Lttl review
Value Score79/100
Lttl prices compounded semaglutide at $99 and tirzepatide at $149 per 4-week supply, the same at every dose, with cheaper rates if you prepay 12, 24 or 52 weeks.
We earn a commission when you start treatment through some links on this site, at no extra cost to you. CoreAge Rx is a featured partner, and providers we work with may appear first. It never changes the Value Score.
Advertised price
From $99
$99 every 4 weeks (monthly auto-refill, 13 charges a year)
How much does Lttl cost?
The price Lttl publishes is $99 every 4 weeks (monthly auto-refill, 13 charges a year). Compounded semaglutide is listed at $99 every 4 weeks on monthly auto-refill (13 charges a year) · $96/mo on 12 weeks ($288) · $93/mo on 24 weeks ($558) · $89/mo on 52 weeks ($1,068) · Microdose Semaglutide from $109 — same price at every dose. Tirzepatide is listed at $149 every 4 weeks on monthly auto-refill (13 charges a year) · $146/mo on 12 weeks · $143/mo on 24 weeks · $139/mo on 52 weeks ($1,668) · Microdose Tirzepatide from $109 — same price at every dose. We flag this one to watch: confirm the ongoing rate with Lttl before you count on it.
- Semaglutide
- $99 every 4 weeks on monthly auto-refill (13 charges a year) · $96/mo on 12 weeks ($288) · $93/mo on 24 weeks ($558) · $89/mo on 52 weeks ($1,068) · Microdose Semaglutide from $109 — same price at every dose
- Tirzepatide
- $149 every 4 weeks on monthly auto-refill (13 charges a year) · $146/mo on 12 weeks · $143/mo on 24 weeks · $139/mo on 52 weeks ($1,668) · Microdose Tirzepatide from $109 — same price at every dose
- Coverage
- Not disclosed
- Brand-name
- Compounded only
The Value Score card
Lttl scored on our six published factors. See the methodology.
Lttl · 79/100
From $99
What's good
- "Same price at every dose" — the price holds as you titrate up, with cancel-anytime on the auto-refill plan
- Lttl publishes every plan length up front: semaglutide runs $99, $96, $93 or $89 a month and tirzepatide $149, $146, $143 or $139, depending on how many weeks you buy
- A genuine Microdose tier (Microdose Semaglutide / Microdose Tirzepatide, both from $109/mo) for people who want a lower dose and fewer side effects, not just a lower price
- Free 2-minute assessment reviewed by a named, credentialed Medical Advisory Board (a pharmacist, a nurse practitioner, and a physical therapist), not an algorithm
- FDA-registered pharmacy partners, FSA/HSA eligible, free shipping
Read the fine print
- Lttl's monthly auto-refill is a 4-week supply, so $99 or $149 is charged 13 times a year, not 12
- The lowest Lttl rates ($89 semaglutide, $139 tirzepatide) need a 52-week supply billed up front — $1,068 or $1,668
- Lttl's first-month discount of up to $140 is applied automatically, so the first charge is lower than every charge after it
- No FDA-approved brand-name GLP-1 option at Lttl — compounded only
- No oral/sublingual GLP-1 route at Lttl — injection only for both the standard and Microdose lines
- Lttl names its pharmacy partners only as a category ("FDA-Registered Pharmacy Partners") rather than by individual name
- Lttl does not publish the states it serves — confirm coverage before you sign up
The bottom line
Best for: Savings-focused shoppers who want a published, no-step-up price and like the option to start on a cheaper, lower-dose Microdose plan before committing to the standard dose.
For comparison, see CoreAge Rx, a featured partner (Value Score 81/100).
Programs to compare
Compare with other deals
The programs scoring closest to Lttl, out of 428 others we track.
Shopping Lttl against a specific rival? We put it head to head with our featured partner on CoreAge Rx vs Lttl, and every program that undercuts or outscores it — starting with Zera Health, the closest match on score — is ranked on the Lttl alternatives ranking.
- From $149/moZera Health— Zera Health is a telehealth platform for compounded GLP-1 weight loss — semaglutide from $149/mo, tirzepatide from $199/mo, plus oral and low-dose microdose options — prescribed by licensed physicians.80/100
- $259 per 7-week courseCare Clinics— Prices a course rather than a month - $299 buys twelve weeks of semaglutide on a fixed titration schedule, which is cheap, but it is not a subscription and there is no monthly rate to compare.80/100
- $109 every 28 days, all-inPepti— Compounded semaglutide at $109 and tirzepatide at $179 with the consultation and shipping inside the figure — billed every twenty-eight days, which is thirteen charges a year, on a site whose own cost pages still print two older prices.80/100
- $249/mo sublingualDirect Meds— Direct Meds sells compounded semaglutide and tirzepatide as under-the-tongue drops or weekly injections, from $249 a month, with the doctor review, supplies and shipping in that price.79/100
- $81/moBiltRx— BiltRx sells compounded semaglutide at $81 and tirzepatide at $129 a month beside brand-name Mounjaro and Wegovy, labeling each product FDA approved or not on the storefront itself.79/100
- From $189/moBionomy Health— Bionomy Health is a physician-led, direct-to-consumer men's telehealth brand offering compounded GLP-1 weight-loss medication alongside testosterone, peptides, and longevity protocols.79/100
More programs we track (24)
- GOAL.MD81
- Good Girl Rx81
- Rivo Health81
- Trillium Meds81
- Alan Meds81
- Renlo Health81
- Shed80
- Ivologist80
- KERNX Health80
- Queen RX80
- Revel RX80
- Semaglutide Online80
- Blis MD79
- Bliv79
- Harper Meds79
- HealthSource79
- Maves79
- OurView Health79
- Ozari Health79
- Rylo Health79
- Trava Health79
- TRYM Health79
- Zappy Health79
- Zeuss79
395 more are reviewed too — see every GLP-1 program we track, ranked.
Pricing and coverage on this page come from Lttl's own website; the Value Score is our editorial judgment per the methodology."% vs brand-name self-pay" compares a program's lowest disclosed monthly price against $349/mo, Wegovy's self-pay price at NovoCare Pharmacy, every standard dose after the two-month intro offer (checked October 2026). Prices change — confirm on Lttl's site. Not medical advice; see our disclosure.