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Likeness Rx at a Glance
- What it is
- Likeness Rx offers online access to compounded semaglutide and tirzepatide. Its public page lists semaglutide from $79/month; tirzepatide from $129/month.
- Medication type
- Compounded only
- Medications offered
- Compounded semaglutide
- Compounded tirzepatide
- Pricing
- Semaglutide from $79/month; tirzepatide from $129/month
- Insurance
- Insurance is not required; the page says the price is the same with or without it.
- Date reviewed
- October 4, 2026
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 Likeness Rx?
Likeness Rx offers online access to compounded semaglutide and tirzepatide. Its public page lists semaglutide from $79/month; tirzepatide from $129/month.
The same site also offers prescription skincare. This review covers its GLP-1 program, published plan charges and the care described on the product page. These are provider-published terms checked October 4, 2026. Prescription approval is conditional. Compounded medications are not FDA-approved; we have not tested the treatment, pharmacy fulfillment or patient outcomes.
How the Program Works
- Consultation process
- The page describes a five-minute online visit, followed by licensed-provider review. The clinician chooses the medication and starting dose if treatment is appropriate.
- Eligibility
- The site gives BMI of 30 or higher, or 27 or higher with a weight-related condition, as general GLP-1 criteria. The assigned provider makes the individual decision.
- Provider involvement
- The site describes online provider review before prescribing and care-team messaging after approval. Confirm the clinician and dispensing pharmacy assigned to the selected prescription.
- Lab requirements
- Laboratory requirements or separate charges are not specified on the reviewed page. Confirm them with the assigned clinician.
- Pharmacy fulfillment
- The page describes licensed US compounding pharmacies but does not identify the pharmacy assigned to an individual order. Request that name before dispensing.
- Shipping frequency
- The site describes shipping within two business days after approval. It says the first refill is billed early to avoid a gap; confirm the specific delivery and billing dates.
- Support services
- Care-team messaging, dose questions and provider-approved dose adjustments are advertised. We have not measured response times.
Likeness Rx Pricing
- Membership fee
- No separate membership fee is advertised. The page describes the online visit, provider review and care-team messaging as included.
- Medication fee
- Every standard dose, needles, alcohol pads and shipping are advertised as included at the selected subscription rate.
- Cancellation policy
- The selected subscription term renews automatically at the same rate. The page describes changing, pausing or cancelling the plan, and says the first refill is billed early. Confirm the cutoff before another charge.
- Refund policy
- The page says a declined prescription receives an automatic full refund. Check the terms applying to a fulfilled order separately.
- Insurance
- Insurance is not required; the page says the price is the same with or without it.
- HSA / FSA
- The site advertises HSA/FSA card acceptance. Confirm eligibility with the plan administrator.
Pricing details worth knowing
- The lowest monthly equivalents are $79 and $129 for the twelve-month subscriptions. Check the amount due, selected term and renewal before paying. Twelve-month totals are $948 for semaglutide and $1,548 for tirzepatide.
- Semaglutide: $139 for one month, $327 for three months, $534 for six months or $948 for twelve months.
- Tirzepatide: $199 for one month, $477 for three months, $834 for six months or $1,548 for twelve months.
Prices change. Every figure above was taken from Likeness Rx's published pages or the named sources at the bottom of this review, as of October 4, 2026. Telehealth pricing in this market changes frequently, and promotional rates expire. Confirm your actual cost at checkout before enrolling.
Pros and Cons
Pros
- Published product and subscription prices
- Online provider review and care-team messaging
Cons
- The lowest monthly equivalents require the twelve-month subscription payment.
- The assigned pharmacy and any laboratory requirements need confirmation for the individual order.
Who Likeness Rx May Be Best For
Adults discussing compounded GLP-1 treatment and comparing the complete prescription and payment terms.
Limitations
Compounded preparations are not FDA-approved.
We have not enrolled as patients, tested fulfillment or independently verified outcomes.
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 Likeness Rx — 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 Likeness Rx
CoreAge Rx
Compare plan charges and the medication included.
Read review →SuperHealthy Rx
Compare the public offer and optional refill arrangement.
Read review →vs. CoreAge RX, our top-rated platform
Across the platforms we've reviewed, CoreAge RX is our first provider pick, with starting plan quotes of $79/month for semaglutide and $129/month for tirzepatide. Confirm the offer, term and full charge. Whether it beats Likeness Rx for you depends on the things this review has covered — insurance, medication type, and how much support you actually want.
Frequently Asked Questions
What is the actual payment for the lowest monthly price?
The twelve-month semaglutide subscription is $948, equivalent to $79/month; tirzepatide is $1,548, equivalent to $129/month. One-month plans are $139 and $199. The chosen term renews automatically unless cancelled.
Does a higher dose cost more?
The product page advertises the same price at every standard dose. Ask the clinician which dose and quantity would be supplied.
What happens if a prescription is declined?
Likeness says it issues an automatic full refund if you are not prescribed. Approval is conditional on the provider’s assessment.
The Verdict
Likeness Rx offers compounded semaglutide from $79/month and tirzepatide from $129/month, with term-based subscriptions, online provider review and care-team messaging.
Opens Likeness Rx's official site · Verify current pricing there
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How We Researched This Review
We compiled this review on October 4, 2026 from Likeness Rx'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 Likeness Rx does not publish a detail — refund terms, lab requirements, pharmacy partners — we've said that plainly instead of guessing.
Sources
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