The honest price of losing weight.
Every legitimate way to get a GLP-1 in the U.S. — verified monthly costs, hidden fees included, re-checked on a schedule. No provider pays for placement.
$49 Cheapest listed first month
$139 Cheapest listed maintenance / month
18 Channels tracked & growing
The Index
GLP-1 True-Cost Index#
Listed prices verified 2026-09-04 · first checkout audit pending · 18 channels tracked · How we verify
Filters
| Channel | Medication | True monthly cost | First month | Price status |
|---|---|---|---|---|
| Mochi Health LOWEST LISTED Telehealth — compounded 503A, per-dose pricing LegitScript — · Trustpilot 4.5 (18,259) · BBB A ⚠ 2 flags | Compounded sema + membership | ≈$139–178 all-in | $99 first-month bundle | listed price · 2026-09-04 |
| Cora Telehealth — compounded 503A (2026 entrant) LegitScript ✓ · Trustpilot 4.7 (48) · small sample ⚠ 3 flags | Compounded sema, flat dose | $175 monthly ($99/mo annual) | — | listed price · 2026-09-04 |
| Henry Meds Telehealth — compounded 503A, all-inclusive LegitScript ✓ · Trustpilot 4.4 (12,527) · BBB F ⚠ 2 flags | Compounded semaglutide, all-in | from $179 all-in | — | listed price · 2026-09-04 |
| Shed (ShedRx) Telehealth — compounded 503A + brand LegitScript ✓ · Trustpilot 4.6 (1,130) · BBB B ⚠ 2 flags | Compounded sema | ≈$199 monthly ($159 annual) | — | listed price · 2026-09-04 |
| Noom Med Telehealth — compounded 503A + brand referrals LegitScript — · Trustpilot 4.5 (66,965) · BBB A+ ⚠ 2 flags | Compounded semaglutide, all-in | $279 | $49–149 first 4 weeks, by dose | listed price · 2026-09-09 |
| Found Telehealth — compounded 503A + brand, visits billed through insurance LegitScript ✓ · Trustpilot 4.1 (740) · BBB A+ | Compounded semaglutide or tirzepatide, all-in | $289 cash all-in, per 28-day cycle ($169 on a prepaid year) | $100 off first checkout | listed price · 2026-09-09 |
| Direct Meds ★ TOP-RATED AT SCALE · 4.6/5 Telehealth — compounded 503A, all-inclusive LegitScript ✓ · Trustpilot 4.6 (15,207) · BBB NR ⚠ 3 flags | Compounded semaglutide, all-in | $297 all-in, no fees | $147 first month (promo) | listed price · 2026-09-04 |
| Hims & Hers Telehealth — brand meds only (since Mar 2026) LegitScript ✓ · Trustpilot 2.9 (9,262) · BBB NR ⚠ 3 flags | Wegovy pill + membership | $149 med + $149/mo fee | $39 first-month fee | listed price · 2026-09-09 |
| LillyDirect — Foundayo Manufacturer direct — oral orforglipron (approved Apr 2026) LegitScript — · Trustpilot 1.6 (94) · small sample | Foundayo pill, 5.5 mg | $299 | $149 at 0.8 mg | listed price · 2026-09-09 |
| LifeMD Telehealth + insurance navigation LegitScript ✓ · Trustpilot 3.9 (4,258) · BBB A | Wegovy pen + program | $199 med + $149/mo fee | $39 first-month fee | listed price · 2026-09-04 |
| NovoCare Pharmacy Manufacturer direct, cash pay LegitScript — | Wegovy pen, all doses | $349 | $199/mo first 2 fills | listed price · 2026-09-07 |
| Sesame Care Telehealth — brand pass-through LegitScript ✓ · Trustpilot 4.6 (4,446) · BBB A+ | Wegovy pen (NovoCare pricing) | $349 | $199/mo first 2 months | listed price · 2026-09-04 |
| LillyDirect — Zepbound Self Pay Manufacturer direct, vials + pens LegitScript — · Trustpilot 1.6 (94) · small sample ⚠ 1 flag | Zepbound vial, 5 mg | $399 | $299 at 2.5 mg | listed price · 2026-09-09 |
| Ro (Ro Body) Telehealth — brand meds only LegitScript ✓ · Trustpilot 4.0 (6,443) · BBB A+ | Wegovy pen + membership | $349 med + $149/mo fee | $39 first-month fee | listed price · 2026-09-04 |
| Trimi Telehealth — compounded 503A (2026 entrant), annual-only LegitScript ✓ · Trustpilot suspended ⚠ 4 flags | Compounded sema, flat dose | $99/mo annual-only | — | listed price · 2026-09-10 |
| WeightWatchers Clinic (Med+) Telehealth — insurance-first membership LegitScript — · Trustpilot 4.0 (4,735) · BBB NR ⚠ 2 flags | Membership + med separately | $74/mo fee (12-mo plan) + med | $25 first month | listed price · 2026-09-09 |
| Calibrate Telehealth — insurance navigation program LegitScript ✓ · Trustpilot 4.5 (1,201) · BBB A+ ⚠ 1 flag | Program + med via insurance | $199/mo fee + med | 3-month commitment | listed price · 2026-09-04 |
| 503B bulk compounded GLP-1s Outsourcing facilities (bulk compounding) | Bulk market (historical) | $99–299 (historical) | — | Ended 2026 — 503A lives on |
Membership-model providers (Hims, Ro, LifeMD, Mochi…) are shown at effective cost: medication plus the required monthly fee. "Listed price" means the provider's own published pricing on that date; the green check is reserved for rows we've walked to checkout. Full story: the membership-fee tax.
Price Changelog
What moved this month#
2026-09-13ww-clinic WeightWatchers' BBB rating has been withdrawn to Not Rated. It was C- when we first recorded it on 2026-09-08. BBB gives the reason as the business being "in the process of responding to previously closed complaints", and its three-year complaint count moved from 1,828 to 1,836 — so this is an active state rather than an absence of data, and our flag now says which. Confirmed at BBB's own profile page. Shed's Trustpilot score also moved 4.7 to 4.6 on 1,130 reviews, confirmed at source; the rest of this month's trust refresh was review-count and complaint-count drift across sixteen channels.
2026-09-11ulo Ulo's topical finasteride-plus-minoxidil combination is now listed from $69/mo at 0.2% finasteride with 7% minoxidil. We had been publishing a 'HiGrowth combo' at 0.3% finasteride with 6.5% minoxidil for about $49/mo, a figure carried as reported rather than read at source; that product name appears on neither of Ulo's collection pages today and the strengths and price have both moved. Plain oral minoxidil is unchanged at $24, $29 and $36 for 1.25mg, 2.5mg and 5mg, and Ulo has added combination pills with folic acid, vitamin D or finasteride from $45 that we do not track as separate rows.
2026-09-10trimi No price moved — $99/mo semaglutide and $125/mo tirzepatide hold — but Trimi now prints the yearly total beside them ($1,188 and $1,500) and says outright that "prices shown are monthly equivalents of annual billing", which is the clearest statement yet that neither is a rate you can pay monthly. Its refund policy also now carries a 6-month money-back promise that was not there before. The cancellation cutoff is unchanged and still strict — cancel free before a prescription is written, nothing back afterwards even if unshipped — and the promise requires six continuous months with no pause, no early stop and no skipped doses, a logged starting and six-month weight, and zero net weight loss rather than disappointing loss. Read at source; Trimi dates the policy page 2026-06-17.
Full changelog + RSS → Diet First
Meds are tools. Food is the foundation.#
GLP-1s work best on top of eating and habits that hold. Protein targets, muscle preservation, and what to actually eat in week one — every claim cited to the primary literature.
Start with the diet guide →Provider Spotlight
Direct Meds: month-to-month, everything included#
No membership fee, visits and shipping in one all-inclusive price, a $147 first-month intro — and the highest rating among compounded providers with 10,000+ Trustpilot reviews: 4.6/5 across 15,207. Full trust file, flags included, in the dossier.
Read the full dossier →Tools
Answer it in 30 seconds#
Cost Calculator Four questions → your personal cheapest-legitimate path across Medicare, manufacturer programs, and the 503A market. True-Cost Calculator Every channel ranked by what actually leaves your account — required membership fees included. Price Alerts Automated monitoring diffs every tracked pricing page weekly. One email when anything moves. Compare Any Two Channels Side by side on all-in cost, matched to the same drug and form — plus fees, contract terms and trust signals. Titration Cost Projector Doses escalate and so does the price. Project your real 12-month total by dose schedule. Price History Every change we have recorded, with the date it was verified and the provider page it came from. All → tools Cost per pound, first-month deal finder, am-I-overpaying, and the ED cost wizard.
Featured
Investigations#
Who actually makes your medication? All 97 FDA-registered 503B facilities — 42% of them never inspected — and which providers will name the pharmacy filling your prescription. Most won't. Read the investigation → What these drugs cost to make Peer-reviewed production estimates, FDA ingredient-supplier filings and audited financials — including why the pen costs more than the drug inside it. See the numbers → Which companies tell you who they are? We checked whether each provider names a legal entity, an address, its leadership and its ownership. Three disclose none of it. See the scorecard →
Start with these#
The $149 membership tax on your GLP-1 The same pill is $149 direct and ~$298 at the big telehealth brands. The difference is a fee most shoppers don't see until checkout. Read the breakdown → Compounded GLP-1s didn't die The FDA ended bulk compounding — and the legal 503A market lives on at $139–$297 all-in. When it makes sense, and when brand wins. The legal market, explained → Medicare's $50 GLP-1 copay The Bridge program beats every cash price on this site — if you qualify, and if you know its fine print. How the Bridge works → The GLP-1 coupon mirage "As low as" banners usually quote someone else's discount. What GoodRx and SingleCare actually deliver at the counter. Coupons, decoded → NovoCare vs LillyDirect The two manufacturer pharmacies, head to head: what each actually charges, and the refill window that changes the math. The direct-pay showdown → The GLP-1 price war, 2024–2026 How $1,349-a-month list prices became $149 pills — the moves, the lawsuits, and where prices go next. The full timeline → Every medication, explained Approved uses, what the trials measured, side effects stated plainly — and every channel's real price. Medication guides →
Across eDietAdvice
Every market, priced honestly#
Sexual Health The same generic sildenafil is $0.22 a tablet at Cost Plus and $10 a dose at Ro — plus the 2-in-1/3-in-1/4-in-1 formula tracker. $0.22 vs $10, same pill → Hair The finasteride in a $25/month subscription costs $0.83 to make. Every channel, with the quarterly-billing fine print. The $0.83 pill → Peptides Which peptides can actually be compounded right now, which are RUO-only, and why "off Category 2" is not the permission it sounds like. Legal-Status Tracker → Skin "$36 a month" billed $72 every two months. Telederm compared with the billing truth attached. The billing fine print → Longevity NAD+ from $39 capsules to $1,000 IVs — published next to what human trials actually show. Prices × evidence → Diet & Nutrition Diet first, meds as tools — the foundation the rest of the site stands on. Guides arrive with our named medical reviewer. The worldview →
Weight-loss news & moves#
2026-07-29
FTC, Utah, and LA County sue Hims & Hers over health-data sharing and cancellation practices
The complaint targets sharing sensitive health data with ad platforms and ROSCA billing/cancellation practices — context for anyone weighing the $149/month membership model.
The Hims dossier →2026-07-01
Medicare's $50/month GLP-1 Bridge copay goes live
Participating Part D plans now cover Wegovy (pen and pill), Foundayo, and the Zepbound KwikPen at a flat $50 monthly copay through 2027 — below every cash price we track.
How the Bridge actually works →2026-04-30
FDA moves to permanently end bulk compounding of semaglutide and tirzepatide
The proposed 503B Bulks List exclusion would close the mass-compounding era for good. Patient-specific 503A compounding continues — the legal market our index tracks at $139–$297 all-in.
The surviving market, explained →2026-04-01
Foundayo (orforglipron) approved — the first GLP-1 pill with no food-and-water rules
Lilly's once-daily oral launched via LillyDirect at $149–$349/month by dose, with promo tiers through 2026.
Every Foundayo price →All tracked news → · Subscribe to this beat (RSS) · Fed by a daily automated scan; entries publish only after primary-source verification.