Read this before you compare prices
The FDA declared the tirzepatide shortage resolved in December 2024 and the semaglutide shortage resolved in February 2025, which ended the window for compounding pharmacies to make large volumes of copies of those drugs (503A pharmacies had until April 22, 2025; 503B outsourcing facilities until May 22, 2025). Many telehealth companies continue to offer compounded GLP-1s prescribed for an individual patient — often as a personalized dose, a microdose, or a formulation combined with a vitamin such as B12 or B6. That practice sits in a contested legal area, and the FDA has signaled further action. Compounded medications are not FDA-approved, which means they have not gone through the same review as the brand-name products.
None of that is a reason to panic if you are currently on a compounded GLP-1 — it is a reason to understand what you are buying, and to know that your provider's ability to keep supplying it is not guaranteed indefinitely.
Our Picks, Ranked by Total Cost and Quality
Ranked on what you actually pay each month once membership and medication are added together, weighted against clinical access and how clearly each provider publishes its terms.
Alloy
Why it's here: The lowest published compounded pricing we found for both molecules, at roughly $169 to $199/month all-in, with unlimited messaging included and menopause-trained physicians prescribing.
Watch out for: Built specifically for women in perimenopause and menopause. Outside that population, a general-purpose provider fits better.
Read the full Alloy review →Mochi Health
Why it's here: One medication price across every published dose, with shipping included and both halves of the bill stated clearly. The easiest provider on this list to budget for twelve months out.
Watch out for: Roundups that quote only "$99/mo" understate your total by nearly half. Mochi does not publicly name its compounding pharmacy.
Read the full Mochi Health review →Ivím Health
Why it's here: Unlimited visits, same-day availability, and no waitlist to see your own provider. If side effects during titration worry you, this is the most generous access on the list, and long plans push medication pricing very low.
Watch out for: Membership is mandatory for the full length of your medication plan, and some plans price medication by dose — ask what you pay at maintenance.
Read the full Ivím Health review →TrimRx
Why it's here: A single monthly figure that covers medication and care, with nothing to add on. For anyone tired of two-part pricing, that clarity has real value, and longer plans lower the rate.
Watch out for: Once you add competitors' membership fees, TrimRx is not actually cheaper than the two-part providers above it. Much of the published material about TrimRx comes from TrimRx.
Read the full TrimRx review →Henry Meds
Why it's here: Oral and sublingual compounded formats that almost no competitor offers, with visit, medication, and supplies bundled into one plan price and real discounts for paying in full.
Watch out for: Pricing lives in a legal programs document, published figures vary widely by format and plan length, and Henry operates in a limited set of states.
Read the full Henry Meds review →Brello Health
Why it's here: Same price at every dose, with provider review, medication, shipping, and support in one charge and fast advertised 2–3 day shipping.
Watch out for: The advertised monthly figure is the quarterly total divided by three — you are charged the full quarter up front, with a 3-month minimum.
Read the full Brello Health review →Eden
Why it's here: Genuinely low entry medication pricing, both molecules available, and an unusually deep published education library.
Watch out for: The least consistent pricing of any provider we researched — figures conflict across Eden's own pages, and the membership reportedly added in 2026 roughly doubles the widely quoted $99. Get a written quote before paying.
Read the full Eden review →Total Monthly Cost, Side by Side
The single most useful table on this page. Headline prices are what providers advertise; all-in is what leaves your account.
| Provider | Membership | Semaglutide | Tirzepatide | All-in (sema) |
|---|---|---|---|---|
| Alloy | $99/mo | from $70/mo | from $100/mo | ~$169/mo |
| Mochi Health | $79/mo | $99/mo all doses | $199/mo all doses | ~$178/mo |
| Ivím Health | $74.99/mo | from ~$75–$149/mo | varies by plan | ~$150–$224/mo |
| Eden | reported $99/mo | $99/mo advertised | $199/mo advertised | ~$198/mo |
| TrimRx | None | from $199/mo | from $299/mo | ~$199/mo |
| Brello Health | None | $399/quarter | $499/quarter | ~$133/mo prepaid |
| Henry Meds | None | from $179/mo on long plans | from $349/mo (oral) | ~$179/mo |
All figures as published in August 2026. Sources for each are listed in the individual provider reviews.
Five Questions to Ask Any Compounded Provider
1. Which pharmacy fills my prescription?
Most providers on this list will not tell you publicly. A provider willing to name its pharmacy, and to confirm whether it is a 503A pharmacy or a 503B outsourcing facility, is giving you something you can actually verify. One that deflects the question is telling you something too.
2. What will I pay at my maintenance dose?
Starter-dose pricing is the industry's favourite illusion. Flat-price providers (Mochi, Brello) are honest about this by design. Everyone else should be asked directly.
3. Is the membership fee separate, and is it required?
At Ivím it is mandatory and tied to your plan length. At Eden it was reportedly added in 2026. At Mochi and Alloy it is stated up front. Ask, then add it to the medication price before comparing anything.
4. What am I committing to?
Brello charges a full quarter up front with a 3-month minimum. Henry sells multi-month bundles. Longer commitments almost always mean lower per-month pricing — and a bigger loss if you cannot tolerate the medication.
5. What happens if the FDA restricts this further?
A fair question to ask any compounded provider in 2026, and worth asking before you prepay for six months. Providers that also offer brand-name medication — Mochi, Eden, Found — can at least transition you. Compounded-only providers cannot.
A genuine alternative worth pricing
Before committing to compounded medication on price alone, check the manufacturer pharmacies. NovoCare Pharmacy publishes brand-name Wegovy at $149/month for the pill and $199/month for the pen, with no membership. That is competitive with several providers on this page — for an FDA-approved product.
Frequently Asked Questions
Is compounded semaglutide still legal in 2026?
The picture is more complicated than a simple yes or no. The FDA declared the tirzepatide shortage resolved in December 2024 and the semaglutide shortage resolved in February 2025, which closed the window for compounders to produce copies of those drugs — 503A pharmacies had until April 22, 2025 and 503B outsourcing facilities until May 22, 2025. Companies still offering compounded GLP-1s generally frame them as patient-specific personalized formulations. That practice sits in a contested legal area and the FDA has signaled further action.
Which compounded provider has the lowest total cost?
On published figures, Alloy is lowest for both molecules — $99/month care plus compounded semaglutide from $70/month or tirzepatide from $100/month, so roughly $169 to $199/month all-in. Mochi Health is close behind at $178/month for semaglutide and $278/month for tirzepatide, with the advantage of flat pricing at every dose.
Is compounded medication less effective than brand-name?
Compounded semaglutide and tirzepatide contain the same active molecules, so the mechanism is the same. What differs is that compounded products have not gone through FDA review, so their potency, purity, and consistency have not been verified in the same way. There is no clinical trial evidence for compounded formulations specifically, including versions combined with vitamins like B12 or B6.
Does insurance ever cover compounded GLP-1s?
No. Compounded medications are not FDA-approved and are not reimbursable by insurance anywhere. Every compounded provider on this page is cash-pay by definition. If coverage matters to you, you need an FDA-approved medication and a provider that prescribes one.
Related Reading
- Brand-name vs compounded GLP-1s — the full trade-off, including the regulatory history
- Best semaglutide compounding pharmacy
- Best tirzepatide compounding pharmacy
- Storing and shipping GLP-1s — what to do when a cold-chain shipment arrives warm
Medical Disclaimer
We're not doctors, and this article is for education only — it isn't medical advice. GLP-1 medications are prescription-only and require evaluation by a licensed healthcare provider. Individual results vary widely, and only a clinician who knows your history can determine what is safe and appropriate for you. See our full medical disclaimer.
Keep Comparing
Every provider we've researched, with published pricing, medication type, and what's actually included.
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