GLP-1 telehealth in Alabama: the short list
Alabama is one of the most restricted states for compounded-GLP-1 telehealth: Noom Med and SkinnyRx exclude Alabama entirely for compounded medications, and MEDVi serves Alabama with injectables only (no tablets). Branded, FDA-approved medication paths are unaffected — every one of them works in Alabama.
| Option | Available in AL? | Ongoing cost | Notes |
|---|---|---|---|
| Manufacturer direct (Foundayo, Wegovy pill, Zepbound vials) | Yes | $149–449/mo | FDA-approved; needs any licensed prescriber |
| Ro / Hims / LifeMD (branded) | Yes | ~$298–598/mo | All 50 states; membership + branded med |
| Mochi Health (compounded) | Listed all 50 states | ~$178/mo | Confirm at intake; video visit required; compounded meds not FDA-approved |
| MEDVi (compounded) | Injectables only | $299/mo | No tablets in AL; FDA warning letter Feb 2026 |
| SkinnyRx / Noom Med (compounded) | No | — | Alabama excluded per their terms |
What we'd do in Alabama
With the compounded field this thin, the FDA-approved pills are the practical answer for most cash-pay Alabamians: Foundayo from $149/month or the Wegovy pill from $149–199/month, with a prescription from your own doctor or any 50-state telehealth provider — often cheaper than the compounded programs that still serve the state anyway. Full price rundown in the cost guide; availability can change, so confirm at each provider's intake screener.