. The warranty is also narrow. It covers standard doses only, a goal weight no more than 10% below your start, and no missed shipments. JoinSkinny is a young brand with a thin review history. Trustpilot rates it 4.7 out of 5, on about 100 reviews.

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

Nu Image Medical, a Tampa clinic online since 2008, has the lowest semaglutide price on this page. It needs six months paid at once. The price stays the same at every dose, shipping is free, and its semaglutide is mixed with vitamin B12.

• Month to month: about $300
• 3-month plan: about $200 a month
• 6-month plan: about $90 a month, billed every six months

Its terms name the prescribing medical group and four compounding pharmacies. All sales are final, and plans renew on their own until you cancel, at least 48 hours before the renewal date. Most complaints filed with 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 on a 12-month plan, the same at every dose

BetterMe Rx ties Arbor for the lowest 12-month semaglutide rate on this page. That plan works out to about $100 a month, charged as one payment. Shorter plans cost more. The price stays the same at every dose, with visits and shipping included. Its FAQ names the doctor networks, TelegraMD and Dr. TelX. It also lists seven U.S. pharmacies with their addresses.

• Month to month: about $200
• 3-month plan: about $160 a month
• 6-month plan: about $140 a month
• 12-month plan: about $100 a month, about $1,190 paid upfront

Weigh the trade-offs before you prepay. Once an order is processed, nothing is refunded, including the unused months of a prepaid plan. Reviews are mixed, at 3.6 out of 5 on Trustpilot, with complaints about leaking vials and slow support. The site does not publish the company's legal name. It also sells compounded semaglutide tablets, which have far less evidence than the weekly injection.

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 semaglutide rate on this page. The price stays the same at every dose. There is no membership fee. Paying month to month costs about half again as much as the yearly rate.

• Month to month: about $150
• 3-month plan: about $120 a month
• 6-month plan: about $110 a month
• 12-month plan: about $100 a month, about $1,190 paid upfront

Its partner medical group, MD Integrations, handles the doctor visits. A dietitian is included. It does not name its pharmacies. 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, on only 51 reviews under its old Harbor name.

Fridays: a yearly plan with coaching included

Fridays' yearly plan costs about $150 a month. That is among the lowest prices for compounded semaglutide with real support included. Dietitian access, group coaching and app features are part of the price. A fall-sale code on its pricing page lowers the yearly plan to about $115 a month. No end date is shown. The trade-off is the commitment. Month to month, Fridays costs about $280.

One note on reviews. Fridays rates 4.1 out of 5 on about 4,750 Trustpilot reviews. But the Better Business Bureau, a consumer complaints service, rates it F. Most complaints are about refund delays and shipping. Factor that in before you prepay a year. Our Fridays review has more.

Joi: about $180 a month from a hormone-first clinic

Joi is the women's side of Joi + Blokes, a hormone telehealth company that added compounded GLP-1s. GLP-1 drugs like semaglutide curb appetite and slow digestion. Joi is a natural pick if you want one clinician looking at weight and perimenopause together. Estradiol, progesterone and testosterone sit on the same account. Unlimited health coaching is included. Semaglutide costs about $100 for the first month, then about $180 a month.

The catch is the contract. Every plan is billed every three months, about $540 per block. The terms say all products are non-refundable. Trustpilot rates Joi 4.6 out of 5, on about 1,400 reviews.

TrimRx: from about $180, the same through every dose

TrimRx's pitch is a price that never climbs as your dose rises. Whatever plan rate you start at holds through every dose. Visits, supplies and shipping are included. A 503A pharmacy fills the prescriptions. That is a state-licensed pharmacy that mixes each medicine for one patient's prescription. TrimRx's own site does not name it. Third-party reviews identify it as Casa Pharma RX in Texas.

The low price of about $180 only applies if you prepay. Month to month, TrimRx's terms list about $200 for the first month, then about $300 a month. Unused prepaid months are not refunded once medicine ships. Trustpilot rates it 3.7 out of 5. Nearly a third of reviews are one-star, mostly about auto-renewals and refund waits. Read the billing terms twice.

ReadyRx: about $200 on a 3-month plan or $250 monthly, the same at every dose

ReadyRx sells simplicity. You get one price at every semaglutide dose, no membership fee and free cold shipping. It adds a written weight-loss guarantee for new patients who follow their prescribed doses. Pay every three months and it is about $200 a month. Month to month it is about $250, with $20 off the first month. Trustpilot rates it 4.7 out of 5, on about 1,050 reviews. The company answers most negative ones.

Now the gaps. The pharmacy is not named before you enroll. Care is by text only, with no video or phone visit. The service is not offered in about seven states, including Kentucky, Louisiana and South Carolina. Those exclusions only show up during the intake.

Peak Wellness: cheaper the longer you commit

Peak Wellness keeps one price at every dose, with no membership fee. What changes the price is how many months you pay ahead. Trustpilot rates it 4.8 out of 5, but on only about 50 reviews.

• Month to month: about $250, with a first month of about $180
• 3-month plan: about $200 a month
• 6-month plan: about $165 a month

LevelsRx: from about $250, shot or oral, with video visits

LevelsRx gives you a clinician on camera rather than a questionnaire. Unlimited video visits, one-on-one nutrition coaching and shipping are included. Its terms name its partner pharmacies, including a known 503A compounder. The shot costs about $250 a month. A daily liquid you take by mouth costs about $270. The site says the price stays the same at every dose, which puts it mid-pack here. Plan lengths and their prices only appear once you start the intake. LevelsRx has only a handful of public reviews, so read the commitment terms before you pay.

Henry Meds: a pill or a shot, all-in, monthly or prepaid

Henry Meds bundles everything into one price: the medicine, clinician visits, supplies and shipping. There is no membership fee on top. You can pay month to month or prepay 6 or 12 months for less. Each plan covers a set amount of medicine, and Henry says the price varies with dosing. So higher doses can cost more. Our Henry Meds review has more.

• Pill that dissolves in the mouth: about $250 a month, or about $150 a month prepaid for 12 months
• Weekly shot: about $295 a month, or about $195 a month prepaid for 12 months
• No membership fee
• Its pages say the medicine may come from a 503A pharmacy or a 503B outsourcing facility, a larger FDA-registered compounder

Eden: the lowest month-to-month price

Eden charges about $100 a month, all in, at every dose. There is no membership and no prepay. Eden runs its own compounding pharmacy and also uses partner pharmacies. Trustpilot rates it 4.5 out of 5, on about 4,900 reviews. The cautions are a June 2026 FDA warning letter over its marketing and a BBB rating of F. Our Eden review has more.

Mochi Health: priced by dose, plus a membership

Mochi Health prices compounded semaglutide by dose. A $79 monthly membership comes on top of the medicine. Mochi publishes the price at each dose, so you can see the rise in advance. It now lets you compare partner pharmacies, and says the medicine price varies by pharmacy. Unlike Henry Meds, Mochi bills its membership separately instead of bundling it. Our Mochi Health review has more.

• Compounded semaglutide shot: about $60 to $190 a month for the medicine, by dose
• Membership: $79 a month, with the first month free for new members
• All-in: about $140 to $270 a month, rising with your dose
• Compounded by 503A pharmacies or 503B outsourcing facilities

Pallas Health: about $200 every 4 weeks, the same at every dose

Pallas Health is a new platform, launched in mid-2026. It is unusually open about how it works. It names its medical group, Lion MD, and six partner pharmacies. You pay nothing until a clinician actually prescribes.

Compounded semaglutide costs about $140 for the first 4 weeks. After that it is about $200 every 4 weeks, at every dose. A 48-week prepaid plan brings it to about $140 per 4 weeks. Billing runs every 4 weeks, so that is 13 charges a year. The catch is the track record. Pallas has no customer reviews on Trustpilot yet.

MEDGm: labs included, cheapest only if you prepay a year

MEDGm is a very new online clinic run by MEDGm, LLC, a Delaware company. Clinicians in the OpenLoop network prescribe. Its terms name four partner pharmacies. Visits, lab work and shipping are included. The price stays the same at every dose.

Month to month, compounded semaglutide costs about $300, with a first month of about $180. The headline rate of about $170 a month needs a 12-month plan paid upfront, about $2,030. You pay when you submit the intake, before a clinician reviews you. The website dates from April 2026. MEDGm has no customer reviews on Trustpilot yet.

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 taken until a provider reviews your intake.

On a 12-month plan, compounded semaglutide costs about $120 a month. Shorter plans exist, but their price only appears at checkout. Reviewers were quoted about $165 to $235 a month for them. Oak's terms also allow the price to change with your dose.

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

Direct Meds: about $295 a month, or about $150 on a 6-month prepay

Direct Meds sells compounded semaglutide and tirzepatide as shots or as drops under the tongue. The drops cost about $250 a month. The visit, supplies and shipping are in one price, the same at every dose. It serves every state except Mississippi and Louisiana.

The regular price for the shot is high, about $295 a month. Two offers bring it down. The current first-month promo costs about $150. A 6-month prepay works out to about $150 a month.

Trustpilot rates it 4.6 out of 5 on thousands of reviews. The Better Business Bureau, a consumer complaints service, lists 278 complaints in three years, mostly about billing and cancellations. It names neither its pharmacy nor its medical group.

Is compounded semaglutide still legal in 2026?

Yes, with limits. Compounded semaglutide became widely available during an FDA shortage of the brand-name drugs that began in 2022. Pharmacies could compound it broadly while the shortage lasted. The FDA took semaglutide off its shortage list on February 21, 2025. That ended most large-scale compounding.

What remains is narrower. A 503A pharmacy can still prepare semaglutide for one patient when the prescriber documents a clinical need the brand-name drug cannot meet. A specific dose or an allergy to an inactive ingredient are examples. 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 ingredients they may use. No final decision has been announced. The proposal does not cover 503A pharmacies.

The FDA has also cracked down on marketing. In February 2026, it announced action against misleading ads for compounded GLP-1s. Warning letters to 30 telehealth companies followed.

In practice, compounded semaglutide is still available and legal when a licensed clinician prescribes it for you and a licensed pharmacy makes it. Six providers on this page say your medicine may come from either type of pharmacy: Henry Meds, Mochi Health, Arbor, Nu Image Medical, Pallas Health and MEDGm.

What a year of compounded semaglutide costs

Here is roughly what a first year costs, at the starting dose unless noted. A longer plan saves a lot over paying monthly. But it locks you in if you need to stop or switch.

• Nu Image Medical: about $1,070 on two 6-month plans · About $3,590 month to month
• BetterMe Rx: about $1,190 for the 12-month plan, paid upfront · About $2,390 month to month
• Arbor: about $1,190 for the 12-month plan, paid upfront · At least about $1,790 month to month
• Oak: about $1,430 on the 12-month plan
• Mochi Health: about $1,590 if you stay on the starting dose, with the free first month · More as your dose rises
• Direct Meds: about $1,765 on two 6-month prepays · About $3,415 month to month
• Henry Meds: about $1,790 for the pill or $2,365 for the shot, prepaid for 12 months · About $2,990 or $3,565 month to month
• Fridays: about $1,800 on the yearly plan, or about $1,405 with the fall-sale code · About $3,350 month to month
• JoinSkinny: about $1,940 a year, 13 charges of about $150
• Peak Wellness: about $1,980 on 6-month plans · About $2,920 month to month
• MEDGm: about $2,030 for the 12-month plan, paid upfront · About $3,470 month to month
• Joi: about $2,070, with the cheaper first month
• TrimRx: about $2,150 at its prepaid rate · About $3,490 month to month
• Eden: about $1,190, the same price every month
• ReadyRx: about $2,370 on 3-month plans · About $2,970 month to month
• Pallas Health: about $2,525 billed every 4 weeks, first month included
• LevelsRx: about $2,990 at its regular rate

What compounded semaglutide actually is

Compounded semaglutide is semaglutide mixed by a licensed compounding pharmacy instead of made as a finished commercial product. The active molecule is the same as in Wegovy and Ozempic. The difference is approval. Wegovy and Ozempic are FDA-approved finished drugs, with set doses, a known maker and testing for safety and effectiveness. Compounded semaglutide is not. It is prepared on a clinician's prescription for one patient.

That difference matters. The FDA does not review compounded versions for safety, effectiveness or quality the way it reviews brand-name drugs. Compounding pharmacies are still regulated, though. 503A pharmacies follow state pharmacy laws and the federal rules for compounding. 503B outsourcing facilities face extra FDA oversight.

What compounded semaglutide does not include

Compounded semaglutide is cash-pay only, so it cannot be billed to insurance. Manufacturer savings cards apply only to brand-name Wegovy and Ozempic. No patient assistance program covers compounded versions. Because it is not FDA-approved, you also give up the quality checks that come with a brand-name drug.

If you have Medicare, the brand can cost less than any plan here. The Medicare GLP-1 Bridge prices Wegovy at $50 a month through December 31, 2027, if you meet its weight and health criteria. For the self-pay prices of the FDA-approved brand, see our semaglutide cost comparison.

Who compounded semaglutide is and is not for

• Good fit: women whose insurance does not cover weight-loss drugs and who want supervised semaglutide at the lowest cost.
• Not ideal: women who want an FDA-approved product, or whose insurance or Medicare covers brand-name Wegovy.
• Think twice: if you would struggle to find a new prescriber quickly should your provider stop offering it.
• Always ask: which pharmacy makes your medicine, whether it is 503A or 503B, and how it tests each batch.