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Coby Health at a Glance
- What it is
- The clearest compounding disclosures we have found — and a price that climbs with every dose increase
- Medication type
- Compounded only
- Medications offered
- Compounded semaglutide
- Compounded tirzepatide
- Sermorelin
- NAD+
- Pricing
- All-in from $159 for month one; semaglutide rises to $249 by month four as the dose increases
- Insurance
- Not accepted. Compounded medication is cash-pay everywhere.
- Date reviewed
- August 8, 2026
How we scored it
Scores follow the published rubric in our provider comparison methodology.
Medical Disclaimer
We're not doctors, and this review is not medical advice. GLP-1 medications are prescription-only and require evaluation by a licensed healthcare provider. What works for one person may not work for another, and only a clinician who knows your history can determine whether a medication is appropriate for you. See our full medical disclaimer.
What Is Coby Health?
Coby Health is a cash-pay telemedicine service selling compounded semaglutide and tirzepatide, plus sermorelin and NAD+, with an all-inclusive price covering consultation, prescription, medication and shipping, and an at-home injection kit of alcohol pads and syringes included.
What stands out is the disclosure language, which is the most complete we have read anywhere in this market. On every product Coby states that "Compounded semaglutide is not reviewed or approved by the FDA for safety or effectiveness", that it "is not a generic form of Ozempic® and Wegovy®", that those are registered trademarks of Novo Nordisk, and that "Coby Health has no affiliation with Novo Nordisk" — with the equivalent wording for tirzepatide and Eli Lilly. Those are precisely the representations the FDA objected to in its 2026 warning letters to other telehealth companies, and Coby has pre-emptively made every one of them correctly.
It is equally clear about what it is not. Coby states that it "does not directly provide medical or pharmacy services and payment does not guarantee the prescription or dispensing of any medications", which is an honest description of a facilitator model that many competitors blur.
The thing to understand before enrolling is the pricing structure. Coby prices by dose, and the dose goes up as you titrate. Compounded semaglutide starts at $199, discounted to $159 for month one at 0.25mg, then $199 at 0.50mg, $229 at 1mg, and $249 at 1.7mg and 2.4mg. Compounded tirzepatide runs from around $179 up to $339 a month across its dose range. That is the opposite of the flat-price model some competitors use, where every dose costs the same — so the headline price here is the one you pay least often.
How the Program Works
- Consultation process
- An online intake reviewed by independent licensed providers, included in the all-in price. Coby describes itself as enabling licensed healthcare providers to conduct remote consultations rather than providing care itself.
- Eligibility
- Assessed by the reviewing clinician. All orders are stated to be subject to approval by Coby's medical partners, and Coby is explicit that paying does not guarantee a prescription.
- Provider involvement
- Coby says it works with independent physicians and practitioners who evaluate your health history and decide whether medication is appropriate. It does not name them.
- Lab requirements
- Not published. Nothing states whether bloodwork is required, included or available.
- Pharmacy fulfillment
- Prescriptions are sent to unnamed pharmacy partners who ship directly to you. Coby does not identify the pharmacies or state 503A versus 503B status.
- Shipping frequency
- Included in the price, shipped directly from the pharmacy partner. Monthly or multi-month bundles are available.
- Support services
- Online support at hello@cobyhealth.com and a help centre. This is a medication-access service rather than a coaching programme.
Coby Health Pricing
- Membership fee
- None, and no subscription is required. Coby states it "does not require any subscription for weight loss medication", though a subscription option exists.
- Medication fee
- Compounded semaglutide priced by dose: month 1 at 0.25mg $159 (from $199), month 2 at 0.50mg $199, month 3 at 1mg $229, month 4 at 1.7mg $249, month 5+ at 2.4mg $249. Compounded tirzepatide runs from around $179 to $339 a month across its dose range, with same-dose and titration bundles offered at lower effective monthly rates.
- Cancellation policy
- No subscription is required, so there is usually nothing to cancel. If you do choose the subscription option, Coby asks you to cancel at least 30 days in advance to avoid the next month's charge. Once a prescription has been issued and sent to a pharmacy partner the order cannot be changed, and Coby states that cancellation attempts before that point are "not guaranteed".
- Refund policy
- Limited and clearly stated. If a cancellation succeeds before the pharmacy order, a $50 non-refundable visit and clinical fee is deducted from the refund. Once an order has shipped, Coby states refunds are not possible, though it will work with pharmacy partners on damage in transit. Prescription products cannot be refunded for reuse.
- Insurance
- Not accepted. Compounded medication is cash-pay everywhere.
- HSA / FSA
- Not addressed by Coby. Prescription costs are commonly HSA/FSA-eligible; confirm with your administrator, since compounded medication reimbursement is not guaranteed.
Pricing details worth knowing
- The price rises as you titrate. Budget for the maintenance dose, not the starting one — $249 rather than $159 for semaglutide.
- The all-in price genuinely includes consultation, prescription, medication and shipping, plus an injection kit.
- Multi-month bundles reduce the effective monthly cost but require paying up front.
- A $50 visit and clinical fee is non-refundable if you cancel before the pharmacy order.
Prices change. Every figure above was taken from Coby Health's published pages or the named sources at the bottom of this review, as of August 8, 2026. Telehealth pricing in this market changes frequently, and promotional rates expire. Confirm your actual cost at checkout before enrolling.
Pros and Cons
Pros
- The most complete compounding disclosures in this comparison, including explicit non-affiliation statements for Novo Nordisk and Eli Lilly
- States plainly that payment does not guarantee a prescription
- All-in pricing covering consultation, prescription, medication and shipping
- No subscription required, which is unusual here
- Publishes the full dose-by-dose price schedule rather than a single headline figure
- Injection kit included
- Publishes its dosing schedule with the caveat that many patients maintain below the maximum dose
Cons
- Price escalates with dose — semaglutide rises from $159 to $249 as you titrate
- Does not name its pharmacy partners or their 503A/503B status
- Does not name its prescribing clinicians
- No published lab requirements
- A $50 visit and clinical fee is non-refundable even on a successful cancellation
- No refunds at all once an order has shipped
- Not available in Arkansas, Louisiana, Mississippi or New Mexico
Who Coby Health May Be Best For
People who want the regulatory position stated plainly before they buy — nobody here does that better
Anyone who does not want a subscription attached to their medication
Patients who will price the maintenance dose rather than the introductory one
Limitations
Price the dose you will actually settle on. At 2.4mg semaglutide this is a $249/month service, not a $159 one, and providers with flat per-dose pricing may work out cheaper over a year.
Ask which pharmacy compounds your medication and whether it is 503A or 503B. Coby does not say.
Understand the refund position before paying: $50 is non-refundable if you cancel early, and nothing is refundable once shipped.
Compounded medication is not FDA-approved — a point Coby makes clearly itself.
About Compounded GLP-1s
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 continued to act. In a Federal Register notice published on May 1, 2026, the FDA proposed not to include semaglutide, tirzepatide or liraglutide on the 503B bulks list, saying it had not identified sufficient evidence of a clinical need for outsourcing facilities to compound them from bulk substances; the comment period was extended to July 30, 2026. Separately, in February 2026 the FDA issued warning letters to 30 telehealth companies over false or misleading claims about compounded GLP-1s, and it has continued: a further round dated 8 June 2026 — 25 warning letters, posted publicly on 16 June 2026 — reached companies including Medica Weight Loss, FITISH and Roen Health (RoenRx), again over false or misleading claims about compounded semaglutide and tirzepatide that the FDA said made the products misbranded under sections 502(a) and 502(bb) of the FD&C Act. The claims cited included suggesting the products were FDA-approved, implying equivalence to Ozempic, Wegovy, Mounjaro or Zepbound, and asserting the "same active ingredient" or "same results" as the approved drugs. 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 specific to Coby Health — it applies to every provider offering compounded medication. We cover the trade-offs in detail in our guide to brand-name versus compounded GLP-1s.
Alternatives to Coby Health
TrimRx
Flat medication pricing that does not rise as you titrate
Read review →Mochi Health
Flat pricing at every dose, with a membership instead
Read review →NovoCare Pharmacy
FDA-approved Wegovy direct at $149–$199/mo if you would rather avoid compounding entirely
Read review →vs. CoreAge RX, our top-rated platform
Across the platforms we've reviewed, CoreAge RX remains our highest-rated option for cash-pay patients, with compounded semaglutide from $99/month and tirzepatide from $149/month including free two-day shipping. Whether it beats Coby Health for you depends on the things this review has covered — insurance, medication type, and how much support you actually want.
Frequently Asked Questions
How much does Coby Health cost?
It depends on your dose, which is the key thing to understand. Compounded semaglutide is $159 for month one at 0.25mg (discounted from $199), then $199 at 0.50mg, $229 at 1mg, and $249 at 1.7mg and above. Compounded tirzepatide runs from around $179 to $339 a month across its dose range. The price includes consultation, prescription, medication and shipping, and there is no membership fee. Multi-month bundles lower the effective monthly rate if you pay up front.
Does Coby Health require a subscription?
No. Coby states it "does not require any subscription for weight loss medication", which is unusual in this market. A subscription option exists if you want it, and if you take it, Coby asks you to cancel at least 30 days in advance to avoid the following month's charge.
Can I get a refund from Coby Health?
Only in narrow circumstances, and Coby says so clearly. Once a prescription has gone to a pharmacy partner the order cannot be changed, and cancellation attempts before that point are "not guaranteed". If a cancellation does succeed, a $50 non-refundable visit and clinical fee is deducted. Once an order has shipped, refunds are not possible, though Coby will work with pharmacy partners on damage in transit.
Is Coby Health's medication FDA-approved?
No, and Coby is more explicit about that than almost anyone. Its product pages state that compounded semaglutide "is not reviewed or approved by the FDA for safety or effectiveness", that it "is not a generic form of Ozempic® and Wegovy®", and that Coby "has no affiliation with Novo Nordisk", with matching wording for tirzepatide and Eli Lilly. Those are exactly the claims the FDA has pursued other telehealth companies for getting wrong.
Which states does Coby Health serve?
Coby states its GLP-1 programmes are available in all states except Arkansas, Louisiana, Mississippi and New Mexico, and notes that availability can change over time.
Who should not use Coby Health?
Anyone who wants FDA-approved medication rather than compounded. Anyone who needs the ability to change their mind after ordering. Anyone whose budget only works at the introductory price, since the cost rises with dose. Separately, GLP-1 medications are not appropriate if you have a personal or family history of medullary thyroid carcinoma or MEN 2, if you are pregnant or trying to conceive, or if you have had pancreatitis.
The Verdict
Coby Health sells compounded semaglutide and tirzepatide all-in, with consultation, prescription, medication and shipping in one price and no subscription required. Its FDA disclaimers are the most complete in this comparison. But its pricing escalates as you titrate — semaglutide runs $159 in month one and $249 by month four — so the advertised figure is the lowest dose only.
Opens Coby Health's official site · Verify current pricing there
Compare Every Provider Side by Side
See how Coby Health stacks up against every platform we've reviewed on price, medication type, and what's actually included.
How We Researched This Review
We compiled this review on August 8, 2026 from Coby Health's own published pages plus independent reporting. We have not signed up for this service ourselves, and we say so rather than implying firsthand testing. Where Coby Health does not publish a detail — refund terms, lab requirements, pharmacy partners — we've said that plainly instead of guessing.
Sources
- cobyhealth.com/treatments/weight-loss/semaglutide — dose-by-dose pricing: month 1 (0.25mg) $159 from $199, month 2 (0.50mg) $199, month 3 (1mg) $229, month 4 (1.7mg) $249, month 5+ (2.4mg) $249; monthly, Kickstart, same-dose and titration bundle options; published titration schedule (checked August 8, 2026)
- cobyhealth.com/treatments/weight-loss/tirzepatide — monthly pricing across the dose range from approximately $179 to $339, with bundle options; published titration schedule from 2.5mg to 15mg weekly
- cobyhealth.com — "All-inclusive Pricing: Includes Consultation, Prescription, Medication, and Shipping"; "Choose monthly (cancel anytime) or multi-month plans"; "Includes at-home injection kit (alcohol pads and syringes)"; "Compounded semaglutide is not reviewed or approved by the FDA for safety or effectiveness. Compounded semaglutide is not a generic form of Ozempic® and Wegovy®... Coby Health has no affiliation with Novo Nordisk"; availability in all states except AR, LA, MS and NM (checked August 8, 2026)
- cobyhealth.com/help — "Coby does not require any subscription for weight loss medication"; subscription cancellation requested at least 30 days in advance; "Once an order is shipped, refunds are not possible"; "$50 non-refundable visit and clinical fee will be deducted from your refund" on successful early cancellation; "Coby does not directly provide medical or pharmacy services and payment does not guarantee the prescription or dispensing of any medications"
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