GLP-1 treatment isn't a 90-day fix. The BMJ meta-analysis (January 2026) confirmed what clinicians already knew: patients regain weight when they stop. For most people, this means budgeting for ongoing treatment — potentially for years. Here's the real cost math.
Annual Cost by Provider
| Provider | Monthly (Maint.) | Annual Cost | 3-Year Cost |
|---|---|---|---|
| GobyMeds | $99 | $1,188 | $3,564 |
| Oak Longevity | $130 | $1,560 | $4,680 |
| Sunlight | $179 | $2,148 | $6,444 |
| Sesame Care | ~$249 | $2,988 | $8,964 |
| Embody | $279 | $3,348 | $10,044 |
| SHED | $299 | $3,588 | $10,764 |
| Foundayo (brand) | $299-399 | $3,588-4,788 | $10,764-14,364 |
The HSA/FSA Advantage
GLP-1 medications prescribed for a medical condition (obesity, type 2 diabetes) typically qualify as eligible HSA and FSA expenses. Using pre-tax dollars effectively reduces your out-of-pocket cost by your marginal tax rate — typically 22-32% for most employed patients. A $179/month treatment effectively costs $122-$140/month with HSA dollars.
When to Re-evaluate
Budget reviews at 6, 12, and 24 months let you assess whether the monthly cost remains justified by the health benefits. If you've reached your target weight and want to explore reducing costs, strategies include dose reduction (lower maintenance dose at reduced price), switching to a lower-cost provider, and exploring insurance coverage for brand-name alternatives.
GobyMeds $99/mo sema, $133/mo tirz · Direct-to-consumer telehealth. Semaglutide $99/mo bundle, tirzepatide $133/mo bundle. Code x7X72r saves $25.
⚕️ Compounded medications are not FDA-approved. They are prepared by licensed pharmacies under physician supervision.
Oak Longevity $130/mo flat · One of the lowest flat-rate prices available. $130/mo semaglutide, $199/mo tirzepatide at any dose. Free coaching.
⚕️ Compounded medications are not FDA-approved. They are prepared by licensed pharmacies under physician supervision.
Sunlight $159/mo sema, $239/mo tirz · LegitScript certified. Flat pricing — $159 first month, $179 ongoing (semaglutide). No membership, free shipping, HSA/FSA.
⚕️ Compounded medications are not FDA-approved. They are prepared by licensed pharmacies under physician supervision.