Best Online GLP-1 Providers for 2026
Dozens of telehealth companies now sell GLP-1 weight loss treatment online, and most of them look identical from the outside. We compared them on the things that actually differ: whether they publish real prices, whether they name the pharmacy compounding your medication, how much clinician contact you get, and what happens if you want to cancel.
The Quick Answer
Lemonaid Health is our overall pick because it publishes a full price list across compounded, microdose and brand-name options instead of forcing you through a quiz first. Shapely offers the strongest clinical package if you live in one of its four states, and PlushCare is the best route if you want insurance to cover a brand-name GLP-1.
If price is your only concern, start with our cheapest GLP-1 programs guide instead.
FDA actions affecting a provider on this page
FDA has issued warning letters to telehealth companies over false or misleading claims about compounded GLP-1 products. One provider ranked on this page received one. A warning letter is FDA's stated position that violations occurred — not a court finding, a recall, or a determination that any patient was harmed — and companies often correct the cited material.
- OrderlyMeds — FDA warning letter, June 8, 2026 (MARCS-CMS 728291). Read it on fda.gov →
We keep these providers listed because their published details are still worth comparing, and we disclose the action so you can weigh it yourself. You can search any company in FDA's warning letter database.
Our Picks, Ranked
Lemonaid publishes a complete price list — compounded, microdose and brand-name — instead of hiding costs behind an eligibility quiz, and it schedules provider check-ins around dose increases rather than only at sign-up. Multi-month plans bring compounded tirzepatide down to $229/month. The trade-offs are real: it is cash-pay only and not yet live in all 50 states.
Pricing: Membership $49/month + medication from $199/month
Pros
- Publishes medication prices openly instead of requiring a quiz first
- Offers both compounded and brand-name GLP-1 options
- Lower-cost microdose plans at $199/month
- Multi-month plans reduce the monthly medication cost
Cons
- $49/month membership is charged on top of medication
- Cash-pay only — no insurance accepted for any fees
- Not yet available in all 50 states
- Does not publish its pharmacy partners or shipping cadence
Shapely is the only program in this group that bills visits through insurance while publishing exact compounded prices at every dose, and it bundles monthly dietitian visits and a smart scale into the membership. Labs are $75 flat for uninsured patients. The catch is reach — it currently serves California, Florida, New York and Texas only.
Pricing: Membership $99/month (promo $49) + medication from $99/month
Pros
- In network with Medicare and most PPO plans for visits
- Compounded semaglutide starts at $99/month
- Publishes dose-tiered medication pricing openly
- Flat $75 lab rate for uninsured patients
Cons
- Available in only four states
- $99/month membership required on top of medication
- Compounded medications are not reimbursed by insurance
- Cancellation and refund terms are not published
PlushCare treats GLP-1s the way a primary care office would: run a full obesity lab panel first, then work the prior-authorization process to get a brand-name drug covered. Most in-network patients pay $30 or less per visit, and PlushCare refunds patients it cannot treat. Without coverage, though, brand-name medication still runs roughly $1,000/month.
Pricing: Membership $19.99/month (first month free); $129 initial visit without insurance
Pros
- Pursues insurance coverage and prior authorization for brand-name GLP-1s
- Runs a comprehensive obesity lab panel before prescribing
- Most in-network patients pay $30 or less per visit
- Full refund if PlushCare is unable to treat you
Cons
- Out-of-pocket brand-name cost is roughly $1,000/month without coverage
- $129 initial visit without insurance
- Prior authorization adds time before treatment starts
- Pharmacy, shipping and state coverage are not published on the GLP-1 page
Ivím's $74.99/month membership buys unlimited 1:1 provider consults, 24/7 care team access and functional nutritional counseling — far more clinician contact than most compounded programs include. Compounded semaglutide starts at $149/month, the first consultation is free, and HSA/FSA cards are accepted.
Pricing: Membership $74.99/month + compounded semaglutide from $149/month
Pros
- Compounded semaglutide starts at $149/month
- Free initial provider consultation
- Unlimited 1:1 provider consults included in membership
- HSA and FSA cards accepted
Cons
- $74.99/month membership is among the higher fees in this category
- Compounded semaglutide is not covered by insurance
- Lab requirements, shipping details and states served are not published
- Refund terms are behind a policy link rather than stated on the page
OrderlyMeds names the pharmacies that fill its prescriptions — SmartPharmaRx, Casa and PerfectionRx/PerfectRx — which almost no competitor does, and describes them as 503A pharmacies led by credentialed pharmacists. Providers are licensed in all 50 states. Just note the introductory rate roughly doubles: compounded semaglutide moves from $74 to $149/month. In June 2026 FDA issued OrderlyMeds a warning letter (MARCS-CMS 728291) over claims about compounded GLP-1 products on orderlymeds.com; read it before deciding.
Pricing: From $74 first month, $149/month thereafter
Pros
- Names its partner pharmacies rather than describing them vaguely
- Publishes both intro pricing and the ongoing rate
- Providers licensed in all 50 states
- No separate membership fee disclosed
Cons
- Price roughly doubles after the introductory month
- Lab requirements are not published
- Cancellation and refund terms are not published
- Does not accept insurance
Aspire publishes a per-vial price at every dose — compounded tirzepatide at $149–$299 and semaglutide at $129–$189 — so you can see what titrating upward will actually cost before you start. The consultation is free and monthly care is $49. Its refund terms are strict, and it serves a limited list of states.
Pricing: $49/month care + compounded medication from $129 per vial
Pros
- Publishes per-vial pricing at every dose level
- Free new patient consultation
- Low $49/month medical care fee
- HSA and FSA cards accepted for services and compounded medications
Cons
- Insurance not accepted for visits
- Consultation fees generally non-refundable once a provider has reviewed your case
- All medication sales are final once shipped
- Available in a limited set of states
Trimi is the rare program where the advertised number is the entire bill: $99/month for compounded semaglutide and $125 for tirzepatide covers medication, clinician visits, ongoing check-ins and free overnight shipping, with no membership stacked on top. It also names its 503A pharmacies — VialsRx and GreenwichRx — covers all 50 states, and is FSA/HSA eligible. Those rates are quoted on annual plans, so weigh the commitment.
Pricing: All-in from $99/month on an annual plan
Pros
- One flat fee covers medication, visits, check-ins and shipping
- Names its 503A partner pharmacies (VialsRx and GreenwichRx)
- Compounded semaglutide $99/month, tirzepatide $125/month
- Available in all 50 states
Cons
- Headline pricing is tied to annual plans
- Month-to-month pricing is not published
- Lab requirements are not published
- Cancellation and refund terms are not published
Hello Alpha prescribes brand-name medication only and carries the widest FDA-approved list we found — Foundayo (orforglipron), Wegovy as pill and pen, Ozempic, Zepbound in vial and pen, Mounjaro, Saxenda, Trulicity, Victoza and Rybelsus. Membership is $79/month, visits are appointment-free with 24/7 provider messaging, and most medications are FSA/HSA eligible. Note that Alpha does not refund you if a prior authorization is denied.
Pricing: Alpha Plus+ membership $79/month; medication priced by your plan
Pros
- Brand-name only — no compounded FDA-approval caveats
- Widest FDA-approved medication list we found, including Foundayo (orforglipron)
- Both oral and injectable options across multiple drug classes
- 24/7 messaging with providers
Cons
- No compounded option, so no low-cost route if coverage is denied
- $79/month Alpha Plus+ membership on top of medication
- No refund if a prior authorization is denied or you are found ineligible
- Medication prices depend entirely on your insurance plan
Nurx is the strongest option if a GLP-1 injection is not the right fit. Metformin runs $15/month and topiramate $15–$30, both potentially $0 with insurance, alongside Nurx's own 3-in-1 combination pills from $75/month. Brand-name GLP-1s are available too, though Nurx's pharmacy will not ship them — you pick those up locally.
Pricing: $79 consultation + $79/month care fee; orals from $15/month
Pros
- Full range of brand-name GLP-1 injectables available
- Low-cost oral options from $15/month, some $0 with insurance
- Proprietary 3-in-1 combination pills from $75/month
- Free shipping on pharmacy-fulfilled medications
Cons
- $79 consultation fee plus $79/month provider support fee, cash pay only
- Branded GLP-1s cannot be shipped by Nurx's pharmacy
- Brand-name injectables average $650-$1,300/month without coverage
- Not offered in every state
24hrdoc covers weekly injections, oral semaglutide as tablets or drops, and a separate clinically supervised microdosing protocol — three formats most competitors do not offer together. Pricing is shown at both the sale and regular rate, and FSA/HSA cards are accepted. Confirm what you will pay once the promotional rate ends.
Pricing: From $149/month (sale price; regularly $249)
Pros
- Injectable, oral and microdose GLP-1 formats all available
- Shows sale and regular pricing side by side
- FSA and HSA accepted for most patients
- Fast and free discreet shipping
Cons
- Does not accept insurance for weight-loss treatment
- Not a pharmacy — does not carry or ship medicines itself
- Available in most, but not all, U.S. states
- Lab requirements and refund terms are not published on the program page
Side-by-Side Comparison
| Provider | Rating | Pricing | Best for |
|---|---|---|---|
| Lemonaid Health | 8.7/10 | Membership $49/month + medication from $199/month | Shoppers who want to compare compounded and brand-name GLP-1 pricing openly before starting |
| Shapely | 8.6/10 | Membership $99/month (promo $49) + medication from $99/month | Patients in CA, FL, NY or TX who want insurance-billed visits, real dietitian support, and published prices |
| PlushCare | 8.5/10 | Membership $19.99/month (first month free); $129 initial visit without insurance | Patients with insurance who want brand-name GLP-1s covered and proper lab work before starting |
| Ivím Health | 8.4/10 | Membership $74.99/month + compounded semaglutide from $149/month | Patients who want heavy clinician contact and nutrition support alongside affordable compounded medication |
| OrderlyMeds | 8.3/10 | From $74 first month, $149/month thereafter | Patients who want to know exactly which pharmacy compounds their medication before ordering |
| Aspire Health | 8.1/10 | $49/month care + compounded medication from $129 per vial | Cost-conscious patients who want to know what every dose step will cost before they titrate up |
| Trimi Health | 8.5/10 | All-in from $99/month on an annual plan | Patients who want a single all-inclusive price and are comfortable committing to an annual plan |
| Hello Alpha | 8.3/10 | Alpha Plus+ membership $79/month; medication priced by your plan | Patients who want FDA-approved medication only and the widest choice of brands and formats |
| Nurx | 8.2/10 | $79 consultation + $79/month care fee; orals from $15/month | Patients who want brand-name GLP-1s billed to insurance, or a genuinely cheap oral alternative |
| 24hrdoc | 8/10 | From $149/month (sale price; regularly $249) | Patients who want an oral or microdose GLP-1 option and plan to pay with an FSA or HSA card |
Pricing in this category changes frequently and promotional rates often differ from renewal rates. Confirm current costs directly with each provider before enrolling.
How We Ranked These Providers
Every provider on this page was found through live search data, then researched directly on its own website. We did not take pricing or pharmacy claims from third-party roundups, and where a company does not publish something, our reviews say so rather than filling the gap with a plausible guess.
Four factors drove the rankings:
- Price transparency. Does the provider publish what you pay — including after any introductory rate ends — or does it require an account before revealing costs?
- Pharmacy disclosure. Compounded medication quality depends on the pharmacy compounding it. Naming that pharmacy, or at minimum its regulatory category, is a meaningful signal.
- Clinician involvement. How much real provider contact do you get after the first prescription — ongoing check-ins, or a refill pipeline?
- Exit terms. Cancellation and refund policies separate programs confident in their product from those relying on friction.
These are editorial scores based on public information, not clinical endorsements. We are not a medical provider.
Brand-Name or Compounded: Which Route Fits You?
This is the single biggest fork in the road, and it usually decides which provider you should pick.
Brand-name Wegovy, Zepbound, Ozempic and Mounjaro are FDA-approved, manufactured to a consistent standard, and eligible for insurance coverage — but list prices run roughly $1,000–$1,800 per month without it. A whole cohort of providers is built around getting that coverage approved rather than selling you a compounded alternative: PlushCare, Hello Alpha, Circle Medical (over 1,500 insurance plans, $0–$35 typical out-of-pocket), MDLIVE ($0 visits on participating plans) and Zealthy (brand medication from $25/month with coverage).
Compounded semaglutide and tirzepatide are prepared by compounding pharmacies and typically cost $99–$399 per month cash-pay. They are not FDA-approved, and the FDA does not evaluate their safety, effectiveness or quality. Programs like OrderlyMeds, Ivím and Aspire are built around this route.
Our compounded vs brand-name GLP-1 guide walks through the trade-offs in detail. Discuss the choice with a licensed clinician — it is a medical decision, not just a financial one.
What to Check Before You Enroll
Almost every complaint we encountered in this category traces back to one of five things nobody checked at sign-up:
- The renewal price. Introductory pricing is common and the step-up can double your monthly cost. OrderlyMeds and 24hrdoc both publish theirs — many competitors do not.
- Whether the price scales with dose. Titrating from a starter dose to a maintenance dose can raise costs substantially. Aspire publishes per-vial pricing at every dose; most do not.
- State availability. Several strong programs serve a limited footprint. Shapely covers four states; Rixa covers eight.
- When you pay. Some programs take payment before any medical intake happens. Read the refund window carefully if so.
- Whether membership is separate. Membership fees of $19–$99/month sit on top of medication at most programs.
Frequently Asked Questions
What is the best online GLP-1 provider?
Lemonaid Health is our overall pick for 2026 because it publishes complete pricing across compounded, microdose and brand-name options and schedules provider check-ins during dose escalation. Shapely is stronger clinically if you live in California, Florida, New York or Texas, and PlushCare is the better route if you want insurance to cover a brand-name GLP-1.
How much do online GLP-1 programs cost?
Compounded programs generally run $75–$399 per month for medication, plus a membership fee of roughly $19–$99 per month at most providers. A few — Trimi Health, Renlo Health and Good Life Meds — charge no separate membership at all. Brand-name GLP-1s cost roughly $1,000–$1,800 per month without insurance coverage. Introductory rates are common and often roughly double at renewal.
Do online GLP-1 providers take insurance?
Some do for visits, and some pursue coverage for brand-name medication. Circle Medical accepts over 1,500 plans with $0–$35 typical out-of-pocket, MDLIVE lists $0 primary care visits on participating plans, PlushCare handles prior authorization, and Shapely is in network with Medicare and most PPO plans for visits. Compounded medications are generally not reimbursed by insurance at any provider, though several accept HSA and FSA cards.
Is compounded semaglutide the same as Wegovy?
No. Compounded semaglutide is prepared by a compounding pharmacy and is not FDA-approved — the FDA does not evaluate its safety, effectiveness or quality. Wegovy is an FDA-approved brand-name product. They are not interchangeable, and the choice between them should be made with a licensed clinician.
Which GLP-1 providers name their pharmacy?
OrderlyMeds names SmartPharmaRx, Casa and PerfectionRx/PerfectRx, and Trimi Health names VialsRx and GreenwichRx. Most other providers describe their pharmacies only by category — for example Ivím cites FDA-inspected, state-regulated compounding pharmacies, and Shapely cites state-licensed 503A and 503B pharmacies — without naming them.
Can I cancel an online GLP-1 program anytime?
It varies, and this is worth checking before you pay. PlushCare, Nurx and Brello Health all state you can cancel anytime, though Brello deducts a $50 professional services fee from refunds and closes its refund window 24 hours after provider review. Several providers do not publish cancellation terms at all.
Medical Disclaimer: This guide is for educational and comparison purposes only and is not medical advice. Rx Saver Hub is not a medical provider and does not prescribe medication. Compounded medications are not FDA-approved, and the FDA does not evaluate their safety, effectiveness or quality. Rankings reflect our editorial assessment of publicly available information, including how much each provider discloses about pricing, pharmacies and clinical process. Always consult a qualified healthcare provider before starting, stopping or changing any weight-loss treatment. Individual results vary.