Rankings
Best Compounded GLP-1 Providers
Compounded semaglutide and tirzepatide are not FDA-approved and are not equivalent to Ozempic, Wegovy, Mounjaro or Zepbound beyond a shared active ingredient. If you have read that and still want the cash-pay route, these are the providers with the cleanest records.
Read this before the rankings. Compounded medications are prepared by licensed pharmacies for patient-specific prescriptions. They are not FDA-approved, are not evaluated by the FDA for safety, effectiveness or quality, and have not been through the trials that produced the weight-loss figures you have read about. The FDA has issued well over 100 warning letters to telehealth companies since September 2025 for marketing compounded GLP-1s as equivalent to approved products — around a dozen of them appear elsewhere on this site. If an approved product is available to you through insurance, that is the better route.
How this page is built:rankings draw on our individual provider reviews, and every price shown was checked against the provider's own site on 7 August 2026. Providers appear here only where we could verify the specific figures the ranking depends on — an absence means we lacked verified data, not that a provider was judged poorly. Prices change frequently; confirm your own quote before paying.
Excluded from this page: every provider carrying an FDA warning letter, and every provider whose own marketing describes compounded medication as FDA-approved. Those reviews remain on the site; they simply do not belong on a recommendations page.
Affiliate disclosure: GLP1Drugs.org earns a commission if you sign up with some providers listed here. It does not change the order of these rankings or the caveats attached to each entry. See our affiliate disclosure.
Ranked By Our Rating
| # | Provider | Rating | Semaglutide | Tirzepatide | States | Stands out for | Know before you buy |
|---|---|---|---|---|---|---|---|
| 1 | CoreAge Rx | ★ 4.9 | — | — | — | Flat-rate pricing at every dose with NABP-verified 503A pharmacies | Our commercial partner — we say so on every page that recommends it |
| 2 | SuperHealthy Rx | ★ 4.8 | $85/month advertised | $135/month advertised | — | Separate public semaglutide and tirzepatide offers; online assessment and prescribed delivery | Confirm the final quote, pharmacy and reason for compounding. Not FDA-approved. |
| 3 | Likeness Rx | ★ 4.7 | From $79/month | From $129/month | — | Likeness Rx offers online access to compounded semaglutide and tirzepatide. Its public page lists semaglutide from $79/month; tirzepatide from $129/month. | These are provider-published terms checked October 4, 2026. Prescription approval is conditional. Compounded medications are not FDA-approved; we have not tested the treatment, pharmacy fulfillment or patient outcomes. |
| 4 | Mochi Health | ★ 4.7 | — | — | — | Board-certified obesity medicine specialists, with brand-name and compounded options | Costs more than the flat-rate compounding platforms |
| 5 | Trimi Health | ★ 4.6 | $99/month | $125/month | — | Flat pricing at every dose on both molecules, with free overnight shipping | Compounded only — no brand-name or insurance route |
| 6 | Peak Wellness | ★ 4.6 | $129/month | — | All 50 states | Sub-4-hour physician review, HSA/FSA eligible, all 50 states | Semaglutide-led; confirm tirzepatide pricing separately |
| 7 | Piper | ★ 4.6 | $135/month | $199/month | — | Overnight shipping with flat-rate pricing on both molecules | Tirzepatide costs meaningfully more than the cheapest platforms |
| 8 | Found | ★ 4.6 | $99/month | — | — | Insurance-friendly with 10+ medications; Medicare accepted, brand GLP-1s from $50/month for eligible members | The lowest prices depend on your coverage, not on the list price |
| 9 | Rx Pros Health | ★ 4.5 | $99.99/month | — | — | Flat-rate at all dosages with B-vitamin blends and free overnight shipping | Compounded only, cash-pay only |
| 10 | WeightlessRx | ★ 4.5 | $199/month | — | — | All-inclusive pricing with integrated nutrition and fitness coaching | You are paying for the coaching — cheaper if you only want medication |
| 11 | WeightRx | ★ 4.4 | $99/month | — | — | Same-day consultations and a 30-day money-back guarantee | 24/7 access is a support line, not a clinician on demand |
| 12 | Breeze Meds | ★ 4.4 | $199/month | — | — | Injectable and oral options with named pharmacy partners | $199 is above the flat-rate discounters |
| 13 | Shed (formerly ShedRx) | ★ 4.3 | $159/month | ~$239/month | — | The widest format range anywhere: injections, drops, lozenges, FDA-approved oral Foundayo, plus Wegovy and Zepbound | 250 BBB complaints in three years, clustered on billing after cancellation |
| 14 | CareBareRx | ★ 4.3 | $199/month | — | — | Named physicians with published NPI numbers and four named pharmacies | New brand with limited independent review data |
| 15 | Cora Health | ★ 4.2 | $99/month | $135/month | All 50 states | Two named PCAB-accredited pharmacies, all-inclusive pricing on both molecules, HSA/FSA accepted | The headline rates need an annual commitment — monthly terms run to $175 and $225 |
| 16 | Live Vital | ★ 4.2 | $99/month | — | — | Named medical director and 503A pharmacy sourcing at a $99 entry price | Also sells peptides that are not FDA-approved for the uses marketed |
| 17 | Gala Health | ★ 4.2 | — | $149/month | — | The cheapest verified compounded tirzepatide, with flat dose pricing | Tirzepatide-focused; does not name its pharmacy partners |
| 18 | Telos Rx | ★ 4.1 | — | $49/month intro | — | LegitScript-certified newcomer with quarterly labs and 48-hour shipping | $49 is microdosed intro pricing — confirm the ongoing rate and dose |
| 19 | Alloy Women's Health | ★ 4 | $70/month medication only | — | 43 states | Menopause-specialised physicians, with brand-name Wegovy, Zepbound and Foundayo alongside compounded | The $70 excludes the $99/month service fee, so budget nearer $169 all-in; seven states excluded |
| 20 | MadeMed | ★ 3.9 | $99/month | — | 40 states | Consults, follow-ups and shipping included, LegitScript certified, no FDA letter | Only 40 states — check yours before starting |
| 21 | YourEra | ★ 3.8 | $99/month | — | — | Flat dose pricing with an owned pharmacy | Requires a 6-month plan, and has almost no independent track record |
| 22 | Oak Longevity | ★ 3.6 | $130/month advertised | — | All 50 states | No membership fee and flat dose pricing, with no FDA warning letter | The $130 is a multi-month rate; a single month is reported nearer $235 |
| 23 | Bodybuilding Health+ | ★ 3.4 | $139/month | $139/month | — | Honest compounding disclosure and a clear price ladder down to $139 on an annual plan | The consult fee is non-refundable even if a clinician declines you |
| 24 | Embody | ★ 3 | $69/month | — | 49 states | The cheapest verified per-month rate we have found, on a prepaid annual plan | BBB rates the operator F for 17 unanswered complaints; the one-month plan lists a $299 regular price |
Five Questions To Ask Before You Pay
A provider that answers all five clearly is one you can work with. One that deflects on any of them has told you something useful.
Which pharmacy is filling my prescription, and is it 503A or 503B?
503A pharmacies compound for individual patients; 503B outsourcing facilities operate under stricter, FDA-inspected manufacturing standards. Either can be appropriate, but a provider that will not tell you which is filling your order is withholding the single most relevant quality fact.
What clinical basis supports compounding this for me?
Tirzepatide came off the FDA shortage list in December 2024 and semaglutide in February 2025. Once a drug is no longer in shortage, pharmacies may not routinely compound what amounts to a copy of the commercial product; patient-specific compounding for a documented clinical need remains lawful. A provider that cannot answer this clearly is worth avoiding.
Can I see the certificate of analysis for my batch?
Potency and sterility testing is the difference between a compounded product you can rely on and one you cannot. Providers that publish batch documentation are demonstrably more confident in it than those that reference "third-party tested" and stop there.
What is the price at the dose I will end up on?
Flat-rate pricing at every dose means the quote survives titration. Dose-tiered pricing means it does not, and almost everyone titrates upward.
What happens to my money if I cannot tolerate it?
Federal rules genuinely prevent returning dispensed medication, so no provider can refund an opened vial. But the terms vary enormously beyond that — some refund if a clinician declines you, some refund nothing once an order is placed, and at least one charges a non-refundable consult fee even when it turns you down.
Keep reading
Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Always consult a licensed healthcare provider before starting or changing any treatment. Compounded medications are not FDA-approved, are not evaluated by the FDA for safety, effectiveness or quality, and are not equivalent to the branded drug beyond sharing an active ingredient. GLP-1 medications commonly cause nausea, vomiting, diarrhoea and constipation, and carry risks including pancreatitis, gallbladder disease and kidney injury; they are contraindicated in people with a personal or family history of medullary thyroid carcinoma or MEN 2, and should not be used in pregnancy, when trying to conceive, or while breastfeeding. Prescribing is subject to clinician approval and is never guaranteed. Individual results vary and no outcome is promised.