Before you compare telehealth: three cheaper paths worth checking
- Commercial insurance + savings card → as low as $25/month. If your plan covers Wegovy®, Zepbound®, or Foundayo™, no cash program comes close. Check your formulary first.
- Foundayo™ (orforglipron) — from $149/month self-pay. Lilly's once-daily GLP-1 pill, FDA-approved April 2026, available through LillyDirect. Eligible Medicare Part D members: $50/month since July 2026.
- Manufacturer direct-pay: Wegovy® pill from $149/mo* and Wegovy® injection $349/mo via NovoCare® Pharmacy; Zepbound® single-dose vials from $299/mo via LillyDirect. Any licensed prescriber (including your own doctor) can send a prescription there — no telehealth membership required.
*$149 applies to the 4 mg dose under a promotion listed through Aug 31, 2026; standard price $199/mo. None of the programs in this box pays us anything — they're listed because they're often the best deal.
GLP-1 telehealth providers, compared
The ongoing monthly cost column is the number that matters: membership plus medication after intro pricing ends. "Compounded" means pharmacy-compounded semaglutide or tirzepatide — not FDA-approved products — prescribed under patient-specific rules. Read what that means before choosing one.
| Provider | Ongoing monthly cost (all-in) | Medications | Visit type | Cancellation | Availability | Notes | |
|---|---|---|---|---|---|---|---|
| Mochi HealthCompounded + branded | ~$178/mo$79 membership + $99 compounded semaglutide; tirzepatide ~$278 all-in | Compounded semaglutide & tirzepatide; branded via your insurance | Video visit | Anytime, no fee | All 50 states + DC | Active Lilly lawsuit over compounded-drug marketing (case ongoing) | View provider Review |
| SkinnyRxCompounded, no membership fee | $199+/moBundled; tablets $249, tirzepatide $299+ | Compounded semaglutide (injectable, sublingual, tablet) & tirzepatide | Async form | Verify terms | Not AL, LA, MS | Thin independent review history; young company | View provider Review |
| FoundCompounded + branded w/ insurance help | $169+/moCompounded (12-mo plan); branded path $49–99/mo membership + med | Compounded semaglutide (injection & dissolving tablet); branded Wegovy/Zepbound | Async form | $99 early-exit feebefore 6-month commitment ends | Most states | Lowest compounded sticker price, but read the commitment terms | View provider Review |
| Noom MedBundled tiers, coaching-first | $179–299/moMed included; bills quarterly after intro | Compounded semaglutide (incl. "microdose" tiers) & tirzepatide; branded via insurance path | Async formvideo in some states | 7-day refund window | Compounded not in AL, LA, MS | History of billing/cancellation complaints ($62M auto-renew settlement, 2023) | View provider |
| MEDViCompounded, heavy advertiser | $299/mo$179 first month; tirzepatide $399/mo after $279 intro | Compounded semaglutide & tirzepatide (injection, tablet); branded path + $99/mo membership | Async formvideo in KS, IN, MS, NM, OK, WV | 72-hr window rules | Not ND; AL & CA injectables only | FDA warning letter Feb 2026 (misbranding / marketing claims) | View provider Review |
| RoBranded meds only | ~$298–598/mo$149/mo membership (~$74 prepaid annually) + branded med $149–449 | Wegovy (pen & pill), Zepbound, Ozempic, Foundayo — branded only | Async form | Monthly, cancel anytime | All 50 states | Cleanest regulatory profile of the group; NovoCare/LillyDirect fulfillment partner | View provider Review |
| Hims & HersBranded meds (post-Novo deal) | ~$298–548/mo$149/mo membership + med: Ozempic from $149, Wegovy pill $249, pen $299, Zepbound $399 | Branded Wegovy, Ozempic, Zepbound (compounded ended for new patients, Mar 2026) | Async form | See notes | All 50 states | Active FTC lawsuit (July 2026) over subscription practices & data sharing; multiple ongoing suits | View provider Review |
| LifeMDBranded meds + insurance navigation | $149/mo + med(~$75/mo billed annually) + manufacturer-direct med pricing | Zepbound (LillyDirect), Wegovy/Ozempic (NovoCare), oral Wegovy | Video visit | Fees non-refundable | All 50 states | Strong insurance/prior-auth support; Medicare patients excluded from cash GLP-1 program | View provider |
Which should you actually pick?
You have insurance that might cover it
Skip cash telehealth entirely until you've checked your formulary. Covered branded meds with a savings card run as low as $25/month. Ro and LifeMD both do prior-auth legwork if you want help; your own doctor can too, free.
Read the cost guideCash-pay, want FDA-approved medication
The pills changed this market: Foundayo from $149/mo (LillyDirect) or the Wegovy pill from $149–199/mo (NovoCare) — with a prescription from your own doctor or any telehealth provider. For injectables, Zepbound vials from $299/mo beat most platform pricing.
Compare direct-pay pricesCash-pay, lowest monthly cost
Compounded programs are cheapest — Mochi (~$178/mo all-in, cancel anytime, video visit with a real provider) is our pick of that group on terms and transparency. Understand first that compounded GLP-1s are not FDA-approved and their legal lane is narrowing.
Know the trade-offsFrequently asked questions
Why is the price I saw advertised so much lower than your table?
Almost every provider advertises a first-month teaser ($39 memberships, $179 intro medication months). Our table shows the ongoing price — what you'll pay from month two or three onward — because that's what you'll actually live with. Teaser prices are noted in the sub-text where relevant.
Is compounded semaglutide the same as Wegovy or Ozempic?
No. Compounded drugs are not FDA-approved, are not tested for safety and effectiveness the way approved drugs are, and the FDA has repeatedly warned companies for marketing them as equivalent. They're prescribed under a patient-specific compounding pathway. Some people choose them for cost reasons; that's a decision to make with clear eyes and a licensed clinician. Full explainer here.
Do any of these work with Medicare or Medicaid?
Most cash telehealth GLP-1 programs exclude Medicare/Medicaid patients (federal billing rules). The big change: since July 1, 2026, eligible Medicare Part D members can get certain GLP-1s for $50/month through manufacturer programs — ask your prescriber, not a telehealth platform.
Can I just ask my own doctor?
Yes — and it's often the cheapest route. Any licensed prescriber can send a prescription to NovoCare Pharmacy or LillyDirect for their self-pay prices, or run insurance the normal way. Telehealth platforms add convenience (fast async intake, no appointment), not access.
How do you make money?
Some provider links pay us a commission if you sign up. It never changes a price or a ranking, and several options we recommend (manufacturer programs, using your own doctor) pay us nothing. Full disclosure here.
GLP-1 prices change monthly. We track them so you don't have to.
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- NovoCare Pharmacy published price guide (Wegovy pill $149–199/mo, Wegovy injection $349/mo, Ozempic $349/mo)
- LillyDirect Self Pay Journey pricing (Zepbound vials $299/$399/$449; Foundayo from $149/mo; Lilly press releases Dec 2025 & Apr 2026)
- Provider published pricing pages and terms: ro.co, hims.com, joinmochi.com, joinfound.com, skinnyrx.com, medvi.org, noom.com, lifemd.com (some figures cross-checked against third-party trackers where provider pages restrict access)
- FDA warning letters: MEDVi LLC (Feb 20, 2026); FDA press announcement re: 30 telehealth marketing letters (Mar 3, 2026)
- Novo Nordisk–Hims & Hers litigation and March 9, 2026 settlement/distribution agreement (public filings and press coverage); Eli Lilly v. Mochi Health (N.D. Cal., ongoing); FTC v. Hims & Hers (July 2026)