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