Best of

The rankings

Every programme ordered on month-two pricing, with membership fees counted and teaser rates ignored.

  • The best tirzepatide providers in 2026

    23 programmes compared on what you actually pay in month two — not the teaser rate. Coreage Rx comes first.

    Updated 2026-09-18

  • The best semaglutide providers in 2026

    19 programmes compared on what you actually pay in month two — not the teaser rate. Coreage Rx comes first.

    Updated 2026-09-18

  • The cheapest GLP-1 programmes, ranked honestly

    Every provider ordered by what you pay in month two, with membership fees included and teaser rates thrown out.

    Updated 2026-09-18

  • The cheapest tirzepatide online

    Every provider whose monthly price actually includes the medication, sorted on what you are billed in month two.

    Updated 2026-09-18

  • The cheapest semaglutide online

    Semaglutide programmes ranked on the billed monthly figure, with membership fees counted and teaser rates discarded.

    Updated 2026-09-18

  • Cheapest GLP-1 without insurance

    Cash-pay only: no coverage, no prior authorisation, no insurer. What each programme charges and what it includes.

    Updated 2026-09-18

  • GLP-1s under $150 a month

    A hard price ceiling. Every programme billing $150 or less a month with the medication included.

    Updated 2026-09-18

  • Best compounded tirzepatide

    Scored on true cost, price honesty, clinical support, pharmacy sourcing and how easy it is to leave.

    Updated 2026-09-18

  • Best compounded semaglutide

    The compounded semaglutide programmes ranked on our published rubric, not on their advertised headline.

    Updated 2026-09-18

  • The best GLP-1 programmes

    Every provider we track, scored on the same five weighted criteria, whichever medication they dispense.

    Updated 2026-09-18

  • Best value, not just cheapest

    Where the money buys something — clinical support, sourcing transparency or flexibility — rather than simply being the lowest number.

    Updated 2026-09-18

  • No membership fee

    Providers that charge for the medication and nothing else. The single most reliable way to avoid a surprise in month two.

    Updated 2026-09-18

  • Flat pricing at every dose

    Programmes where the price does not rise as your dose does — which matters more over a year than most advertised discounts.

    Updated 2026-09-18

  • No commitment required

    Month-to-month programmes you can leave without forfeiting a prepaid block or a twelve-month contract.

    Updated 2026-09-18

  • Who names their pharmacy

    The hardest fact to get out of this market, and the one the FDA’s enforcement actually turns on. Here is who publishes it.

    Updated 2026-09-18

  • The most transparent providers

    Ranked on whether the advertised price is the billed price, and whether the company tells you where the medication comes from.

    Updated 2026-09-18

  • If you will not inject

    Two FDA-approved pills launched in 2026, plus the compounded providers offering tablets and sublingual drops.

    Updated 2026-09-18

  • Providers that work your insurance

    Prior authorisations, appeals and coverage checks. For anyone whose plan might say yes, this is worth more than any discount.

    Updated 2026-09-18

  • FDA-approved, not compounded

    Providers dispensing the manufacturers’ own products — Zepbound, Wegovy and the new approved pills — rather than compounded preparations.

    Updated 2026-09-18

  • Best GLP-1s if you are over 60

    Clinical support and Medicare eligibility matter far more at this age than the lowest monthly price. Ranked accordingly.

    Updated 2026-09-18

  • Best if this is your first time

    Ranked on the two things that decide whether a first course succeeds: reachable clinical support and a price that does not punish you for going slowly.

    Updated 2026-09-18

  • Zepbound alternatives

    Zepbound is tirzepatide. Here is what else delivers the same molecule, what it costs, and what you give up.

    Updated 2026-09-18

  • Wegovy alternatives

    Wegovy is semaglutide. These are the cheaper routes to the same molecule, and the newer approved pill that changed the maths.

    Updated 2026-09-18

  • Ozempic alternatives

    Ozempic is approved for type 2 diabetes, not weight loss. If weight is your goal, these are the options actually intended for it.

    Updated 2026-09-18

  • Tirzepatide 2.5 mg: what it costs

    Step 1 of the tirzepatide ladder, around weeks 1-4. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Tirzepatide 5 mg: what it costs

    Step 2 of the tirzepatide ladder, around weeks 5-8. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Tirzepatide 7.5 mg: what it costs

    Step 3 of the tirzepatide ladder, around weeks 9-12. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Tirzepatide 10 mg: what it costs

    Step 4 of the tirzepatide ladder, around weeks 13-16. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Tirzepatide 12.5 mg: what it costs

    Step 5 of the tirzepatide ladder, around weeks 17-20. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Tirzepatide 15 mg: what it costs

    Step 6 of the tirzepatide ladder, around weeks 21+. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Semaglutide 0.25 mg: what it costs

    Step 1 of the semaglutide ladder, around weeks 1-4. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Semaglutide 0.5 mg: what it costs

    Step 2 of the semaglutide ladder, around weeks 5-8. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Semaglutide 1 mg: what it costs

    Step 3 of the semaglutide ladder, around weeks 9-12. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Semaglutide 1.7 mg: what it costs

    Step 4 of the semaglutide ladder, around weeks 13-16. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • Semaglutide 2.4 mg: what it costs

    Step 5 of the semaglutide ladder, around weeks 17+. 6 providers charge the same here as at the starting dose — the rest may not.

    Updated 2026-09-18

  • GLP-1 coverage by state

    Only 13 state Medicaid programmes cover GLP-1s for obesity. Four dropped coverage in the last year. Here is the national picture and where it changed.

    Updated 2026-09-18

  • GLP-1 coverage in California

    Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Pennsylvania

    Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in South Carolina

    Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in New Hampshire

    Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in North Carolina

    Medicaid coverage was dropped and then restored. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Texas

    Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Louisiana

    Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Connecticut

    Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in New Mexico

    Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in North Dakota

    Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Utah

    Medicaid coverage is time-limited. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in West Virginia

    Notable for its obesity prevalence rather than its coverage rules. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Mississippi

    Notable for its obesity prevalence rather than its coverage rules. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Colorado

    Notable for its obesity prevalence rather than its coverage rules. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Michigan

    Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Massachusetts

    Coverage exists but has been proposed for removal. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Rhode Island

    Coverage exists but has been proposed for removal. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Tennessee

    Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Virginia

    Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Minnesota

    Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Wisconsin

    Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Missouri

    Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Kansas

    Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • GLP-1 coverage in Delaware

    Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

    Updated 2026-09-18

  • The pharmacies behind the prescriptions

    The pharmacy is the part that is actually regulated — and most providers will not name theirs. Here are the ones that have been named publicly.

    Updated 2026-09-18

  • Belmar Pharmacy

    503A compounding pharmacy in Wichita, Kansas, shipping to all 50 states. Named publicly by PlexusDx. What is checkable, and how to check it.

    Updated 2026-09-18

  • Strive Pharmacy

    PCAB-accredited compounding pharmacy, licensed across multiple states. Named publicly by PlexusDx. What is checkable, and how to check it.

    Updated 2026-09-18

  • Epiq Scripts

    Digital mail-order compounding pharmacy licensed in 45 states plus Puerto Rico and DC. Named publicly by PlexusDx. What is checkable, and how to check it.

    Updated 2026-09-18

  • VialsRx

    State-licensed 503A pharmacy with a published Texas Board of Pharmacy licence number. Named publicly by Trimi. What is checkable, and how to check it.

    Updated 2026-09-18

  • Empower Pharmacy

    Large Houston compounder running both a 503A pharmacy and a 503B outsourcing facility. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • Hallandale Pharmacy

    503A compounding pharmacy in Florida with extensive telehealth partnerships. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • Olympia Pharmacy

    503B outsourcing facility in Orlando, Florida. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • ReviveRX

    Houston 503A compounding pharmacy built around prescriber partnerships, shipping to 45 states. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • BPI Labs

    503B outsourcing facility in Largo, Florida. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • Tailor Made Compounding

    503A compounding pharmacy in Nicholasville, Kentucky. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • Pavilion Compounding Pharmacy

    503A compounding pharmacy in Atlanta, Georgia. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • APS Pharmacy

    503A sterile compounding pharmacy in Palm Harbor, Florida, operating as Drug Depot, Inc. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • Wells Pharmacy Network

    Multi-site network running a 503A pharmacy in Florida and a 503B outsourcing facility in Tennessee. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18

  • Asteria Health

    503B outsourcing facility in Birmingham, Alabama, operating as FH Investments Inc. Named publicly by . What is checkable, and how to check it.

    Updated 2026-09-18