GLP-1 Price Index: November 2026

What 28 US telehealth providers advertise for compounded semaglutide and tirzepatide this month, how that compares with brand-name self-pay prices, and what changed between our checks. Every number comes from a provider’s own pricing page on a date we wrote down.

Disclosure: we earn a commission when readers sign up with some providers through links on our site. Commissions have no effect on the index numbers.

Prices checked Nov 4, 2026
Free to cite with a link
November 2026

The GLP-1 Price Index at a Glance

Four numbers that sum up what compounded GLP-1s cost this month.
Compounded semaglutide vial

$129/mo

Median lowest advertised price for compounded semaglutide, across 27 providers. The cheapest listing was $41, a limited-time sale.
Compounded tirzepatide vial

$179/mo

Median for compounded tirzepatide, across 27 providers. The cheapest was $71, also a sale price.

+$50/mo

What paying month to month usually adds to a prepaid plan. Based on the 20 cases where a provider publishes both prices.

9 changes

Price changes, new providers and removals we logged since our last October check.

These are advertised cash prices, the numbers you see before you sign up and before insurance. The index doesn’t show what anyone paid at checkout. Compounded semaglutide and tirzepatide are not FDA-approved.

Compounded Semaglutide

Compounded Semaglutide Prices by Provider

Each provider’s lowest advertised monthly price, with its month-to-month price where it publishes one.
Lowest advertised monthly priceMonth-to-month priceMedian $129
  1. Wellmedr$41No month-to-month price
  2. Embody$49No month-to-month price
  3. YourEra$65$89 month to month
  4. SnagRx$69No month-to-month price
  5. CoreAge Rx$79No month-to-month price
  6. Belle$93$199 month to month
  7. HealthRX$97No month-to-month price
  8. AgelessRx$99Month to month
  9. Eden$99Month to month
  10. PlexusDx$99$149 month to month
  11. Sprout Health$99$149 month to month
  12. Oak$119No month-to-month price
  13. bmiMD$119$159 month to month
  14. Strut Health$129No month-to-month price
  15. Bodybuilding Health+$141.50$179 month to month
  16. MadeMed$143$179 month to month
  17. PeterMD$149No month-to-month price
  18. SHED$159$199 month to month
  19. Found$169$289 month to month
  20. MEDGm$169$299 month to month
  21. Gala$179No month-to-month price
  22. TrimRx$179No month-to-month price
  23. Mevo Health$199No month-to-month price
  24. Enhance.MD$212Month to month
  25. DirectMeds$249Month to month
  26. MangoRx Slim$299Month to month
  27. Willow$299Month to month

No published monthly price, so not charted: DudeMeds, SkinnyRx.

Compounded semaglutide, 27 providers, prices checked Nov 4, 2026. Hover a row for the plan terms. Compounded drugs are not FDA-approved.

Most providers land between $97 and $179 a month. The bottom of the chart is sale pricing: Wellmedr’s $41, Embody’s $49 and SnagRx’s $69 are sale offers, and SnagRx lists its regular price as $299. A lot of the cheap plans also need 12 months paid upfront, so look at the month-to-month dot before you compare two bars.

Compounded Tirzepatide

Compounded Tirzepatide Prices by Provider

The same view for tirzepatide, the active ingredient in Zepbound and Mounjaro.
Lowest advertised monthly priceMonth-to-month priceMedian $179
  1. Wellmedr$71No month-to-month price
  2. Embody$99No month-to-month price
  3. YourEra$99$129 month to month
  4. SnagRx$119No month-to-month price
  5. CoreAge Rx$129No month-to-month price
  6. Eden$129Month to month
  7. PlexusDx$129$189 month to month
  8. Sprout Health$149$199 month to month
  9. Strut Health$149No month-to-month price
  10. AgelessRx$159No month-to-month price
  11. Bodybuilding Health+$174.67$209 month to month
  12. HealthRX$177No month-to-month price
  13. Belle$179$249 month to month
  14. Gala$179No month-to-month price
  15. System Labs$179Month to month
  16. bmiMD$179$249 month to month
  17. Oak$185No month-to-month price
  18. MadeMed$199$249 month to month
  19. Found$239$359 month to month
  20. SHED$239$299 month to month
  21. PeterMD$249No month-to-month price
  22. Mevo Health$259No month-to-month price
  23. MEDGm$269$399 month to month
  24. TrimRx$279No month-to-month price
  25. Enhance.MD$280Month to month
  26. DirectMeds$399Month to month
  27. Willow$399Month to month

No published monthly price, so not charted: DudeMeds, SkinnyRx.

Compounded tirzepatide, 27 providers, prices checked Nov 4, 2026. Hover a row for the plan terms. Compounded drugs are not FDA-approved.

At most providers, tirzepatide costs about $60 a month more than semaglutide. Eden and YourEra have the lowest month-to-month price, $129, the same at every dose. DirectMeds and Willow sit at the top, at $399 month to month.

Price Bands

How GLP-1 Prices Are Spread Out

How many providers fall into each monthly price band.
Compounded semaglutideCompounded tirzepatide
  1. 113
    Under $100
  2. 66
    $100–149
  3. 69
    $150–199
  4. 23
    $200–249
  5. 26
    $250+
Number of providers by lowest advertised monthly price, November 2026.

17 of the 27 semaglutide providers advertise a price under $150 a month. Tirzepatide prices are more spread out. The largest group, 9 providers, charges $150 to $199, and 6 charge $250 or more.

Prepay or Not

What Month-to-Month Flexibility Costs

One provider, two prices: the prepaid plan and paying one month at a time.
Prepaid plan priceMonth-to-month price
  1. MEDGmSemaglutide+$130$169 → $299 (+77%)
  2. MEDGmTirzepatide+$130$269 → $399 (+48%)
  3. FoundSemaglutide+$120$169 → $289 (+71%)
  4. FoundTirzepatide+$120$239 → $359 (+50%)
  5. BelleSemaglutide+$106$93 → $199 (+114%)
  6. BelleTirzepatide+$70$179 → $249 (+39%)
  7. bmiMDTirzepatide+$70$179 → $249 (+39%)
  8. PlexusDxTirzepatide+$60$129 → $189 (+47%)
  9. SHEDTirzepatide+$60$239 → $299 (+25%)
  10. MadeMedTirzepatide+$50$199 → $249 (+25%)
  11. PlexusDxSemaglutide+$50$99 → $149 (+51%)
  12. Sprout HealthSemaglutide+$50$99 → $149 (+51%)
  13. Sprout HealthTirzepatide+$50$149 → $199 (+34%)
  14. SHEDSemaglutide+$40$159 → $199 (+25%)
  15. bmiMDSemaglutide+$40$119 → $159 (+34%)
  16. Bodybuilding Health+Semaglutide+$37.50$141.50 → $179 (+27%)
  17. MadeMedSemaglutide+$36$143 → $179 (+25%)
  18. Bodybuilding Health+Tirzepatide+$34.33$174.67 → $209 (+20%)
  19. YourEraTirzepatide+$30$99 → $129 (+30%)
  20. YourEraSemaglutide+$24$65 → $89 (+37%)
Providers that publish both prices, November 2026. Median extra cost of paying month to month: $50/mo.

The lowest prices usually come with a long commitment. When a provider publishes both prices, paying month to month costs a median of $60 more a month. MEDGm and Found have the widest gaps, $120 to $130 a month over their 12-month plans.

Before you prepay, read the refund terms. If you stop after two months, a 12-month plan can end up costing more than paying monthly would have.

Wegovy, Zepbound and More

Brand-Name GLP-1 Prices Without Insurance

Manufacturer self-pay prices, shown next to the compounded medians.
Manufacturer self-pay range, lowest to highest doseCompounded: median advertised to median month-to-month
  1. ZepboundEli Lilly · tirzepatide$299–$449Weight loss; sleep apnea with obesity
  2. WegovyNovo Nordisk · semaglutide$199–$349Weight loss; heart risk
  3. Wegovy pillNovo Nordisk · semaglutide$149–$299Weight loss
  4. FoundayoEli Lilly · orforglipron$149–$299Weight loss
  5. OzempicNovo Nordisk · semaglutide$199–$499Type 2 diabetes (not weight loss)
  6. MounjaroEli Lilly · tirzepatide$499Type 2 diabetes (not weight loss)
  7. Compounded semaglutideTelehealth medians$129–$189Not FDA-approved
  8. Compounded tirzepatideTelehealth medians$179–$249Not FDA-approved
Monthly cash prices without insurance. Brand prices from the manufacturers’ self-pay programs, checked Sep 30–Nov 4, 2026; a telehealth provider’s own fee comes on top. Ozempic and Mounjaro are approved for type 2 diabetes, not weight loss.
This Month

How GLP-1 Prices Moved in November

The median advertised price on each of our four check dates, and every change we logged.
Compounded semaglutideCompounded tirzepatide
  1. $145$179
    Oct 524 providers
  2. $142$179
    Oct 1423 providers
  3. $145$179
    Oct 2126 providers
  4. $135$179
    Oct 2728 providers
  5. $129$179
    Nov 427 providers
Median lowest advertised monthly price on each check date. The provider list changed between checks (see the log below), so part of the movement comes from who was listed, not from price changes.

The semaglutide median fell from $135 in late October to $129. YourEra and MadeMed cut their prices, and Embody and Wellmedr ran lower sale prices. TrimRx went the other way, up $30 a month for both drugs. The tirzepatide median stayed at $179.

7price changes2new deals
  1. Price changeYourEraSemaglutide$79 → $65 (-18%)New 12-month plan at $780 a year, about $65/mo. Month to month is $89.
  2. Price changeYourEraTirzepatide$159 → $99 (-38%)New 12-month plan at $1,188 a year, about $99/mo. Month to month is $129.
  3. Price changeMadeMedSemaglutide$179 → $143 (-20%)New pricing: $143/mo on a 12-month plan, and a $179 month-to-month option. A $20 consultation fee applies.
  4. Price changeMadeMedTirzepatide$279 → $199 (-29%)$199/mo on a 12-month plan or $249 month to month, the same for injections and tablets.
  5. Price changeTrimRxSemaglutide and tirzepatideStarting prices went up: semaglutide from $149 to $179/mo, tirzepatide from $249 to $279/mo.
  6. New dealEmbodySemaglutide and tirzepatideSale price of $49/mo for semaglutide (was from $79) and $99/mo for tirzepatide (was from $129).
  7. New dealWellmedrSemaglutide and tirzepatideThe sale price dropped to $41/mo for semaglutide (was $49) and $71/mo for tirzepatide (was $89).
  8. Price changeDudeMedsSemaglutide and tirzepatideNow sells only a one-time 4-week intro ($99 semaglutide, $149 tirzepatide) and no longer lists an ongoing price. Not sold in AL, AR, CA, KY or SC.
  9. Price changeStrut HealthSemaglutide$199 → $99 (-50%)The lozenge is back to $99/mo on auto-refill.
Changes since the previous edition, logged in our November check on Nov 4, 2026.
State Availability

Where Compounded GLP-1 Providers Ship

How many providers in the index say they serve each state.
FewerMore providers
AK14ME19WI20VT18NH20WA20ID19MT20ND16MN20IL20MI19NY20MA18OR20NV20WY18SD18IA20IN20OH20PA20NJ20CT20RI18CA18UT19CO20NE20MO19KY19WV17VA19MD20DE18AZ20NM19KS19AR12TN18NC20SC17DC20OK20LA9MS12AL14GA19HI17TX20FL20
Compounded GLP-1 providers in the index that say they serve each state (28 providers; 8 don’t publish a state list and aren’t counted). November 2026.
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Our Methodology

How We Build the GLP-1 Price Index

The same checks for every provider, every month. Nobody can pay for a better number.

Prices

We read each provider’s own pricing pages and record the lowest monthly price it advertises, its month-to-month price, any first-month deal and the plan terms, with the date. Ads and coupon sites don’t count.

Who’s included

Every US telehealth provider in our price table that publishes a cash price for compounded semaglutide or tirzepatide. Providers that only show a price after signup are named under the charts.

Medians

We use the median, the middle price, so one deep sale or one premium provider can’t drag the index. Sale and first-month prices are labeled.

Editions

Each month’s edition is frozen once we publish it. If we find a mistake, we fix it and log the fix on our corrections page.
Read our editorial policy
Common Questions

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