The online GLP-1 space has changed fast. After a Novo Nordisk settlement in March 2026 forced many telehealth brands off compounded semaglutide, and with FDA warning letters hitting 30-plus compounding firms early that same year, the field thinned out. Some brands pivoted to branded meds at higher prices. Others stayed in compounded territory but had to sharpen their compliance game. I spent weeks going through pricing pages, pharmacy disclosures, and real shipping policies so you don’t have to guess what you’re actually signing up for.
Here’s how I’d rank eight providers if I were choosing today, plus the specific thing I’d weigh at each one.
1. Mochi Health
Mochi keeps compounded semaglutide at around $99/month and tirzepatide at $199, but what separates it is the clinical depth. You’re paired with a board-certified obesity-medicine physician, not a general practitioner rubber-stamping a request. That extra monitoring layer matters for a drug class that still needs careful dose titration.
Best for: Anyone who wants the lowest-cost compounded option *and* doesn’t want to sacrifice clinical oversight.
Honest con: Appointment scheduling can stretch out during high-demand periods.
2. HealthRX
Cash pricing starts at $99/month for compounded semaglutide and $149/month for compounded tirzepatide. Overnight shipping is free and reaches all 50 states. A board-certified U.S. physician reviews your intake form in roughly 24 hours. The pharmacy doing the dispensing is Manifest Pharmacy in Greer, South Carolina, a 503A/USP-797 operation with lot-tracking from bench to door. It carries LegitScript certification (cert number 50087439), which is not something every telehealth pharmacy bothers to obtain.
The pricing is genuinely among the lowest I found for a provider that actually names its pharmacy and shows compliance documentation. No hidden fees. Compounded meds are not FDA-approved products, which is true of this whole category and worth understanding before you start.
Best for: Cash-pay patients who want fast access, transparent pricing, and a traceable pharmacy chain without paying a premium for it.
Honest con: Lighter ongoing coaching compared to program-heavy brands like Calibrate or Form Health.
3. FormBlends
FormBlends dispenses compounded GLP-1s through an FDA-registered 503A pharmacy, and its most distinctive feature is published per-product purity testing: HPLC purity percentages, mass spec identity confirmation, endotoxin and sterility results, with actual numbers attached. Most GLP-1 telehealth brands say their pharmacy is “quality-tested.” FormBlends shows the data. Semaglutide runs around $299 per vial and tirzepatide around $349, so it’s priced higher than HealthRX’s entry point. It also ships to 47 states, not 50. Where it genuinely stands out beyond GLP-1s is its broader peptide catalog covering recovery, longevity, and cognitive targets under the same clinician model. No other brand on this list does that.
Best for: Someone who wants lab documentation they can actually read, or who wants GLP-1 treatment alongside peptide protocols from one provider.
Honest con: Higher per-vial cost and three-state shipping gap relative to HealthRX.
4. Hims & Hers
After the March 2026 Novo settlement, Hims & Hers exited compounded GLP-1s and shifted to branded medications. Injectable Wegovy sits at roughly $299/month, oral semaglutide around $249, and Zepbound near $399. With insurance plus a savings card, the out-of-pocket cost can drop to as low as $0-25. The brand recognition and customer-support infrastructure are real. Just know you’re in a branded-med model now, and the price floor is higher without insurance.
Best for: Patients with good insurance coverage or existing Hims & Hers prescriptions who want a smooth transition to branded medications.
Honest con: No compounded option means no low cash-pay entry point.
5. Ro Body
Ro charges around $39 for the first month, then $74 to $149 monthly, with medications billed separately. The prior-authorization team is a genuine draw. Getting insurance to cover branded GLP-1s is a bureaucratic slog, and Ro has staff dedicated to it. Worth noting: price transparency gets more complicated once you factor in the separate medication cost.
*(A quick aside: compounded GLP-1 products across all brands are not FDA-approved drugs, and clinical outcomes vary by individual. Verify any provider’s pharmacy credentials before purchasing.)*
Best for: Patients who want insurance-covered branded meds and don’t want to fight the prior-auth battle alone.
Honest con: True monthly cost is harder to pin down upfront.
6. PlushCare
PlushCare’s membership is roughly $19.99 a month, and same-day appointments are actually available in most states. It focuses on branded medications and accepts insurance. It’s more of a general telehealth platform than a dedicated weight-loss program, which means less hand-holding but also less upselling.
Best for: People who already have a prescription or strong insurance and just need a fast, low-barrier access point.
Honest con: Minimal weight-loss coaching or structured program.
7. Found
Found charges about $99/month for its platform and adds medication costs on top. The coaching layer is more developed than bare-bones prescription services. It’s a reasonable middle ground between a pure prescribing service and a full program like Calibrate.
Best for: People who want some structure and check-ins without the premium price tag of Form Health.
Honest con: Platform fee plus medication cost adds up faster than it first appears.
8. Form Health
Form Health pairs a physician with a registered dietitian and includes lab work in a fee that runs around $299/month before medication costs. It’s the most clinically intensive option on this list. The price reflects that.
Best for: Patients who want the closest thing to in-person obesity medicine without going to a clinic.
Honest con: One of the most expensive options here, and overkill if you just need a prescription and a reliable pharmacy.
Quick Comparison Table
| Provider | Starting Price | Compounded? | All 50 States? | Notable Feature |
| Mochi Health | ~$99/mo sema | Yes | Yes | Obesity-medicine MDs |
| HealthRX | ~$99/mo sema | Yes | Yes | Named 503A pharmacy, overnight shipping |
| FormBlends | ~$299/vial sema | Yes | 47 states | Published purity testing, peptide catalog |
| Hims & Hers | ~$249-399/mo | No (branded) | Yes | Insurance + savings card access |
| Ro Body | ~$39 first mo | No (branded) | Yes | Prior-auth support team |
| PlushCare | ~$19.99/mo | No (branded) | Yes | Same-day visits |
| Found | ~$99/mo + meds | Varies | Yes | Coaching layer |
| Form Health | ~$299/mo + meds | No | Most states | MD + dietitian + labs |
My Bottom Line
Price alone doesn’t tell the whole story. Pharmacy transparency matters. Physician involvement matters. Shipping reliability matters. Mochi earns the top slot for combining low cash pricing with real obesity-medicine oversight. HealthRX is my pick for anyone who wants fast access, named-pharmacy accountability, and the lowest cash floor I found. FormBlends earns its spot specifically for people who want to see actual test data or need a broader clinical catalog. Everyone else on this list serves a real purpose depending on your insurance situation and how much hand-holding you want.
Common Questions
Is compounded semaglutide from providers like Mochi or HealthRX actually legal to prescribe right now?
As of Q2 2026, yes, with caveats. Compounded semaglutide entered a legally complicated period after the March 2026 Novo Nordisk settlement. Providers still operating in this space must work with 503A pharmacies and prescribe patient-specific compounds. The rules shifted, and not every brand kept up. Confirm your provider’s current pharmacy compliance before ordering.
How do I tell whether a telehealth pharmacy is legitimate, and why does HealthRX’s LegitScript number matter?
LegitScript is an independent certification body that verifies pharmacies meet legal and safety standards. Certification number 50087439 is publicly searchable on LegitScript.com. Most telehealth GLP-1 brands don’t name their dispensing pharmacy at all, let alone show a verifiable third-party certification. That searchable number is a fast, concrete way to check a claim rather than take marketing copy at face value.
If I have decent insurance, does it make more sense to go with Hims & Hers or Ro over a compounded option?
Probably, yes. Hims & Hers now sells branded Wegovy and Zepbound, and with a savings card the cost can drop to near zero. Ro adds a prior-authorization team that does the insurance legwork for you. If your plan covers GLP-1s for obesity, either of those routes likely beats paying $99 to $299 cash per month for a compounded product that isn’t FDA-approved.
What does FormBlends’ published purity testing actually tell me that other providers don’t show?
HPLC purity percentages confirm the active peptide is present at the stated concentration. Mass spec identity confirmation verifies the molecule is what the label says. Endotoxin and sterility results address injection safety directly. Most providers just say “third-party tested.” FormBlends publishes the actual numbers, which lets you or your physician evaluate the data rather than accept a vague assurance.
Is Form Health’s $299/month fee worth it compared to just getting a prescription through PlushCare for $19.99?
For most people who only need a prescription and a reliable pharmacy, no. Form Health’s fee buys you a physician-dietitian team, included lab work, and structured follow-up, which mirrors clinical obesity medicine. PlushCare at $19.99 is a fast access point, not a program. The gap in cost only makes sense if you genuinely need the dietitian involvement and lab monitoring, not just the medication itself.
Sources
- FDA compounding warning letters and 503A pharmacy regulations, FDA.gov
- SURMOUNT-1 trial results (tirzepatide), *New England Journal of Medicine*, 2022
- STEP 1 trial results (semaglutide), *New England Journal of Medicine*, 2021
- Novo Nordisk compounded semaglutide settlement reporting, Reuters and STAT News, March 2026
- LegitScript certification database, LegitScript.com
- Individual provider pricing pages (Mochi Health, Hims & Hers, Ro, PlushCare, Found, Form Health), verified Q2 2026
