The advertised "$149/month" price for GLP-1 medications almost always refers to the starting dose. But most patients titrate up to a maintenance dose within 2–4 months — and that's where the real cost lives. Here's what 12 telehealth providers actually charge at maintenance.
Why Starting Prices Mislead
GLP-1 medications follow a titration schedule. You start at a low dose (typically 0.25mg semaglutide or 2.5mg tirzepatide) and increase gradually over weeks or months. Most patients reach a therapeutic maintenance dose of 1.0–2.4mg semaglutide or 10–15mg tirzepatide. The price at that dose is what you'll pay for the duration of your treatment — potentially years.
Maintenance Dose Pricing Compared
| Provider | Start Price | Maint. Price | Increase | Type |
|---|---|---|---|---|
| Oak Longevity | $130/mo | $130/mo | 0% | Compounded |
| Sunlight | $159/mo | $179/mo | +13% | Compounded |
| GobyMeds | $99/mo | $99/mo | 0% | Compounded |
| Embody | $149/mo | $279/mo | +87% | Compounded |
| SHED | $199/mo | $299/mo | +50% | Compounded |
| Wellorithm | $149/mo | $249/mo | +67% | Compounded |
| Sprout Health | $149/mo | $269/mo | +81% | Compounded |
| Care Bare Rx | $149/mo | $279/mo | +87% | Compounded |
| Found Health | $189/mo | $289/mo | +53% | Both |
| Sesame Care | $99/visit | $249/mo | Varies | Brand-name |
The Flat-Rate Advantage
Providers with flat-rate pricing — where the monthly cost stays the same regardless of dose — offer the most predictable budgeting. Oak Longevity ($130/mo at any dose) and GobyMeds ($99/mo semaglutide bundle) are standout examples.
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.
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.