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#60Pay Per Consult

Dr. B Review

Pay per consult, no subscription — and paid visits fund free care

8.5/10
Excellent
8.5/10

$145 program fee per consult plus medication; compounded from $113/month, brand-name from $149/month

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Overview

Dr. B is built around two ideas the rest of this category mostly ignores. First, you are never on a subscription — the $145 Shed It program fee is charged only when you actually take a consult, so pausing costs nothing and there are no automatic charges. Second, every paid consultation funds No-Cost Care for patients in financial hardship, with more than 25,000 free consults given to date. The $145 covers a monthly provider consultation, unlimited team check-ins, blood work at Quest Diagnostics, a Letter of Medical Necessity that unlocks HSA/FSA spending on fitness and nutrition, and weekly support material. Medication is billed separately and the range is unusually wide: brand-name Wegovy at $349/month cash, the Wegovy pill at $149 (or as little as $25 insured), Zepbound from $299, plus compounded microdose options from $113 for tirzepatide with B6 and $115 for semaglutide with glycine. Brand-name scripts go to your local pharmacy or LillyDirect; compounded ships express. The whole site is mirrored in Spanish at es.drb.ai, and the medical advisory board is named with credentials.

Pros

  • No subscription — the $145 fee applies only when you take a consult
  • Blood work at Quest Diagnostics included in the program fee
  • Both brand-name and compounded routes, including microdose options from $113/month
  • Full Spanish-language site at es.drb.ai
  • Paid consults fund No-Cost Care — over 25,000 free consults given to patients in hardship
  • Letter of Medical Necessity provided to unlock HSA/FSA for fitness and nutrition costs
  • Named medical advisory board with published credentials

Cons

  • The $145 program fee recurs with every monthly consult, on top of medication
  • Medication cost varies widely by type, brand and dose — the total is hard to predict
  • State availability is not published, and some states require a live video visit
  • Compounded medications are not FDA-approved as finished products
  • Weight loss is one of 30+ services rather than a dedicated obesity practice

Key Features

Shed It Program Fee $145 Per Consult
Wegovy®, Ozempic®, Zepbound® & Mounjaro®
Wegovy® Pill $149/month Cash
Compounded Microdose From $113/month
Quest Diagnostics Bloodwork Included
Spanish Site at es.drb.ai

Best For

Patients who want to pay only when they use the service, and anyone who needs Spanish-language care or financial hardship assistance

Dr. B at a Glance

Everything below reflects what Dr. B published on its own site as of August 23, 2026. Where a detail is not published, we say so rather than guessing.

Medications offered
  • Wegovy® (semaglutide) injection
  • Wegovy® Pill (semaglutide)
  • Ozempic® (semaglutide)
  • Zepbound® (tirzepatide)
  • Mounjaro® (tirzepatide)
  • Compounded tirzepatide + B6 (microdose)
  • Compounded semaglutide + glycine (microdose)
  • Compounded liraglutide + glycine
  • Orforglipron
Brand-name or compounded
Both. Dr. B offers brand-name FDA-approved injectables and the Wegovy pill alongside cash-pay compounded formulations, including microdose options. Compounded medications are custom-made and are not FDA-approved as finished products.
Consultation process
Take an online AI-guided consultation that a licensed medical provider reviews, either asynchronously or by video visit — some states require a live consultation by law. Providers prescribe only if they judge it safe and medically appropriate. Consults recur monthly before refills, and patients can request a provider callback at any point.
Eligibility
BMI of 27 or above, or BMI 25 or above with a qualifying health condition for some medications. Dr. B notes telehealth laws differ by state and that it only offers treatment areas cleared nationwide through its internal checks.
Provider involvement
Licensed doctors and nurse practitioners licensed in your state review every consultation, with monthly consults before refills, unlimited support check-ins and provider callbacks available. Dr. B publishes a named medical advisory board including Dr. Sudip Bose, MD (primary care), Dr. Alison Gruen, MD (dermatology), Dr. Cascya Charlot, MD (allergy) and Dr. Madeline Kaye, MD (sexual and reproductive health).
Lab requirements
Blood work at Quest Diagnostics is included in the $145 program fee.
Pharmacy fulfillment
Brand-name medications are sent to your chosen local pharmacy for pickup, or fulfilled through LillyDirect. Compounded medications ship by express delivery from a compounding pharmacy with tracking.
Shipping
Monthly, tied to the consult cycle. Compounded medication ships express with tracking; brand-name is collected from your pharmacy.

Pricing

Billing comes in two parts and there is no subscription. The Shed It program fee is $145, charged each time you take a consult, and covers the provider consultation, unlimited check-ins, Quest Diagnostics blood work, a Letter of Medical Necessity and support tools. Medication is billed separately by type, brand and dose: Wegovy $349/month cash, Wegovy Pill $149/month cash or as little as $25 insured, Zepbound from $299/month, compounded tirzepatide with B6 from $113/month, compounded semaglutide with glycine from $115/month and compounded liraglutide with glycine from $147/month. Insured patients pay their copay in place of the $145 self-pay fee. Most of Dr. B's non-longevity consults are $19.

Membership fees

None. Dr. B states you pay only when you take a consult, with no subscriptions or automatic charges.

Medication fees

  • Shed It program fee: $145 per consult
  • Wegovy injection: $349/month cash pay
  • Wegovy Pill: $149/month cash, as low as $25 with insurance
  • Zepbound: from $299/month
  • Compounded tirzepatide + B6 (microdose): from $113/month
  • Compounded semaglutide + glycine (microdose): from $115/month
  • Compounded liraglutide + glycine: from $147/month

Prices change often in this category. Always confirm the current cost — including what you will pay after any introductory or promotional period — directly with Dr. B before enrolling.

Cancellation, Refunds & Payment

Cancellation policy
Nothing to cancel. Dr. B states there are no subscriptions or automatic charges — patients control when consultations happen.
Refund policy
Not published on Dr. B's website at the time of review. Confirm directly with Dr. B before enrolling.
Insurance
Accepted. Insured patients pay their copay instead of the $145 self-pay program fee, and Dr. B helps determine whether a plan covers GLP-1 treatment. During the consult it displays medication costs at local and online pharmacies so patients can see the lowest out-of-pocket option, and provides a drug discount card.
HSA / FSA
Dr. B issues a Letter of Medical Necessity that unlocks HSA/FSA spending on fitness, nutrition and massage costs.

Support Services

Unlimited support check-ins with the Dr. B team
Letter of Medical Necessity unlocking HSA/FSA for fitness and nutrition spending
Weekly support emails on medication, nutrition, movement and mental health
Partner discounts on fitness and nutrition programs
No-Cost Care for patients who qualify on financial hardship
Full Spanish-language site at es.drb.ai

Limitations to Know

  • The $145 fee recurs with each monthly consult, so annual cost adds up alongside medication
  • Total monthly cost is hard to forecast because medication pricing varies by type and dose
  • State availability is not published and some states require a live video visit
  • Compounded products are not FDA-approved as finished drugs
  • Refund terms are not published

Alternatives to Dr. B

LillyDirect

The pharmacy Dr. B routes Zepbound through — going direct avoids the $145 consult fee.

PlexusDx

Also offers a microdose tier at $129/month all-inclusive, with no per-consult fee.

Sesame

Another pay-per-visit marketplace with published visit pricing and no subscription.

Still comparing? See our full ranking of online GLP-1 providers.

Dr. B FAQs

Does Dr. B charge a monthly subscription?

No. The $145 Shed It program fee is charged each time you take a consult, and Dr. B states there are no subscriptions or automatic charges. If you skip a month, you are not billed.

What does the $145 actually cover?

A monthly provider consultation, unlimited support check-ins with the Dr. B team, blood work at Quest Diagnostics, a Letter of Medical Necessity for HSA/FSA fitness spending, and science-backed progress tools. Medication is billed separately.

Is Dr. B available in Spanish?

Yes. Dr. B runs a full Spanish-language version of its site at es.drb.ai, which is rare in this category.

What if I cannot afford treatment?

Dr. B operates a No-Cost Care programme funded by paid consultations, for patients who qualify on financial hardship. It reports more than 25,000 no-cost consultations given to date.

Date reviewed: August 23, 2026

Sources consulted

Medical disclaimer: This review 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. Program details, pricing and availability change frequently — verify everything directly with Dr. B. Always consult a qualified healthcare provider before starting, stopping or changing any weight-loss treatment. Individual results vary.

Dr. B

8.5/10

$145 program fee per consult plus medication; compounded from $113/month, brand-name from $149/month

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Brand-name & compounded options

Quick Stats

Rank#60 of 133
Rating8.5/10
Pricing$145 program fee per consult plus medication; compounded from $113/month, brand-name from $149/month

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