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Gut Metabolic

Prescription GLP-1 · ranked

The GLP-1 programs that tell you the price first

A ranking of the prescription GLP-1 programs that let you see what they charge before you hand over your medical history — and of how much else each one is willing to tell you.

This is not a cheapest-first board and it is not a ranking of the medicine. It ranks what you can find out before you commit: whether the price is published, whether the advertised figure is what you are actually charged, and whether the company will name the pharmacy that compounds it.

Nearly every program here pays us a commission if you start care through it — that is what decides who has a review on this site, and only reviewed programs are ranked here, so read this as the list of companies we send readers to rather than as a survey of the market. Three no longer pay us — Breeze Meds, Care Bare Rx and Synergy Rx — and we kept them ranked rather than delete them when the money stopped. See our disclosure. Scores are not for sale, and no score has ever moved for money. Order is a different thing and we would rather name it: the programs that pay us are listed first, then everyone else, and within each group the order is the transparency score and nothing else. The programs we left out are named at the foot of this page with the reason.

The ranking

30 programs, ordered by how much you can find out before you commit.

01

System Labs

Semaglutide

$179/mo standing, $99 for the first month (compounded, sold only as "GLP-1/GIP" — its lander never names the molecule, so this is the same product as the cell beside it)Show the full price note

Tirzepatide

$179/mo standing, $99 for the first month (the same "COMPOUNDED GLP-1/GIP" listing — it sells one GLP-1 product and does not say which drug is in it)Show the full price note
PharmacyPharmacy named
02

Breeze Meds

Semaglutide

From $199/mo (compounded)

Tirzepatide

From $399/mo (compounded)

PharmacyPharmacy named
03

Enhance MD

Semaglutide

$249/mo month-to-month (compounded weekly injection, flat at every dose — the advertised $212/mo is the 12-month-plan rate, billed every 48 weeks)Show the full price note

Tirzepatide

$329/mo month-to-month (compounded weekly injection, flat at every dose — $280/mo only on the 12-month plan, and the $169/mo microdosing tier is prepay-only with no one-month option at all)Show the full price note
PharmacyPharmacy named
04

SnagRx

Semaglutide

$99/mo month-to-month (compounded weekly injection, the same price at every dose in SnagRx's own words; $89/mo on 3 months, $79 on 6, $69 only on 12)Show the full price note

Tirzepatide

$149/mo month-to-month (compounded weekly injection, the same price at every dose in SnagRx's own words; $139/mo on 3 months, $129 on 6, $119 only on 12)Show the full price note
PharmacyPharmacy named
05

Trimi Health

Semaglutide

From $99/mo (all doses, compounded)

Tirzepatide

From $125/mo (all doses, compounded)

PharmacyPharmacy named
06

HealthRX

Semaglutide

$190/mo month-to-month (compounded weekly injection, the same price at every dose; a new patient's first month is $99, then $133/mo on 3 months, $119 on 6, and $99 only on 12)Show the full price note

Tirzepatide

$239/mo month-to-month (compounded weekly injection, the same price at every dose; a new patient's first month is $149, then $209/mo on 3 months, $199 on 6, and $179 only on 12)Show the full price note
PharmacyNo pharmacy named
07

YourEra

Semaglutide

From $179/mo (all doses, compounded)

Tirzepatide

From $259/mo (all doses, compounded)

PharmacyNo pharmacy named
08

Pallas Health

Semaglutide

$199/mo average (compounded weekly injection; no monthly option — $597 billed every 12 weeks, after $139 for the first 4 weeks)Show the full price note

Tirzepatide

$299/mo average (compounded weekly injection; no monthly option — $897 billed every 12 weeks, after $179 for the first 4 weeks)Show the full price note
PharmacyPharmacy named
09

RxSpan MD

Semaglutide

$249/mo (month-to-month, compounded injection or oral capsule; $219 on 3 months, $199 on 6, $194 on 12)

Tirzepatide

$329/mo (month-to-month, compounded injection; $309 on 3 months, $289 on 6, $269 on 12 — oral capsules $349)
PharmacyPharmacy named
10

CoreAge Rx

Semaglutide

From $99/mo (compounded, prescribed by US-licensed clinicians; its own hero banner says "from $199/mo" for the same two drugs and nothing on the page reconciles the two)Show the full price note

Tirzepatide

From $149/mo, and it states "Same price at every dose" beside the figure (compounded, typically formulated with B-12 unless you ask otherwise at intake)Show the full price note
PharmacyNo pharmacy named
11

Care Bare Rx

Semaglutide

$199/mo at the 0.25 mg tier (compounded weekly injection; $249 at 0.5 and 1 mg, $299 at 1.5 and 2 mg)

Tirzepatide

$299/mo at the 2.5 and 5 mg tiers (compounded weekly injection; $349 at 7.5 and 10 mg, $399 at 12.5 and 15 mg)
PharmacyPharmacy named
12

Synergy Rx

Semaglutide

$199/mo month-to-month (compounded weekly injection; the 3-month bundle is $748, or $249/mo — dearer, not cheaper; sublingual tablets $299/mo)Show the full price note

Tirzepatide

$349/mo month-to-month (compounded weekly injection; the 3-month bundle is $1,068, or $356/mo — dearer, not cheaper; sublingual tablets $399/mo)Show the full price note
PharmacyPharmacy named
13

Oak

Semaglutide

$250/mo at every dose on its order form, read the afternoon of 15 August 2026 — it showed $200/mo that morning

Tirzepatide

$300/mo at every dose on its order form, read the afternoon of 15 August 2026 — it showed $250/mo that morning
PharmacyNo pharmacy named
14

Telos Rx

Semaglutide

From $99/mo (compounded weekly injection, the same price at every dose — but this is the longest-plan floor, and the month-to-month rate appears only inside the intake)Show the full price note

Tirzepatide

From $139/mo (compounded weekly injection, the same price at every dose — but this is the longest-plan floor, and the month-to-month rate appears only inside the intake)Show the full price note
PharmacyNo pharmacy named
15

Wellorithm

Semaglutide

From $147/mo compounded, the same figure whether you take the injection or the oral dissolving tablet, with "$100 off your first month" printed beneath it and nothing saying whether $147 is the standing rate or the discounted oneShow the full price note

Tirzepatide

From $249/mo compounded, injection or oral dissolving tablet at the same figure, with the same unexplained "$100 off your first month" beneath itShow the full price note
PharmacyNo pharmacy named
16

He & She MD

Semaglutide

$199/mo month-to-month (its own plan page; $1,188 once for a year is the $99/mo the banners quote)

Tirzepatide

$299/mo month-to-month ($1,908 committed for the year)

PharmacyPharmacy named
17

PeterMD

Semaglutide

$105/mo advertised for plain semaglutide injections, but no month costs that in its own shop — every GLP-1 line there is an up-front total: $270 for the subscription (struck from $417), $447 "level 1 paid in full", $512 for "2mo GLP-1" (= $256 a month), $834 for level 2 (compounded injection; $134/mo advertised with MIC/B12, $158.50/mo with phentermine and B12)Show the full price note

Tirzepatide

$149 for the first month, then $249/mo billed quarterly (compounded injection, 60 mg — so the smallest purchase after the first month is $747; its shop also lists a "LIMITED TIME OFFER: Tirzepatide" at $250, struck from $447)Show the full price note
PharmacyPharmacy named
18

ShedRx

Semaglutide

$199/mo recurring (compounded injection; two-month minimum, so $398 is the smallest purchase — $179 on 6 months, $159 only on 12)Show the full price note

Tirzepatide

$299/mo recurring (compounded injection; two-month minimum, so $598 is the smallest purchase — $269 on 6 months, $239 only on 12)Show the full price note
PharmacyPharmacy named
19

Sprout Health

Semaglutide

From $149/mo (starting dose, compounded)

Tirzepatide

From $199/mo (starting dose, compounded)

PharmacyPharmacy named
20

Gala

Semaglutide

From $1,299/mo (brand Ozempic)

Tirzepatide

From $149/mo (compounded)

PharmacyNo pharmacy named
21

Found

Semaglutide

Brand-name Wegovy from $650/mo for the medication ALONE — its Branded plan bills membership separately at $99-$149 per cycle on top, so the real month-to-month floor is nearer $799; compounded semaglutide is $299/mo month-to-month, $199/mo only on a 12-month prepayShow the full price note

Tirzepatide

$399/mo month-to-month compounded, falling to $299/mo only if you prepay 12 months (advertised as "From $239/mo"); same price at every dose, and billed every 4 weeks rather than monthlyShow the full price note
PharmacyNo pharmacy named
22

Sesame Care

Semaglutide

From $149/mo (1.5 mg dose, compounded oral)

Tirzepatide

From $299/mo (2.5 mg dose, compounded)

PharmacyNo pharmacy named
23

SkinnyRx

Semaglutide

"As low as $199/mo" (compounded weekly injection; the asterisk is a plan ladder, so $199 is the bottom rung rather than the price of one month, and a microdose option is sold at the same address)Show the full price note

Tirzepatide

"As low as $299/mo" (compounded weekly injection; same plan-ladder asterisk, and the homepage advertises $249 and $199 tiers without saying which product each belongs to)Show the full price note
PharmacyNo pharmacy named
24

Strut Health

Semaglutide

From $99/mo (compounded oral)

Tirzepatide

From $199/mo (compounded oral)

PharmacyNo pharmacy named
25

Direct Meds

Semaglutide

From $249/mo (compounded oral)

Tirzepatide

From $299/mo (compounded oral)

PharmacyPharmacy named
26

MadeMed

Semaglutide

$239/mo on the shortest plan it sells (compounded weekly injection its page describes as enhanced with L-carnitine, billed $717 up front every 3 months; no month-to-month rung exists — $199/mo needs 6 months at $1,194 up front, and a vial ships every 2 months against a 3-month billing cycle)Show the full price note

Tirzepatide

$399/mo on the shortest plan it sells (compounded weekly injection its pharmacy title records as tirzepatide/methylcobalamin — B12 — though its own marketing page says L-carnitine; billed $1,197 up front every 3 months; no month-to-month rung — $369/mo needs 6 months at $2,214 up front)Show the full price note
PharmacyPharmacy named
27

WellMedr

Semaglutide

$99 per cycle month-to-month — but a plan it calls "1 Month Supply" bills every 21 DAYS, which is 17.38 charges a year and $143/calendar month, not $99; the $59/mo on its card is the 12-month rung ($708 every 350 days)Show the full price note

Tirzepatide

$129 per cycle month-to-month on the same 21-day billing clock ($187/calendar month); the $99/mo it advertises is the 12-month rung at $1,188 charged every 350 days, and every rung including that one is labelled "Flexible month-to-month" and "No long-term commitment"Show the full price note
PharmacyPharmacy named
28

Eden

Semaglutide

$99/mo all-inclusive on the page our link opens (compounded weekly injection, flat at every dose, "no membership fees" and a lifetime price guarantee — while eden.health's own weight-loss page sells the same molecule at $99 medication-only plus a mandatory $99/mo membership, $198/mo all-in)Show the full price note

Tirzepatide

$129/mo all-inclusive on the page our link opens (compounded weekly injection, flat at every dose — the same weight-loss page prices it at $199 medication-only plus the $99/mo membership, $298/mo all-in)Show the full price note
PharmacyNo pharmacy named
29

MyDrHank

Semaglutide

$249/mo month-to-month (compounded oral; $171 only on a 12-month prepay)

Tirzepatide

$349/mo month-to-month (compounded; $240 only on a 12-month prepay)

PharmacyNo pharmacy named
30

Try Ageless

Semaglutide

$279/mo month-to-month on the plan page our link reaches (compounded weekly injection with B12; $249/mo on 3 months at $747 up front, $219/mo on 6 at $1,314, $199/mo only on 12 at $2,388)Show the full price note

Tirzepatide

$349/mo month-to-month on the plan page our link reaches (compounded weekly injection with B12; the oral drops are a separate, cheaper product at $199/mo)Show the full price note
PharmacyPharmacy named

Who this ranking leaves out

These programs pay us exactly as the ranked ones do, and they are reviewed on this site. They are not ranked here because the ranking is about what you can find out before you commit, and they do not publish the figure this ranking is about. That is a statement about the page you are shown, not about the medicine.

The other rankings

The order is close to the same on all three, because the question is the same one. What changes is the figure each board prints and which programs qualify to be on it.

Before you start

This page ranks sellers, not medicines. Whether a GLP-1 suits you is a decision for a licensed clinician who knows your history, and nothing here is medical advice. If you would rather start with food and fiber than a prescription, that is what most of this site is about.