If you're considering semaglutide for weight loss, the first question is usually the same: how much will it actually cost?
Without insurance, brand-name semaglutide (sold as Wegovy for weight loss) carries a retail price north of $1,000 per month. But that's not what most telehealth patients pay. Compounded semaglutide — the same active ingredient prepared by licensed pharmacies — has made the medication accessible at a fraction of that cost.
We pulled real pricing data from every major telehealth provider in our database to show you exactly what you'll pay in 2026.
Semaglutide Pricing by Provider
Here's what each telehealth provider charges for semaglutide, based on the pricing in our database. All prices are monthly and cover the standard dose range of 0.25–2.4mg per week.
| Provider | Monthly Cost | Type | Consultation Included | Lab Testing |
|---|---|---|---|---|
| Trimi Health | $99/mo | Compounded | Yes | No |
| Belle Health | $119/mo | Compounded | Yes (flat pricing, no increase with dose) | No |
| Ro | $149/mo | Compounded (brand Wegovy also available) | Yes | No |
| Henry Meds | $149/mo | Compounded | Yes (no consultation fee) | No |
| Ivim Health | $150/mo | Compounded ($75 medication + $75 program fee) | Yes (weekly check-ins) | No |
| Found | $159/mo | Compounded (brand options at higher cost) | Yes | No |
| Genesis Health | $176/mo | Compounded (flat-rate, same at every dose) | Yes | No |
| Hims | $199/mo | Compounded | Yes | No |
| Zealthy | From $25/mo | Insurance pathway (brand-name Wegovy copay) | Yes | No |
| Heally | $275/mo | Compounded (consultation fee separate ~$75) | Separate fee | No |
| Defy Medical | $280/mo | Compounded (consultation fee separate ~$250) | Separate fee | Yes |
| Hone Health | $299/mo | Compounded | Yes | Yes |
| PeterMD | $297/mo | Compounded | Yes | No |
| Calibrate | $299/mo | Program fee (medication cost varies by insurance) | Yes (video visits, coaching, labs) | Yes |
| FuturHealth | $299/mo | Compounded/brand (includes nutrition coaching) | Yes | No |
| LifeMD | $299/mo | Compounded | Yes (video consultations) | No |
| Maximus | $349/mo | Compounded | Yes | Yes |
| Evolve Telemed | $350/mo | Compounded | Yes (video consultations) | Yes |
| Eden Health | $350/mo | Compounded (may be covered by employer plan) | Yes | Yes |
| TruLife Health | $450/mo | Compounded (includes labs and follow-ups) | Yes (concierge model) | Yes |
What Affects the Price?
Not all semaglutide programs are equal. The monthly number on the price tag doesn't always tell the full story.
Compounded vs. Brand-Name
The biggest cost driver is whether you're getting compounded or brand-name semaglutide.
- Brand-name Wegovy retails at over $1,000/month without insurance. Some telehealth providers (like Zealthy) specialize in getting insurance to cover it, bringing the cost down to copay levels — potentially as low as $25/month.
- Compounded semaglutide contains the same active ingredient but is prepared by 503B compounding pharmacies at significantly lower cost. Most telehealth providers offering sub-$300 pricing are providing compounded formulations.
Dose Titration Pricing
Some providers charge the same rate regardless of your dose. Others increase the price as you titrate up from the starting dose (0.25mg/week) toward the maintenance dose (1.0–2.4mg/week).
Flat-rate providers (price stays the same at all doses):
- Belle Health ($119/mo)
- Genesis Health ($176/mo)
- Trimi Health ($99/mo)
Variable pricing (may increase with higher doses):
- Most other providers list a range; your actual cost may be higher at maintenance doses
Bundled vs. Unbundled Costs
Watch for hidden costs beyond the monthly medication price:
- Consultation fees: Defy Medical charges ~$250 for the initial consultation. Heally charges ~$75 separately. Most others include it.
- Lab work: Providers like Hone Health, Calibrate, and TruLife Health include labs. Others require you to arrange and pay for labs independently.
- Shipping: Most providers include free shipping. PeterMD and a few others may charge separately.
- Program fees: Ivim Health charges a $75/month program fee on top of medication cost. Calibrate's $299/month is a program fee — medication may be additional.
Budget vs. Premium: What's the Difference?
Budget Tier ($99–$159/month)
Providers like Trimi Health, Belle Health, Ro, Henry Meds, and Found offer the lowest prices through compounded semaglutide with an async (messaging-based) consultation model. You'll get the medication and basic provider oversight, but typically no video visits, lab testing, or coaching.
Best for: Patients who know they want semaglutide, are comfortable with self-injection, and don't need wraparound support.
Watch out for: Trimi Health has reported supply issues and a 3.5/5 Trustpilot rating with 37% one-star reviews. Belle Health has no video consultations. Henry Meds is relatively new.
Mid-Range ($199–$350/month)
Providers like Hims, Hone Health, LifeMD, and Evolve Telemed offer a more complete experience — video consultations, dedicated providers, and in some cases lab testing. Defy Medical falls here too, though you need to account for their separate consultation fee.
Best for: Patients who want a real provider relationship and clinical monitoring alongside their medication.
Premium ($350–$450/month)
TruLife Health and Calibrate represent the premium end. You're paying for concierge-level care: labs included, regular video check-ins, coaching, and comprehensive metabolic health programs.
Best for: Patients who want a fully managed weight loss program, not just a prescription.
The Insurance Alternative
If you have employer-sponsored health insurance, it's worth checking whether your plan covers GLP-1 medications for weight loss before committing to cash-pay.
Zealthy specializes in this — their team handles prior authorization for brand-name Wegovy, potentially getting your cost down to a $25/month copay. That's a fraction of even the cheapest compounded option.
The catch: not all insurance plans cover weight-loss medications, and prior authorization isn't guaranteed. But if it works, the savings are substantial.
How to Choose
- Check your insurance first. Even 5 minutes on the phone with your insurer could save you hundreds per month.
- If paying cash, start with flat-rate providers. Belle Health and Genesis Health won't increase your price as your dose goes up.
- Factor in total cost. A $149/month provider with no labs is cheaper than a $299/month provider — until you add the $200 lab panel you'll need quarterly.
- Read the fine print on compounded supply. Some providers have experienced supply disruptions as FDA enforcement around compounded GLP-1s continues to evolve.
Take the Find My Match quiz to get matched with a provider based on your budget and preferences, or browse the full provider comparison.
Frequently Asked Questions
Is semaglutide covered by insurance?
Brand-name semaglutide (Wegovy) may be covered by insurance for weight management, but many plans exclude weight-loss medications or require prior authorization. Compounded semaglutide is typically not covered by insurance. Providers like Zealthy specialize in navigating the prior authorization process for brand-name coverage.
What is the cheapest way to get semaglutide?
The most affordable semaglutide options are compounded formulations through telehealth providers, starting around $99–$149 per month. Trimi Health ($99/mo), Belle Health ($119/mo), Ro ($149/mo), and Henry Meds ($149/mo) offer some of the lowest monthly rates. However, factor in total cost including any consultation fees, lab work, and shipping.
Is compounded semaglutide safe?
Compounded semaglutide is prepared by licensed 503B pharmacies and contains the same active ingredient as brand-name Wegovy. However, compounded medications are not FDA-approved as finished products. Choose providers that source from LegitScript-certified pharmacies for added safety assurance. Belle Health, for example, uses a LegitScript-certified pharmacy with 50-state licensure.
Why is semaglutide so expensive without insurance?
Brand-name semaglutide (Wegovy, Ozempic) is priced by Novo Nordisk at over $1,000 per month retail. Without insurance-negotiated rates, patients pay full price. Compounded versions are cheaper because compounding pharmacies produce the medication at lower cost without brand-name markup, patent licensing fees, or marketing overhead.
