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Prescription weight loss · GLP-1

GLP-1 weight loss, prescribed online. From $146 a month.

Compounded semaglutide or tirzepatide from a licensed U.S. provider, shipped cold to your door. One flat price at every dose. No insurance needed.

See if you qualify See plans and pricing
  • Provider visit included
  • Same price at every dose
  • Supplies and cold shipping included
  • Cancel anytime

Choose your medication

Both are once-weekly injections with the visit, supplies and shipping built in. Pick a plan and check out; your online visit starts right after.

Dual-action

Compounded · GLP-1 + GIP

Tirzepatide

Works on two hormone receptors, GLP-1 and GIP. Produced the largest average weight loss in its clinical trials.

Plan lengthLonger plans cost less per month

Same price at every dose. We never charge by strength. Your provider sets and adjusts your dose (2.5 mg to 15 mg); your price stays the same.

Total today $1,550 ($259/mo)
See if you qualify

Two-minute check first, no payment yet. A few questions confirm you meet the program criteria, then you check out with this plan. Prescription required. A licensed provider decides whether tirzepatide is right for you; if not, you are not charged for medication. No automatic renewals. Compounded tirzepatide is not FDA-approved.

Learn more about tirzepatide →

Lowest price

Compounded · GLP-1

Semaglutide

The most widely used GLP-1. A strong first choice if you are new to GLP-1 medication or want the lowest monthly cost.

Plan lengthLonger plans cost less per month

Same price at every dose. We never charge by strength. Your provider sets and adjusts your dose (0.25 mg to 2.4 mg); your price stays the same.

Total today $875 ($146/mo)
See if you qualify

Two-minute check first, no payment yet. A few questions confirm you meet the program criteria, then you check out with this plan. Prescription required. A licensed provider decides whether semaglutide is right for you; if not, you are not charged for medication. No automatic renewals. Compounded semaglutide is not FDA-approved.

Learn more about semaglutide →

Not sure which one? Start with either. Your provider reviews your health history during the online visit and can recommend the better fit before anything ships. Compounded medications are not FDA-approved; a prescription is required and a licensed provider decides.

One price. Every dose. Everything included.

No membership fee, no separate medication bill, no dose upcharge. The number you see is the number you pay.

  • Online visit with a licensed U.S. provider
  • Your medication at any prescribed dose
  • Ongoing check-ins and dose adjustments
  • Syringes, alcohol pads and dosing guide
  • Cold-packed, discreet shipping
  • Unlimited messaging with your care team

How it works

Skip the waiting room. The whole process is online, and most providers respond within 24 hours.

1

Pick your medication and plan

Choose semaglutide or tirzepatide and a 1, 3 or 6-month plan above, then check out securely. Not approved? You are not charged for medication.

2

Complete your online visit

A confidential health questionnaire and a photo ID. Some states add a short video visit.

3

Provider review

A licensed provider in your state reviews your visit, usually within 24 hours, and prescribes if it is right for you. Not approved? You are not charged for medication.

4

Delivered to your door

A licensed U.S. compounding pharmacy prepares your prescription and ships it cold-packed with everything you need to start.

Tirzepatide vs. semaglutide

Our two medications, side by side. Your provider helps you choose during the visit.

TirzepatideSemaglutide
How it worksActivates both GLP-1 and GIP receptors for a dual effect on appetite and metabolismActivates the GLP-1 receptor to reduce appetite and slow digestion
How you take itOnce-weekly injectionOnce-weekly injection
Dose range2.5 mg to 15 mg0.25 mg to 2.4 mg
Average loss in clinical trials*About 21% of body weight over 72 weeksAbout 15% of body weight over 68 weeks
PriceFrom $259/monthFrom $146/month
Best forMaximum effect, or if semaglutide plateauedFirst-time GLP-1 users, lowest monthly cost
Start with tirzepatide ↑Start with semaglutide ↑

*Averages from published clinical trials of the FDA-approved forms of each molecule at their highest studied doses, alongside diet and exercise. Individual results vary, and the compounded preparations sold here have not been studied in those trials. Compounded medications are not FDA-approved and are not equivalent to any brand-name medication.

Important safety information

Boxed warning: semaglutide and tirzepatide caused thyroid C-cell tumors in rodent studies. It is not known whether they cause thyroid tumors, including medullary thyroid carcinoma, in people. Do not use them if you or any of your family have had medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2.

Common side effects include nausea, vomiting, diarrhea, constipation, stomach pain and decreased appetite, most often while your dose is being increased. Serious risks include pancreatitis, gallbladder disease, low blood sugar (especially with insulin or sulfonylureas), kidney injury from dehydration, and severe allergic reactions. Do not use if you are pregnant, breastfeeding or planning pregnancy, or under 18. Tell your provider about every medication and condition during your visit. This is not a complete list of risks.

Frequently asked questions

What is a GLP-1 medication?
GLP-1 stands for glucagon-like peptide-1, a hormone your gut releases after you eat. GLP-1 medications mimic that hormone: they slow digestion, reduce appetite and help regulate blood sugar. Semaglutide is a GLP-1 receptor agonist; tirzepatide adds a second hormone pathway (GIP) on top of GLP-1.
Semaglutide or tirzepatide: which should I choose?
Both are taken once a week and both work on appetite and fullness. Semaglutide is the lower-cost option and the most widely used GLP-1. Tirzepatide acts on two hormone receptors and produced larger average weight loss in its clinical trials, at a higher price. If you are unsure, start the visit for either one; your provider reviews your history and can recommend the better fit before anything ships.
What does the price include?
Everything: the online provider visit and follow-ups, your medication at whatever dose your provider prescribes, syringes and alcohol pads, a dosing guide, cold-packed shipping and unlimited messaging with your care team. There are no visit fees, membership fees, dose upcharges or shipping charges.
Does the price change as my dose goes up?
No. We never charge by strength. Your provider steps your dose up over time and your plan price stays exactly the same. Only the plan length you choose changes the price.
Do I need insurance?
No. This is a cash-pay program and we do not bill insurance. Pay with a debit or credit card; many HSA and FSA cards are accepted.
Who qualifies?
Adults 18 and over with a BMI of 30 or higher, or 27 or higher with a weight-related condition such as high blood pressure, high cholesterol, sleep apnea or type 2 diabetes. A licensed provider makes the final decision after reviewing your online visit. GLP-1 medications are not for people who are pregnant or breastfeeding, who have a personal or family history of medullary thyroid carcinoma or MEN 2, or who have had pancreatitis.
How fast does it work?
Many people notice a smaller appetite within the first couple of weeks. Weight loss builds gradually as your provider steps up your dose over the first few months. In clinical trials of semaglutide and tirzepatide, most weight loss happened over the first year. Results vary from person to person.
Where is this available?
We currently serve 49 states (all except Alaska). Some states require a short video visit, which is handled during intake.
How do refills and cancellation work?
Your plan does not renew automatically. Before each refill your care team checks in with you, and nothing ships or is charged until you confirm. You can pause or cancel from your account at any time with no fees. Medication cannot be returned once shipped, so medication sales are final.

Ready to start?

Pick a medication and plan above, check out in about two minutes, and a licensed provider reviews your online visit, usually within 24 hours.

Choose your medication
Provider visit, supplies and shipping included · Same price at every dose · Cancel anytime
Verify LegitScript Approval for www.rx.com
LegitScript Certified
Licensed U.S. providers Licensed U.S. compounding pharmacy 49 states served

Before you start

Plain-English guides to cost, eligibility and side effects, written by our editorial team.

All weight loss guides

Compounded semaglutide and tirzepatide are not FDA-approved and are not equivalent to any brand-name medication. Prescription required; a licensed provider determines eligibility and dose. Plans do not renew automatically; refills are sent only after you check in with your care team. Information on this page is educational and is not a substitute for advice from your own healthcare provider. See the Weight Loss Program page for the full program FAQ, pharmacy and provider details.

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