The GLP-1 shopping process got messier in 2026, not simpler. Warning letters, brand-name settlement pressure, and new oral-drug pricing all landed close together, which made pharmacy identity and real cash price matter more than polished signup pages.

Quick Comparison

Provider	Compounded Tirz Starting Price	Semaglutide Option	Ships To	Key Differentiator
HealthRX	~$149/mo	~$99/mo	All 50 states	Named 503A pharmacy, overnight free shipping, LegitScript cert
FormBlends	~$349/vial	~$299/vial	47 states	Published HPLC/mass spec purity data, broad peptide catalog
Mochi Health	~$199/mo	~$99/mo	Most states	Board-certified obesity-medicine clinicians, more monitoring
Henry Meds	~$179-249 mo 1	Yes	Most states	Cash-pay, fast 24-72h shipping
MEDVi	~$179 mo 1	Yes	Most states	No contracts, compounded
Hims & Hers	Zepbound ~$399/mo	Oral ~$249	Wide	Exited compounded GLP-1 post-settlement, now branded only
Ro Body	Billed separately	Yes	Wide	~$39 first month, prior-auth insurance team
Found	Meds separate	Yes	Wide	~$99/mo platform + coaching
PlushCare	Branded, ins.	Yes	Wide	~$19.99/mo membership, same-day visits
Sesame	Meds separate	Yes	Wide	From ~$59/mo annual, à la carte model

1. HealthRX

Price is the headline here. Compounded tirzepatide at roughly $149 a month is among the lowest cash prices visible in this market right now. What holds up the value case is the supply chain: medication is dispensed through Manifest Pharmacy in Greer, South Carolina, a 503A compounding pharmacy operating under USP-797 standards with lot-level tracking from bench to delivery. That is a named, auditable source, not a vague “licensed pharmacy.” LegitScript certification (cert number 50087439) adds another layer of independent verification most budget competitors skip.

Turnaround is quick. A board-certified physician reviews your online health assessment within about 24 hours, and medication ships overnight at no extra charge to all 50 states. That nationwide reach with free overnight shipping is genuinely rare at this price point. The clinical data HealthRX points to comes from published trials: tirzepatide showed roughly 21% average body weight reduction at 72 weeks in SURMOUNT-1, semaglutide around 15% at 68 weeks in STEP 1. Those are trial figures, not the brand’s own outcomes.

Compounded medications are not FDA-approved. That caveat applies here as it does everywhere below.

2. FormBlends

FormBlends lands at number two for a specific type of buyer. Pricing is higher, around $299 for compounded semaglutide and $349 for tirzepatide per vial, so it is not the budget pick. It earns its place by publishing per-product purity documentation: HPLC purity percentages, mass spectrometry identity confirmation, and endotoxin and sterility results. For people who want to see lab data before injecting anything, that transparency is hard to find elsewhere. The dispensing pharmacy is FDA-registered and 503A-compliant.

Ships to 47 states, not all 50. The other thing that separates FormBlends from most GLP-1-only telehealth brands is a broader peptide catalog, recovery, longevity, and cognitive peptides, all under the same physician-supervised model. Someone managing both a weight loss protocol and, say, a recovery peptide regimen can do it from one provider. For pure affordability, HealthRX wins. For documented purity plus a wider catalog, FormBlends is the call.

3. Mochi Health

Mochi uses board-certified obesity-medicine physicians, not just general practitioners. That specialty focus matters when dosing adjustments or side effect conversations come up. Monthly cash pricing sits at roughly $99 for compounded semaglutide and $199 for tirzepatide. More clinical monitoring than most low-cost options. Not the cheapest, but the clinical depth is real.

4. Henry Meds

Henry keeps it simple. Cash-pay only, compounded medications, no insurance gymnastics. First-month pricing lands around $179 to $249 depending on medication and dose, and shipping is fast, typically 24 to 72 hours. Lighter on monitoring than Mochi, which matters if you want hands-on clinical check-ins. If you want affordable and quick without much back-and-forth, Henry is a reasonable fit.

5. MEDVi

MEDVi’s structure is month-to-month, no contracts. First-month compounded tirzepatide starts around $179. Straightforward cash pricing, compounded meds, and no long-term commitment make it worth considering if you are testing the waters before committing to a longer program.

6. Hims & Hers

After the March 2026 Novo Nordisk settlement, Hims & Hers exited compounded GLP-1s. It now offers branded medications: injectable Wegovy around $299 a month, oral semaglutide around $249, and Zepbound around $399. With insurance and a savings card, costs can drop to $0 to $25. That is a strong outcome for insured patients. For uninsured cash-pay buyers, branded pricing is a different conversation entirely.

7. Ro Body

Ro’s first month runs about $39, then $74 to $149 monthly, with medications billed separately on top. The platform has a prior-authorization team, which is useful for anyone attempting to get branded GLP-1s covered by insurance. Total cost depends heavily on what your plan will cover.

8. Found

Found charges around $99 a month for platform access and coaching, with medication costs added on separately. The coaching layer appeals to people who want behavioral support alongside prescriptions. Total monthly spend can climb depending on which medication is prescribed.

9. PlushCare

At $19.99 a month for membership, PlushCare is one of the lowest platform fees in telehealth. It focuses on branded medications with insurance routing, and same-day visits are available. Medication cost depends entirely on insurance. Minimal compounded-med options.

10. Sesame

Sesame’s annual plan starts around $59 a month. Medications are priced and billed separately, making it an à la carte model. Good for people who already have a medication source and want affordable visit access, or who want transparent per-service pricing rather than bundled subscriptions.

One Thing to Keep in Mind

All compounded GLP-1 medications are not FDA-approved products. Regulatory scrutiny in this space increased sharply in early 2026. Programs backed by named, certified pharmacies and published compliance documentation carry meaningfully less uncertainty than those that are not.

Common Questions

Is compounded tirzepatide from HealthRX or MEDVi the same molecule as brand-name Zepbound?

Compounded tirzepatide uses the same active ingredient as Zepbound, but it is not the same product. Compounded versions are not FDA-approved, are not manufactured under the same controls as branded Zepbound, and are not interchangeable in a regulatory sense. What you are paying for is access to the molecule at a lower price, with quality dependent on the compounding pharmacy’s own standards.

Why does FormBlends cost more than HealthRX if both use 503A pharmacies?

FormBlends publishes batch-level HPLC purity data, mass spectrometry identity confirmation, and endotoxin results for each product. That third-party lab documentation costs money to produce and is not standard practice at most compounding telehealth programs. You are paying for visible proof of what is in the vial, not just a claim that the pharmacy is compliant.

After the March 2026 regulatory changes, which programs on this list still offer compounded tirzepatide?

As of the information available here, HealthRX, FormBlends, Mochi Health, Henry Meds, and MEDVi are all still offering compounded tirzepatide. Hims & Hers exited compounded GLP-1s entirely following the Novo Nordisk settlement and now routes patients to branded medications only. Regulatory status can change quickly, so confirm directly with any provider before enrolling.

Does Ro Body’s $39 first-month price include the medication?

No. Ro bills the platform fee and medication costs separately. The $39 introductory rate covers platform access, and medication is an additional line item on top of that. Total monthly cost depends on which medication is prescribed and whether your insurance covers any portion of it through Ro’s prior-authorization team.

What does it actually mean that HealthRX has a LegitScript certification?

LegitScript is an independent verification company that checks telehealth and pharmacy operations against legal and compliance standards. Certification number 50087439 means HealthRX passed that third-party review. It does not guarantee outcomes or mean the medication is FDA-approved, but it does indicate the program cleared an external audit that many budget competitors have not bothered to pursue.

Sources

• FDA: Warning letters to compounding telehealth firms, 2026 (FDA.gov)
• SURMOUNT-1 trial, tirzepatide: Jastreboff et al., *New England Journal of Medicine*, 2022
• STEP 1 trial, semaglutide: Wilding et al., *New England Journal of Medicine*, 2021
• Novo Nordisk settlement announcement, March 9, 2026 (Novo Nordisk press releases / reported by Reuters and STAT News)
• Eli Lilly orforglipron pricing announcement via LillyDirect, April 2026 (Eli Lilly press release)
• LegitScript certification database (LegitScript.com)