Why it's here: Novo Nordisk selling directly to patients at prices that now undercut a lot of compounded telehealth once you add their membership fees. FDA-approved product, zero ambiguity about sourcing, and every dose price published openly.

Watch out for: It is a pharmacy, not a care program — you need your own prescriber. Pricing varies by dose, and the $149 rate on the 4mg dose is published as running only until August 31, 2026.

Why it's here: Nothing else competes on price. Includes a connected scale, a 25-week guided curriculum, coaching, and clinical support, with shipping and materials included. Teladoc also routes GLP-1 prescriptions to discounted pharmacy channels rather than marking medication up.

Watch out for: You cannot buy in as an individual. Eligibility runs entirely through your employer, health plan, or healthcare provider — check your benefits portal first.

Why it's here: Flat medication pricing at every published dose, so titrating up does not raise your bill. Membership and medication costs are published separately and clearly, and shipping is included in the medication price.

Watch out for: The $79 membership is real and recurring — roundups quoting only "$99/mo" understate your total by nearly half. Mochi does not publicly name its compounding pharmacy.

Why it's here: A genuine virtual obesity medicine clinic with board-certified obesity medicine physicians and registered dietitians, covered by national private insurers and Medicare. Labs are included in covered care. The strongest clinical credentials of anything we reviewed.

Watch out for: $299/month self-pay is expensive without coverage, and patients have reported a $199 onboarding fee that is not prominently published. Ask about it in writing at intake.

Why it's here: Owns both the clinic and the pharmacy, so there is no ambiguity about fulfillment. Strongest access to the two newly approved oral GLP-1 pills — Wegovy tablets and Lilly's Foundayo — with consultations at $29 by message or $49 by video, and no program subscription.

Watch out for: Newer program with a shorter track record, minimal behavioral support, and you are handing a considerable amount of health data to Amazon.

Why it's here: The lowest published visit fee we found, with no subscription, plus in-person clinics nationwide if you want to see someone face to face. CVS describes the program as including coaching and nutritional guidance, which is more than most per-visit services offer.

Watch out for: CVS publishes both $29 and $49 visit pricing across different pages — confirm which applies to the service you book. Manufacturer coupon eligibility drives your real medication cost.

Why it's here: Menopause-trained physicians who can consider hormone therapy and weight treatment together — genuinely differentiated clinical expertise for a population that is often treated as an afterthought. Its published medication pricing is also among the lowest we found.

Watch out for: Built for women in perimenopause and menopause. If you fall outside that population, a general-purpose provider is a better fit even though the pricing is attractive.

Why it's here: Unlimited visits, same-day availability, and no waitlist to see your own provider, backed by around 100 licensed providers. If you expect to need frequent contact during titration, this is the most generous access on the list.

Watch out for: The membership is mandatory and tied to the length of the medication plan you choose — a 12-month medication plan effectively commits you to 12 months of membership.