The single thing that separates a good GLP-1 telehealth provider from a frustrating one is pharmacy transparency. Anyone can write a prescription. Knowing exactly where your medication was compounded, tested, and shipped from is what protects you.
Here is how seven real options stack up right now.
1. HealthRX
Compounded semaglutide starts at $99/month. Compounded tirzepatide starts at $149/month. Those are among the lowest cash prices you will find anywhere in this category, and the pricing is posted upfront with no hidden fees buried in checkout.
What makes the model credible is the pharmacy behind it. Medications are dispensed by Manifest Pharmacy in Greer, South Carolina, a 503A compounding pharmacy operating under USP-797 standards with lot-by-lot tracking from bench to door. The pharmacy holds LegitScript certification (certificate number 50087439). That is a named, verifiable facility, not a vague “licensed compounding partner.” Free overnight shipping covers all 50 states.
The clinical process is straightforward. You complete an online health assessment, a US board-certified physician reviews it within roughly 24 hours, and medication ships the next day. Once-weekly injections.
On efficacy, HealthRX points to the clinical trial data behind the active ingredients rather than making its own outcome claims: the SURMOUNT-1 trial for tirzepatide showed roughly 21% body weight reduction at 72 weeks, and the STEP 1 trial for semaglutide showed roughly 15% at 68 weeks. Worth stating clearly: these are compounded medications, not FDA-approved products, and individual results vary.
Best for: Cash-pay patients who want the lowest realistic entry price plus a traceable, certified pharmacy.
2. Mochi Health
Mochi takes monitoring more seriously than most. Compounded semaglutide runs around $99/month and tirzepatide around $199/month, with board-certified obesity-medicine clinicians on the other end rather than general practitioners. The obesity-medicine specialty matters because dosing adjustments and plateau management require more nuance than a standard telehealth visit.
Not the cheapest tirzepatide option. But the clinical depth justifies the gap.
3. FormBlends
FormBlends sits in a specific niche: it publishes per-product third-party purity testing, including HPLC purity percentages, mass spec identity confirmation, and endotoxin and sterility results with named numbers. The vast majority of GLP-1 telehealth brands skip this entirely. If you want documentation you can actually read before injecting something, that matters.
Cash pricing is higher than HealthRX. Semaglutide is priced at roughly $299 per vial and tirzepatide at roughly $349. Physician oversight is part of the model, medications come from an FDA-registered 503A compounding pharmacy, and the catalog extends well beyond GLP-1s into peptides for recovery, longevity, and cognitive support under the same clinician framework. That breadth is uncommon.
Shipping covers 47 states, not all 50.
Best for: Anyone who prioritizes published lab documentation over price, or who wants GLP-1 therapy alongside other peptides from a single provider.
4. Hims & Hers
After the Novo Nordisk settlement in March 2026, Hims & Hers moved away from compounded GLP-1s and shifted to branded medications. Injectable Wegovy is now listed around $299/month through the platform, oral semaglutide around $249/month, and Zepbound around $399/month. With insurance plus a manufacturer savings card, some patients report costs as low as $0 to $25.
The brand name recognition here is high. The cash prices without insurance are not particularly competitive compared to compounded options.
5. Ro Body
Ro charges roughly $39 for the first month, then $74 to $149/month as a membership fee, with medications billed separately. The platform has a dedicated prior-authorization team to help with insurance approvals for branded GLP-1s, which is genuinely useful if you have coverage and the patience to work through that process.
Pricing gets complicated fast once you add medication costs. Budget carefully.
6. Henry Meds
Henry Meds runs on a cash-pay compounded model with shipping typically between 24 and 72 hours. First-month pricing lands around $179 to $249. Monitoring is lighter than what Mochi or Form Health offer, which is a real trade-off. Fast turnaround for people who want to start quickly without heavy clinical overhead.
7. Found
Found charges roughly $99/month for the platform and layers coaching on top of prescription access. It covers both medication management and behavioral support in one subscription, which appeals to people who want more than a prescription pad. Medication costs are separate. The coaching component is more involved than what most purely prescription-focused providers offer.
Quick Comparison Table
| Provider | Cash Price (Sema) | Cash Price (Tirz) | Ships | Pharmacy Transparency |
| HealthRX | ~$99/mo | ~$149/mo | 50 states, overnight | Named 503A, LegitScript cert |
| Mochi Health | ~$99/mo | ~$199/mo | Most states | Standard telehealth |
| FormBlends | ~$299/vial | ~$349/vial | 47 states | Published purity/lab docs |
| Hims & Hers | N/A (branded) | ~$399/mo (Zepbound) | 50 states | Branded only post-Mar 2026 |
| Ro Body | Separate billing | Separate billing | Most states | Prior-auth support |
| Henry Meds | ~$179-249 mo 1 | Included range | Most states | Compounded, fast ship |
| Found | ~$99/mo platform | Meds billed separately | Most states | Coaching + Rx combined |
FAQ
Do compounded GLP-1 medications contain the same ingredients as Ozempic or Wegovy?
No. Compounded semaglutide and tirzepatide contain the same active ingredients referenced in clinical trials, but compounded drugs are not FDA-approved finished products and are not interchangeable with brand-name medications in any regulatory sense.
Why does pharmacy name matter?
503A compounding pharmacies are regulated at the state level and must follow USP standards, but quality varies. A provider that names its pharmacy and shows you third-party certifications is easier to verify than one that stays vague. LegitScript certification, as HealthRX carries, requires ongoing compliance checks.
What happened to compounded GLP-1s after the March 2026 Novo settlement?
Novo Nordisk reached a settlement with several telehealth companies in March 2026 that pushed some brands away from compounded semaglutide toward branded products. Not all providers were affected equally. Brands still offering compounded versions are operating within remaining legal windows, which remain subject to change.
Is oral semaglutide now available without insurance?
Eli Lilly began offering oral orforglipron through LillyDirect around April 2026 at roughly $149/month, which introduced a new lower-cost branded oral option. Availability and pricing may shift as the product scales.
How do I pick between these seven?
Price-first buyers with no insurance should look at HealthRX or Mochi. Documentation-first buyers who want published purity testing should look at FormBlends, accepting the higher price. Insurance users should look at Ro or Hims & Hers. People who want coaching built in should look at Found.
*This article reflects publicly available pricing and program details as of mid-2026. Compounded medication availability can change with regulatory updates. None of this is medical advice. Confirm current pricing and eligibility directly with each provider before starting any program.*
Sources
- FDA: 503A compounding pharmacy oversight rules and warning letter disclosures published in 2026 (fda.gov)
- LegitScript pharmacy certification database (legitscript.com)
- SURMOUNT-1 trial results: Jastreboff et al., *New England Journal of Medicine*, 2022
- STEP 1 trial results: Wilding et al., *New England Journal of Medicine*, 2021
- Novo Nordisk March 2026 telehealth settlement, public press release
- Eli Lilly orforglipron LillyDirect launch, April 2026, company announcement
