What GLP-1 telehealth actually costs

The headline numbers

The spread is the story. A tenth of semaglutide programs are at or under $119 a month and a tenth are at or above $297 — a 2× range for the same molecule. Tirzepatide runs $60 a month higher at the median.

These figures cover compounded medication only. 11 semaglutide and 9 tirzepatide prices we hold are for brand-name Wegovy, Ozempic, Zepbound or Mounjaro, which cost far more, and are left out so they do not stretch a compounded range.

Where the prices cluster

Compounded semaglutide (229 programs)

• Under $10013
• $100–14951
• $150–19994
• $200–24934
• $250–29930
• $300–3996
• $400 and up1

Compounded tirzepatide (221 programs)

• Under $1002
• $100–14918
• $150–19933
• $200–24958
• $250–29951
• $300–39951
• $400 and up8

Why our median is not the number you see advertised

This is the part a price average usually hides. Of the 598 programs we track, 8 publish a headline figure that is not a month-to-month rate — a first-month promotion, a quarterly or annual plan divided into monthly-looking installments, a bundle, or a tier whose term is never stated. Those numbers are not comparable to each other, and averaging them together produces a figure nobody actually pays.

We record the rate a reader pays who does not prepay a year, and file the other rungs as notes. It is also why we are careful about superlatives: 52 of the 229 semaglutide prices we hold sit below the provider’s own stated floor, are priced per vial, or carry a term we cannot confirm, so we will not name them as the cheapest even though they are the smallest numbers in the table. The lowest month-to-month semaglutide price we can corroborate is Mondae at $87/mo.

How this was compiled

• Source. Each program’s own published pricing, read on its site. Where pricing is gated behind an intake we record that it is not published rather than estimating a figure — that is 352 of the 598 programs here.
• What we record. The month-to-month rate: what you pay without prepaying a term. Promotional, first-month, quarterly and annual rungs go in the notes on that provider’s review, never in the price field.
• Dating. Every row carries the month we last checked it; 598 of 598 are dated. Prices in this category move, so a figure without a date is not a figure.
• Coverage. 173 of the 598 programs report availability in all 50 states; many serve a named subset and some publish no state list at all.

Full scoring methodology is on our methodology page, and the per-program figures are on each provider review.