Best Telemedicine for Compounded GLP-1 Medications (2026)
Our expert picks for the best telemedicine providers offering compounded semaglutide and tirzepatide. Compare pricing from $45/mo, pharmacy certifications, and support.
How We Ranked
We evaluated 50+ telemedicine providers offering compounded GLP-1 medications based on pricing transparency, pharmacy quality certifications, customer reviews, medication availability, and overall patient experience.
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Provider Rankings
Ro
Best Overall - $45 First Month
Why #1?
Ro offers compounded semaglutide at just $45 for the first month, then $145/mo ongoing - one of the lowest prices in the market. Their LegitScript certification, integrated coaching program, and Novo Nordisk partnership for Wegovy pill/injection backup makes them our top pick for value and quality.
Pros
- + Established, trusted telehealth brand
- + LegitScript certified
- + FDA-approved medications available
- + Integrated coaching and lifestyle support
Cons
- - Premium pricing compared to compounding-only providers
- - No insurance accepted
- - Limited to injectable medications
Ivim Health
Best Budget Option - From $75/mo
Why #2?
Ivim Health offers compounded semaglutide from just $75/mo plus a $75/mo membership (first month free). With 25,000+ 5-star Trustpilot reviews and clinical outcomes exceeding trial results (19.5% weight loss at 52 weeks), they're the top-rated budget choice.
Pros
- + Top-rated on Trustpilot (25,000+ 5-star reviews)
- + Over 470,000 patients served
- + Compounded semaglutide from $75/mo (one of lowest prices)
- + Available in all 50 states
Cons
- - Compounded medications not FDA-approved
- - Cash-pay only (no insurance)
- - $75/mo membership fee plus medication
- - Limited-time promotional pricing through Jan 31, 2026
Hims & Hers
Best Value & Flexibility
Why #3?
Hims offers injectable semaglutide at $199/mo (6-month plan) or oral options from $69/mo. Their nationwide availability, month-to-month flexibility, tirzepatide at $349/mo, and quick customer service make them excellent for patients wanting medication options.
Pros
- + Both injectable and oral options available
- + Direct partnership with Novo Nordisk
- + Quick customer service response
- + Competitive pricing for compounded medications
Cons
- - No insurance accepted
- - Best pricing requires upfront payment for multi-month plans
- - Limited coaching compared to some competitors
OrderlyMeds
Best 3-Month Starter Pricing
Why #4?
OrderlyMeds offers a 3-month starter at just $83/mo ($249 total) for compounded semaglutide, making it ideal for patients wanting to try GLP-1s affordably. Available in all 50 states with HSA/FSA accepted.
Pros
- + Both semaglutide and tirzepatide available
- + Weight management program approach
- + Personalized eligibility assessment
- + Online convenience
Cons
- - Calculator-based pricing (not publicly listed)
- - Some complaints about expired medication and incorrect prescriptions
- - 4 unresolved BBB complaints
- - Must check eligibility for details
TrimRX
Best All-Inclusive Pricing
Why #5?
TrimRX offers $199/mo compounded semaglutide and $349/mo tirzepatide with truly all-inclusive pricing - consultation, medication, supplies, shipping, and monitoring included. No hidden fees or surprise costs.
Pros
- + All-inclusive pricing (consultation, medication, supplies, shipping)
- + Competitive compounded prices ($199 semaglutide, $349 tirzepatide)
- + FDA-registered pharmacy preparation
- + Ongoing monitoring and follow-up included
Cons
- - Compounded medications not FDA-approved
- - No brand-name options available
- - Cash-pay only (no insurance accepted)
- - BBB complaints about billing (unexpected charges, full year charged instead of monthly)
What Are Compounded GLP-1 Medications?
Compounded GLP-1 medications are custom-prepared versions of semaglutide and tirzepatide made by licensed compounding pharmacies. They offer a more affordable alternative to brand-name medications like Ozempic, Wegovy, Mounjaro, and Zepbound.
Important note: Compounded medications are not FDA-approved but are legal when prescribed by a licensed provider and prepared by a licensed 503A or 503B pharmacy during a drug shortage.
How Much Can You Save with Compounding? (February 2026)
| Medication | Brand-Name | Compounded | Savings |
|---|---|---|---|
| Semaglutide | $349-499/mo (Wegovy) | $45-199/mo | 60-90% |
| Tirzepatide | $299-449/mo (Zepbound) | $149-349/mo | 25-65% |
Note: Brand-name prices have dropped significantly in late 2025/early 2026 with Wegovy pill ($149/mo), NovoCare intro pricing ($199/mo), and LillyDirect reductions ($299-449/mo), narrowing the gap with compounded options.
What to Look for in a Compounded GLP-1 Provider
When choosing a telemedicine provider for compounded medications, prioritize:
- Quality certifications - Look for Valisure, LegitScript, or NABP-accredited pharmacy partners
- Transparent pricing - Avoid providers with hidden fees or unclear dose escalation costs
- Reputable pharmacy partnerships - Ask about their compounding pharmacy’s credentials
- Ongoing support - Consider providers offering coaching or regular check-ins
FAQs About Compounded GLP-1s
Are compounded GLP-1s safe?
When obtained through reputable telemedicine providers using certified compounding pharmacies, compounded GLP-1s can maintain high quality standards. Look for providers with Valisure or LegitScript certifications.
How long will compounded GLP-1s be available?
The FDA permits compounding during drug shortages. Semaglutide has been on the FDA shortage list since 2022. Availability may change as manufacturers increase production.
Can I switch from compounded to brand-name later?
Yes. Many providers offer both options, making it easy to transition to FDA-approved medications when desired or when insurance coverage becomes available.
Our Methodology
Our ranking methodology weighs five key factors:
Pricing & Transparency (25%): Clear pricing structure, no hidden fees, competitive rates compared to market averages.
Quality Certifications (25%): Valisure testing, LegitScript certification, NABP accreditation, and pharmacy partner credentials.
Customer Experience (20%): Trustpilot and Google ratings, response times, ease of platform use, and prescription fulfillment speed.
Medication Options (15%): Variety of formulations (injectable, oral), dose flexibility, and availability of both semaglutide and tirzepatide.
Support & Coaching (15%): Included services like physician access, lifestyle coaching, nutrition guidance, and ongoing check-ins.
Rankings are updated monthly based on pricing changes, new certifications, and fresh customer feedback.
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