Silhouette MD review
Concierge-style GLP-1 telehealth offering compounded semaglutide and tirzepatide in both injectable and oral forms, with provider oversight and full-service support included on every plan.
- Scores never bought
- 537 providers tracked
- Every factor auditable
- Updated June 2026
Semaglutide here is $149/mo (compounded) — $50 below our category median of $199.
- Semaglutide
- $149/mo (compounded)
- Tirzepatide
- $299/mo (compounded)
- Coverage
- Coverage not published
- Brand-name
- Compounded only
- Oral option
- Yes
- Verification
- Not independently listed
Best for: People who want hands-on concierge support alongside compounded GLP-1 treatment.
MatchScript's take: Our #293 pick of 537 — priced at or below the category median.
The factor breakdown
Silhouette MD on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $149/mo (compounded) puts Budget Fit at a below-par 72 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a below-par 62 on Speed to Start.
Silhouette MD adds an oral/sublingual route on top of injectables, for a middling 77 on Formulary Match.
Support lands at a middling 78 — lighter, meds-first support.
Flexibility scores a below-par 55 — fewer levers to flex your plan.
Thinner public disclosure than the top of the ranking keeps Transparency at a below-par 28.
Pricing in context
How Silhouette MD's monthly price sits against the category median and the cheapest provider we track.
What we like
- Compounded semaglutide and tirzepatide in both injectable and oral formulations
- Concierge-level support — monitoring, expert guidance, and check-ins included on every plan
- Transparent, published pricing starting at $149/mo for semaglutide injection
- Prescriptions issued and fulfilled by licensed clinical partner OpenLoop Health
The caveats
- Tirzepatide ($299/mo) and oral options ($263–$325/mo) priced above many compounded competitors
- State availability not published
- Newer brand with limited independent review history
- Medications are compounded, not FDA-approved brand-name
Who it's for — and who should skip it
Silhouette MD is for people who want hands-on concierge support alongside compounded GLP-1 treatment.
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 Silhouette MD lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
Silhouette MD against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | Silhouette MDthis provider | CoreAge Rxour #1 | FORM (by GBY)closest scorer |
|---|---|---|---|
| Sema price | $149/mo (compounded) | $99/mo at every dose | $299/mo compounded (no dose tiers) |
| Coverage | Coverage not published | All 50 states | 48 states plus D.C. (excludes Alaska and Mississippi) |
| Formulary | Injectable + oral | Injectable | Injectable + oral + brand |
| Match Score | 62 · C | 91 · A− | 62 · C |
Silhouette MD, answered
Is Silhouette MD legit?
Silhouette MD is a real, operating GLP-1 telehealth program. LegitScript certification is the third-party check worth asking for — look for the seal on their site and confirm your prescriber is US-licensed at intake. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved.
How much does Silhouette MD cost?
Silhouette MD lists compounded semaglutide from $149/mo (compounded) and tirzepatide from $299/mo (compounded) — below our category median of $199/mo. These are the provider's public figures at our last review (June 2026); confirm on their site, since some teaser tiers step up after month one.
Does Silhouette MD ship to my state?
Silhouette MD doesn't publish a full state list, so confirm your state is covered during intake before you pay.
Silhouette MD vs SkinnyRx — which should I pick?
They score within a few points of each other: Silhouette MD at 62/100 and SkinnyRx at 64/100, so neither wins on the headline number. Silhouette MD is the better fit for people who want hands-on concierge support alongside compounded GLP-1 treatment. SkinnyRx suits shoppers who want a tablet as well as an injection on either molecule, and who read the term attached to an advertised rate before they read the number. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data last verified June 2026 from Silhouette MD'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 Silhouette MD's site. Not medical advice; see our disclosure.
Semaglutide here is $149/mo (compounded) — $50 below our category median of $199. Tirzepatide is $299/mo (compounded). It scores highest on the care that comes after the first vial. Best suited to people who want hands-on concierge support alongside compounded GLP-1 treatment. If that is not you, SkinnyRx is the closest thing to it here.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest Silhouette MD here.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match84/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry in this ranking.84/100
- #3Match83/ 100EdenA polished, high-disclosure compounded program with strong nationwide coverage and hands-on support.83/100
- #4Match85/ 100RoA heavyweight telehealth brand with brand-name access and a polished experience — but opaque compounded pricing.85/100
- #5Match85/ 100No BS RXThe highest Transparency score here, and it is not close: twenty-four prices on one public page and four dispensing pharmacies named with street addresses.85/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Spry#294 | 62 | $216/mo | $349/mo | Coverage not published | Alternatives | Visit |
| Sumbare Wellness#295 | 62 | $199/mo (all doses, compounded) | $199/mo (all doses, compounded) | Coverage not published | Alternatives | Visit |
| TeleHealth Weight Solutions#296 | 62 | $325/mo (all doses, compounded) | $375/mo | Coverage not published | Alternatives | Visit |
| The Virtual NP#297 | 62 | Not disclosed | Not disclosed | 7 states | Alternatives | Visit |
| Tru2u#298 | 62 | $225/mo | $345/mo | Coverage not published | Alternatives | Visit |
| HealthOn#299 FDA issued Healthon Inc. dba Healthon a warning letter in September 2025. See FDA's warning-letter database. | 62 | $205/mo | $315/mo | Coverage not published | Alternatives | Visit |
| Livea#300 | 62 | $170/mo | $272/mo | 4 states | Alternatives | Visit |
| Luci#301 | 62 | $99/mo (starting dose, promotional rate, compounded) | $405/mo | Coverage not published | Alternatives | Visit |
| Invyncible#302 | 62 | $149/mo (0.45 mg dose, compounded with glycine + B12) | $180/mo (2.5 mg weekly, 4-week program, compounded) | 46 states plus DC | Alternatives | Visit |
| Trinity Meds#303 | 62 | $99/mo | $149/mo | Coverage not published | Alternatives | Visit |
| Valhalla Vitality#304 | 62 | $108/mo | $100/mo | Coverage not published | Alternatives | Visit |
| Superior Remedies#305 | 62 | $202/mo | $303/mo | 7 states — CA, IL, MI, NY, UT, VA, WI | Alternatives | Visit |
| Magnolia Regenerative Medicine#306 | 62 | $119/mo | $199/mo | 26 states | Alternatives | Visit |
| RENN Health#307 | 62 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Try Ageless#308 FDA issued Lovely Meds, Inc. dba Lovely Meds a warning letter in September 2025. See FDA's warning-letter database. | 59 | $279/mo (injection, month-to-month) | $349/mo (injection, month-to-month) | Coverage not published | Alternatives | Visit |
| LevelsRx#309 | 61 | $253/mo | $354/mo | Coverage not published | Alternatives | Visit |
| Livv#310 | 61 | $179/mo | $269/mo | Coverage not published | Alternatives | Visit |
| Clinic Secret#311 | 61 | $301/mo | $403/mo | Coverage not published | Alternatives | Visit |
| Heva Health#312 | 61 | $199/mo | Not disclosed | Coverage not published | Alternatives | Visit |
| InstaRX#313 | 61 | $252/mo | $353/mo | All 50 states | Alternatives | Visit |
| Tuyo Health#314 FDA issued Tuyo Health, Inc. dba Tuyo Health a warning letter in September 2025. See FDA's warning-letter database. | 61 | $155/mo | $349/mo | Coverage not published | Alternatives | Visit |
| MyStart Health#315 FDA issued Matthew Stern, CEO MyStart Health LLC. a warning letter in September 2025. See FDA's warning-letter database. | 61 | $303/mo | $303/mo | Coverage not published | Alternatives | Visit |
| Freya Meds#316 | 61 | $301/mo | $396/mo | Coverage not published | Alternatives | Visit |
| The Aesthetic Concierge#317 | 61 | $417/mo | Not disclosed | 13 states | Alternatives | Visit |
Silhouette MD is ranked on our best semaglutide providers, best tirzepatide providers, best GLP-1 programs and best oral GLP-1 providers boards, scored on the same six factors as every other provider there.