Compounded Semaglutide Price 2026: What It Costs and Where to Get It Online

Compounded semaglutide vial
Compounded, not FDA-approved

Compounded Semaglutide

At the 10 telehealth providers we track that publish a month-to-month semaglutide price, compounded semaglutide costs $79 to $289 a month, with a median of $154. One provider runs a $49 fall sale. It’s a pharmacy-made version of semaglutide, the drug in Wegovy and Ozempic, but it is not FDA-approved: the FDA doesn’t review compounded drugs for safety, effectiveness or quality before they’re sold.
Weekly injection Not FDA-approved Pharmacy-made Prescription only
Telehealth, month to month $79–$289/mo
Longest prepaid plans Median $124/mo
First month Median $129
FDA-approved Wegovy (self-pay) $199–$349/mo
Provider prices checked Sep 22–23, 2026 on each provider’s site. Wegovy prices checked Sep 25, 2026 on NovoCare.

Is Compounded Semaglutide FDA-Approved?

  • No. Compounded drugs are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold.
  • FDA-approved semaglutide is sold as Wegovy (pen and pill) for weight management and as Ozempic and Rybelsus for type 2 diabetes.
The FDA declared the semaglutide shortage over on February 21, 2025, and a federal appeals court upheld that decision on August 27, 2026. As of May 31, 2026, the FDA had received 990 adverse-event reports for compounded semaglutide. Source: FDA (content current as of Sep 1, 2026).
Last Updated:

How Much Does Compounded Semaglutide Cost? Every Way to Pay

Compounded semaglutide has no single price. Each telehealth provider sets its own, and the first month is often a teaser. The table shows what we found across providers, next to the FDA-approved options.
Way to payWhat you payGood to knowChecked
Way to pay
Telehealth, month to month
Injection
What you pay
$79–$289 per month
Good to know
Median $154 across 10 providers that name semaglutide next to a month-to-month price. One provider’s fall sale is $49.
Checked
Sep 23, 2026
our provider data
Way to pay
Telehealth, first month
Injection
What you pay
$79–$179 first month
Good to know
Median $129 across 11 providers. Several raise the price in month two, for example $112 then $212 at Enhance.MD.
Checked
Sep 23, 2026
our provider data
Way to pay
Telehealth, prepaid plans
Injection
What you pay
$79–$212 per month
Good to know
Median $124 a month on each provider’s longest plan, often paid upfront, such as $1,428 for 12 months at bmiMD.
Checked
Sep 23, 2026
our provider data
Way to pay
A year, month to month (median)
Injection
What you pay
$1,848 per year
Good to know
12 months at the $154 median, or $2,002 if the provider bills every 28 days.
Checked
Sep 26, 2026
our cost analysis
Way to pay
Wegovy (FDA-approved), NovoCare self-pay
Pen
What you pay
$199–$349 per month
Good to know
New patients pay $199 for the first two fills at 0.25 and 0.5 mg, then $349. Wegovy prices and providers.
Checked
Sep 25, 2026
novocare.com
Way to pay
Wegovy, 12-month subscription
Pen
What you pay
$249 per month
Good to know
Novo’s subscription through its telehealth partners, for 0.25 to 2.4 mg pens.
Checked
Sep 25, 2026
Novo announcement
Way to pay
Medicare Part D: GLP-1 Bridge
PenPill
What you pay
Up to $50 per month
Good to know
Covers FDA-approved Wegovy for eligible Part D enrollees through December 31, 2027. Compounded drugs aren’t part of it.
Checked
Sep 26, 2026
medicare.gov

Compare the month-to-month price, not the first-month offer. And price FDA-approved Wegovy before you commit: it costs $349 a month at NovoCare after the intro offer, or $249 a month on a 12-month subscription through Novo’s telehealth partners.

Telehealth Providers That Offer Compounded Semaglutide

We track 27 telehealth providers that offer compounded semaglutide. These 12 publish a semaglutide price or are ones we’ve reviewed, sorted by the lowest monthly price each one lists. Plan length matters: some of the lowest prices need 12 months paid upfront. See all providers side by side.

Disclosure: every provider below is an affiliate partner, and we earn a commission if you become a patient through our links. That doesn’t change the order: cards are sorted by the lowest monthly price each provider lists. How we make money.
Wellmedr logo

Wellmedr$49/mo sale

Checked: Oct 4, 2026

Semaglutide $49/mo (sale)
Plan Month to month
Price at every dose Same
The $49 price is a limited-time sale. 90-day money-back guarantee, per Wellmedr.
Trustpilot star logo icon used in GLP1Rating reviews
Trustpilot 4.6 (1,919)
YourEra logo

YourEra$79/mo

Checked: Oct 4, 2026

Semaglutide $79/mo
Includes Visit, supplies, messaging
Price at every dose Same
No insurance billing. Availability varies by state.
No ratings yet
Embody logo

EmbodyFrom $79/mo

Checked: Oct 4, 2026

Longest plan $79/mo
Shorter plans Price depends on length
Price at every dose Same
Plans run 4 to 52 weeks. HSA/FSA eligible.
Trustpilot star logo icon used in GLP1Rating reviews
Trustpilot 3.8 (8,397)
Eden logo

Eden$99/mo

Read Review

Checked: Oct 4, 2026

Semaglutide $99/mo
Price at every dose Same
Membership (Terms) $39, then $99/mo
FDA warning letter in June 2026; BBB rating F
Trimi logo

TrimiFrom $99/mo

Checked: Oct 4, 2026

Annual plan $99/mo ($1,188 upfront)
Month to month $175/mo
Price at every dose Same
6-month money-back guarantee (conditions apply). HSA/FSA accepted.
No public rating
Sprout Health logo

Sprout HealthFrom $99/mo

Checked: Oct 4, 2026

12-month plan $99/mo ($1,188 upfront)
Month to month $149/mo
Not available in AL, AR, CA, LA, MS, ND
Not available in AL, AR, CA, LA, MS or ND. Plans renew automatically. Most prescriptions reach the pharmacy within two business days, per Sprout
Trustpilot star logo icon used in GLP1Rating reviews
Trustpilot 4.1 (188)
SkinnyRx logo

SkinnyRx$99 first month

Read Review

Checked: Oct 4, 2026

First month $99
Month 2 on Shown at checkout
Daily tablets From $149
FDA warning letter in February 2026 over labels and claims
AgelessRx logo

AgelessRxFrom $99/mo

Read Review

Checked: Oct 4, 2026

Microdose $99/mo
Full dose, 4-month plan $139/mo
Messaging Unlimited
The $139 full-dose price needs a 4-month plan
bmiMD logo

bmiMDFrom $119/mo

Read Review

Checked: Oct 4, 2026

12-month plan $119/mo ($1,428 upfront)
Month to month $159/mo
Cancellation fee $50 after intake
BBB rating F with 41 complaints in 3 years
Strut Health logo

Strut Health$129/mo

Read Review

Checked: Oct 4, 2026

Injection $129/mo
Oral form From $99/mo
Plan Auto-refill; cancel anytime
FDA warning letter in February 2026 over marketing claims
TrimRx logo

TrimRx$149/mo

Checked: Oct 4, 2026

Semaglutide $149/mo
Shipping Free, tracked
Insurance Not needed
“Starting at” price; billing terms aren’t stated
Trustpilot star logo icon used in GLP1Rating reviews
Trustpilot 3.7 (5,667)
Found logo

FoundFrom $169/mo

Read Review

Checked: Oct 4, 2026

12-month plan, cash $169/mo
1-month plan, cash $179, then $289/mo
12-month plan, insurance $99/mo
Billed every 28 days, so 13 charges a year
Prices are for compounded semaglutide injections and leave out lab tests, taxes and shipping unless a card says otherwise. Providers change prices often, so confirm the total and the plan length before you pay. Stars show our editorial score for providers we’ve reviewed; other ratings come from Trustpilot.

How to Get Semaglutide for the Lowest Price

Price FDA-approved Wegovy first. NovoCare charges $199 for two starter fills, then $349 a month, and covered insurance can bring it to $25.

Compare month-to-month prices, not first-month offers. Some providers raise the price by 60% to 90% in month two.

On Medicare Part D? The GLP-1 Bridge covers Wegovy for up to $50 a month. Compounded drugs aren’t included.

Check who makes it. Ask for the compounding pharmacy’s name and license, and skip anyone who sells it without a prescription.

Prepay only if you’re sure. The lowest per-month prices often need 6 to 12 months paid upfront, and refunds are limited.

Be wary of “generic Wegovy” claims. There is no generic Wegovy, and the FDA has warned telehealth companies against that wording.

What Is Compounded Semaglutide?

Compounded semaglutide is semaglutide mixed by a compounding pharmacy instead of made by Novo Nordisk. It’s usually a weekly injection drawn from a multi-dose vial, and telehealth companies sell it with a prescription from their own clinicians.

Compounded drugs are not FDA-approved. During the semaglutide shortage, pharmacies could make copies of Wegovy and Ozempic. Since the FDA declared the shortage over in February 2025, copies are allowed only in limited cases, and the FDA has sent warning letters to dozens of telehealth companies over how they market them. On April 30, 2026, it also proposed excluding semaglutide from the list of drugs outsourcing facilities can compound. A final decision is pending.

Dosing errors are the main safety problem the FDA flags: some patients have been hospitalized after measuring doses from multi-dose vials. If you use it, confirm your dose in milligrams and units with the pharmacy. Our FDA-approved vs. compounded GLP-1s guide explains the differences.

Vial labeled compounded semaglutide beside a smiling woman holding a plank on a gym mat
Common Questions

Compounded Semaglutide FAQ

At the providers we track, month-to-month plans cost $79 to $289 a month, with a median of $154. Prepaid plans bring the median to $124 a month, and first-month offers have a median of $129. One provider runs a $49 fall sale. We checked these prices on September 22 and 23, 2026.

Usually, yes. The median month-to-month price, $154, is less than half of Wegovy’s $349 self-pay price. But Wegovy can cost as little as $25 with covered insurance, or up to $50 through the Medicare GLP-1 Bridge, and compounded drugs don’t qualify for either.

No. The FDA doesn’t review compounded drugs for safety, effectiveness or quality before they’re sold. As of May 31, 2026, it had received 990 adverse-event reports for compounded semaglutide.

Not outright. Since the shortage ended in February 2025, pharmacies can make copies of FDA-approved semaglutide only in limited cases, and a federal appeals court upheld the FDA’s decision on August 27, 2026. The FDA has also proposed keeping semaglutide off the list outsourcing facilities can compound from. What’s changing for compounded GLP-1s.

No. Compounded versions aren’t tested or approved the way Wegovy is, and doses come from multi-dose vials that are easy to mismeasure. The FDA has told telehealth companies not to call compounded drugs “generic” or “the same as” a brand-name drug.

Many providers advertise a lower first month. In our data, Enhance.MD charges $112 and then $212, and Found (cash, 1-month plan) charges $179 and then $289. Check the month-two price before you sign up.

Few providers bill insurance for it, and Novo’s savings offer and the Medicare Bridge don’t apply. Some providers accept HSA or FSA cards, including Eden, Embody and Trimi, per their sites.

It can carry more risk than FDA-approved semaglutide, because the FDA doesn’t check its quality before it’s sold and dosing errors with multi-dose vials have sent some patients to the hospital. Work with a licensed clinician, use a state-licensed pharmacy, and confirm your dose in milligrams and units.

No. It’s a prescription drug. Legitimate providers require a medical intake and a prescription from a licensed clinician, so skip any site that sells it without one.

Looking More GLP-1 Medications?

How We Checked These Prices

We pulled month-to-month, first-month and prepaid prices from each provider’s own pricing pages on September 22 and 23, 2026, counting only prices that name semaglutide. We read NovoCare, TrumpRx.gov and the FDA’s compounding pages on September 25 and 26, 2026. We don’t buy the drug or sign up for plans. Every card shows when we checked it, and we recheck prices every month. If a price has changed, tell us.

Every provider on this page is an affiliate partner, and we earn a commission when you sign up through our links. Commissions never change the order or what we write. How we make money and our editorial policy explain the rules we follow. We drafted this page with AI assistance and checked every number against its source.

Medical Disclaimer: GLP1Rating provides information for educational purposes and does not give medical advice. GLP-1 medications require a prescription. Talk to a licensed healthcare provider before you start, stop, or change any treatment.

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