{
  "dataset": "eDietAdvice GLP-1 True-Cost Index",
  "version": "v0",
  "license": "CC BY 4.0 — attribution required: eDietAdvice (https://edietadvice.com)",
  "disclaimer": "Rows with unverified_placeholder=true are published-price research, not yet checkout-verified. true monthly cost = medication + required membership fees. Verify at the provider checkout before relying on any figure.",
  "researched": "2026-09-04",
  "last_full_audit": null,
  "channels": [
    {
      "id": "novocare",
      "name": "NovoCare Pharmacy",
      "type": "Manufacturer direct, cash pay",
      "status": "active",
      "verification": {
        "tier": "T1",
        "method": "official page fetched 2026-09-04; checkout walk pending",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://www.novocare.com/pharmacy/wegovy.html",
      "source_notes": "Consult not included (bring your own prescription or use a telehealth partner). $199/mo intro: first 2 fills of 0.25/0.5mg pen, new patients, through 12/31/26.",
      "display": {
        "medication": "Wegovy pen, all doses",
        "monthly_usd": 349,
        "first_month": "$199/mo first 2 fills"
      },
      "medications": [
        {
          "drug": "Wegovy",
          "form": "pen",
          "dose_tiers": [
            {
              "label": "0.25–2.4 mg (all standard doses)",
              "mg": null,
              "monthly_usd": 349
            },
            {
              "label": "7.2 mg (high dose)",
              "mg": 7.2,
              "monthly_usd": 399
            }
          ],
          "first_month_usd": 199,
          "billing": "monthly",
          "fees": []
        },
        {
          "drug": "Wegovy",
          "form": "pill",
          "dose_tiers": [
            {
              "label": "1.5 mg",
              "mg": 1.5,
              "monthly_usd": 149
            },
            {
              "label": "4 mg",
              "mg": 4,
              "monthly_usd": 199
            },
            {
              "label": "9 mg",
              "mg": 9,
              "monthly_usd": 299
            },
            {
              "label": "25 mg",
              "mg": 25,
              "monthly_usd": 299
            }
          ],
          "first_month_usd": null,
          "billing": "monthly",
          "fees": []
        },
        {
          "drug": "Ozempic",
          "form": "pen",
          "dose_tiers": [
            {
              "label": "up to 1 mg",
              "mg": 1,
              "monthly_usd": 349
            },
            {
              "label": "2 mg",
              "mg": 2,
              "monthly_usd": 499
            }
          ],
          "first_month_usd": 199,
          "billing": "monthly",
          "fees": []
        },
        {
          "drug": "Ozempic",
          "form": "pill",
          "dose_tiers": [
            {
              "label": "low dose",
              "mg": null,
              "monthly_usd": 149
            },
            {
              "label": "mid dose",
              "mg": null,
              "monthly_usd": 199
            },
            {
              "label": "high dose",
              "mg": null,
              "monthly_usd": 299
            }
          ],
          "first_month_usd": null,
          "billing": "monthly",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "lillydirect-zepbound",
      "name": "LillyDirect — Zepbound Self Pay",
      "type": "Manufacturer direct, vials + pens",
      "status": "active",
      "verification": {
        "tier": "T1",
        "method": "official page fetched 2026-09-04; checkout walk pending",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://zepbound.lilly.com/coverage-savings",
      "source_notes": "Self-Pay Journey pricing requires refill within 45 days; lapse and 10-15mg pens revert to $699. Max 11 fills/yr. Vial-vs-pen price parity audit scheduled.",
      "display": {
        "medication": "Zepbound vial, 5 mg",
        "monthly_usd": 399,
        "first_month": "$299 at 2.5 mg"
      },
      "medications": [
        {
          "drug": "Zepbound",
          "form": "vial/pen",
          "dose_tiers": [
            {
              "label": "2.5 mg",
              "mg": 2.5,
              "monthly_usd": 299
            },
            {
              "label": "5 mg",
              "mg": 5,
              "monthly_usd": 399
            },
            {
              "label": "7.5 mg",
              "mg": 7.5,
              "monthly_usd": 449
            },
            {
              "label": "10 mg",
              "mg": 10,
              "monthly_usd": 449
            },
            {
              "label": "12.5 mg",
              "mg": 12.5,
              "monthly_usd": 449
            },
            {
              "label": "15 mg",
              "mg": 15,
              "monthly_usd": 449
            }
          ],
          "first_month_usd": 299,
          "billing": "monthly",
          "fees": [
            {
              "label": "45-day refill window required for maintenance price",
              "usd": null
            }
          ]
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "lillydirect-foundayo",
      "name": "LillyDirect — Foundayo",
      "type": "Manufacturer direct — oral orforglipron (approved Apr 2026)",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "two concordant secondaries; Lilly page blocked fetch",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://foundayo.lilly.com/coverage-savings",
      "source_notes": "First GLP-1 pill approved under FDA National Priority Voucher (4/1/26). Promo through 12/31/26: 2.5mg at $149, 5.5mg at $199. Top doses require 45-day refill.",
      "display": {
        "medication": "Foundayo pill, 5.5 mg",
        "monthly_usd": 299,
        "first_month": "$149 at 0.8 mg"
      },
      "medications": [
        {
          "drug": "Foundayo (orforglipron)",
          "form": "pill",
          "dose_tiers": [
            {
              "label": "0.8 mg",
              "mg": 0.8,
              "monthly_usd": 149
            },
            {
              "label": "2.5 mg",
              "mg": 2.5,
              "monthly_usd": 199
            },
            {
              "label": "5.5 mg",
              "mg": 5.5,
              "monthly_usd": 299
            },
            {
              "label": "9 mg",
              "mg": 9,
              "monthly_usd": 299
            },
            {
              "label": "14.5 mg",
              "mg": 14.5,
              "monthly_usd": 349
            },
            {
              "label": "17.2 mg",
              "mg": 17.2,
              "monthly_usd": 349
            }
          ],
          "first_month_usd": 149,
          "billing": "monthly",
          "fees": []
        }
      ]
    },
    {
      "id": "hims",
      "name": "Hims & Hers",
      "type": "Telehealth — brand meds only (since Mar 2026)",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official page browser-read 2026-09-04; ladder behind intake",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 149,
      "membership_note": "$39 first month, then $149/mo required membership, billed separately from meds",
      "source_url": "https://www.hims.com/weight-loss",
      "source_notes": "Exited compounded GLP-1s after Novo Nordisk suit (settled 3/9/26); now a brand storefront at manufacturer-matching med prices PLUS membership. Higher-dose tiers behind intake; audit scheduled.",
      "display": {
        "medication": "Wegovy pill + membership",
        "monthly_usd": 298,
        "monthly_label": "$149 med + $149/mo fee",
        "first_month": "$39 first-month fee"
      },
      "medications": [
        {
          "drug": "Wegovy",
          "form": "pill",
          "dose_tiers": [
            {
              "label": "from $149",
              "mg": null,
              "monthly_usd": 149
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        },
        {
          "drug": "Wegovy",
          "form": "pen",
          "dose_tiers": [
            {
              "label": "from $199",
              "mg": null,
              "monthly_usd": 199
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        },
        {
          "drug": "Zepbound",
          "form": "vial/pen",
          "dose_tiers": [
            {
              "label": "from $299",
              "mg": null,
              "monthly_usd": 299
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        },
        {
          "drug": "Foundayo (orforglipron)",
          "form": "pill",
          "dose_tiers": [
            {
              "label": "from $149",
              "mg": null,
              "monthly_usd": 149
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "ro",
      "name": "Ro (Ro Body)",
      "type": "Telehealth — brand meds only",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official pricing page fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 149,
      "membership_note": "$39 first month (refundable if ineligible), then $149/mo — or $99/$89/$74 per month on 3/6/12-month prepay; meds excluded",
      "source_url": "https://ro.co/weight-loss/pricing/",
      "source_notes": "Cleanest pass-through of manufacturer pricing; the membership is the real cost delta.",
      "display": {
        "medication": "Wegovy pen + membership",
        "monthly_usd": 498,
        "monthly_label": "$349 med + $149/mo fee",
        "first_month": "$39 first-month fee"
      },
      "medications": [
        {
          "drug": "Wegovy",
          "form": "pill",
          "dose_tiers": [
            {
              "label": "1.5 mg",
              "mg": 1.5,
              "monthly_usd": 149
            },
            {
              "label": "4 mg",
              "mg": 4,
              "monthly_usd": 199
            },
            {
              "label": "9/25 mg",
              "mg": 9,
              "monthly_usd": 299
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        },
        {
          "drug": "Wegovy",
          "form": "pen",
          "dose_tiers": [
            {
              "label": "0.25/0.5 mg (promo)",
              "mg": 0.5,
              "monthly_usd": 199
            },
            {
              "label": "1–2.4 mg",
              "mg": null,
              "monthly_usd": 349
            },
            {
              "label": "7.2 mg (high dose)",
              "mg": 7.2,
              "monthly_usd": 399
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        },
        {
          "drug": "Zepbound",
          "form": "pen",
          "dose_tiers": [
            {
              "label": "2.5 mg",
              "mg": 2.5,
              "monthly_usd": 299
            },
            {
              "label": "5 mg",
              "mg": 5,
              "monthly_usd": 399
            },
            {
              "label": "7.5–15 mg",
              "mg": null,
              "monthly_usd": 449
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        },
        {
          "drug": "Foundayo (orforglipron)",
          "form": "pill",
          "dose_tiers": [
            {
              "label": "0.8 mg",
              "mg": 0.8,
              "monthly_usd": 149
            },
            {
              "label": "2.5/5.5 mg (promo)",
              "mg": null,
              "monthly_usd": 199
            },
            {
              "label": "9 mg",
              "mg": 9,
              "monthly_usd": 299
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "lifemd",
      "name": "LifeMD",
      "type": "Telehealth + insurance navigation",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official page fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 149,
      "membership_note": "$39 first month, then $149/mo program (includes labs if needed); meds excluded; no government insurance",
      "source_url": "https://lifemd.com/weight-management",
      "source_notes": "Brand meds at manufacturer pass-through prices; insured copays $0-25. Older $75-79 plan tiers reported by third parties; audit scheduled.",
      "display": {
        "medication": "Wegovy pen + program",
        "monthly_usd": 348,
        "monthly_label": "$199 med + $149/mo fee",
        "first_month": "$39 first-month fee"
      },
      "medications": [
        {
          "drug": "Wegovy",
          "form": "pen",
          "dose_tiers": [
            {
              "label": "starting at $199",
              "mg": null,
              "monthly_usd": 199
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        },
        {
          "drug": "Zepbound",
          "form": "vial",
          "dose_tiers": [
            {
              "label": "starting at $299",
              "mg": null,
              "monthly_usd": 299
            }
          ],
          "first_month_usd": null,
          "billing": "monthly + membership",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "noom-med",
      "name": "Noom Med",
      "type": "Telehealth — compounded 503A + brand referrals",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official cost page (updated 8/31/26)",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://www.noom.com/blog/weight-management/noom-cost/",
      "source_notes": "All-in pricing (membership + med). One of the largest players still shipping compounded 503A post-crackdown. Quarterly billing detail audit scheduled.",
      "display": {
        "medication": "Compounded semaglutide, all-in",
        "monthly_usd": 279,
        "first_month": "$129 first 4 weeks"
      },
      "medications": [
        {
          "drug": "Compounded semaglutide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "full dose, all-in",
              "mg": null,
              "monthly_usd": 279
            },
            {
              "label": "microdose, all-in",
              "mg": null,
              "monthly_usd": 179
            }
          ],
          "first_month_usd": 129,
          "billing": "all-in",
          "fees": []
        },
        {
          "drug": "Compounded tirzepatide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "full dose, all-in",
              "mg": null,
              "monthly_usd": 299
            },
            {
              "label": "microdose, all-in",
              "mg": null,
              "monthly_usd": 199
            }
          ],
          "first_month_usd": 149,
          "billing": "all-in",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "mochi",
      "name": "Mochi Health",
      "type": "Telehealth — compounded 503A, per-dose pricing",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official per-dose blog fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 79,
      "membership_note": "$79/mo membership ($39 first month; ~$49/mo on 12-mo prepay per third party — audit scheduled); med billed per-dose on top",
      "source_url": "https://joinmochi.com/blog/per-dose-pricing-mochi-health",
      "source_notes": "Moved to per-dose pricing Aug 2026 — effective cut at starter doses. Sema $60-99/4wks by dose; tirz $90-199/4wks.",
      "display": {
        "medication": "Compounded sema + membership",
        "monthly_usd": 139,
        "monthly_label": "≈$139–178 all-in",
        "first_month": "$99 first-month bundle"
      },
      "medications": [
        {
          "drug": "Compounded semaglutide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "starter dose",
              "mg": null,
              "monthly_usd": 60
            },
            {
              "label": "top dose",
              "mg": null,
              "monthly_usd": 99
            }
          ],
          "first_month_usd": 99,
          "billing": "per-dose + membership",
          "fees": []
        },
        {
          "drug": "Compounded tirzepatide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "starter dose",
              "mg": null,
              "monthly_usd": 90
            },
            {
              "label": "top dose",
              "mg": null,
              "monthly_usd": 199
            }
          ],
          "first_month_usd": 129,
          "billing": "per-dose + membership",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "henry-meds",
      "name": "Henry Meds",
      "type": "Telehealth — compounded 503A, all-inclusive",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official page fetched 2026-09-04; tiers behind intake",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://henrymeds.com/treatments/weight-management/glp-1-weight-management",
      "source_notes": "Official floor \"starts at $179/mo\" all-inclusive. Third parties report $297 month-to-month / $197 on 12-mo / $397 high-dose — audit scheduled everything above the floor.",
      "display": {
        "medication": "Compounded semaglutide, all-in",
        "monthly_usd": 179,
        "monthly_label": "from $179 all-in",
        "first_month": null
      },
      "medications": [
        {
          "drug": "Compounded semaglutide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "from $179",
              "mg": null,
              "monthly_usd": 179
            }
          ],
          "first_month_usd": null,
          "billing": "all-in",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "directmeds",
      "name": "Direct Meds",
      "type": "Telehealth — compounded 503A, all-inclusive",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official offers page fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://directmeds.com/dm-offers-stc/",
      "source_notes": "All-inclusive pricing (med, doctor visits, 1-day shipping, supplies); no membership fee; month-to-month, cancel anytime, refundable if ineligible. LegitScript-certified; US 503A pharmacy partners. Sublingual drop prices are secondary-sourced (~$179 sema / ~$224 tirz) — audit scheduled. First-month $147 is a fall promo.",
      "display": {
        "medication": "Compounded semaglutide, all-in",
        "monthly_usd": 297,
        "monthly_label": "$297 all-in, no fees",
        "first_month": "$147 first month (promo)"
      },
      "medications": [
        {
          "drug": "Compounded semaglutide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "all-inclusive, month-to-month",
              "mg": null,
              "monthly_usd": 297
            }
          ],
          "first_month_usd": 147,
          "billing": "all-in",
          "fees": []
        },
        {
          "drug": "Compounded semaglutide",
          "form": "sublingual drops",
          "dose_tiers": [
            {
              "label": "flat rate",
              "mg": null,
              "monthly_usd": 179
            }
          ],
          "first_month_usd": null,
          "billing": "all-in",
          "fees": []
        },
        {
          "drug": "Compounded tirzepatide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "all-inclusive, month-to-month",
              "mg": null,
              "monthly_usd": 399
            }
          ],
          "first_month_usd": null,
          "billing": "all-in",
          "fees": []
        },
        {
          "drug": "Compounded tirzepatide",
          "form": "sublingual drops",
          "dose_tiers": [
            {
              "label": "flat rate",
              "mg": null,
              "monthly_usd": 224
            }
          ],
          "first_month_usd": null,
          "billing": "all-in",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "cora",
      "name": "Cora",
      "type": "Telehealth — compounded 503A (2026 entrant)",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official site fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://www.trycora.io/",
      "source_notes": "LegitScript-certified, named 503A pharmacies (Hallandale, VialsRx). Flat price across doses. Small review base (Trustpilot 4.7/48). Publishes its own comparison content — conflicted as a source, fine as a seller.",
      "display": {
        "medication": "Compounded sema, flat dose",
        "monthly_usd": 175,
        "monthly_label": "$175 monthly ($99/mo annual)",
        "first_month": null
      },
      "medications": [
        {
          "drug": "Compounded semaglutide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "flat, monthly billing",
              "mg": null,
              "monthly_usd": 175
            },
            {
              "label": "flat, annual prepay ($1,188)",
              "mg": null,
              "monthly_usd": 99
            }
          ],
          "first_month_usd": null,
          "billing": "monthly or annual prepay",
          "fees": []
        },
        {
          "drug": "Compounded tirzepatide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "flat, monthly billing",
              "mg": null,
              "monthly_usd": 225
            },
            {
              "label": "flat, annual prepay",
              "mg": null,
              "monthly_usd": 135
            }
          ],
          "first_month_usd": null,
          "billing": "monthly or annual prepay",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "trimi",
      "name": "Trimi",
      "type": "Telehealth — compounded 503A (2026 entrant), annual-only",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official site fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://trytrimi.com/",
      "source_notes": "Licensed operation (Arora Health clinicians; named 503A pharmacies VialsRx, GreenwichRx) but annual-plan-only pricing published; monthly rate not published (index policy: monthly_usd stays null until a monthly-billed price exists). Aggressively self-publishes rankings ranking itself #1.",
      "display": {
        "medication": "Compounded sema, flat dose",
        "monthly_usd": null,
        "monthly_label": "$99/mo annual-only",
        "first_month": null
      },
      "medications": [
        {
          "drug": "Compounded semaglutide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "flat, annual plan only",
              "mg": null,
              "monthly_usd": 99
            }
          ],
          "first_month_usd": null,
          "billing": "annual commitment",
          "fees": []
        },
        {
          "drug": "Compounded tirzepatide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "flat, annual plan only",
              "mg": null,
              "monthly_usd": 125
            }
          ],
          "first_month_usd": null,
          "billing": "annual commitment",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "shed",
      "name": "Shed (ShedRx)",
      "type": "Telehealth — compounded 503A + brand",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official site fetched 2026-09-04; tiers inconsistent across own pages",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://tryshed.com/",
      "source_notes": "Sema from $159 (annual) / ~$199 month-to-month per third party; tirz $239-299 by commitment; brand from $349. Pricing inconsistent across its own pages — audit scheduled tiers.",
      "display": {
        "medication": "Compounded sema",
        "monthly_usd": 199,
        "monthly_label": "≈$199 monthly ($159 annual)",
        "first_month": null
      },
      "medications": [
        {
          "drug": "Compounded semaglutide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "monthly billing",
              "mg": null,
              "monthly_usd": 199
            },
            {
              "label": "annual plan",
              "mg": null,
              "monthly_usd": 159
            }
          ],
          "first_month_usd": null,
          "billing": "monthly or annual",
          "fees": []
        },
        {
          "drug": "Compounded tirzepatide",
          "form": "injection",
          "dose_tiers": [
            {
              "label": "monthly billing",
              "mg": null,
              "monthly_usd": 299
            },
            {
              "label": "annual plan",
              "mg": null,
              "monthly_usd": 239
            }
          ],
          "first_month_usd": null,
          "billing": "monthly or annual",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "ww-clinic",
      "name": "WeightWatchers Clinic (Med+)",
      "type": "Telehealth — insurance-first membership",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official page fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 74,
      "membership_note": "$25/mo first 2 months, then $74/mo on 12-month plan; ~$149 month-to-month (audit scheduled); meds billed separately at insurance copay or manufacturer cash price",
      "source_url": "https://www.weightwatchers.com/us/clinic",
      "source_notes": "Insurance-navigation model; no med-price advantage for cash payers.",
      "display": {
        "medication": "Membership + med separately",
        "monthly_usd": null,
        "monthly_label": "$74/mo fee + med",
        "first_month": "$25/mo first 2 months"
      },
      "medications": [],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "calibrate",
      "name": "Calibrate",
      "type": "Telehealth — insurance navigation program",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official pricing page fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 199,
      "membership_note": "$199/mo program, 3-month initial commitment ($597); meds separate, target $25/mo via insurance; labs + smart scale included; 10% weight-loss guarantee",
      "source_url": "https://www.joincalibrate.com/pricing",
      "source_notes": "Program model — prescribes and navigates insurance, does not sell meds.",
      "display": {
        "medication": "Program + med via insurance",
        "monthly_usd": null,
        "monthly_label": "$199/mo fee + med",
        "first_month": "3-month commitment"
      },
      "medications": [],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "sesame",
      "name": "Sesame Care",
      "type": "Telehealth — brand pass-through",
      "status": "active",
      "verification": {
        "tier": "T2",
        "method": "official medication page fetched 2026-09-04",
        "last_verified": null
      },
      "unverified_placeholder": true,
      "membership_monthly_usd": 0,
      "source_url": "https://sesamecare.com/medication/wegovy",
      "source_notes": "Passes through NovoCare pricing. Optional \"Success by Sesame\" subscription from $59/mo (annual basis); standard sub rate audit scheduled. Old $249 at-cost compounded offer appears defunct.",
      "display": {
        "medication": "Wegovy pen (NovoCare pricing)",
        "monthly_usd": 349,
        "first_month": "$199/mo first 2 months"
      },
      "medications": [
        {
          "drug": "Wegovy",
          "form": "pen",
          "dose_tiers": [
            {
              "label": "standard doses",
              "mg": null,
              "monthly_usd": 349
            }
          ],
          "first_month_usd": 199,
          "billing": "monthly",
          "fees": [
            {
              "label": "optional Success subscription from $59/mo",
              "usd": null
            }
          ]
        },
        {
          "drug": "Wegovy",
          "form": "pill",
          "dose_tiers": [
            {
              "label": "1.5/4 mg",
              "mg": null,
              "monthly_usd": 149
            },
            {
              "label": "9/25 mg",
              "mg": null,
              "monthly_usd": 299
            }
          ],
          "first_month_usd": null,
          "billing": "monthly",
          "fees": []
        }
      ],
      "listed_verified": "2026-09-04"
    },
    {
      "id": "compounded-503b",
      "name": "503B bulk compounded GLP-1s",
      "type": "Outsourcing facilities (bulk compounding)",
      "status": "discontinued",
      "verification": {
        "tier": "T2",
        "method": "regulatory record",
        "last_verified": null
      },
      "unverified_placeholder": false,
      "membership_monthly_usd": 0,
      "source_url": "https://www.fda.gov/news-events/press-announcements/fda-proposes-exclude-semaglutide-tirzepatide-and-liraglutide-503b-bulks-list",
      "source_notes": "FDA proposed permanently excluding sema/tirz/liraglutide from the 503B Bulks List (Apr 30, 2026; not yet finalized) — bulk compounding is over outside a shortage. 503A patient-specific compounding continues legally via the providers above. Historical bulk-market range $99-299/mo.",
      "display": {
        "medication": "Bulk market (historical)",
        "monthly_usd": null,
        "monthly_label": "$99–299 (historical)",
        "first_month": null,
        "discontinued_note": "Ended 2026 — 503A lives on"
      },
      "medications": []
    }
  ]
}