The short version
Almost every GLP-1 telehealth company advertises a monthly price that is not what you will actually pay in a year. The three things that move the real number are the medication you receive (a compounded preparation or an FDA-approved brand), how often the card is charged, and how narrow the refund window is. Those three facts are rarely on the landing page. They are in the terms.
Comparison: seven GLP-1 providers, side by side
| Provider | What you actually receive | Advertised starting price | How often you are billed | Refund once a prescription is written |
|---|---|---|---|---|
|
Ro (ro.co) |
FDA-approved branded GLP-1s, including Zepbound and the Wegovy pill. Insurance-first model. | Membership $39 first month, then $149/month, or as low as $74/month prepaid annually. Medication is not included in that price. | Monthly, or annually if you prepay | Not the main risk here — the risk is that the membership fee is separate from an uncapped medication cost |
|
Trimi (trytrimi.com) |
Compounded semaglutide and compounded tirzepatide. Not FDA-approved. | Compounded semaglutide $99/month; compounded tirzepatide $125/month. All doses the same price. | Monthly | Full refund, including the consultation fee, if you cancel before a clinician writes the prescription, or if a clinician declines you. After the prescription is issued, the order is final. |
|
TrimRx (trimrx.com) |
Compounded semaglutide and compounded tirzepatide, shipped by an independent state-licensed compounding pharmacy. Not FDA-approved. | GLP-1 from $179/month; GLP-1 + GIP from $259/month | Recurring subscription | Refunds granted in only two situations: a provider finds you medically ineligible, or TrimRx makes a billing error. Requests must be in writing within 28 days. |
|
WellMedr (wellmedr.com) |
Compounded semaglutide and tirzepatide from licensed US pharmacies. Also sells brand-name Ozempic as a cash-pay option. | Compounded semaglutide from $59/month; compounded tirzepatide from $99/month; brand Ozempic from $1,399/month | Every 21 days, not monthly | All subscription charges are final once processed. No refund if you miss the cancellation deadline. Full refund only if a provider finds you ineligible before a prescription is issued. |
|
SkinnyRx (skinnyrx.com) |
Compounded semaglutide and compounded tirzepatide, injectable or tablet. Two FDA-approved options are listed but were unavailable and unpriced when we checked. | Compounded semaglutide from $199/month; compounded tirzepatide from $299/month. Both shown as "as low as". | Auto-renewing monthly; renewal may be charged up to 5 days early | None once the prescription review is complete. Cancelling a promotional term can reverse the discount, so refunds may be smaller than the unused portion |
|
Embody (joinem.co) Visit site ↗ (affiliate) |
Compounded semaglutide and compounded tirzepatide/GIP. Not FDA-approved. | From $79/month semaglutide, $129/month tirzepatide — both under a site-wide promotional banner | Monthly, with a 72-hour cancellation notice requirement | None once the medication is ordered, which for new patients can be at intake submission. Full refund if a provider disqualifies you |
|
Bodybuilding Health+ (bbhealthplus.com) |
Compounded semaglutide and compounded tirzepatide. Operated by Dynamo Group LLC, not by Bodybuilding.com. | Semaglutide $179/mo (1 month) down to $139/mo (12 months); tirzepatide $209/mo down to $159/mo. Every tier published. | By term: 1, 3, 6 or 12 months | Terms state all sales are final and consultation fees are non-refundable |
Read the full review of each provider
The table above is the summary. Each provider has its own page where we walk through the pricing, the operating entity, the refund terms and who it actually suits:
- Embody review — the lowest headline price we have found at $79 a month, promotional, with a 72-hour cancellation notice that catches people out. Visit Embody ↗ (affiliate)
- SkinnyRx review — from $199 a month, and a 90-day money-back guarantee that requires weekly weight and dose logging in their app for thirteen straight weeks.
- Bodybuilding Health+ review — every price tier published up front, from $139 a month, attached to an all-sales-final refund policy.
- WellMedr review — cheapest headline price in the market, billed every 21 days, with two contradictory cancellation windows on the same policy page.
- Trimi Health review — $99–$125 a month, FSA/HSA eligible, and the fairest pre-prescription refund policy we read.
- TrimRx review — $179–$259 a month, operated by MetaFit Pharma Solutions LLC, with one of the narrowest refund policies we have read.
- Ro weight loss review — the only insurance-first option here, offering FDA-approved branded medication, with the drug billed separately from the membership.
1. “$59 a month” is not $59 a month
This is the single most important thing on this page. WellMedr advertises compounded semaglutide from $59 a month and says shipments arrive every four weeks. Its Refund and Cancellation Policy states that the subscription automatically renews every 21 days.
A 21-day cycle is not a month. There are roughly 17.4 twenty-one-day periods in a year, not 12. If the renewal amount were $59, a year of treatment would cost in the region of $1,025 rather than $708 — an effective cost closer to $85 a month than $59. We have not been billed by WellMedr ourselves, so we are reporting what the policy says rather than what a statement shows. Anyone considering this plan should ask WellMedr directly, in writing, how many times per year the card will be charged and at what amount.
The wider lesson applies to every company in this category: before you enter a card, find the billing interval in the terms and multiply it out across twelve months. Compare annual totals, never headline monthly figures.
2. Compounded semaglutide is not Ozempic, and the companies say so themselves
Six of the seven providers above dispense compounded preparations rather than FDA-approved branded medication. To their credit, they disclose it — but the disclosure is usually in a safety notice or a definitions section rather than next to the price.
TrimRx’s terms and conditions state plainly that compounded medications are not FDA-approved, that the FDA does not evaluate compounded drugs for safety, efficacy or quality, and that a compounded medication is not a generic version of an approved drug and should not be treated as one. WellMedr carries a required safety notice on its weight-loss page saying its compounded GLP-1s are regulated by state boards of pharmacy but are not evaluated by the FDA for safety or efficacy. Trimi describes its products as compounded semaglutide and tirzepatide in the product names themselves, which is the most honest placement of the four.
None of this makes compounded medication automatically a bad choice, and it is often dramatically cheaper. It does mean the comparison is not like-for-like. A $99 compounded plan and a $1,399 brand-name Ozempic plan are not two prices for the same thing, and any site that puts them in the same ranking without saying so is misleading you.
If you specifically want the FDA-approved branded product, Ro is the only provider in this comparison built around that, and its model starts with checking what your insurance will cover.
3. The refund window usually closes the moment a clinician writes the prescription
This is consistent across the compounding providers, and the reasoning is legitimate: a compounded dose is prepared for one named patient and cannot lawfully be restocked or resold. The practical consequence is that your window to get money back is short and it closes early — often before anything has even shipped.
Where they differ is in how clearly they tell you, and how much you get back. Trimi’s policy opens with a plain-language summary and commits to returning the consultation fee as well as the medication cost if a clinician declines you. TrimRx limits refunds to medical ineligibility or its own billing error, and requires the request in writing within 28 days. WellMedr says charges are final once processed and gives no refund if you cancel late.
4. One provider’s cancellation deadline contradicts itself
WellMedr’s refund and cancellation page gives two different notice periods. The subscription and billing section says cancellation must be submitted at least 48 hours before the renewal date. The cancellation policy section further down the same page says the request must be received at least 72 hours before the billing date.
We are not suggesting this is deliberate; documents drift as companies change policy. But it matters, because on this provider’s own terms a late cancellation is non-refundable, and the page does not tell you which of the two deadlines governs. If you sign up, cancel with more than 72 hours to spare, keep the email, and do not rely on an in-account toggle alone.
What we could not verify
We are publishing the gaps as well as the findings, because a review site that only tells you what it found is easy to trust and hard to check.
We could not reach one advertiser in this category, MEDVi, to check its pricing. When we requested its website the connection was redirected to a third-party domain that our network’s security filtering flagged and blocked. We did not attempt to work around that block, and we are not drawing any conclusion about MEDVi from it — a flagged redirect can come from an advertising or tracking intermediary rather than the company itself. We simply have not been able to verify their terms, so they are not in the table.
We also have not independently tested any provider’s checkout, shipping times, or cancellation process. Where we say something is in a policy, we read the policy. Where we have not tested something, we say so rather than implying we have.
Guides worth reading before you buy
- GLP-1 cost without insurance in 2026 — every verified price annualised to a real cost per 365 days. The 21-day billing cycle flips the ranking on tirzepatide.
- Compounded vs. FDA-approved GLP-1s — what the FDA actually says in 2026, including ingredients that cannot legally be compounded, salt-form warnings, documented dosing errors and cold-chain failures.
- Is compounded semaglutide legal? — how compounding law actually works, what is clearly off-limits, and a six-step checklist for vetting any seller before you pay.
- How to cancel a GLP-1 subscription — the notice window for each provider, and how to cancel in a way that holds up if you end up disputing a charge.
How to compare these yourself in five minutes
Open the provider’s terms and refund policy before the quiz, not after. Search the page for the words renew, billing, cancel and refund. Write down the billing interval and multiply the charge across a full year. Check whether the words compounded or FDA-approved appear next to the medication name. Check whether the consultation fee is refundable separately from the medication. Then decide.
Our full criteria are published in How We Review GLP-1 Providers. Pages on this site have not been clinically reviewed, and nothing here is medical advice — please read our Medical Disclaimer before acting on any of it.