Price transparency
What is disclosed before intake, not a clinical rating.
Pallas Health is a cash-pay online clinic for compounded semaglutide and tirzepatide, with brand-name Wegovy and Zepbound available too. Compounded semaglutide is $139 for the first month, then $199 every 4 weeks; tirzepatide is $179, then $299. The price stays the same at every dose, and nothing is charged until a clinician actually prescribes.
Pallas Health does not pay us. We review it so you can compare it with the programs that do. Disclosure
Pallas Health publishes its price before the medical intake — you can see what it costs without handing over your health history first.
On this page
Pallas Health at a glance
- Price visibility
- Published before intake
- Pharmacy information
- 7 pharmacy partners named
- Where it operates
- All 50 states + DC (video visit required in AR, MS, NM, ND, RI, SD, WV and DC)
The verdict
Pallas Health shows its price before the medical intake and is clear about what that price covers and what conditions come with it. It ranks 2 of 65 among the programs we review on price transparency.
The score beside Pallas Health's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.
Considering Pallas Health?
Confirm the plan, billing terms and availability before you begin.
What do you get with Pallas Health?
- Compounded semaglutide as a weekly injection or a daily tablet, or compounded tirzepatide as a weekly injection
- Brand-name options if your clinician prescribes them: Wegovy, Zepbound, Ozempic, Mounjaro, the Wegovy pill and Foundayo, all cash-pay
- Clinician review, check-ins and dose adjustments, with no separate membership or per-visit fee
- Care-team messaging and refill check-ins through the free Pallas app for iPhone and Android
- Free, discreet shipping from one of its seven named partner pharmacies
- Care from Lion MD clinicians, with Dr. Ana Lisa Carr, MD and Dr. Kelly Tenbrink, MD named as medical leadership
How does Pallas Health work?
Answer the intake
A short online health questionnaire that takes about two minutes. Checkout saves your card but charges nothing yet.
Clinician review
A clinician licensed in your state usually reviews within one business day. In seven states and DC, you book a short video visit first.
Prescription and first charge
If the clinician prescribes, your plan is charged at that point. You get your clinician's name and license details before the prescription is issued.
Pharmacy ships
The pharmacy usually ships within 2 to 3 business days, so most people have their first order within a week.
Ongoing care
Check-ins, refills and messages run through the app. The plan renews each term until you cancel.
How much does Pallas Health cost?
$199 every 4 weeks after a $139 first month (compounded weekly injection or daily tablet, the same price at every dose); $139/mo average on the annual plan
$299 every 4 weeks after a $179 first month (compounded weekly injection, the same price at every dose); $239/mo average on the annual plan
All 50 states + DC (video visit required in AR, MS, NM, ND, RI, SD, WV and DC)
Compounded semaglutide is $139 for the first month, then $199 every 4 weeks. Compounded tirzepatide is $179, then $299 every 4 weeks. On the annual plan the average drops to $139 a month for semaglutide and $239 for tirzepatide. Clinician care and shipping are included, and the price is the same at every dose.
- Monthly plans renew every 4 weeks, which works out to 13 charges a year, not 12. At $199, a year of semaglutide is about $2,600.
- Longer plans (12, 24 or 48 weeks) are charged in full for the term once you're prescribed. Pallas publishes the annual average but not the totals for the shorter prepaid terms.
- Nothing is charged at checkout. If a clinician doesn't prescribe, you pay nothing.
- Brand-name GLP-1s are cash-pay from $1,069 a month and can vary by product and dose.
- No insurance billing. HSA and FSA funds are often accepted, and pay-over-time options appear at checkout.
- Compounded semaglutide and tirzepatide are not FDA-approved and are not generic versions of Ozempic, Wegovy or Zepbound.
Considering Pallas Health?
Confirm the plan, billing terms and availability before you begin.
Who is Pallas Health best for?
A good fit if
- People who want to pay nothing until a clinician has actually prescribed
- Anyone who expects to titrate up and wants the price to stay flat
- Shoppers who want compounded and brand-name options under one account
- People who want to see the pharmacy and clinician names before they start
Look elsewhere if
- Anyone who needs insurance to cover the medication
- People who want the lowest first-year cost without prepaying; the 4-week billing adds a 13th charge
- Anyone who wants a compounded tirzepatide tablet; tirzepatide is injection only here
Considering Pallas Health?
Confirm the plan, billing terms and availability before you begin.
What are Pallas Health's pros and cons?
Pros
- No charge until a clinician prescribes, and no charge at all if you're declined
- One price at every compounded dose, from starting dose to maintenance
- Names seven partner pharmacies with phone numbers, plus its clinical partner and two lead physicians with NPI numbers
- Serves all 50 states and DC, with no video call needed in 43 states
- Cancel anytime with no fee, plus a six-month satisfaction promise that refunds plan payments if you meet its terms
Cons
- The $139 and $179 prices cover the first month only; the ongoing rates are $199 and $299
- Billing every 4 weeks means 13 payments a year, so the yearly cost runs higher than 12 times the monthly price
- Once a prescription is issued, that charge is final and the current cycle isn't refunded if you cancel
- It lists seven pharmacies but says the one used depends on your medication, state and capacity, so you won't know in advance
- Its own footer says some site content is AI-generated and that people in its marketing may be actors or models
The pharmacy behind the medicine
It names its pharmacy. Pallas Health discloses Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub, Foothills Pharmacy, Evoluciona Pharma as its compounding partners. That matters more here than the price does: a compounded medicine is only as good as the pharmacy that made it, and a company willing to name one is a company you can go and check.
A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program, including the highest-scoring ones.
What else do people ask about Pallas Health?
How much does Pallas Health cost?
Compounded semaglutide is $139 for the first month, then $199 every 4 weeks. Compounded tirzepatide is $179, then $299 every 4 weeks. The annual plan averages $139 a month for semaglutide and $239 for tirzepatide.
Does the price go up as my dose increases?
Not on compounded plans. Pallas charges the same at every dose. Brand-name medications are billed at pharmacy cash prices, which can vary by product and dose.
When am I charged?
Only after a clinician prescribes. Checkout saves your card and charges nothing. If you aren't prescribed, you aren't charged.
Do I need a video visit?
Only in Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, West Virginia and Washington, D.C. Everywhere else, a clinician can review your intake without a call.
Which pharmacies fill the medication?
Belmar, Strive, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub, Foothills Pharmacy and Evoluciona Pharma. The one used depends on the medication, your shipping state and capacity.
Can I cancel?
Yes, anytime from your account or by email, with no fee. Canceling stops future charges, and you keep access through the period you've paid for. A charge that has already been made after prescribing isn't refunded.
Sources for this review
Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.
- Pallas Health homepage (pricing block, FAQ), read 2026-10-09
- Pallas Health GLP-1 treatments page (plans, included care, states), read 2026-10-09
- Pallas Health clinical disclosures (pharmacies, clinicians, video-visit states), read 2026-10-09
- Pallas Health medical team page, read 2026-10-09
- Pallas Health terms (billing, cancellation, six-month promise), read 2026-10-09
How it compares
Pallas Health ranks 2 of 65 on our price-transparency score. Every prescription GLP-1 program we review is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.
Because Pallas Health shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking, our compounded semaglutide ranking and our compounded tirzepatide ranking.
$299/mo month-to-month after a $179 first month (compounded weekly injection, the same price at any dose); $199/mo on 3 months, $189 on 6, $169 on 12 paid up front; daily tablet $369/mo after a $249 first monthShow the full pricing note
$179/mo standing, $99 for the first month (compounded, sold only as "GLP-1/GIP" — its sales page never names the molecule, so this is the same product as the cell beside it)Show the full pricing note
$175/mo month-to-month (compounded weekly injection, the same price at every dose); $99/mo only on the annual plan, billed $1,188 up frontShow the full pricing note
$165/mo on the monthly Subscribe & Save plan after a $149 first month ($190 for a one-time month), compounded weekly injection, the same price at every dose; $374 per 3 months, $689 per 6, $1,163 per 12Show the full pricing note
From $199/mo (compounded)
Read this before you start
Prices change — confirm on Pallas Health's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.