Nearly every GLP-1 telehealth plan is a subscription, and the terms that govern it are where the actual cost lives. A plan that is cheap per month and impossible to leave is more expensive than its price suggests.
Key Takeaways
- Cancellation windows are commonly stated in hours before the next billing date, not days.
- Pause options are far less common than cancellation options, and are the more useful feature for most people.
- Multi-month plans are usually prepaid or committed — cancelling stops future renewal but does not refund the term.
- Refund posture varies from a stated results guarantee to refunds only on medical disqualification.
- Providers with no subscription at all are a small minority, and that structure is worth weighing separately.
How we built this table
Every figure here comes from the provider's own published pricing or intake flow as of our most recent verification pass. Where a provider publishes a range rather than a single number, we show the range. Where pricing only appears after you complete an intake, we say so rather than guessing. We do not estimate, average, or fill gaps — a blank is a blank.
Prices in this category move often. Treat this table as a starting shortlist and confirm the current number at checkout before you commit to a multi-month plan.
| Provider | Billing structure | Cancellation | Notable term |
|---|---|---|---|
| Telos Rx | Plan-length commitment; monthly rate set by term | Cancel anytime per published terms | Longer plans carry the lower rate — the discount is the lock-in |
| Found Health | 4-week recurring cycle | Standard subscription cancellation | 13 billing events a year, not 12 |
| Yucca Health | Monthly or 6-month plan | Plan-dependent | Financing available on 6-month plans via third-party providers |
| SHED | Multi-month term that converts to an ongoing rate | Standard cancellation | 120-day results guarantee terms updated June 2026; rate converts after the initial term |
| MadeMed | Monthly or quarterly | Standard cancellation | Quarterly billing lowers the effective monthly rate but bills in a lump |
| Wellorithm | Recurring | Standard cancellation | Per-format pricing published up front |
| Sesame Care | Pay per visit — no subscription for the visit itself | Not applicable to visits | Medication cost is separate from the visit fee |
| Care Bare Rx | Surfaces at intake | Surfaces at intake | Confirm the terms before completing signup |
The three terms that actually matter
The cancellation window. Most providers require cancellation some number of hours before the next billing date. If your renewal is the 15th and the window is 72 hours, cancelling on the 13th does not stop the charge. Find this number before you sign up, not when you want to leave.
Whether pause exists. Travel, a supply gap, a month where money is tight — these are the real reasons people want to stop temporarily. A provider offering pause lets you keep your place. One that only offers cancellation forces a full re-intake later.
What happens to a committed term. On a multi-month plan, cancelling typically prevents the next term from starting rather than unwinding the current one. That is the trade you accepted for the lower rate, and it is reasonable — but only if you knew you were accepting it.
Telos Rx (Tirzepatide)
Flat pricing by plan length- Price is flat regardless of dose tier once your plan is set
- 12-month plan carries the lowest monthly rate; 1-month is the highest
- Cancel anytime; FSA/HSA accepted
Telos publishes plan-length pricing rather than dose-tier pricing, so the number you see at signup depends on the commitment you choose, not the milligrams you take.
Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed. Compounded GLP-1 medications are prepared by state-licensed pharmacies and are not the same as FDA-approved brand products.
SHED
Multi-format- Carries brand-name options alongside compounded: Wegovy pen $199, oral Wegovy pill $149, Zepbound $349 plus a $99 membership
- 120-day results guarantee (terms updated June 10, 2026)
- Multi-month terms convert to a different ongoing rate — read the conversion language
Price-jump disclosure: SHED's tirzepatide pricing increases to $399/mo once you reach the 7.5 mg maintenance tier. Budget for the higher number, not the entry number.
Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed. Compounded GLP-1 medications are prepared by state-licensed pharmacies and are not the same as FDA-approved brand products.
Found Health
4-week billing cycle- Bills in 4-week cycles, not calendar months — 13 cycles a year, not 12
- Behavior-change coaching bundled with the medication track
- Dissolvable tablet format
A 4-week cycle means your true annual cost is 13 × the quoted price. Worth doing the multiplication before comparing against a monthly-billed competitor.
Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed. Compounded GLP-1 medications are prepared by state-licensed pharmacies and are not the same as FDA-approved brand products.
Refund posture, ranked by how much it protects you
- Stated results guarantee with published criteria. The strongest position, and rare. Read the criteria — guarantees usually require documented adherence over a defined period.
- Refund on medical disqualification. If the clinician declines you, your money comes back. This is close to a baseline expectation rather than a benefit.
- No refunds on shipped medication. The most common position across the category, and defensible: compounded medication cannot be restocked or resold once it leaves the pharmacy.
The practical consequence is that your leverage exists before shipment, not after. Cancelling before a refill ships is a very different situation from cancelling after.
MadeMed (Injectable Semaglutide)
Injectable- Monthly and quarterly billing options
- L-carnitine included in the injectable formulation
- Membership program available for refill discounts
Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed. Compounded GLP-1 medications are prepared by state-licensed pharmacies and are not the same as FDA-approved brand products.
Yucca Health
Injectable only- Clear intro-versus-ongoing split published up front
- Free UPS 2-Day Air shipping
- Klarna, Affirm and Afterpay available on 6-month plans
Injectable only. Yucca's headline promo rate is tied to the 6-month new-patient plan — the month-to-month rate is substantially higher.
Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed. Compounded GLP-1 medications are prepared by state-licensed pharmacies and are not the same as FDA-approved brand products.
Sesame Care
Brand-name only- Marketplace model — you book a licensed clinician and pay per visit
- Brand-name FDA-approved medications only; Sesame does not offer compounded GLP-1s
- Useful reference point against NovoCare and LillyDirect self-pay pricing
Because Sesame routes to brand-name products only, it is the cleanest apples-to-apples comparison against compounded pricing elsewhere in this table.
Frequently Asked Questions
Can you pause a GLP-1 subscription?
Some providers offer it and some do not. Pause is less commonly offered than cancellation, so check for it specifically rather than assuming it exists.
What happens if you cancel mid-term on a multi-month plan?
Typically the current term stands and the next one does not start. Prepaid multi-month plans are generally not refunded pro rata.
Do you get a refund if the medication does not work?
Only where a provider publishes a results guarantee, and then only under its stated criteria. Most providers do not refund shipped compounded medication.
Is a no-subscription provider better?
It removes renewal risk entirely, which is a real advantage. The trade is usually a higher per-order price and no continuity of care built into the structure.