Fierce Health review: price, pros & cons
A direct-to-consumer service selling compounded semaglutide and tirzepatide in standard and microdose programs, currently on sale at $199 and $299 a month against regular prices of $297 and $497, filled by Red Rock Pharmacy in Utah.
- Scores never bought
- 599 providers tracked
- Every factor auditable
Fierce Health sells compounded semaglutide and tirzepatide in four programs, standard and microdose, each with a nurse-practitioner dosing plan, access to a registered nurse, meal plans and guided workouts.
- Semaglutide
- Not disclosed
- Tirzepatide
- Not disclosed
- Coverage
- 30 states listed in its terms
- Brand-name
- Not listed
- Oral option
- Not listed
- Verification
- Not independently listed
Best for: Readers who want a lower-dose microdose option, meal and workout plans with their medication, and nurse support through a patient portal.
MatchScript's take: A friendly program with nurse support and microdose options, but the prices are all sale prices and sale items are non-refundable.
The factor breakdown
Fierce Health on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Monthly prices are shown only as sale prices against higher regular prices, so Budget Fit sits at the unpriced level of 48.
An online intake with no office visit, but its terms list 30 states and shipping takes four to six days.
Compounded semaglutide and tirzepatide in standard and microdose programs; no tablet and no brand-name medication.
A nurse-practitioner dosing plan, registered-nurse access, portal messaging and a free consultation call, plus meal and workout plans.
Monthly subscriptions with no long-term contract that you can pause or cancel, but sale-priced purchases are non-refundable.
The pharmacy and a state list are published, but the list conflicts with other pages and every price is a sale price.
Pricing in context
How Fierce Health's monthly price sits against the category median and the cheapest provider we track.
| Monthly price | Semaglutide | Tirzepatide |
|---|---|---|
| Fierce Healththis providerVisit | Not disclosed | Not disclosed |
| Category median240 tracked | $190/mo | $259/mo |
| Cheapest trackedMondaeVisit | $87/mo | $126/mo |
For a fair comparison, check the full cost of semaglutide or tirzepatide, including care fees, dose changes and the amount due at each renewal.
What we found on their site
Read on Fierce Health's own website in October 2026. Quoted text is theirs.
- For the "Monthly" subscription type, the semaglutide program shows "Sale price $199.00" beside "Regular price $297.00".
- Its refund policy says of sale items: "No refunds. Sale items may not be returned or exchanged for any reason."
- The terms name "Red Rock Pharmacy" in Springville, Utah, and introduce a 30-state list with "Here is a list of the following states we offer our service."
What we like
- Four programs: standard and microdose versions of both compounded semaglutide and tirzepatide
- Each program includes the medication, a dosing plan built by a nurse practitioner, access to a registered nurse, meal plans and guided workouts
- Names its compounding pharmacy, Red Rock Pharmacy in Springville, Utah, in its terms
- Monthly subscriptions with no long-term contract, which the site says you can adjust, pause or cancel through its portal
- A free consultation call can be booked before you start
The caveats
- Every monthly price is shown as a sale price (semaglutide $199, tirzepatide $299) against higher regular prices ($297 and $497), and the site does not say how long the sale lasts
- Its refund policy says sale-priced items cannot be refunded or exchanged, which covers the discounted programs
- Coverage is inconsistent: the terms list 30 states, the product pages say it ships to all 50, and the homepage says most states
- No oral tablet and no brand-name Wegovy or Zepbound option
- Shipping takes four to six days after approval
- Its providers are described only as board-certified and US-licensed; none are named
Fierce HealthCheck the current price and eligibility on their site.
Visit Fierce HealthWho it's for — and who should skip it
Fierce Health is for readers who want a lower-dose microdose option, meal and workout plans with their medication, and nurse support through a patient portal.
Skip it if that doesn't sound like you. A closer fit may be SkinnyRx (Match Score 64) — or take the quiz to see where Fierce Health lands for your priorities.
Before you choose care
What semaglutide costs. Compare medication costs, ongoing fees and prepaid plans before choosing care.
What tirzepatide costs. See how dose, medication type and billing terms affect the total price.
Compounded vs. brand-name GLP-1s. Learn how approval, evidence and pharmacy oversight differ between these options.
How to choose a provider. Compare clinical support, pharmacy transparency and cancellation terms alongside price.
How it compares to CoreAge Rx & the closest scorer
Fierce Health against CoreAge Rx and the provider that scores closest to it. Green marks the row leader.
| How it compares | Fierce Healththis provider | CoreAge Rxfeatured | SkinnyRxclosest scorer |
|---|---|---|---|
| Sema price | Not disclosed | $99/mo at every dose | Not disclosed |
| Coverage | 30 states listed in its terms | U.S. only — restrictions vary by state and therapy, list not published | Coverage not published |
| Formulary | Injectable | Injectable | Injectable + oral |
| Match Score | 64 · C | 91 · A− | 64 · C |
Fierce Health, answered
How much does Fierce Health cost per month?
Monthly semaglutide is shown at a sale price of $199 against a regular $297, and tirzepatide at $299 against $497. Microdose programs are on sale at $179 and $199. The site does not say when the sale ends.
Which states does Fierce Health serve?
Its terms list 30 states, while its product pages say it ships to all 50 and its homepage says most states. Check your state at intake; the homepage says you are refunded if it cannot ship to you.
Who prescribes at Fierce Health?
A board-certified, US-licensed provider reviews your intake, and a nurse practitioner builds your dosing plan. You can reach a registered nurse and message your care team through the patient portal.
Can I get a refund from Fierce Health?
Its refund policy says sale-priced items cannot be refunded or exchanged, which covers the discounted programs. You can cancel the subscription without a long-term contract.
Pricing & state data come from Fierce Health's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Fierce Health's site. Not medical advice; see our disclosure.
Fierce Health sells compounded semaglutide and tirzepatide in four programs, standard and microdose, each with a nurse-practitioner dosing plan, access to a registered nurse, meal plans and guided workouts. Medication is filled by Red Rock Pharmacy in Utah and shipped in four to six days. Pricing is the sticking point: monthly semaglutide is shown at a sale price of $199 against a regular $297, and tirzepatide at $299 against $497, with no end date for the sale, so you cannot be sure what you will pay in later months. The refund policy rules out refunds on sale items, and the site gives three different answers on where it ships, with its terms listing 30 states. You can cancel the subscription without a long-term contract. Bottom line: appealing if you want a microdose program with coaching extras, but check your state and the ongoing price in writing first.
Compare with other providers
Five more providers to compare (providers we have a commercial relationship with are listed first), then the 24 programs that sit nearest Fierce Health here.
- Match91/ 100CoreAge RxCompounded semaglutide at $99 and tirzepatide at $149 a month, the same price at every dose, with no membership fee and a full refund if the doctor doesn't approve you.91/100
- Match86/ 100EdenCompounded semaglutide at $99 and tirzepatide at $129 a month at every dose, with care, coaching and shipping included, a brand-name Wegovy option, and medication from Eden's own pharmacy network.86/100
- Match81/ 100yourEraA personalized-health brand selling compounded semaglutide and tirzepatide alongside NAD+, sermorelin and microdosing protocols, with an optional coaching-and-labs bundle, nationwide.81/100
- Match80/ 100HealthRXA LegitScript-certified program selling compounded semaglutide and tirzepatide on one flat plan price — consult, medication and overnight shipping included — with a full refund if a provider doesn't approve you.80/100
- Match80/ 100ShedRxCompounded semaglutide and tirzepatide as injections, oral drops or lozenges, plus brand-name Wegovy, Zepbound and the Foundayo pill — month to month or cheaper on longer plans.80/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Lyfe Rx | 64 | Not disclosed | Not disclosed | Confirm availability in your state | Alternatives | Visit |
| Human+ | 64 | Not disclosed | Not disclosed | 50 states and D.C. claimed; live visits required in some states | Alternatives | Visit |
| iThriveMD | 64 | Not disclosed | Not disclosed | California and Arizona clinics; confirm telehealth eligibility | Alternatives | Visit |
| Premium Health | 64 | $275/mo (starting dose) | $445/mo (starting dose) | Confirm your state before enrollment | Alternatives | Visit |
| Aurelius Health Group | 64 | Not disclosed | $199/mo (microdose program) | State eligibility confirmed during intake | Alternatives | Visit |
| Harmony Wellness Clinic | 64 | Not disclosed | Not disclosed | Clinician-dependent state list; confirm at booking | Alternatives | Visit |
| CaliberRx | 64 | Not disclosed | Not disclosed | 46 states and DC; excludes AL, MA, RI and VT | Alternatives | Visit |
| Medi-Weightloss | 64 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Prime Health | 64 | Not disclosed | Not disclosed | The main page states US availability except Louisiana; confirm current eligibility | Alternatives | Visit |
| Whoosh Wellness | 64 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Stealth Health | 64 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| TeleDocs360 | 64 | $299/mo | $399/mo (starting dose) | Coverage not published | Alternatives | Visit |
| MDExam | 64 | Not disclosed | Not disclosed | Confirm state and prescription eligibility | Alternatives | Visit |
| Wellspring Longevity Clinic | 64 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Blue Haven RX | 64 | Not disclosed | Not disclosed | Confirm state and medication eligibility | Alternatives | Visit |
| Bayan Health | 64 | Not disclosed | Not disclosed | All 50 states, subject to treatment and pharmacy restrictions | Alternatives | Visit |
| Vital Step | 64 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| LifeVine Wellness | 64 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| New Wave Health | 64 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Eviora MD | 64 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Meli Health | 64 | $229/mo | $299/mo | 49 US states; excludes California | Alternatives | Visit |
| System Labs | 61 | Not offered | Not disclosed | All 50 states | Alternatives | Visit |
| Vaylen | 63 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Embody | 63 | Not disclosed | Not disclosed | Not published — certain states only; the list is available from support | Alternatives | Visit |