Compounded semaglutide pricing splits into two structures, and the split matters more than any individual number. Some providers charge the same regardless of your dose. Others tier the price upward as you escalate. Which structure you pick determines whether your month-nine bill looks like your month-one bill.
Key Takeaways
- Flat-price providers charge the same at 0.25 mg as at 2.4 mg. Tiered providers do not.
- Flat pricing usually comes attached to a plan-length commitment — the flat rate and the lock-in travel together.
- Intro-month rates are the most misleading numbers in this category. Several providers advertise a first-month price that is a fraction of the ongoing rate.
- Oral and sublingual semaglutide is consistently cheaper than injectable across the providers publishing both.
- The number that determines your annual cost is the maintenance-dose price, not the starting price.
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 | Pricing structure | Starting price | At maintenance dose | Format |
|---|---|---|---|---|
| Telos Rx | Flat by plan length | $49 first month (sema) | $129–$449/mo depending on plan length chosen | Injectable |
| Wellorithm | Per format | From $147/mo oral | Same published rate | Oral tablet / injectable |
| MadeMed | Per format and tier | Oral from $99/mo · injectable from $179/mo | Tiered upward by dose | Sublingual / injectable |
| Found Health | Per 4-week cycle | $189 per 4-week supply | Same published rate | Dissolvable tablet |
| Yucca Health | Intro then ongoing | $175 first month | $275/mo month-to-month · $206/mo on a 6-month plan | Injectable |
| SHED | Term-dependent | From $199/mo | Converts to $249/mo after the multi-month term | Injectable / lozenge / drops |
| Embody | Intro then ongoing | $69–$99 intro month | Roughly $299/mo ongoing | Injectable |
| Strut Health ⚠️ | Flat published | From about $99/mo sublingual | Same published rate | Sublingual lozenge |
| Direct Meds ⚠️ | Published band | $179–$249/mo | Within the same band | Sublingual drops |
The two structures, and who each one suits
Flat pricing suits people who expect to escalate. If you anticipate reaching a maintenance dose in the upper half of the range, a flat rate that looks unremarkable at 0.25 mg becomes the cheaper option by month six. The cost is commitment: flat rates are almost always tied to a plan length.
Tiered pricing suits people who want to test the water. If you are unsure whether you will tolerate the medication at all, paying a lower starting-dose price for the first two months and retaining the option to leave has genuine value. You pay for that flexibility later.
The trap is picking a flat plan because the headline number is low and then discovering that the plan length is twelve months, or picking a tiered plan on the starting price and being surprised by month five.
Wellorithm
Lowest published oral price- Compounded tablet format — no needles, no cold chain
- Publishes per-format pricing rather than bundling everything into one plan
- Injectable options also offered
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.
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.
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.
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.
Reading intro pricing honestly
Several providers in this category advertise a first-month rate that is well under half the ongoing rate. That is a legitimate promotional structure — it lowers the barrier to trying something expensive — but it should never be the number you plan around.
The arithmetic that matters: multiply the ongoing rate by eleven, add the intro month, and divide by twelve. That is your real average monthly cost in year one, and it is usually much closer to the ongoing rate than to the intro rate.
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.
Embody
Injectable semaglutide- Injectable semaglutide program
- Promotional intro pricing varies by landing page
- HSA/FSA accepted
Intro-versus-ongoing: Embody's headline price is a first-month promotional rate. Per its published terms, ongoing semaglutide refills are substantially higher. Budget from the refill number. Embody's injectable semaglutide line is what we cover — we do not promote its oral gum product.
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.
Strut Health
Sublingual lozenge- One of the lowest published sublingual semaglutide rates
- Lozenge format; no refrigeration for the sublingual line
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.
Direct Meds
Sublingual drops- Drop format measured by dropper rather than tablet count
- Published pricing has not been refreshed recently — confirm at checkout
Our last verified pricing pass on Direct Meds is older than our other entries. Treat the numbers here as a starting point and confirm current rates before ordering.
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.
What is not in this table
Shipping fees where they exist, membership fees on brand-name pathways, the cost of syringes and sharps disposal on injectable plans, and any lab work a provider requires. None of these are large individually. Together they can move a monthly comparison by enough to change the ranking.
Frequently Asked Questions
Which compounded semaglutide is cheapest?
On published rates for the oral format, the lowest figures in this table sit in the $99–$147 range. On the injectable format the picture depends heavily on plan length, because the providers with the lowest headline injectable rates tie them to longer commitments.
Does a higher dose always cost more?
Only with tiered providers. Flat-price providers charge the same regardless of dose, which is the entire point of the structure.
Is compounded semaglutide FDA-approved?
No. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality before marketing.
Why do some providers not publish prices at all?
Some surface pricing only inside the intake flow. That is not automatically a red flag, but it does mean you cannot comparison-shop without completing part of a signup.