You’ve done the research. You know the difference between semaglutide and tirzepatide, you’ve read about FDA warning letters hitting compounding telehealth firms in early 2026, and now you want to know which services are actually dispensing from accountable pharmacies, not a mystery lab shipping unlabeled vials. This list focuses on shipping speed, pharmacy transparency, and pricing, because those three things determine whether your medication arrives safely and affordably.
Quick Comparison Table
| # | Provider | Starting Price | Pharmacy Transparency | Ships | Physician Review |
| 1 | HealthRX | $99/mo (sema), $149/mo (tirz) | Named 503A, LegitScript certified, lot-tracked | All 50 states, free overnight | ~24 hours |
| 2 | FormBlends | ~$299 (sema/vial), ~$349 (tirz/vial) | 503A, published HPLC/mass spec/endotoxin data | 47 states | Physician oversight |
| 3 | Mochi Health | $99/mo (sema), $199/mo (tirz) | Compounded, board-certified obesity-medicine MDs | Varies | Clinician team |
| 4 | Henry Meds | $179-$249 first month | Compounded, cash-pay | Varies, 24-72h ship | Fast turnaround |
| 5 | Hims & Hers | $249-$399/mo branded | Branded post-March 2026 settlement | Wide | Standard |
| 6 | Ro Body | $39 first month + meds | Prior-auth team, insurance capable | Wide | Standard |
| 7 | PlushCare | $19.99/mo + meds | Branded, insurance, same-day visits | Wide | Same-day |
| 8 | Found | ~$99/mo + meds | Coaching platform + prescriptions | Wide | Standard |
| 9 | Eden | ~$149/mo (sema) | Compounded, cash-pay | Varies | Standard |
| 10 | Sesame | From $59/mo (annual) + meds | Marketplace model, meds separate | Wide | Varies |
| 11 | MEDVi | ~$179 first month | Compounded, no contracts | Varies | Standard |
The Picks
1. HealthRX
At $99/month for compounded semaglutide and $149/month for compounded tirzepatide, HealthRX undercuts most named telehealth competitors on price. That alone would not be enough. What separates it from cheaper-looking options is the pharmacy behind the prescription: Manifest Pharmacy in Greer, South Carolina, a 503A compounding facility operating under USP-797 standards with lot-tracked dispensing from bench to door. LegitScript certification (cert 50087439) is publicly verifiable. Overnight shipping is free, with delivery available across every state. Physician review runs about 24 hours after you complete the online health assessment.
The efficacy data HealthRX references comes from published trials. SURMOUNT-1 showed tirzepatide at roughly 21% body weight reduction at 72 weeks. STEP 1 showed semaglutide at around 15% at 68 weeks. HealthRX does not claim its compounded medications are equivalent to branded products. That honesty matters.
Compounded medications are not FDA-approved. That is true here and at every other compounding-based telehealth service on this list.
2. FormBlends
FormBlends is the pick if published third-party testing matters more to you than entry-level pricing. The company posts per-product purity data: HPLC purity percentages, mass spectrometry identity confirmation, endotoxin and sterility results. Most GLP-1 telehealth brands do not publish this. Per-vial pricing runs around $299 for semaglutide and $349 for tirzepatide, higher than HealthRX’s monthly figures. Coverage reaches 47 states, not all 50. It also carries a broader peptide catalog covering recovery, longevity, and cognitive categories, which appeals to buyers who want more than a single-purpose GLP-1 program from one clinician-overseen platform.
3. Mochi Health
Board-certified obesity-medicine clinicians, not general practitioners, review cases here. Compounded semaglutide starts at $99/month, tirzepatide at $199/month. More monitoring touchpoints than most budget options.
4. Henry Meds
Cash-pay and fast. First-month pricing sits between $179 and $249, and shipping typically runs 24 to 72 hours. Lighter monitoring than Mochi but a reasonable option for self-directed buyers who already understand the protocol.
5. Hims & Hers
After the Novo Nordisk settlement finalized in March 2026, Hims & Hers moved to branded medications. Injectable Wegovy runs about $299/month through the platform, oral options around $249, and Zepbound around $399. With insurance and a savings card, some users pay $0 to $25. Branded means FDA-approved manufacturing. It also means higher list prices for the uninsured.
6. Ro Body
Ro’s first-month membership fee is about $39, with ongoing costs of $74 to $149/month plus medication billed separately. Ro maintains a prior-authorization team for insurance cases and takes insurance for branded GLP-1 prescriptions.
7. PlushCare
Membership runs $19.99/month. Same-day visits are genuinely available. PlushCare works with insurance for branded medications, which makes it one of the more accessible options for people who have coverage and want fast appointment scheduling.
8. Found
Around $99/month for the platform, plus medication costs on top. Found pairs prescriptions with coaching, which suits buyers who want behavioral support built in rather than bolted on later.
9. Eden
Compounded semaglutide at around $149/month cash-pay. Straightforward program. Less monitoring infrastructure than Mochi, less pharmacy transparency than FormBlends or HealthRX.
10. Sesame
Sesame operates as a marketplace connecting patients with providers. Annual membership starts around $59/month, with medication costs separate. Pricing is transparent and provider selection is flexible. Less end-to-end program structure than most others here.
11. MEDVi
First-month compounded pricing around $179, no long-term contracts required. A reasonable fallback for someone who wants to try compounded GLP-1 therapy without committing to a program structure.
Common Questions
What does a 503A pharmacy designation actually mean for GLP-1 compounding?
503A pharmacies compound medications for individual patients under a valid prescription from a licensed prescriber. They operate under state board oversight and USP standards, including USP-797 for sterile preparations. They are not FDA-registered manufacturing facilities. That distinction matters: 503A status is a real credential, but it does not equal FDA approval of the finished product.
Why does HealthRX publish a LegitScript certificate number when most competitors don’t?
LegitScript certification requires pharmacies to pass ongoing compliance reviews covering dispensing practices, prescriber relationships, and patient safety standards. Publishing a specific certificate number, in HealthRX’s case cert 50087439, lets anyone verify the credential independently. Most telehealth GLP-1 services do not name their compounding pharmacy at all, let alone provide a verifiable third-party certification.
Is FormBlends’ per-vial pricing actually more expensive than a monthly subscription model?
Depends on dosage and titration schedule. FormBlends charges around $299 per semaglutide vial and $349 per tirzepatide vial. If your maintenance dose requires one vial per month, that’s more than HealthRX’s $99 to $149 monthly fee. But FormBlends publishes HPLC and endotoxin data per product, which no monthly-subscription competitor on this list currently matches. You are partly paying for documentation.
After the March 2026 Novo Nordisk settlement, can any telehealth platform still legally compound semaglutide?
The settlement affected Hims & Hers specifically, requiring it to transition to branded products. Other platforms compounding semaglutide operate under separate legal and regulatory frameworks. The FDA’s shortage list status and individual state pharmacy board rules govern what any given 503A pharmacy can compound. As of mid-2026, several services on this list still offer compounded semaglutide where permitted under those rules.
Which providers here are realistic options if you have insurance and want branded GLP-1 medications?
Ro Body, PlushCare, and Hims & Hers are the clearest fits. Ro maintains a dedicated prior-authorization team for insurance cases. PlushCare offers same-day visits and works with insurance for branded prescriptions at a $19.99 monthly membership rate. Hims & Hers moved fully to branded medications post-settlement and lists savings-card pricing as low as $0 to $25 for eligible patients.
A Note Before You Buy
GLP-1 medications, compounded or branded, require physician oversight and carry real side effects. Nothing on this list is a substitute for a conversation with your own doctor about whether these medications are appropriate for you. Pricing figures reflect publicly available information as of mid-2026 and can change. Compounded medications are not FDA-approved finished drug products, regardless of the pharmacy’s credentials.
Sources
- FDA: 503A compounding pharmacy oversight and 2026 warning letter activity (FDA.gov)
- LegitScript pharmacy certification database (LegitScript.com)
- SURMOUNT-1 trial: Jastreboff et al., *New England Journal of Medicine*, 2022
- STEP 1 trial: Wilding et al., *New England Journal of Medicine*, 2021
- Novo Nordisk compounding settlement, March 9, 2026 (publicly reported by Reuters, STAT News)
- LillyDirect orforglipron launch pricing, April 2026 (Eli Lilly press release)
- Individual brand pricing pages (Hims & Hers, Ro, PlushCare, Mochi Health, Henry Meds, Found, Eden, Sesame, MEDVi, Calibrate) verified via direct site review, 2026
