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Pen, pill or compounded. We priced them all.
Best semaglutide providers online (2026): 10 compared on price and care
By the NexLife Medical Team · Medically reviewed by Adam Kennah, MD · Updated
The best semaglutide providers depend on your need: NovoCare for brand-name Wegovy, Ro for insurance checks, PreventiveMD for $119 a month, Rx.com for no auto-renewal (checked November 1, 2026). NexLife, this guide’s publisher, is $119 a month on the 12-month plan or $139 month to month.
NexLife publishes this comparison and is one of the 10 providers in it. Every program, ours included, faces the same six tests, and every price links to its source.
$119/mo on 12 months, every dose · Price Match Guarantee† · 4.8 on Trustpilot · 407 reviews
- Five of the 10 keep one price at every dose
- Wegovy pill and pen priced alongside compounded
- Month one and month two compared at the same dose
$119/mo on a 12-month plan, all-inclusive, same price at every dose
Or $139/mo month to month
About 3 minutes of health questions · No insurance needed · Not prescribed? No charge for medication
4.8 out of 5 on Trustpilot, 407 reviewsLegitScript-certified
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you. The vial shown is an illustration. Always use the strength on your pharmacy’s label.
Month two costs what month one did: no intro price to wear off, and the same price at every dose.
Brand-name Wegovy: $149 to $399 a month, pill or pen, self-pay
See all 4 plans and what a year costs
| Plan | Per month | 12 months at this rate |
|---|---|---|
| 12-month Lowest monthly price | $119 | $1,428 |
| 6-month | $125 | $1,500 |
| 3-month | $132 | $1,584 |
| Month to month | $139 | $1,668 |
Month to month costs $240 more over 12 months than the 12-month plan. Plans renew until you cancel. Longer plans bill the way you choose at checkout.
Price Match Guarantee†. Paying less elsewhere? We match your regular monthly price. How it works
- Licensed U.S. providers
- LegitScript certified
- Free expedited shipping
- HSA, FSA, Affirm, Klarna, Afterpay
- 24/7 support, real people
- Filled by Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA)
Top 10 semaglutide providers online, by month-to-month price
- PreventiveMD: Month to month, no membership fee · $119/mo month to month
- Mochi Health: Obesity-medicine doctors · $139/mo at the lowest dose
- NexLife: Publisher of this guide · $139/mo month to month
- NovoCare Pharmacy: Wegovy at Novo Nordisk’s price · $149–$399 pill or pen, medication only
- Ondra Health: Plan lengths from 1 to 12 months · $149/mo month to month
- Rx.com: No automatic renewals · $175/mo month to month
- Noom: Most coaching · $279/mo after a $129 first month
- Hims: 24/7 provider messaging · From $298 Wegovy pill, with membership
- Remedy Meds: Unlimited clinician access · $299 every 4 weeks
- Ro: Insurance checks · $348–$548 Wegovy pen, with membership
Listed by month-to-month price at the starting dose, lowest first; ties A to Z. NexLife publishes this guide and doesn’t rank itself.
- Tell us about you About 3 minutes of health questions
- A licensed provider decides You’re prescribed only if it’s right for you
- Your partner pharmacy ships Usually within 1 to 2 business days, free
Key takeaways
- The best provider depends on your need. Lowest month to month: PreventiveMD, $119 at every dose (checked November 1, 2026).
- Brand-name Wegovy: NovoCare Pharmacy sells it for $149 to $399 a month; Ro checks your insurance for free.
- Obesity-medicine specialists: Mochi Health, $139 a month at the lowest dose; the price rises with your dose.
- No automatic renewals: Rx.com, $175 a month at every dose; nothing ships or bills until you confirm.
- Month two matters: Noom’s $129 first month becomes $279. Remedy Meds’ $179 becomes $299 every 4 weeks.
- NexLife, this guide’s publisher: compounded semaglutide is $119 a month on the 12-month plan, or $139 month to month.
Quick picks
The best semaglutide provider for each need
There’s no single best provider for everyone. Here’s the best fit for each common need, using only prices each company publishes.
Month to month, no membership
PreventiveMD
$119/mo at every dose No membership, consultation or cancellation fees, and your card is charged only after a provider approves. Not available in six states and D.C.
No automatic renewals
Rx.com
$175/mo at every dose Nothing ships or bills until you confirm a refill, and you can cancel any time, with no notice period.
Brand-name Wegovy
NovoCare Pharmacy
$149–$399/mo Novo Nordisk’s own self-pay prices for the Wegovy pill and pen. You’ll need a prescription.
Insurance help
Ro
Free coverage check For Wegovy and Ozempic. Its $149 monthly membership comes on top of the medication.
Most coaching
Noom
$129, then $279/mo Compounded semaglutide plus Noom’s behavior-change program and 1:1 coaching.
Publisher of this guide
NexLife
$119/mo on 12 months, $139 month to month That’s us: we publish this guide. All in, with no membership: a provider, a nutrition plan, a coaching call and real people 24/7. Paying less elsewhere? We match it.†
Compare
How much do the top 10 semaglutide providers charge?
Month to month, all in, compounded semaglutide runs from $119 at PreventiveMD to $299 every 4 weeks at Remedy Meds (checked November 1, 2026). On a 12-month plan, Ondra Health is lowest at $96 a month, paid upfront, through some of its pharmacies. Brand-name Wegovy costs $149 to $399 a month at NovoCare Pharmacy, pill or pen, before any membership or prescriber’s fee.
What changed this month: We re-checked every price on each company’s own site on November 1, 2026. PreventiveMD’s site didn’t show its month-to-month semaglutide price, so its $119 keeps its October 13 date, and PreventiveMD no longer lists Alaska among the states it doesn’t serve. Every other price is unchanged. In October the state list started ending with our state-by-state guide, for states without their own page.
| Provider | Month to month, all in | As your dose rises | Membership fee | Lowest prepaid rate | Best for |
|---|---|---|---|---|---|
| Compounded semaglutide (not FDA-approved) | |||||
| PreventiveMDCompounded | $119 | Stays $119 | None | – | Month to month, no membership fee |
| Mochi HealthCompounded | $139 at the lowest dose | Rises with dose | $79/mo included in the $139 | $109/mo lowest dose, 12-month membership | Obesity-medicine doctors |
| NexLifeCompounded · This is us | $139 | Stays $139 | None | $119/mo 12-month plan | Publisher of this guide |
| Ondra HealthCompounded | $149 | Stays $149 | None | $96/mo 12 months, $1,149 upfront; some pharmacies | Plan lengths from 1 to 12 months |
| Rx.comCompounded | $175 | Stays $175 | None | $99/mo 12 months, $1,188 upfront | No automatic renewals |
| NoomCompounded | $279 after a $129 first month | Not listed by dose | Program included | $837 billed every 12 weeks | Most coaching |
| Remedy MedsCompounded | $299 per 4 weeks, after $179 at first | Stays $299 | None listed | None listed | Unlimited clinician access |
| Brand-name Wegovy (FDA-approved) | |||||
| NovoCare PharmacyWegovy pen | $349 $199 for each of a new patient’s first two fills (through Dec. 31, 2026) | $399 at 7.2 mg | None | None listed | Wegovy at Novo Nordisk’s price |
| NovoCare PharmacyWegovy pill | $149–$299 by dose | Rises with dose | None | None listed | No injections |
| HimsWegovy pill or pen | From $298 with the $149 membership | Varies by dose | $149/mo $39 the first month | None listed | 24/7 provider messaging |
| RoWegovy pen | $348–$548 with the $149 membership | $498 at 1 to 2.4 mg | $149/mo $39 the first month | $74/mo membership, prepaid a year, plus medication | Insurance checks |
Swipe the table sideways to see every column.
Prices from each company’s own site, checked November 1, 2026. Month to month means no prepay. Compounded semaglutide isn’t FDA-approved; Wegovy is, so they’re listed separately.
NexLife Price Match Guarantee†. Already on compounded semaglutide with another licensed provider, and paying less? We match your regular monthly price. How it works
Method
How do we compare the 10 semaglutide providers?
We put all 10 through six tests: the all-in monthly price, month two, the price as your dose rises, care between refills, how you leave, and whether it’s a real prescription.
They’re listed by month-to-month price, lowest first. NexLife publishes this guide, so we don’t rank or score ourselves. Our quick picks name the best fit for each need from the other nine, even when that means pointing you elsewhere.
Prices come from each company’s own site, checked November 1, 2026, and each links to its source. We compare month to month with month to month, and prepaid with prepaid. Brand-name Wegovy is FDA-approved and compounded semaglutide isn’t, so they’re listed separately. Competitors’ Trustpilot ratings were read November 1, 2026; ours on November 1, 2026. No company paid to be included. What a good answer to each test looks like.
The month-two test
What does semaglutide cost in month two, after the intro price?
Three of the programs charted charge more in month two at the same dose. Noom goes from $129 to $279. Remedy Meds goes from $179 to $299 (every 4 weeks). Ro’s $39 first month of membership becomes $149. PreventiveMD, Rx.com, Ondra Health, NovoCare Pharmacy and NexLife charge the same both months. But NovoCare’s $199 pen price, for each of a new patient’s first two fills through Dec. 31, 2026, rises to $349 from the third fill. Mochi Health’s month one is $60 at the lowest dose for new members, where offered, then $139 (checked November 1, 2026).
A low first month is easy to advertise. So we compared month one with month two, at the same dose, month to month, all in.
Compounded semaglutide
Brand-name Wegovy pen, 0.25 mg
Month two at the same dose as month one, month to month, all in. NovoCare’s $199 is for each of a new patient’s first two fills at 0.25 and 0.5 mg through December 31, 2026; then the pen is $349. Ro charges the same for the pen, plus $39 for the first month of membership, then $149. Remedy Meds bills every 4 weeks. Rx.com and Ondra Health list one month-to-month price at every dose, with no intro price. Checked November 1, 2026.
At NexLife, month two costs what month one did. No intro price to wear off, and no membership that starts charging later.
Price by dose
Which semaglutide providers charge one price at every dose?
Five of the ten charge one price at every dose: PreventiveMD, Rx.com, Remedy Meds, Ondra Health and NexLife. At NovoCare Pharmacy, the Wegovy pill goes from $149 at 1.5 mg to $299 at 9 and 25 mg. Mochi Health, Ro and Hims also charge more at higher doses. Tap a dose to compare.
With FDA-approved Wegovy, the pen starts at 0.25 mg once a week and steps up every 4 weeks through 0.5, 1 and 1.7 mg to 2.4 mg. Your prescriber sets your actual dose.
Month-to-month prices. NovoCare’s $199 applies to each of a new patient’s first two fills at 0.25 and 0.5 mg through December 31, 2026; after that the pen is $349 from 0.25 to 2.4 mg, and $399 at 7.2 mg. Ro’s include its $149 monthly membership ($39 the first month). Not charted: Mochi Health and Hims (priced by dose, and not every dose is listed) and Noom (no prices by dose). Rx.com and Ondra Health list one price at every dose, so their bars don’t move. Checked November 1, 2026.
“The U.S. Food and Drug Administration today approved a new higher dose (7.2 mg) of Wegovy (semaglutide) injection, called Wegovy HD, for weight loss and long-term maintenance of weight loss for certain adult patients.”
In the STEP 1 trial, adults on semaglutide 2.4 mg lost 14.9% of their body weight on average over 68 weeks, versus 2.4% on placebo. This trial studied FDA-approved Wegovy; compounded semaglutide wasn’t studied.
How to choose
How do you choose a semaglutide provider online?
Ask six questions of any provider, ours included: what you pay all in each month, what month two costs, whether the price rises with your dose, who follows your care between refills, how you leave, and whether a licensed provider reviews your history before a state-licensed pharmacy fills the prescription. Here’s what a good answer sounds like.
What’s the all-in monthly price?
Medication plus any membership or program fee you must pay. A $60 medication with a $79 membership is $139.
What happens in month two?
Intro prices end. Compare month two, at the same dose, before you compare month one.
What happens when your dose goes up?
Semaglutide usually starts at 0.25 mg and steps up every 4 weeks. Some programs charge more at every step; others keep one price.
Who’s with you between refills?
A licensed provider who follows your dose, and real people who answer when you have a question, including about your order.
How do you leave?
Through its prepay terms, automatic renewals and notice period, which a clear program states before you sign up.
Is it a real prescription?
A licensed provider should review your health history before prescribing, and a state-licensed pharmacy should fill it. If a site sells semaglutide with no prescription, or as “research use only,” walk away. See where to buy semaglutide online safely, and how to check a semaglutide compounding pharmacy.
In their words
What does the FDA say that matters when choosing a semaglutide provider?
Two lines from the FDA’s own pages, in its words.
This is the sixth test above, “Is it a real prescription?”, in the FDA’s words.
“Patients should obtain a prescription from their doctor and fill the prescription at a state-licensed pharmacy.”
U.S. Food and Drug Administration, FDA’s concerns with unapproved GLP-1 drugs used for weight loss
This holds for every compounded program here, NexLife included, while brand-name Wegovy from NovoCare Pharmacy is FDA-approved.
“Compounded drugs are not FDA-approved. This means that FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed.”
U.S. Food and Drug Administration, Compounding and the FDA: Questions and Answers
Check any program
What questions should you ask a semaglutide provider?
The six above, ready to copy for any program you’re weighing. Here’s how NexLife answers each one.
| Ask this | NexLife’s answer |
|---|---|
| What’s the all-in monthly price? | $119 a month on the 12-month plan, or $139 month to month, with no membership fee. |
| What happens in month two? | Nothing changes: there’s no intro price to wear off. |
| What happens when my dose goes up? | Nothing changes: one price at every dose. |
| Who’s with me between refills? | A licensed provider who follows your dose, and real people 24/7 at |
| How do I leave? | Cancel by email. It takes effect 30 days after we receive it; plans renew until you cancel. |
| Is it a real prescription? | Yes. A licensed provider reviews your history first, and if you’re not prescribed, you aren’t charged for medication. Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA) fills it, and NexLife is LegitScript-certified. |
Reviews
The 10 best places to get semaglutide online, reviewed
Month to month, PreventiveMD is lowest of the 10 at $119 (checked November 1, 2026). Rx.com doesn’t renew on its own. NovoCare Pharmacy sells Wegovy at Novo Nordisk’s prices, $149 to $399 a month (checked November 1, 2026). Each faces the six tests above. They’re listed by month-to-month price, lowest first. Every price links to the company’s own page.
PreventiveMD
Month to month, no membership fee · Compounded semaglutide · 4.9 out of 5 on Trustpilot
$119/momonth to month, every dose
A low flat price that never changes with your dose, with no membership, consultation or cancellation fees. Provider reviews are asynchronous: there are no live appointments.
Good to know
- $119 a month, month to month, at every dose (checked November 1, 2026)
- Your card is charged only after a provider approves
- You can choose the pharmacy at checkout
Watch for
- Not available in Arkansas, D.C., Mississippi, New Jersey, New Mexico, South Dakota or West Virginia
- No live visits, and plans renew automatically by default
Source: PreventiveMD’s own site, checked November 1, 2026.
Mochi Health
Obesity-medicine doctors · Compounded semaglutide · 4.5 out of 5 on Trustpilot
$139/moat the lowest dose
Video visits with board-certified obesity-medicine providers, plus dietitians and help with insurance for brand-name medicines. Medication is priced by dose, on top of a membership.
Good to know
- $79 monthly membership, or $49 a month on a 12-month plan
- Compounded semaglutide from $60 a month, shipping included
- Insurance support, including prior authorizations
Watch for
- Medication costs more as your dose rises
- The $139 is the lowest dose, month to month
Source: Mochi Health’s own site, checked November 1, 2026. · Mochi Health costs and alternatives
NexLife
Publisher of this guide · Compounded semaglutide · 4.8 out of 5 on Trustpilot
$119/mo on 12 months12-month plan · $139 month to month
One flat price from the starting dose to the highest, with no membership fee, and care that doesn’t stop at the prescription. If you pay less with another licensed provider, we match your regular monthly price†.
Good to know
- $119 a month on a 12-month plan, or $139 month to month, at every dose
- A licensed provider who follows your dose, with physicians available during clinical hours
- A personalized nutrition plan and a 1:1 coaching call
- Real people 24/7 by call or text, and we handle the pharmacy for you
Watch for
- Compounded semaglutide isn’t FDA-approved
- No brand-name Wegovy, and no insurance billing
Source: Our pricing page, checked November 1, 2026.
NovoCare Pharmacy
Wegovy at Novo Nordisk’s price · Brand-name Wegovy, FDA-approved
$149–$399pill or pen, medication only
Novo Nordisk’s own self-pay pharmacy for the Wegovy pen and pill, delivered to your door. You need a prescription first, and any prescriber’s fee is separate.
Good to know
- FDA-approved Wegovy, pen or pill
- Pen: $199 for each of a new patient’s first two fills at 0.25 and 0.5 mg (through December 31, 2026), then $349; $399 at 7.2 mg
- Pill: $149 at 1.5 mg, $199 at 4 mg, $299 at 9 and 25 mg
Watch for
- The pen goes to $349 after the first two fills
- You need a prescription from a provider first
Source: NovoCare Pharmacy’s own site, checked November 1, 2026.
Ondra Health
Plan lengths from 1 to 12 months · Compounded semaglutide · 37 reviews on Trustpilot
$149/momonth to month, every dose
One price across titration doses, plans from month to month up to 12 months, and named partner pharmacies and medical director. Which plan lengths you can buy depends on the pharmacy that serves your state.
Good to know
- $149 a month, month to month, at every dose
- $113 a month on a 3-month plan ($339), $108 on 6 months ($649), or $96 on 12 months ($1,149 upfront)
- Names its partner pharmacies: Optio RX, Hallandale Pharmacy and Vials RX
- Medical director Dr. David Wasef, MD (Wasef Health, PC), and a named chief medical officer
Watch for
- The 12-month plan is offered only through some of its pharmacies, depending on your state
- Only 37 Trustpilot reviews so far, and cancellation terms aren’t stated on the pages we checked
Source: Ondra Health’s own site, checked November 1, 2026.
Rx.com
No automatic renewals · Compounded semaglutide · 4.1 out of 5 on Trustpilot (6 reviews)
$175/momonth to month, every dose
One price from the starting dose to the highest, and no automatic renewals: nothing ships or bills until you confirm a refill. Longer plans bring the monthly price down.
Good to know
- $175 a month, month to month, at every dose
- $165 a month on a 3-month plan, $146 on 6 months, or $99 on 12 months ($1,188 upfront)
- Cancel any time, with no notice period
- Filled by Manifest Pharmacy (Greer, SC); doctors through MD Integrations, which names its assigned physicians in four states
Watch for
- The $99 rate needs a 12-month plan, paid upfront
- Almost no Trustpilot reviews yet (6)
Source: Rx.com’s own site, checked November 1, 2026.
Noom
Most coaching · Compounded semaglutide · 4.5 out of 5 on Trustpilot (all of Noom)
$279/moafter a $129 first month
Compounded semaglutide inside Noom’s behavior-change program: 1:1 coaching, daily lessons, food logging and clinician care in one price.
Good to know
- Medication, clinician care and the full Noom program included
- FSA and HSA eligible
- Cancel any time, per Noom
Watch for
- $279 a month, billed $837 every 12 weeks (its FAQ lists $249)
- Not available in Alabama, Louisiana or Mississippi; for a BMI of 25 or higher
Source: Noom’s own site, checked November 1, 2026.
Hims
24/7 provider messaging · Brand-name Wegovy, FDA-approved
From $298Wegovy pill, with the $149 membership
The Wegovy pill from $149 a month or the pen from $199 (each of a new patient’s first two fills, through Dec. 31, 2026), plus the Hims membership, with 24/7 messaging with licensed providers and generic Zofran if it’s prescribed.
Good to know
- FDA-approved Wegovy, pill or pen
- 24/7 messaging with licensed providers
- Generic Zofran included if prescribed
Watch for
- A $149 monthly membership after a $39 first month, billed separately and not HSA or FSA eligible
- Canceling the membership cancels your medication plan
Source: Hims’s own site, checked November 1, 2026. · Hims costs and alternatives
Remedy Meds
Unlimited clinician access · Compounded semaglutide · 4.6 out of 5 on Trustpilot
$299every 4 weeks
One price at every dose, unlimited clinician access by video or chat, and what it advertises as a 365-day weight-loss program (terms apply).
Good to know
- The price stays $299 as your dose rises
- Unlimited clinician access and free 48-hour cold-chain delivery
- HSA and FSA eligible
Watch for
- Billed every 4 weeks: 13 charges a year
- The $179 price is for the first 4 weeks only
Source: Remedy Meds’s own site, checked November 1, 2026. · Remedy Meds review
Ro
Insurance checks · Brand-name Wegovy, FDA-approved
$348–$548Wegovy pen, with the $149 membership
A free insurance check and an insurance concierge for Wegovy and Ozempic. Paying cash, you pay the same self-pay price as NovoCare, plus Ro’s membership.
Good to know
- FDA-approved Wegovy pen and pill
- A free insurance check; Ro handles the paperwork
- Membership is $39 the first month, or $74 a month prepaid for a year
Watch for
- A $149 monthly membership on top of the medication
- Pen: $199 for each of a new patient’s first two fills at 0.25 and 0.5 mg (through Dec. 31, 2026), then $349 ($399 at 7.2 mg), plus the membership
Source: Ro’s own site, checked November 1, 2026. · Ro costs and alternatives
By state: Semaglutide providers in California · Florida · Georgia · Illinois · New York · North Carolina · Ohio · Pennsylvania · Texas · Washington. Other states: our state-by-state guide
The trade-offs
Where NexLife falls short
No program fits everyone, ours included. If one of these matters most to you, another program here may suit you better.
- Compounded only. Through NexLife, providers prescribe compounded semaglutide, not brand-name Wegovy. NovoCare Pharmacy sells the Wegovy pill and pen at Novo Nordisk’s self-pay prices, $149 to $399 a month.
- No insurance billing. NexLife doesn’t bill insurance: you pay the monthly price yourself, and HSA and FSA cards, Affirm, Klarna and Afterpay are accepted. If your plan might cover Wegovy, Ro checks your coverage for free. On Medicare Part D, eligible enrollees can get Wegovy for $50 a month through the
GLP-1 Bridge. - Plans renew until you cancel. You can cancel by email. If you’d rather approve each refill, Rx.com doesn’t renew on its own.
- A smaller review record. NexLife has 407 Trustpilot reviews (4.8 out of 5, read November 1, 2026). Remedy Meds, for one, has 13,973 (read November 1, 2026). See NexLife reviews and ratings.
- Want an obesity-medicine specialist? Mochi Health offers video visits with board-certified obesity-medicine providers. Its price rises with your dose.
Vial math
How many units is your semaglutide dose?
It depends on your vial’s strength. Here are the Wegovy label’s dose steps at two example strengths.
| Weeks | Weekly dose | At 2.5 mg/mL | At 5 mg/mL |
|---|---|---|---|
| 1 to 4 | 0.25 mg | 0.1 mL (10 units) | 0.05 mL (5 units) |
| 5 to 8 | 0.5 mg | 0.2 mL (20 units) | 0.1 mL (10 units) |
| 9 to 12 | 1 mg | 0.4 mL (40 units) | 0.2 mL (20 units) |
| 13 to 16 | 1.7 mg | 0.68 mL (68 units) | 0.34 mL (34 units) |
| 17 onward | 2.4 mg | 0.96 mL (96 units) | 0.48 mL (48 units) |
The math: mL = dose ÷ strength (mg per mL); units = mL × 100. At 2.5 mg/mL, 1 mg is 1 ÷ 2.5 = 0.4 mL, or 40 units. At 5 mg/mL, the same 1 mg is 0.2 mL, or 20 units.
Both strengths are examples only. The same dose is a different number of units at a different strength, so read the strength on your own vial’s label. Your prescription sets your dose and schedule, which may differ from these label steps. Every step: the semaglutide dosage chart.
What would you pay with NexLife?
Tap where you are now. We’ll show your NexLife price next to it, or tell you we’ll match it.
Pick one above to see your price.
Prices from each provider’s own site, checked November 1, 2026. Brand-name and compounded medications are different products: compounded medications aren’t FDA-approved, and a provider prescribes one only when it offers a significant difference for you. Price Match Guarantee† terms apply.
What does NexLife cost?
One flat price at every dose.
No membership fee. Provider care, a nutrition plan, coaching and shipping are included. Paying less with another licensed provider? We match your regular monthly price.†
GIP + 12-month plan $139/mo
Tirzepatide
Weekly and dual-action. Care, coaching and shipping included. On a 12-month plan; $169/mo month to month.
Check my eligibilityCompounded, not FDA-approved · Not prescribed? No charge for medication
12-month plan $119/mo
Semaglutide
Weekly
Compounded, not FDA-approved · Not prescribed? No charge for medication
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you. Vials shown are illustrations. Always use the strength on your pharmacy’s label. Every plan and price · Price Match Guarantee† terms
The NexLife Price Match Guarantee†
Paying less elsewhere?
Keep your price. Upgrade your care.
Already on compounded tirzepatide or semaglutide? Pay less with another licensed U.S. telehealth provider or clinic, and we match your regular monthly price for as long as your plan stays active.† Plus a provider who follows your dose, a nutrition plan, a coaching call and real people 24/7.
- 1Send a receipt from the last 60 days
- 2A NexLife provider reviews your prescription
- 3Pay your matched price, at every dose
Locked while your plan is activeSame price at every doseNo membership fee
†Terms: see the Price Match Guarantee† details below. Compounded medications aren’t FDA-approved; a provider prescribes one only when it offers a significant difference for you.
Semaglutide providers: your questions, answered
Fair questions about NexLife
- Will my price go up with my dose?
- No. You pay the same at every dose.
- What if I’m not prescribed?
- You aren’t charged for medication.
- Can I cancel?
- Yes, by email. It takes effect 30 days after we receive it. Plans renew until you cancel; our cancellation policy has the details.
- Do I need insurance?
- No. Pay with an HSA or FSA card, or with Affirm, Klarna or Afterpay at checkout.
What is the best online semaglutide provider in 2026?
It depends on what you need. Of the 10 we compared, PreventiveMD has the lowest month-to-month price, $119 at every dose (checked November 1, 2026); NovoCare Pharmacy sells brand-name Wegovy at Novo Nordisk’s price; and Ro checks your insurance. NexLife, which publishes this guide, is $119 a month on the 12-month plan or $139 month to month.
Which online semaglutide program is cheapest?
Of the 10, month to month, PreventiveMD: $119 at every dose, with no membership fee (checked November 1, 2026). On a 12-month plan, Ondra Health: $96 a month paid upfront, through some of its pharmacies. NexLife is one of the most affordable: $119 a month on the 12-month plan or $139 month to month. Paying less? We match it.†
How much is the Wegovy pill?
At NovoCare Pharmacy, $149 a month for the 1.5 mg starting dose, $199 at 4 mg and $299 at 9 and 25 mg, before any prescriber’s fee. Eligible Medicare Part D enrollees can get it for $50 a month through the
Is the Wegovy pill cheaper than compounded semaglutide?
At the starting dose it can be: NovoCare charges $149 a month for the 1.5 mg pill, before any prescriber’s fee. At 9 and 25 mg it’s $299. They’re different products: the Wegovy pill is FDA-approved, and compounded semaglutide isn’t; a licensed provider prescribes compounded semaglutide only when it offers a significant difference for you.
Does Medicare cover Wegovy now?
For eligible Part D enrollees, yes, for now. Through Medicare’s
Does semaglutide cost more at higher doses?
At some programs, yes. The Wegovy pill is $149 a month at 1.5 mg and $299 at 9 and 25 mg, and Mochi Health prices its compounded semaglutide by dose. Five of the ten list one price at every dose: PreventiveMD, Rx.com, Remedy Meds, Ondra Health and NexLife.
Is compounded semaglutide the same as Wegovy?
No. Wegovy is FDA-approved and made by Novo Nordisk. Compounded semaglutide is prepared by a state-licensed pharmacy for an individual prescription. It isn’t FDA-approved, and the FDA hasn’t reviewed it for safety, effectiveness or quality. A provider prescribes it only when it offers a significant difference for you compared with an FDA-approved medicine.
What is the best online provider for Wegovy?
For Wegovy at Novo Nordisk’s price, NovoCare Pharmacy: the pill is $149 to $299 a month by dose, and the pen $349 ($399 at 7.2 mg) after a new patient’s first two fills at $199 each, through Dec. 31, 2026 (checked November 1, 2026). Ro checks your coverage for free; its $149 monthly membership comes on top. Through NexLife, providers prescribe compounded semaglutide, not Wegovy.
What’s the best compounded semaglutide provider?
One that has a licensed provider review your health first, names the state-licensed pharmacy that fills it, and shows one all-in price at your dose. Of the 10 here, Ondra Health names its partner pharmacies and medical director, and Rx.com its pharmacy; both keep one price at every dose, and so does NexLife. Compounded semaglutide isn’t FDA-approved.
Do semaglutide programs charge a membership fee?
Some do. Of the 10, Ro and Hims charge $149 a month after a $39 first month, plus medication, and Mochi Health charges $79 a month (less on longer plans), plus medication (checked November 1, 2026). PreventiveMD, Rx.com, Remedy Meds, Ondra Health and NexLife don’t list a separate membership fee, and Noom’s $279 includes its program.
Which semaglutide provider is best if you have insurance?
Ro, if your plan might cover Wegovy: it checks your Wegovy and Ozempic coverage for free, though its $149 monthly membership comes on top of the medication. NexLife doesn’t bill insurance: you pay the monthly price yourself, and HSA and FSA cards, Affirm, Klarna and Afterpay are accepted.
How do I know an online semaglutide provider is legit?
A licensed provider should review your health history before prescribing, and a state-licensed pharmacy should fill it. If a site sells semaglutide with no prescription or as “research use only,” walk away. NexLife is LegitScript-certified, and Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA) fills each prescription.
How long does it take to get semaglutide online?
At NexLife, the health questions take about 3 minutes, and a licensed provider then decides if semaglutide is right for you. If you’re prescribed, our partner pharmacy usually ships within 1 to 2 business days, with free shipping. You aren’t charged for medication if you’re not prescribed.
Important safety information
Compounded tirzepatide and semaglutide are not FDA-approved, and the FDA hasn’t reviewed them for safety, effectiveness or quality. A provider prescribes them only when they offer a significant difference for you compared with an FDA-approved product. Both medicines may cause thyroid tumors, including cancer: don’t use either if you or a family member has had medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2).
Read the full safety information
In studies with rodents, both medicines caused thyroid tumors; it isn’t known whether they cause them in people. Tell your provider if you notice a lump or swelling in your neck, hoarseness, trouble swallowing or shortness of breath. Serious side effects can include inflammation of the pancreas (pancreatitis), gallbladder problems, low blood sugar (especially with insulin or sulfonylureas), kidney problems from dehydration, severe stomach problems, serious allergic reactions, vision changes in people with type 2 diabetes, and a faster heart rate. Tell your care team before any surgery or procedure that uses anesthesia or deep sedation. Don’t combine either medicine with other
Tirzepatide can make birth control pills less effective: switch to a non-oral method, or add a barrier method such as condoms, for 4 weeks after you start and for 4 weeks after each dose increase. Both medicines may harm an unborn baby. Semaglutide should be stopped at least 2 months before a planned pregnancy. Tell your provider right away if you’re pregnant, planning to be, or breastfeeding.
This is a summary, not the complete safety information. Read the full Prescribing Information for FDA-approved tirzepatide (Zepbound) and semaglutide (Wegovy), and talk with your provider. You can report side effects to the FDA at
† NexLife Price Match Guarantee: for new NexLife members switching from a licensed U.S. telehealth provider or clinic with an active prescription for compounded tirzepatide or semaglutide. We match your regular all-in monthly price there (medication plus any required membership, program or visit fee, on a month-to-month plan); first-month offers, coupons, referral credits and prepaid multi-month rates aren’t matched. Proof from the last 60 days required. A licensed provider must determine that treatment is right for you. Not open to people with Medicare, Medicaid or TRICARE coverage. Full terms.
About NexLife. NexLife is a telehealth and care-coordination platform. Care is delivered through affiliated, physician-owned medical groups, and licensed providers decide whether treatment is right for you. NexLife doesn’t make or compound medication: state-licensed partner pharmacies fill each prescription, and we coordinate the rest. Available only in states where our affiliated providers are licensed.
Who wrote and medically reviewed this page?
Leads the NexLife Medical Team, which writes and medically reviews NexLife’s guides, including this one.
Prices checked November 1, 2026.
- How we checked. Every provider went through the same six tests, ours included: the all-in month-to-month price, month two, the price as your dose rises, who’s with you between refills, how you leave, and whether it’s a real prescription filled by a licensed pharmacy. Prices are what each company publishes on its own site, checked November 1, 2026 (PreventiveMD’s month-to-month price on November 1, 2026; Trustpilot ratings on November 1, 2026). “All in” means medication plus any membership or program fee you must pay. Brand-name Wegovy is FDA-approved and compounded semaglutide isn’t, so we list them separately. How we compare: all 10 face the same six tests and are listed by month-to-month price, lowest first; NexLife, the publisher, isn’t ranked. No company paid to be included. NexLife publishes this guide and is one of the ten; we earn revenue when people join NexLife.
- Every fact, sourced. Each price and rule links to the page it comes from.
- How we make money. NexLife is a telehealth and care-coordination platform. We earn revenue when people join NexLife.
- Corrections, fast. See something wrong or out of date? Email care@nexlife.us and we’ll fix it.
Paying less elsewhere? We match it.†
Same price at the first dose and the highest.
$119 a month on a 12-month plan, or $139 month to month, all in, with no membership fee. A licensed provider decides if semaglutide is right for you.
4.8 out of 5 on Trustpilot · Medical director Adam Kennah, MD (NPI 1144260043) · LegitScript-certified
Compounded medications aren’t FDA-approved. A provider prescribes one only when it offers a significant difference for you.
- 1Tell us about you
Start online with your health history.
- 2A licensed provider decides
Online, following your state’s rules. You’re prescribed only if treatment is right for you.
- 3We ship it, then stay with you
Our partner pharmacy usually ships within 1 to 2 business days. Free shipping, and questions come to us 24/7, never to the pharmacy.
Sources
- PreventiveMD: compounded semaglutide prices. Checked November 1, 2026.
- Mochi Health: compounded semaglutide prices. Checked November 1, 2026.
- Rx.com: compounded semaglutide prices and plans. Checked November 1, 2026.
- NexLife:
GLP-1 price index. Checked November 1, 2026. - Noom: compounded semaglutide prices. Checked November 1, 2026.
- Remedy Meds: compounded semaglutide prices. Checked November 1, 2026.
- Ondra Health: compounded semaglutide prices and plans. Checked November 1, 2026.
- NexLife: compounded semaglutide plans. Checked November 1, 2026.
- Wegovy: what you pay (NovoCare Pharmacy). Checked November 1, 2026.
- Ro: weight loss program pricing. Checked November 1, 2026.
- Hims: Wegovy pill and pen, with membership. Checked November 1, 2026.
- CMS: Medicare
GLP-1 Bridge. - FDA: concerns with unapproved
GLP-1 drugs used for weight loss. - Wegovy (semaglutide) Prescribing Information.
- FDA: approves fourth product under National Priority Voucher program, higher dose semaglutide (March 19, 2026).
- Wilding JPH, et al. Once-weekly semaglutide in adults with overweight or obesity (STEP 1). N Engl J Med. 2021.
- Hims: Zepbound KwikPen. Checked November 1, 2026.
- Rx.com: compounded tirzepatide prices. Checked November 1, 2026.
- Remedy Meds on Trustpilot. Read November 1, 2026.
- U.S. Food and Drug Administration. Locate a State-Licensed Online Pharmacy.
- U.S. Food and Drug Administration. Compounding and the FDA: questions and answers.