Cheapest GLP-1 without insurance

If you have no coverage, or your insurer has already said no, the calculation is simple: which programme delivers medication for the smallest monthly number without an insurer involved at all.

We have deliberately excluded the programmes built around insurance coordination here. They can be excellent — but their value depends entirely on a claim being approved, and a fee for insurance advocacy is dead weight if you are paying cash regardless.

What qualifies for this list

• Cash-pay programmes where the medication is included in the monthly price.
• Programmes whose main value is insurance coordination are excluded — see the insurance page for those.
• No prior authorisation or coverage approval required to get the quoted price.

13 of the 23 providers we track qualify. Prices verified 2026-09-18 and re-checked periodically.

The list

Cheapest qualifying option: SuperHealthy Rx at $85 a month. Our featured partner is pinned to the top of the list where it qualifies — see how we rate for who scores higher.

1. Coreage Rx — Best overall on true monthly cost

$139 a month, no membership fee. Flat-rate telehealth program for compounded GLP-1s. The medication, the clinician visits and the ongoing check-ins are quoted as one number, with no separate membership billed alongside it.

The $79 semaglutide and $129 tirzepatide rates require 12-month plans. One-month plans are $139 and $199 respectively. Read the payment and refund terms before committing to a longer plan. Read the full Coreage Rx review.

2. SuperHealthy Rx — Public offer; not independently scored

$85 a month, no membership fee. Online provider review for compounded semaglutide and tirzepatide; provider visit and shipping included according to the offer.

Confirm the total upfront payment, renewal, state availability and dispensing pharmacy. Read the full SuperHealthy Rx review.

3. Likeness Rx — Public offer; not independently scored

$139 a month, no membership fee. Likeness Rx offers online access to compounded semaglutide and tirzepatide. Its public page lists semaglutide from $79/month; tirzepatide from $129/month.

The lowest monthly equivalents accompany 12-month subscriptions: $948 for semaglutide or $1,548 for tirzepatide. One-month plans are $139 and $199. The page says the selected term renews automatically; check the amount due and cancellation date. Read the full Likeness Rx review.

4. Ozari Health — Lowest advertised semaglutide price

$86 a month, no membership fee. Flat-rate compounded GLP-1 telehealth service operating in all 50 states, with physician review through the Arora Health network and a dedicated health concierge.

Confirm whether $86 is a month-to-month rate or requires a longer commitment, and ask which pharmacy compounds it. Read the full Ozari Health review.

5. Trimi — Lowest flat price with named pharmacies

$99 a month, no membership fee. Flat-rate compounded GLP-1 programme on annual plans, with medical oversight through the Arora Health clinician network and publicly named 503A compounding pharmacies.

Both headline prices are annual-plan rates. Confirm the month-to-month figure and the refund terms before prepaying twelve months. Read the full Trimi review.

Common questions

Can I get a GLP-1 without insurance at all?

Yes. Every programme on this page is cash-pay and does not bill insurance. You will still need a prescription from a licensed clinician, which is included in the price.

Are HSA or FSA cards accepted?

Commonly yes — several providers accept them explicitly, which effectively pays with pre-tax dollars. Check with the specific provider before assuming.

Would Medicare be cheaper?

For eligible beneficiaries, almost certainly. From 1 July 2026 CMS is running a programme giving eligible Part D members certain GLP-1s for $50 a month, which undercuts every cash price here.