Semaglutide-only ladder · updated July 2026
The cheapest semaglutide programs, ranked by price.
39 of the 41 programs we track publish a monthly semaglutide price. Here they are, grouped into price bands and sorted cheapest first — with a flat-or-watch flag on every rung, and no number invented for the 2 that don't disclose one.
Read this before the ladder
Every program below sells compounded semaglutide, not the brand-name drug. Compounded semaglutide is legal, but it is not FDA-approved and is not reviewed by the FDA for safety, effectiveness, or quality the way brand-name Wegovy and Ozempic are. Confirm the pharmacy before you shop on price alone — start with is cheap compounded GLP-1 safe? and compounded vs brand-name GLP-1 cost.
The semaglutide price ladder
39 priced · 25 flat · 14 to watch
Climb the rungs cheapest first. Each band is grounded in the programs actually inside it — footprint, flat-vs-watch mix, and whether tirzepatide is also on the same account.
Under $100/mo
9 programs5 of 9 ship to all 50 states. 5 carry our flat flag and 4 carry a pricing structure to watch. 9 of 9 also disclose a tirzepatide price, so you could add that molecule without switching desks.
- 01
Telos Rx
Not publicly listed · Value Score 85 · qualified rate — no brand comparison drawn
From $49/mo (annual)Watch terms
Some of the lowest published prices we track — microdosed semaglutide from $49/mo and tirzepatide from $99/mo — but only on 6–12 month plans; month-to-month short plans start at $145/$199/$399 the first month, so budget for the commitment, not the headline.
- 02
Primary Clinic (Direct GLP)
10 states (WA, NM, AZ, UT, FL, DC, KS, OK, VA, GA) · Value Score 73 · ~95% below Wegovy's July 2026 cash reference
$65/moWatch terms
The lowest sticker on the board at $65 — but at that price in only 10 states with no LegitScript, treat it as a teaser to verify before you trust it as your ongoing rate.
- 03
Potere Health MD
UT · Value Score 79 · ~94% below Wegovy's July 2026 cash reference
$80/moWatch terms
Near-lowest sticker on the board at $80 — LegitScript-backed, but Utah-only, so confirm it's a real ongoing rate before you count on it.
- 04
Ondra Health
All 50 states · Value Score 92 · ~93% below Wegovy's July 2026 cash reference
$93/moHolds flat
Lowest disclosed flat semaglutide sticker in the whole roster — no intro-rate step-up baked in.
- 05
Alan Meds
All 50 states · Value Score 90 · ~93% below Wegovy's July 2026 cash reference
$99/moHolds flat
$99 flat sema with a cheap tirzepatide too — priced up front, no known intro-rate gimmick.
- 06
Trimi Health
All 50 states · Value Score 89 · ~93% below Wegovy's July 2026 cash reference
$99/moHolds flat
Both molecules under the price of a single brand-name copay — $99 sema, $125 tirz, flat, with no month-two step-up.
- 07
bmiMD
All 50 states · Value Score 89 · ~93% below Wegovy's July 2026 cash reference
$99/moHolds flat
$99 flat semaglutide and a cheap $139 tirzepatide — priced up front with no known step-up.
- 08
Live Vital
All 50 states · Value Score 88 · ~93% below Wegovy's July 2026 cash reference
$99/moHolds flat
$99 flat semaglutide nationwide; tirzepatide runs a bit higher at $183 but there's no intro-rate gimmick.
- 09
Strut Health
49 states (not Arkansas) · Value Score 87 · qualified rate — no brand comparison drawn
From $99/mo sublingual, $149/mo injectableWatch terms
The headline $99 and $149 are AUTO-REFILL rates — a one-off order costs more. The saving is real but conditional on staying subscribed.
$100–$149/mo
14 programs8 of 14 ship to all 50 states. 11 carry our flat flag and 3 carry a pricing structure to watch. 12 of 14 also disclose a tirzepatide price, so you could add that molecule without switching desks.
- 10
Care Clinics
TX, FL, CA, OK, LA, AR, AL, GA, AZ, MA, PA, CO, NM, ID, WY, IL, OH, MN, MI, CT, DC, MS, NH, NJ, WA, NY, HI, TN, DE, IN, KY, WI · Value Score 89 · ~93% below Wegovy's July 2026 cash reference
$100/moHolds flat
Flat $100/$133 on both molecules from a LegitScript-certified pharmacy — cheap and step-up-free.
- 11
AmberHealth
All 50 states · Value Score 88 · ~93% below Wegovy's July 2026 cash reference
$100/moHolds flat
$100 flat semaglutide nationwide, no step-up; tirzepatide sits a bit higher at $175.
- 12
Mint Med
AZ, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, ME, MD, MI, MN, MT, NV, NH, NJ, NY, NC, ND, OH, OK, PA, TN, TX, UT, VT, VA, WA, WV, WI, WY · Value Score 87 · ~91% below Wegovy's July 2026 cash reference
$117/moHolds flat
Flat $117/$159 on both molecules from a LegitScript-certified pharmacy — low and step-up-free.
- 13
Elara Health and Wellness
All 50 states · Value Score 86 · ~91% below Wegovy's July 2026 cash reference
$117/moHolds flat
Flat $117 semaglutide nationwide, no step-up; tirzepatide runs pricier at $196.
- 14
Oak
All 50 states · Value Score 88 · qualified rate — no brand comparison drawn
From $119/moHolds flat
One price across every dosage and no membership fee — titrating up costs nothing extra, and there is no subscription to escape.
- 15
Ageless
Varies by state · Value Score 83 · ~91% below Wegovy's July 2026 cash reference
$119/moWatch terms
Unusually low headline pricing — $119 compounded semaglutide, $169 tirzepatide — but the site frames these as floors ("final price after clinical review"), so treat them as starting points, not guarantees.
- 16
Found
All 50 states · Value Score 90 · ~90% below Wegovy's July 2026 cash reference
$129/moWatch terms
Cheapest sticker on both molecules — but it's a coaching subscription you can't fully unbundle.
- 17
Gimme Care
All 50 states · Value Score 91 · ~90% below Wegovy's July 2026 cash reference
$130/moHolds flat
Flat pricing on both molecules with a tight $130/$163 spread — no bait, no surprise second-month jump.
- 18
Fresh Day Meds
All 50 states · Value Score 88 · ~90% below Wegovy's July 2026 cash reference
$133/moHolds flat
Flat $133/$166 on both molecules from a LegitScript-certified program — a tight, honest spread with no bait.
- 19
AgelessRx
Not disclosed · Value Score 84 · ~90% below Wegovy's July 2026 cash reference
$139/moHolds flat
Lowest disclosed semaglutide sticker — but tirzepatide pricing is not published.
- 20
CoreAge Rx
All 50 states · Value Score 93 · ~89% below Wegovy's July 2026 cash reference
$149/moHolds flat
Flat all-in price — the month-one rate is the month-twelve rate. No step-up.
- 21
Precision Telemed
All 50 states · Value Score 89 · ~89% below Wegovy's July 2026 cash reference
$149/moHolds flat
Flat $149/$199 on both molecules from a LegitScript-certified program — the price you see is the price you keep.
- 22
Sesame Care
Nationwide marketplace · Value Score 87 · qualified rate — no brand comparison drawn
From $149/mo (brand Wegovy pill)Watch terms
No first-month teaser step-up, but the cost comes in two parts — a platform subscription plus the medication — so the true monthly total is harder to compare, and brand-name cash prices can run high without insurance. Confirm both line items before you commit.
- 23
Sprout Health
Not disclosed · Value Score 86 · ~89% below Wegovy's July 2026 cash reference
$149/moHolds flat
Flat compounded pricing — $149 semaglutide / $199 tirzepatide — with a brand-name Wegovy/Zepbound route on the same account and no first-month step-up. Transparency is thin, though: no named medical director and state availability is quiz-gated, so confirm coverage before you buy.
$150–$199/mo
12 programs7 of 12 ship to all 50 states. 6 carry our flat flag and 6 carry a pricing structure to watch. 11 of 12 also disclose a tirzepatide price, so you could add that molecule without switching desks.
- 24
Vaylen
All 50 states · Value Score 87 · ~87% below Wegovy's July 2026 cash reference
$179/moHolds flat
Flat $179/$239 pricing, LegitScript-certified, with both brand-name and oral routes available — no bait.
- 25
Direct Meds
Not publicly listed · Value Score 82 · ~87% below Wegovy's July 2026 cash reference
$179/moWatch terms
Rare oral/sublingual route — sublingual sema ~$179 (injectable ~$297), sublingual tirz ~$224 (injectable ~$399), with a promo as low as ~$147 — but these are company-stated numbers we could not verify live, so confirm before you count on them.
- 26
HealthRX
Not publicly listed · Value Score 86 · ~86% below Wegovy's July 2026 cash reference
$189/moHolds flat
Transparent flat monthly pricing, no insurance — GLP-1 injection ~$189, a rare oral tablet ~$239, and GLP+GIP ~$349. A brand-name Ozempic path exists but runs ~$1,299/mo. Some tiers are company-stated on a thin site, so confirm before you count on them.
- 27
RxSpan MD
All 50 states · Value Score 86 · qualified rate — no brand comparison drawn
From $194/moWatch terms
Transparent, all-inclusive published pricing across all 50 states — compounded semaglutide runs $249 month-to-month and steps down to $194/mo on the 12-month plan ($219 for 3-mo, $199 for 6-mo); tirzepatide is $329 and oral semaglutide capsules $249. The $194 headline is the annual rate, so budget for the commitment, not the month-to-month.
- 28
BetterMe Rx
All 50 states · Value Score 86 · ~85% below Wegovy's July 2026 cash reference
$199/moHolds flat
Flat $199/$299 from a LegitScript-certified program, with a cheaper oral route as the true budget entry.
- 29
ShedRx
All 50 states · Value Score 84 · ~85% below Wegovy's July 2026 cash reference
$199/moWatch terms
The advertised "as low as $239" tirzepatide rate is a twelve-month commitment; month-to-month is $299. Semaglutide works the same way — $159 needs twelve months, $199 is the real month-to-month entry.
- 30
yourEra
All 50 states · Value Score 84 · ~85% below Wegovy's July 2026 cash reference
$199/moHolds flat
Prices are published openly on the site — $199 semaglutide, $299 tirzepatide, no quiz-gate. Honest and flat, but mid-market, not the cheapest compounder we track.
- 31
Invigor Medical
Not disclosed · Value Score 82 · ~85% below Wegovy's July 2026 cash reference
$199/moHolds flat
Mid-market flat pricing on both molecules with no known teaser tier.
- 32
Hims & Hers
All 50 states · Value Score 80 · ~85% below Wegovy's July 2026 cash reference
$199/moHolds flat
Semaglutide priced up front; tirzepatide pricing isn't consistently shown.
- 33
Breeze Meds
All 50 states · Value Score 78 · qualified rate — no brand comparison drawn
From $199/moWatch terms
Every quoted figure is for the LOWEST dose — the funnel says outright that higher doses may cost more — and the $299 tirzepatide is a first-month rate that becomes $399.
- 34
Care Bare Rx
Multi-state · Value Score 73 · qualified rate — no brand comparison drawn
From $199/mo (shared weight-loss price)Watch terms
The advertised "from $199/mo" is one figure covering all weight-loss treatments; neither molecule is priced separately and per-dose rates are quiz-gated.
- 35
Synergy Rx
Not disclosed · Value Score 69 · qualified rate — no brand comparison drawn
From $199/moWatch terms
Publishes NO GLP-1 price on its own site at all — it prices its longevity line openly and this one not at all, so nothing here can be compared before an enquiry.
$200/mo and up
4 programs1 of 4 ship to all 50 states. 3 carry our flat flag and 1 carry a pricing structure to watch. 4 of 4 also disclose a tirzepatide price, so you could add that molecule without switching desks.
- 36
Enhance MD
Not publicly listed · Value Score 85 · ~84% below Wegovy's July 2026 cash reference
$212/moWatch terms
Transparent tiered menu — microdose $169, semaglutide $212, tirzepatide $280, sema+tirz combo $322 — but the $212 semaglutide advertises a $112 first month that steps up after, so budget for the ongoing rate, not the intro.
- 37
MadeMed
40 states · Value Score 85 · qualified rate — no brand comparison drawn
$239/mo quarterly (from $199/mo on 6 months)Holds flat
The clearest pricing on the board: one flat rate published at every single dose, so nothing changes as you titrate.
- 38
Eden
All 50 states · Value Score 81 · ~82% below Wegovy's July 2026 cash reference
$239/moHolds flat
Fully transparent pricing — you pay more, but there's no bait and no surprise step-up.
- 39
Henry Meds
Multi-state · Value Score 78 · ~82% below Wegovy's July 2026 cash reference
$249/moHolds flat
The flat-fee pioneer — honest and step-up-free, just priced at the higher end now.
Semaglutide price not disclosed
2 programsKept on the board, sorted last, and not scored on price here — these programs don't publish a semaglutide figure to compare.
Gala Health
All 50 states · Not disclosed
Ro
Multi-state · Not disclosed
Value Scores are our own and are printed unmodified — no program can buy a higher number. Order on this page is pure ascending semaglutide price. Assume any program we list may compensate us — we may earn a commission at no extra cost to you, which we disclose rather than leave you to infer. See our disclosure. Prices are each program's public disclosures at last check — confirm before you buy.
The cheapest sticker and the cheapest price you keep paying
Telos Rx tops this ladder at From $49/mo (annual). Some of the lowest published prices we track — microdosed semaglutide from $49/mo and tirzepatide from $99/mo — but only on 6–12 month plans; month-to-month short plans start at $145/$199/$399 the first month, so budget for the commitment, not the headline. The cheapest price we've flagged as flat — the month-one rate is the month-twelve rate — is Ondra Health at $93/mo, about ~93% below Wegovy's approximate July 2026 cash reference of $1,349/mo.
That savings figure only works because Wegovy is brand-name semaglutide — the same molecule these programs compound. It says nothing about tirzepatide pricing, which is why our cheapest tirzepatide board doesn't quote a percentage at all. Deciding between the two molecules on cost and effect is its own question — see semaglutide vs tirzepatide: the cheaper effective GLP-1.
Before you compare anything, price the twelfth month, not the first — a cheap intro that steps up isn't a deal. We break the pattern down in how to spot a GLP-1 teaser-rate trap, and walk the full shopping checklist in how to choose a GLP-1 provider without overpaying. If you're just starting out, the general entry point is the cheapest legit way to start GLP-1 in 2026.
Which board is for you
- Cheapest GLP-1 programs, ranked — the flagship board: every program, value-first, with the cheapest sticker flagged separately.
- Cheapest GLP-1 without insurance — the whole roster sorted strictly by cash price, with flat prices called out from ones to watch.
- Cheapest GLP-1 pill and oral routes — filtered to needle-free programs, cheapest first, regardless of molecule.
- Cheapest tirzepatide programs, ranked — set on the higher-ceiling molecule instead? This is its price-only ladder.
Cheapest semaglutide, answered
- What is the cheapest semaglutide program in 2026?
- Of the 39 programs that publish a semaglutide price, Telos Rx is lowest at From $49/mo (annual) — its pricing structure is flagged 'watch,' so confirm what you'll actually pay before you count on that number. The cheapest price we've flagged as flat and holding is Ondra Health at $93/mo.
- How much cheaper is compounded semaglutide than brand-name Wegovy?
- Against Wegovy's approximate July 2026 cash reference of $1,349/mo, the cheapest flat semaglutide price we track — $93/mo from Ondra Health — runs roughly 93% lower. That gap is why the compounded market exists, but compounded semaglutide is a different, non-FDA-approved product — not a generic of Wegovy.
- Is the lowest semaglutide sticker always the smartest buy?
- Not automatically. Of the 39 priced programs, 25 carry our flat flag — the month-one rate is the month-twelve rate — and 14 carry a pricing structure worth checking first: a promotional first month, an annual-commitment rate quoted like a monthly one, or a figure we couldn't independently verify. A price you keep paying beats a price you were shown once.
- Is compounded semaglutide the same thing as Wegovy or Ozempic?
- No. Compounded semaglutide is legal, but it is not FDA-approved and is not reviewed by the FDA for safety, effectiveness, or quality the way Wegovy and Ozempic are. Read whether cheap compounded GLP-1 is safe and how the cost compares to brand-name before you shop on price alone.
Next: is cheap compounded GLP-1 safe?, or compare any two programs head-to-head.
Not medical advice; see our medical disclaimer and methodology.