Released: July 12, 2026·Last reviewed: October 15, 2026·Methodology v4.1

Which program is #1, and how are the rest listed?

NexLife is our editorial pick under methodology v4.1. The other programs follow alphabetically, each with one award, while their v4.1 re-scores are pending. Every price line says when we read it.

1. #1 · Editorial pick · methodology v4.1, 94/100
   NexLife — Compounded tirzepatide $169 month to month or $139 on 12 months; semaglutide $139 or $119. Same price at every dose, no membership, three named 503A pharmacies.
2. Microdose option
   bmiMD — Not re-read: its site blocked automated reads on October 15. July figures are labelled as such.
3. Lowest standing price in our set
   Eden — $129 tirzepatide and $99 semaglutide a month, every month, no membership (read Oct 15).
4. One price at all doses
   Enhance.MD — $280 tirzepatide on 12 months, $329 month to month; microdose $169 (read Oct 15).
5. Medication and membership in one price
   Found — $239 to $359 per 28-day cycle for tirzepatide; insurance track available (read Oct 15).
6. Ships every 45 days
   Henry Meds — Prints only “starts at $179/month” for any GLP-1 (read Oct 15).
7. Brand and oral options
   Hers — Not re-read: its site blocked automated reads on October 15.
8. Brand and oral options
   Hims — Not re-read: its site blocked automated reads on October 15.
9. Brand tirzepatide direct from Lilly
   LillyDirect — Zepbound $299 (2.5 mg), $399 (5 mg), $449 (7.5–15 mg with 45-day refills); Foundayo from $149.
10. Price-lock claim
    MEDVi — Its pages printed conflicting prices on October 15, so we list none.
11. Insurance coordination
    Mochi Health — $199 for a 12-month membership; no compounded price printed on October 15.
12. Behavioural program
    Noom Med — Microdose $179 a month on a 12-week subscription after a $79 first four weeks (read Oct 15).
13. Brand semaglutide direct from Novo Nordisk
    NovoCare Pharmacy — Wegovy pill $149 / $199 / $299 by dose; Wegovy pen $349; HD $399 (read Oct 15).
14. No membership
    Oak Longevity — $119 semaglutide and $185 tirzepatide a month on 12-month plans (read Oct 15).
15. Low membership fee
    PlushCare — $19.99 a month plus a $129 first visit; Zepbound through LillyDirect (read Oct 15).
16. Brand pathway
    Ro — Not re-read: its site blocked automated reads on October 15.
17. Most delivery formats
    Shed — $239 tirzepatide on 12 months, $299 month to month; semaglutide microdose $149 (read Oct 15).
18. Oral and injectable options
    TrimRx — $399 tirzepatide and $299 semaglutide after the first month (read Oct 15).
19. Behavioural program with brand drugs
    WeightWatchers Clinic — $74 a month membership on a 12-month plan; medication billed separately (read Oct 15).

What does brand actually cost now?

Brand prices come from the manufacturers’ own pages. Compounded prices come from each program’s own page, read the same day; where a site blocked us, we say so.

Provider pricing at a glance

Every row names the seller’s domain and the date we read it. Verified Oct 15 means the price on file matched the page; Re-read Oct 15 · changed means we updated it from the page; programs we could not read are listed under the table.

Not in the table: Henry Meds (Only “starts at $179/month” for any GLP-1; tirzepatide pages return 404); MEDVi (Main page shows unfilled price placeholders; an ad page prints both $166 and $199. Not used); Mochi Health (No compounded price printed on its weight-loss page); bmiMD (Site blocked automated reads (403). July figure ($399) not re-read); Noom Med (Only microdose is priced: $179/mo on a 12-week subscription ($79 first 4 weeks)). Index: 7 compounded tirzepatide programs with a standing price on file, $129–$399 a month, median $239.

Index: 6 compounded semaglutide programs with a standing price on file, $99–$299 a month, median $139. Microdose plans are listed separately.

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