Best semaglutide providers in Texas, 2026
The best semaglutide providers in Texas use prescribers licensed in Texas and pharmacies licensed by the Texas State Board of Pharmacy, and they show the full price up front. Online, compounded semaglutide costs $119 to $299 a month, all in, at all 17 programs in our price index, each of which sells it in Texas. NexLife is $119 a month on the 12-month plan or $139 month to month, the same at every dose, with no membership fee. Brand-name Wegovy at NovoCare Pharmacy is $149 to $299 a month as a pill; the pen is $199 for each of a new patient’s first two fills (through Dec. 31, 2026), then $349 a month, or $399 at 7.2 mg. Texas Medicaid covers Wegovy only for heart disease or MASH, not for weight loss alone. Looking for semaglutide near you? From Houston and Dallas to San Antonio and Austin, you can start online and, if a provider prescribes it, have it shipped to your door. Compounded semaglutide isn’t FDA-approved. Prices checked Nov. 1, 2026; Texas rules, Nov. 2, 2026.
NexLife publishes this guide and is one of the programs in it. Every price and rule links to its source.
Semaglutide in Texas at a glance
| Option | Per month | Good to know |
|---|---|---|
| NexLife, compounded semaglutide | $119 or $139 | $119 on the 12-month plan, $139 month to month, every dose. No membership fee. |
| Compounded, 17 online programs | $119–$299 | All 17 in our index sell it in Texas. Not FDA-approved. |
| Wegovy at NovoCare Pharmacy | $149–$399 | Pill $149–$299 by dose; pen $349 ($399 at 7.2 mg) after two $199 fills for new patients, through Dec. 31, 2026. Medication only. |
| Wegovy through Ro | $298–$548 | Includes Ro’s $149 monthly membership |
| Medicare GLP-1 Bridge | $50 | Wegovy pen or pill for eligible Part D enrollees, with prior authorization |
| Texas Medicaid | Not covered | For weight loss alone; heart disease or MASH, with prior authorization |
| NexLife Price Match Guarantee†. Already on compounded semaglutide with another licensed provider, and paying less? We match your regular monthly price. How it works · Who qualifies | ||
Prices come from each program’s own site, NovoCare Pharmacy and CMS. Texas’s rules come from its own agencies and laws.
- Tell us about youAbout 3 minutes of health questions
- A licensed provider decidesYou’re prescribed only if it’s right for you
- Your partner pharmacy shipsUsually within 1 to 2 business days, free
Key takeaways
- Texas Medicaid covers Wegovy only for heart disease or MASH, not for weight loss alone (checked Nov. 2, 2026).
- Texas’s state employee plan doesn’t cover GLP-1 drugs for weight loss.
- A pharmacy outside Texas needs a Texas license to ship you a prescription; you can look it up in minutes.
- Your prescriber needs a Texas license to treat you there.
- Heat is the local risk: McAllen reached 86°F or more on all 122 summer days with data in 2026; El Paso on 114.
- At NexLife, it’s $119 a month on the 12-month plan or $139 month to month, at every dose: $60 under the $199 median of the 17 programs in our GLP-1 price index.
Who are the best semaglutide providers in Texas?
It depends on what you need. Look for a program that serves Texas, uses prescribers licensed in Texas and a licensed pharmacy, and shows the all-in price. Here’s the best fit for each need, from our price index and the brand-name routes, with the catch for each, ours included (checked Nov. 1, 2026).
NexLife
The same at every dose, with a licensed provider, a nutrition plan, a 1:1 coaching call and real people 24/7. No membership fee.
The catch: month to month, $139 is more than PreventiveMD’s $119. Switching with an active prescription? The Price Match† covers a lower regular monthly price; prepaid rates elsewhere aren’t matched.
PreventiveMD
No membership or visit fees, and it serves Texas.
The catch: not offered in six other states and D.C., so check before you move.
Ondra Health
Month to month, it’s $149.
The catch: you pay for 12 months upfront, and that plan is only through some of its pharmacies.
Wegovy at NovoCare Pharmacy
The pill is $149 to $299 by dose. The pen is $349 ($399 at 7.2 mg), after two $199 fills for new patients through Dec. 31, 2026.
The catch: it’s medication only; your prescriber’s visit is separate.
Medicare GLP-1 Bridge
The Wegovy pen or pill for eligible enrollees, with prior authorization.
The catch: it runs from July 1, 2026, to Dec. 31, 2027, and you need prior authorization.
Prices are each program’s published national prices; a few limit what they sell in some states, so confirm before you pay. Full index with sources: GLP-1 price index. Nationally, side by side: best semaglutide providers. By dose: semaglutide price by dose. All 17, month by month: compounded semaglutide price.
Compare
How much do the top 10 semaglutide providers charge in Texas?
Month to month and all in, compounded semaglutide costs $119 to $299 a month at these providers in Texas, checked Nov. 1, 2026. Brand-name Wegovy at NovoCare Pharmacy is $149 to $299 a month as a pill; the pen is $349, or $399 at 7.2 mg, after $199 for each of a new patient’s first two fills (through Dec. 31, 2026). Hims and Ro add a $149 monthly membership.
| 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 | $139at the lowest dose | Rises with dose | $79/moincluded in the $139 | $109/molowest dose, 12-month membership | Obesity-medicine doctors |
| NexLifeCompounded · NexLife publishes this guide | $139 | Stays $139 | None | $119/mo12-month plan | Publisher of this guide |
| Ondra HealthCompounded | $149 | Stays $149 | None | $96/mo12 months, $1,149 upfront; some pharmacies | Plan lengths from 1 to 12 months |
| Rx.comCompounded | $175 | Stays $175 | None | $99/mo12 months, $1,188 upfront | No automatic renewals |
| NoomCompounded | $279after a $129 first month | Not listed by dose | Program included | $837billed every 12 weeks | Most coaching |
| Remedy MedsCompounded | $299per 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–$299by dose | Rises with dose | None | None listed | No injections |
| HimsWegovy pill or pen | From $298with the $149 membership | Varies by dose | $149/mo$39 the first month | None listed | 24/7 provider messaging |
| RoWegovy pen | $348–$548with the $149 membership | $498 at 1 to 2.4 mg | $149/mo$39 the first month | $74/momembership, prepaid a year, plus medication | Insurance checks |
| NexLife Price Match Guarantee†. Already on compounded semaglutide with another licensed provider, and paying less? We match your regular monthly price. How it works · Who qualifies | |||||
Prices are each company’s published prices; a few programs limit where they sell, so confirm before you pay. All 17 compounded programs, with sources: GLP-1 price index.
Pharmacies
Compounding pharmacies licensed to mail compounded injections to Texans
Only pharmacies licensed by the Texas State Board of Pharmacy may mail you compounded semaglutide. A pharmacy outside Texas needs a Texas Class E (nonresident) license to ship prescriptions here, and its pharmacist-in-charge must hold a Texas license. If it compounds sterile drugs, such as injections, it needs a Class E-S license, which the Board won’t issue or renew without an inspection by the Board or its designee.
22 Tex. Admin. Code §§291.102-291.104 (Class E) and §291.106 (Class E-S); §291.36 (Class A-S, Texas pharmacies) · source
- Check it in a minute. Look up any pharmacy on Texas’s pharmacy license lookup before you pay.
- Match your label. The pharmacy’s name and address on your box should match its Texas license.
- NexLife’s partner pharmacies. Absolute Pharmacy (Lutz, FL) and Boudreaux’s New Drug Store (Lake Charles, LA). We send Texas prescriptions only to the ones with the licenses Texas requires.
“Generally, state boards of pharmacy have primary responsibility for the day-to-day oversight of state-licensed pharmacies that are not registered with FDA as outsourcing facilities.”
U.S. Food and Drug Administration, Compounding and the FDA: Questions and Answers
By region
What changes depending on where you live in Texas?
Not your price or how you’re seen: care is online, and NexLife’s price is the same anywhere in Texas. What changes is the heat at your door. In summer 2026, McAllen reached 86°F or more, the most Wegovy’s label allows outside the fridge, on all 122 days with data, San Antonio on 118 and El Paso on 114. Local health numbers differ too: CDC estimates adult obesity at 30.4% in Travis County and 44.2% in Hidalgo County, against 35.6% statewide.
Tap a region on the map to see what changes there
Each dot is a region, named for its main city: tap it for the region’s people, its adults with obesity and diabetes against the state, its summer heat and a note on what changes there. Every region is in the table below too.
- 30.5 millionpeople in Texas
- 35.6%adults with obesity
- 12.7%adults with diabetes
- 114–122summer days at 86°F or more, by region
Wherever you live in Texas, a provider licensed to treat you here can see you online, and your medicine ships to your door.
| Region | Main cities | Adults with obesity | Days at 86°F or more |
|---|---|---|---|
| Dallas–Fort Worth18 counties · 8.5 million people | Dallas, Fort Worth, Arlington, Plano | 34.3% | 120 of 122 hottest 109°F |
| Houston area13 counties · 7.6 million people | Houston, Pasadena, Pearland, League City | 35.7% | 116 of 122 hottest 103°F |
| San Antonio area14 counties · 2.8 million people | San Antonio, New Braunfels, Schertz, Cibolo | 34.6% | 118 of 122 hottest 103°F |
| Austin area10 counties · 2.6 million people | Austin, Round Rock, Georgetown, Cedar Park | 32.3% | 119 of 122 hottest 107°F |
| McAllen area (Rio Grande Valley)6 counties · 996,353 people | McAllen, Edinburg, Mission, Pharr | 44.2% | 122 of 122 hottest 108°F |
| El Paso area2 counties · 873,331 people | El Paso, Socorro, Horizon City, San Elizario | 34.0% | 114 of 122 hottest 108°F |
| Killeen, Temple and Waco14 counties · 967,544 people | Killeen, Waco, Temple, Copperas Cove | 38.7% | 118 of 122 hottest 106°F |
| East Texas (Tyler and Longview)22 counties · 1.1 million people | Tyler, Longview, Marshall, Kilgore | 37.0% | 116 of 121 hottest 106°F |
| Corpus Christi area12 counties · 694,262 people | Corpus Christi, Portland, Robstown, Ingleside | 39.2% | 119 of 122 hottest 103°F |
| Brownsville and HarlingenCameron County · 426,710 people | Brownsville, Harlingen, San Benito, Los Fresnos | 40.3% | 121 of 122 hottest 102°F |
| Beaumont and Port Arthur9 counties · 676,928 people | Beaumont, Port Arthur, Orange, Nederland | 39.4% | 115 of 121 hottest 102°F |
| Permian Basin (Midland and Odessa)16 counties · 471,952 people | Midland, Odessa, Big Spring, Andrews | 37.8% | 116 of 122 hottest 109°F |
Cost
How much does semaglutide cost in Texas?
Month to month, compounded semaglutide costs $119 to $299 a month in Texas, fees included, at all 17 programs in our price index, and every one of them sells it in Texas; we checked Nov. 1, 2026. NexLife is $119 a month on the 12-month plan, $125 on 6 months, $132 on 3 months or $139 month to month, the same at every dose. At NovoCare Pharmacy, brand-name Wegovy is $149 to $299 a month as a pill; the pen is $199 for each of a new patient’s first two fills (through Dec. 31, 2026), then $349 a month, or $399 at 7.2 mg, down from $499 when NovoCare Pharmacy opened in March 2025. Its list price is $1,349.02 a month until it drops to $675 on Jan. 1, 2027.
What a month of semaglutide costs, 2025 to 2026
Lowest to highest monthly price for each option
- Wegovy list priceThrough 2026$1,349/mo
- Wegovy pen, NovoCare PharmacyMarch 2025, every dose$499/mo
- Wegovy pen, NovoCare PharmacyNov. 2026, by dose$349 to $399/mo
- Wegovy pill, NovoCare PharmacySince Jan. 2026, by dose$149 to $299/mo
- Compounded semaglutide, online17 programs that sell it in Texas, Nov. 2026$119 to $299/mo
- NexLife, compounded12-month plan to month to month$119 to $139/mo
NexLife Price Match Guarantee†. Already on compounded semaglutide with another licensed provider, and paying less? We match your regular monthly price. How it works · What insurance covers in Texas
NexLife in Texas
What NexLife offers Texans
NexLife is a LegitScript-certified telehealth company. If a licensed provider prescribes it, compounded semaglutide is $119 a month on the 12-month plan, $125 on 6 months, $132 on 3 months or $139 month to month, the same at every dose, with no membership fee.
- Care included. A licensed provider, a nutrition plan, a 1:1 coaching call and real people 24/7: call or text (949) 818-8000.
- Free expedited shipping. Insulated, cold-packed boxes, usually sent within 1 to 2 business days, wherever you live in Texas.
- Ways to pay. HSA or FSA cards, Affirm, Klarna or Afterpay. Not prescribed? No charge for medication.
- Price Match Guarantee†. Switching from another licensed provider with an active prescription? We match your regular monthly price.
- Cancel by email. It takes effect 30 days after we receive it. Plans renew until you cancel.
NexLife publishes this guide. A licensed provider decides whether a prescription is right for you; finishing the health questions doesn’t mean you’ll be prescribed. Compounded semaglutide isn’t FDA-approved, and it’s prescribed only when it offers a significant difference for you compared with an FDA-approved product.
How it works
How to get semaglutide in Texas, from your couch to your door
Online, in four steps, with no insurance needed. Here’s what happens at NexLife.
- Answer a few health questionsAbout 3 minutes online: your health history, your medicines and your goals.
- A licensed provider reviews themA provider licensed to treat you in Texas decides whether compounded semaglutide is right for you, following Texas’s rules. You’re prescribed only if it is.
- A licensed pharmacy prepares itYour prescription goes to a partner pharmacy with the licenses Texas requires, which usually ships within 1 to 2 business days, free.
- It comes to your doorIn an insulated, cold-packed box. Put it in the fridge right away; if it arrives warm, don’t use it: call or text (949) 818-8000.
How do you keep semaglutide cool in a Texas summer?
Store compounded semaglutide the way your prescription label says, usually in the fridge at 36°F to 46°F, and get the box inside fast. Wegovy’s rule for pens kept at 46°F to 86°F for up to 28 days doesn’t apply to compounded vials. Orders through NexLife ship in insulated, cold-packed boxes; if yours arrives warm, don’t use it: call or text (949) 818-8000.
On hot days, be home for delivery or pick a shaded drop-off spot, and get the box into the fridge right away. In a disaster, if your prescriber can’t be reached, a Texas pharmacist may refill most prescriptions with up to a 72-hour supply when a gap could interrupt treatment. After a governor’s disaster declaration, once the Board of Pharmacy notifies pharmacies, the limit is a 30-day supply. (Texas Legislature) More: how to store compounded semaglutide.
Can you get semaglutide online in Texas?
Yes. Texas lets licensed providers treat you by telehealth, under the rules below. Your prescriber needs a Texas license, and a pharmacy outside Texas needs a Texas license to ship to you.
Getting care online
Texas holds online care to the in-person standard of care. Before treating you, a practitioner must get your informed consent and use the clinical information that standard requires, such as your history, labs and prescription history. Then they must give follow-up guidance and, if you agree, send your primary care doctor a report within 72 hours.
Tex. Occ. Code §§111.002, 111.005, 111.007 · source
A Texas license
Your prescriber needs a Texas license. Texas law treats care from another state for a patient in Texas as practicing medicine in Texas, which requires a Texas license. Texas joined the Interstate Medical Licensure Compact in 2021 (House Bill 1616, signed June 7, 2021).
Made for you, not mass-produced
The FDA declared the semaglutide shortage over on Feb. 21, 2025; an appeals court upheld that on Aug. 27, 2026. Prescribed only when it offers a significant difference for you compared with an FDA-approved product. What compounded semaglutide is
FDA; Fifth Circuit, No. 25-10758
Nurse practitioners and PAs
Not on their own. In Texas, nurse practitioners and physician assistants prescribe under a written prescriptive authority agreement with a physician. The agreement must be reviewed yearly, and they must hold documented meetings at least once a month.
Tex. Occ. Code §157.0512 · source
Sterile compounding rules
Texas updated its sterile compounding rule, which covers compounded injections, effective March 1, 2026. The changes cover staff, the compounding environment and process, cleaning, beyond-use dates, sterility testing, recalls and records.
22 Tex. Admin. Code §291.133 · source
How pharmacies must ship
Texas’s delivery rule requires pharmacies to pack prescriptions to hold the right temperature and to replace a drug compromised in delivery. It bars drone delivery of sterile compounded preparations. The rule was last amended effective Sept. 1, 2025.
22 Tex. Admin. Code §291.12 · source
“A non-resident pharmacy engaged in the compounding of sterile preparations shall be licensed as a Class E-S pharmacy.”
Texas State Board of Pharmacy, Texas Pharmacy Rules (22 Tex. Admin. Code), §291.106 (Class E-S)
Does insurance cover semaglutide in Texas in 2026?
For weight loss alone, rarely. Texas Medicaid covers Wegovy only for heart disease or MASH, not for weight loss alone. Texas’s state employee plan doesn’t cover GLP-1s for weight loss. With Medicare Part D, the GLP-1 Bridge can bring the Wegovy pen or pill to $50 a month.
Texas Medicaid: not for weight loss
Not for weight loss alone. Since Dec. 27, 2024, Texas Medicaid has covered Wegovy with prior authorization for adults 45 and older with cardiovascular disease who are overweight or obese. Since Nov. 24, 2025, traditional Medicaid also covers adults with the liver disease MASH, without cirrhosis, and moderate to advanced fibrosis.
Texas Health and Human Services Commission, Vendor Drug Program, Undated; read Nov. 2, 2026
HealthSelect of Texas: not for weight loss
Only for heart risk. HealthSelect’s drug plan (document effective Sept. 1, 2025) may cover Wegovy, with prior authorization, to lower the risk of major heart events in adults with established cardiovascular disease who are overweight or obese. GLP-1s for type 2 diabetes are also covered with prior authorization.
TRS-ActiveCare and TRS-Care Standard (public school employees, and school retirees without Medicare): No. TRS says its plans don’t cover weight-loss drugs under any circumstance, even when weight loss might help another condition; it names Wegovy as an example. It covers these drugs for diabetes. TRS-ActiveCare’s 2026-27 plan year began Sept. 1, 2026.
UT SELECT (University of Texas System employees): No. For Sept. 1, 2026, to Aug. 31, 2027, UT SELECT’s drug plan excludes GLP-1s for any condition other than diabetes; some patients with diabetes may be covered through prior authorization. It also excludes compound medications.
Employees Retirement System of Texas
Medicare: $50 through the GLP-1 Bridge
Eligible Part D enrollees can get the Wegovy pen or pill, the Zepbound KwikPen or Foundayo for $50 a month, with prior authorization, from July 1, 2026, to Dec. 31, 2027. Who qualifies
TRICARE: Prime and Select still cover weight-loss medications in certain circumstances; TRICARE For Life has excluded them since Aug. 31, 2025.
CMS, Medicare GLP-1 Bridge; TRICARE, Aug. 5, 2025
Job-based and marketplace plans: it depends on your plan
If you’re insured through work, you probably have a self-funded plan, and those are exempt from state laws on required coverage. Ask HR or your plan: Are Zepbound and Wegovy covered for weight loss? Is prior authorization required? Which BMI or health conditions qualify?
If your plan says no. If your plan denies a drug, appeal to the plan first. Then ask for an external review by an outside reviewer: it’s free, and you have 4 months after the final denial. It covers denials based on medical judgment or experimental treatment. Texas’s insurance department helps only with fully insured plans, not self-funded ones.
Affordable Care Act external review (HealthCare.gov); Texas Department of Insurance consumer guidance; Tex. Ins. Code ch. 4202 (independent review organizations)
No insurance: cash prices
Compounded semaglutide costs $119 to $299 a month online at the programs in our index that sell it in Texas. At NovoCare Pharmacy, the Wegovy pill is $149 to $299 a month by dose, and the pen is $349 ($399 at 7.2 mg) after two $199 fills for new patients, through Dec. 31, 2026. NexLife is $119 a month on the 12-month plan or $139 month to month, and takes HSA and FSA cards, Affirm, Klarna and Afterpay. Semaglutide without insurance · Paying with Klarna or Afterpay
Prices checked Nov. 1, 2026
“Weight management drugs (excluding specific coverage exceptions) are not covered for clients enrolled in traditional Medicaid who are 21 years and over.”
Texas Health and Human Services Commission, Vendor Drug Program, Weight Management Drugs
How do you check a semaglutide provider in Texas?
In about five minutes, for free. Ask for your prescriber’s name and license and the pharmacy that will fill your prescription, then look both up on Texas’s public license searches. A good program answers in writing. Here are the questions to ask, with NexLife’s answers.
- Get two namesYour prescriber’s, and your pharmacy’s.
- Look up the prescriberOn Texas’s license search: a current Texas license.
- Look up the pharmacyOn Texas’s pharmacy license lookup: a Texas license if it’s out of state. More
- Check the websiteLook for LegitScript certification. NexLife has it.
Can you bring semaglutide back from Mexico?
Not legally, in most cases. In most cases, it’s illegal to bring medicines from Mexico for personal use, the FDA says, and drugs approved there are unapproved in the U.S. The FDA is also aware of counterfeit Ozempic marketed in the U.S. Heat adds risk: McAllen’s airport hit 100°F or more on 97 days in summer 2026, and the Zepbound and Wegovy labels cap unrefrigerated storage at 86°F.
“Importation of unapproved drugs, whether for personal use or otherwise, violates federal law.”
U.S. Food and Drug Administration, Frequently asked questions about drugs
What changed for semaglutide in Texas, and when?
Nationally, the FDA declared the semaglutide shortage over in February 2025, an appeals court upheld that in August 2026, and Medicare’s $50 GLP-1 Bridge started in July 2026. Here’s every change we found for Texas, newest first, each with its source.
UT SELECT’s 2026-27 plan year starts; its drug plan now excludes GLP-1s for conditions other than diabetes. The University of Texas System, Office of Employee Benefits
Medicare GLP-1 Bridge starts: eligible Part D enrollees pay $50 a month for Wegovy, Foundayo or the Zepbound KwikPen. Medicare.gov
The FDA proposes keeping semaglutide, tirzepatide and liraglutide off the 503B bulks list for outsourcing facilities. U.S. Food and Drug Administration
Texas’s updated sterile compounding rule (22 TAC §291.133) takes effect, revising beyond-use dating, sterility testing and recordkeeping. Texas Secretary of State, Texas Register
Texas Medicaid adds a MASH liver-disease pathway to its Wegovy criteria for fee-for-service clients. Texas Vendor Drug Program notice, posted by Community Health Choice
Amendments to Texas’s prescription delivery rule (22 TAC §291.12) take effect. Texas State Board of Pharmacy
Texas Medicaid adds Wegovy to its formulary, with prior authorization, for adults with established cardiovascular disease. Texas HHSC notice, posted by Community Health Choice
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, with the math to check your own.
| 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), and 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.
Two medications. One flat price at every dose.
No membership fee. Your provider, a nutrition plan, coaching and shipping are included.
12-month plan $139/mo
Tirzepatide
Weekly and dual-action. $169/mo month to month.
Check my eligibilityCompounded, not FDA-approved · Not prescribed? No charge for medication
12-month plan $119/mo
Semaglutide
Weekly GLP-1. $139/mo month to month.
Check my eligibilityCompounded, not FDA-approved · Not prescribed? No charge for medication
Compounded, not FDA-approved; prescribed only when it offers a significant difference for you compared with an FDA-approved product. Vials are illustrations. Every plan and price · Price Match Guarantee† terms
The NexLife Price Match Guarantee†
Keep your price. Upgrade your care.
Already on compounded tirzepatide or semaglutide? Pay less with another licensed provider, and we match your regular monthly price while 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
†New members switching with an active prescription. Terms: see the Price Match Guarantee† details below.
Semaglutide in Texas: your questions
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.
Who are the best semaglutide providers in Texas?
It depends on what you need. NexLife keeps one price at every dose with care included ($119 a month on the 12-month plan or $139 month to month), PreventiveMD has the lowest month-to-month compounded price we found ($119), Ondra Health the lowest 12-month price ($96 a month, paid upfront), and NovoCare Pharmacy sells FDA-approved Wegovy, from $149 a month for the pill. NexLife publishes this guide.
Does Texas Medicaid cover Wegovy for weight loss?
Not for weight loss alone. Since Dec. 27, 2024, Texas Medicaid has covered Wegovy with prior authorization for adults 45 and older with cardiovascular disease who are overweight or obese. Since Nov. 24, 2025, traditional Medicaid also covers adults with the liver disease MASH, without cirrhosis, and moderate to advanced fibrosis.
Does HealthSelect cover Wegovy for Texas state employees?
Only to lower heart risk. HealthSelect’s prescription plan may cover Wegovy, with prior authorization, for adults with established cardiovascular disease who are overweight or obese. It excludes drugs prescribed only for obesity (plan document effective Sept. 1, 2025). GLP-1s for type 2 diabetes are covered with prior authorization.
Do TRS-ActiveCare or UT SELECT cover Wegovy?
No. TRS says it doesn’t cover weight-loss drugs under any circumstance and names Wegovy as an example, though it covers this drug class for diabetes. UT SELECT’s drug plan for Sept. 1, 2026, to Aug. 31, 2027, excludes GLP-1s for conditions other than diabetes, so heart risk doesn’t qualify there either.
Is compounded semaglutide legal in Texas?
It can be, when it’s compounded for you. The FDA declared the semaglutide shortage over on Feb. 21, 2025, so copies of Wegovy can’t be made regularly unless your prescriber documents a significant difference for you. Pharmacies compounding injections for Texans must follow the state’s sterile compounding rule, updated March 1, 2026. It isn’t FDA-approved.
Can a nurse practitioner prescribe semaglutide in Texas?
Yes, under a physician agreement. Texas nurse practitioners and physician assistants prescribe through a written prescriptive authority agreement with a supervising physician. The agreement must be reviewed yearly, and they must hold documented meetings at least once a month. They also need an active Texas license.
Can a pharmacy in another state ship semaglutide to Texas?
Yes, if it holds a Texas license. Out-of-state pharmacies need a Class E license from the Texas State Board of Pharmacy, or a Class E-S license if they compound sterile drugs such as injections. A Class E-S license isn’t issued or renewed without an inspection by the Board or its designee. You can check any pharmacy online.
How do I keep semaglutide safe in Texas heat?
Refrigerate it as soon as it arrives. A Wegovy single-dose pen can stay out of the fridge for up to 28 days before its cap comes off, but only up to 86°F. In summer 2026, Houston’s main airport hit 86°F or more on 116 of 122 days and San Antonio’s on 118. Compounded vials follow their own pharmacy label.
How much does semaglutide cost in Texas without insurance?
Online, compounded semaglutide costs $119 to $299 a month, median $199 (checked Nov. 1, 2026). The Wegovy pen at NovoCare Pharmacy is $199 for each of a new patient’s first two fills (through Dec. 31, 2026), then $349 a month ($399 at 7.2 mg); Wegovy pills cost $149 to $299. NexLife charges $119 a month on the 12-month plan or $139 month to month.
Where can I get semaglutide in San Antonio or Austin?
You can get it without leaving home. A provider licensed in Texas can treat you online, and a pharmacy the Texas State Board of Pharmacy has licensed can ship it to San Antonio, Austin or anywhere else in Texas. Before you visit a clinic or med spa, look up the prescriber’s license on the state board’s website.
In your state
Not in Texas? Pick your state
Tap your state on the map for its guide.
Texas (you’re here): compounded semaglutide is available through NexLife, $119/mo on the 12-month plan or $139 month to month, the same at every dose.
Compounded medications aren’t FDA-approved. A licensed provider prescribes one only when it offers a significant difference for you compared with an FDA-approved product.
Rules, coverage and prices by state →
Every NexLife state guide
Tirzepatide: Arizona · Arkansas · California · Colorado · Connecticut · Florida · Georgia · Idaho · Illinois · Indiana · Iowa · Maine · Maryland · Massachusetts · Michigan · Minnesota · Nebraska · New Hampshire · New Jersey · New York · North Carolina · Ohio · Oklahoma · Oregon · Pennsylvania · South Carolina · Tennessee · Texas · Utah · Virginia · Washington · Wisconsin
Semaglutide: Arizona · California · Colorado · Florida · Georgia · Illinois · Indiana · Maryland · Massachusetts · Michigan · Minnesota · New York · North Carolina · Ohio · Oregon · Pennsylvania · South Carolina · Tennessee · Virginia · Washington · Wisconsin
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 GLP-1 medicines.
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 1-800-FDA-1088 or fda.gov/medwatch.
Who wrote and checked this page
NexLife Medical Team
NexLife’s clinical team, led by medical director Adam Kennah, MD. The team writes and reviews NexLife’s guides, checks every price and rule against its source, and dates each check.
Adam Kennah, MD
Medical Director, NexLife. Board-certified in emergency medicine (American Board of Emergency Medicine). NPI 1144260043. Leads the NexLife clinical team, which medically reviews each of NexLife’s guides, including this one.
How we checked. On Nov. 1, 2026, we read each program’s public pages (no quiz, account or checkout); on Nov. 2, 2026, we read Texas’s Medicaid, licensing, telehealth and pharmacy rules at their sources. The heat counts are ours, from NOAA’s daily station data at 12 weather stations.
How we make money. We earn revenue when people join NexLife, one of the programs here, so we name the catch for every option, ours included.
Corrections. See something wrong or out of date? Email care@nexlife.us and we’ll fix it.
Sources
41, tap to open
- NOAA Regional Climate Centers (ACIS). Daily maximum temperatures, June 1 to September 30, 2026.
- Texas Health and Human Services Commission, Vendor Drug Program. Weight Management Drugs. Undated; read Nov. 2, 2026.
- NexLife. GLP-1 price index. Checked Nov. 1, 2026.
- Hims. Wegovy through Hims. Checked Nov. 1, 2026.
- Novo Nordisk. Wegovy self-pay prices (NovoCare Pharmacy). Checked Nov. 1, 2026.
- Ro. Weight loss pricing. Checked Nov. 1, 2026.
- Centers for Medicare & Medicaid Services. Medicare GLP-1 Bridge, overview and FAQs.
- Centers for Disease Control and Prevention. PLACES: County Data, 2025 release (adult obesity and diabetes; Census 2023 population).
- Texas Legislature. Occupations Code, Chapter 562, Sec. 562.054 (Emergency Refills). Amended by S.B. 1658, eff. Sept. 1, 2007.
- Novo Nordisk. Wegovy (semaglutide) prescribing information.
- Texas Legislature. Occupations Code, Chapter 111 (Telemedicine, Teledentistry, and Telehealth), Sec. 111.007.
- Texas Legislature. Occupations Code, Chapter 151, Sec. 151.056 (Application to Telemedicine). Amended 2001; read Nov. 2, 2026.
- Texas Legislature. Occupations Code, Chapter 155, Sec. 155.001 (License Required). Acts 1999; read Nov. 2, 2026.
- U.S. Food and Drug Administration. FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize.
- U.S. Court of Appeals for the Fifth Circuit. Outsourcing Facilities Association v. FDA, No. 25-10758 (Aug. 27, 2026).
- Texas Legislature. Occupations Code, Chapter 157, Sec. 157.0512 (Prescriptive Authority Agreement). Amended through H.B. 278, eff. Sept. 1, 2019.
- Texas Secretary of State, Texas Register (adopted rules, Texas State Board of Pharmacy). Adopted amendments to 22 TAC §291.133, Pharmacies Compounding Sterile Preparations.
- Texas State Board of Pharmacy. Recent Adopted Rule Changes. Read Nov. 2, 2026.
- Texas State Board of Pharmacy. Texas Pharmacy Rules (22 Tex. Admin. Code), §291.12 (Delivery of Prescription Drugs). Board Rules compilation dated Sept. 1, 2026.
- U.S. Food and Drug Administration. Compounding and the FDA: questions and answers.
- Novo Nordisk (NovoCare). What is the list price for Wegovy?. Checked Nov. 3, 2026.
- Novo Nordisk (PR Newswire). Novo Nordisk announces significant reduction in US list price for Wegovy, Ozempic and Rybelsus.
- Fierce Pharma. Novo counters compounders with direct access channel for Wegovy, price cut for self-paying patients. March 5, 2025.
- BNN Bloomberg. Novo Nordisk rolls out $349 Wegovy cash price ahead of plan. Nov. 17, 2025.
- Fierce Pharma. Novo’s Wegovy pill makes US debut, with starter dose launching at $149 per month for cash-paying patients. Jan. 5, 2026.
- Texas Prior Authorization Program (clinical criteria published by Acentra Health). Texas Prior Authorization Program Clinical Criteria: Zepbound (Tirzepatide). Oct. 24, 2025 (first published Apr. 25, 2025).
- Employees Retirement System of Texas (plan document hosted by Express Scripts). Master Benefit Plan Document, HealthSelect of Texas Prescription Drug Program. Effective Sept. 1, 2025; revised 9/1/2025.
- Teacher Retirement System of Texas. FAQs for TRS Exclusion of Weight Loss (Anti-Obesity) Drugs. Undated; read Nov. 2, 2026.
- The University of Texas System, Office of Employee Benefits (guide by Blue Cross and Blue Shield of Texas). Your UT SELECT Health Benefits 2026-2027.
- TRICARE. TRICARE coverage of weight loss medications: what to know (Aug. 5, 2025).
- Texas Department of Insurance. Who can help me with my health plan?. Last updated 12/17/2025.
- Texas Department of Insurance. How to file an appeal or ask for an external review. Read Nov. 2, 2026.
- LegitScript. Certification record for nexlife.us.
- U.S. Food and Drug Administration. Frequently asked questions about drugs (importation).
- U.S. Food and Drug Administration. Personal Importation. Content current as of 08/18/2025.
- Centers for Medicare & Medicaid Services (Medicare.gov). Medicare GLP-1 Bridge: GLP-1 Drugs for $50 a Month (CMS Product No. 12234). June 2026.
- U.S. Food and Drug Administration. FDA Proposes to Exclude Semaglutide, Tirzepatide, and Liraglutide on 503B Bulks List. April 30, 2026.
- Texas Vendor Drug Program notice, posted by Community Health Choice (a Texas Medicaid health plan). Wegovy Clinical Prior Authorization Criteria Guide Revision for Metabolic Dysfunction-Associated Steatohepatitis. Nov. 10, 2025.
- Texas HHSC notice, posted by Community Health Choice (a Texas Medicaid health plan). Wegovy Coverage and Implementation of Clinical Prior Authorization for Medicaid. Dec. 20, 2024.
- NexLife. How to store compounded semaglutide.
- Each provider’s own pricing page, linked in the comparison table above; every program in our index is linked from the GLP-1 price index.
Keep reading
†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.
Paying less elsewhere? We match it.†
One price at every dose.
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Compounded medications aren’t FDA-approved. A licensed provider prescribes one only when it offers a significant difference for you compared with an FDA-approved product.