The Bench · annual readout · updated September 2026
The cheapest semaglutide over twelve months, not over one.
We multiplied every disclosed monthly semaglutide rate on the bench out to a year. Partners are surfaced first here, as they are everywhere we rank on this site, and every row underneath that split is still ordered strictly by that annual figure. The spread between the cheapest and the dearest year here is $16,200.
Read this before the ranking
Almost everything below is compounded semaglutide — a medication prepared by a compounding pharmacy that is not an FDA-approved drug. The FDA-approved brand semaglutide is Wegovy (for chronic weight management) and Ozempic (the same molecule, approved for type 2 diabetes), both from Novo Nordisk. Wegovy's approximate US cash list price is around $1,349/mo. They are not the same regulatory product as a compounded copy, and this page does not blur the two — read the compounded-vs-brand cost breakdown for the full comparison, or is compounded semaglutide legit and safe before you buy. This ranking is the compounded, twelve-month comparison.
Annual readout · semaglutide
381 priced · sorted by 12-month cost
Partners are listed first as a block — see our disclosure — and every row beneath that split is still ordered strictly by twelve-month compounded-semaglutide cost, cheapest first within its group. For a single flat monthly rate, ×12 preserves the same order a monthly-only list would show; what it adds is everything below the ranking.
- 01
Collective
Coverage not published · Index 57 C · Sema $59/mo for the medication, plus a required $199/year membership billed separately · Tirz $828/yr · Read review
$708 / 12 mo
- 02
CoreAge Rx
All 50 states · Index 94 A · Sema $99/mo · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 03
Strut Health
49 states (not Arkansas) · Index 87 B+ · Sema From $99/mo sublingual, $149/mo injectable · Tirz $2,388/yr · Read review
Regulatory note: FDA warning letter issued to Strut Health, LLC dba Strut, February 2026.
$1,188 / 12 mo
- 04
Royal Medical Center
Coverage not published · Index 61 C · Sema $67/mo (starting dose, compounded) · Tirz not disclosed · Read review
$804 / 12 mo
- 05
SnagRx
All 50 states plus Washington D.C. (per Terms) · Index 65 C · Sema $99/mo (flat at every dose, compounded) · Tirz $1,428/yr · Read review
$828 / 12 mo
- 06
OrderlyMeds
Coverage not published · Index 68 C · Sema $74/mo (starting dose, 2-mo starter plan, new patients only, compounded) · Tirz $3,588/yr · Read review
Regulatory note: FDA warning letter issued to OrderlyMeds LLC dba OrderlyMeds, June 2026.
$888 / 12 mo
- 07
WeightWatchers Clinic
All 50 states · Index 68 C · Sema $74/mo (brand Wegovy, 12-month plan, plus a separate fee) · Tirz not disclosed · Read review
$888 / 12 mo
- 08
OurView Health
Coverage not published · Index 62 C · Sema $75/mo (starting dose, compounded) · Tirz $1,620/yr · Read review
$900 / 12 mo
- 09
Lean Meds
All 50 states · Index 84 B · Sema $79/mo month-to-month, flat at every dose (the advertised $49 is the 12-month plan) · Tirz $1,308/yr · Read review
$948 / 12 mo
- 10
NextMeds
All 50 states · Index 74 C · Sema $79/mo (starting dose, promotional rate, compounded) · Tirz $1,548/yr · Read review
$948 / 12 mo
- 11
NuuVim
Coverage not published · Index 70 C · Sema $79/mo (all doses, 3-mo plan, new patients only, compounded) · Tirz $1,596/yr · Read review
$948 / 12 mo
- 12
Hello Alpha
Coverage not published · Index 67 C · Sema $79/mo (brand Wegovy, plus a separate fee) · Tirz $948/yr · Read review
$948 / 12 mo
- 13
Good Girl Rx
All 50 states · Index 66 C · Sema $79/mo (microdose tier, 12-month plan, compounded) · Tirz $1,668/yr · Read review
Regulatory note: FDA warning letter issued to Good Girl LLC dba GoodGirlRX, February 2026.
$948 / 12 mo
- 14
RxPepsDirect
28 states · Index 60 C · Sema $79/mo (starting dose, visit fee and shipping included, compounded) · Tirz $1,188/yr · Read review
$948 / 12 mo
- 15
Potere Health MD
1 state · Index 59 C · Sema $80/mo (starting dose, compounded) · Tirz $1,620/yr · Read review
$960 / 12 mo
- 16
PreventiveMD
36 states · Index 77 C · Sema $83/mo (as low as, term not published, all-in, compounded) · Tirz $1,164/yr · Read review
$996 / 12 mo
- 17
Primary Clinic (Direct GLP)
WA, NM, AZ, UT, FL, DC, KS, OK, VA, GA · Index 65 C · Sema $85/mo (0.25-0.75 mg band, membership required, compounded) · Tirz $1,596/yr · Read review
$1,020 / 12 mo
- 18
Rejuve Meds
Coverage not published · Index 65 C · Sema $85/mo (compounded oral) · Tirz $1,020/yr · Read review
$1,020 / 12 mo
- 19
Ozari Health
All 50 states · Index 73 C · Sema $86/mo (3-mo starter plan, new patients only, compounded) · Tirz $1,500/yr · Read review
$1,032 / 12 mo
- 20
Mondae
All 50 states · Index 79 C · Sema $87 every 28 days month-to-month (13 charges a year; the advertised $75 is the three-month prepay) · Tirz $1,512/yr · Read review
$1,044 / 12 mo
- 21
Trava Health
All 50 states · Index 78 C · Sema $88/mo (starting dose, compounded) · Tirz $2,136/yr · Read review
$1,056 / 12 mo
- 22
Maves
All 50 states · Index 76 C · Sema $89/mo (starting dose, compounded) · Tirz not disclosed · Read review
$1,068 / 12 mo
- 23
altRX
Coverage not published · Index 70 C · Sema $89/mo (all doses, promotional rate, plus a separate fee, compounded) · Tirz $1,788/yr · Read review
Regulatory note: FDA warning letter issued to Trinity HealthCare Supply, LLC dba altRx, June 2026.
$1,068 / 12 mo
- 24
Cielo
Coverage not published · Index 68 C · Sema $89/mo (all doses, 6-month plan, compounded) · Tirz $1,548/yr · Read review
$1,068 / 12 mo
- 25
Revel RX
Coverage not published · Index 68 C · Sema $89/mo (all doses, plus a separate fee, compounded) · Tirz $1,860/yr · Read review
$1,068 / 12 mo
- 26
NuvaHealth
Coverage not published · Index 66 C · Sema $89/mo (starting dose, first-month rate, compounded) · Tirz $1,668/yr · Read review
$1,068 / 12 mo
- 27
Luma Health Co
30 states · Index 81 B− · Sema $90/mo (all doses, compounded) · Tirz $1,980/yr · Read review
$1,080 / 12 mo
- 28
Ondra Health
All 50 states · Index 90 A− · Sema $93/mo · Tirz $1,992/yr · Read review
$1,116 / 12 mo
- 29
FMmeds
All 50 states · Index 78 C · Sema $95/mo (all doses, plus a separate fee, compounded) · Tirz $1,740/yr · Read review
$1,140 / 12 mo
- 30
boostAGErx
All 50 states · Index 69 C · Sema $95/mo (billed every 28 days, compounded) · Tirz $1,740/yr · Read review
$1,140 / 12 mo
- 31
TRYM Health
Coverage not published · Index 66 C · Sema $96/mo (all doses, 12 month plan, compounded) · Tirz $1,512/yr · Read review
Regulatory note: FDA warning letter issued to TRYM Health, Inc. dba TRYM Health, September 2025.
$1,152 / 12 mo
- 32
Ivy Rx
All 50 states · Index 69 C · Sema $97/mo (microdose tier, promotional rate, compounded) · Tirz $2,388/yr · Read review
$1,164 / 12 mo
- 33
Vitara RX
All 50 states · Index 87 B+ · Sema $99/mo · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 34
Alan Meds
All 50 states · Index 84 B · Sema $99/mo · Tirz $1,740/yr · Read review
Regulatory note: FDA warning letter issued to Alan Health Technologies Inc. dba Alan, February 2026.
$1,188 / 12 mo
- 35
Live Vital
All 50 states · Index 82 B− · Sema $99/mo · Tirz $2,196/yr · Read review
$1,188 / 12 mo
- 36
Candor Rx
Coverage not published · Index 72 C · Sema $99/mo · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 37
Harbor
Coverage not published · Index 69 C · Sema $99/mo (starting dose, compounded) · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 38
Novi
Coverage not published · Index 69 C · Sema $99/mo (all doses, promotional rate, compounded) · Tirz $1,596/yr · Read review
$1,188 / 12 mo
- 39
Nu Image Medical
Coverage not published · Index 69 C · Sema $99/mo (starting dose, compounded) · Tirz $3,588/yr · Read review
$1,188 / 12 mo
- 40
Factor Health MD
Coverage not published · Index 67 C · Sema $99/mo (all doses, annual plan, compounded) · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 41
HealthHub
Coverage not published · Index 67 C · Sema $99/mo (compounded) · Tirz $2,388/yr · Read review
$1,188 / 12 mo
- 42
HeliMeds
Coverage not published · Index 67 C · Sema $99/mo (starting dose, 3-month plan, compounded) · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 43
AbundRX
Coverage not published · Index 65 C · Sema $99/mo (starting dose, compounded) · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 44
Teleios Health
Coverage not published · Index 65 C · Sema $99/mo (all doses, compounded) · Tirz not disclosed · Read review
$1,188 / 12 mo
- 45
Shapely
4 states · Index 64 C · Sema $99/mo (plus a separate fee, compounded) · Tirz $1,992/yr · Read review
$1,188 / 12 mo
- 46
CoraDoc
Coverage not published · Index 63 C · Sema $99/mo (starting dose, 6-month plan, compounded) · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 47
GobyMeds
Coverage not published · Index 62 C · Sema $99/mo (starting dose, 3-month plan, compounded) · Tirz $1,596/yr · Read review
$1,188 / 12 mo
- 48
Livea
4 states · Index 62 C · Sema $99/mo (starting dose, compounded) · Tirz $2,388/yr · Read review
$1,188 / 12 mo
- 49
TideMedix
Coverage not published · Index 62 C · Sema $99/mo (compounded) · Tirz not disclosed · Read review
$1,188 / 12 mo
- 50
FitFlow
Coverage not published · Index 61 C · Sema $99/mo (compounded) · Tirz $1,608/yr · Read review
$1,188 / 12 mo
- 51
LumiMeds
Coverage not published · Index 60 C · Sema $99/mo (starting dose, 12-month plan, compounded) · Tirz $2,196/yr · Read review
Regulatory note: FDA warning letter issued to Lumimeds, September 2025.
$1,188 / 12 mo
- 52
EOS Health
40 states · Index 58 C · Sema $99/mo (compounded) · Tirz not disclosed · Read review
$1,188 / 12 mo
- 53
Trinity Meds
Coverage not published · Index 58 C · Sema $99/mo (starting dose, compounded) · Tirz $1,788/yr · Read review
$1,188 / 12 mo
- 54
RxION Health
Coverage not published · Index 57 C · Sema $99/mo (all doses, plus a separate fee, compounded) · Tirz $2,196/yr · Read review
$1,188 / 12 mo
- 55
Luci
Coverage not published · Index 56 C · Sema $99/mo (starting dose, 12-month plan, compounded) · Tirz $1,740/yr · Read review
$1,188 / 12 mo
- 56
Medi-Weightloss
Coverage not published · Index 54 C · Sema $99/mo (starting dose, first-month rate, plus a separate fee, compounded) · Tirz $2,388/yr · Read review
$1,188 / 12 mo
- 57
T2D.com
1 state · Index 53 C · Sema $99/mo (0.25 mg dose, compounded) · Tirz not disclosed · Read review
$1,188 / 12 mo
- 58
Thryve
Not disclosed · Index 22 C · Sema $99/mo (drug not specified — site never names semaglutide or tirzepatide) · Tirz $1,188/yr · Read review
$1,188 / 12 mo
- 59
NewSelf
All 50 states · Index 87 B+ · Sema $100/mo · Tirz $1,728/yr · Read review
Regulatory note: FDA warning letter issued to NewSelf Limited dba NewSelf, February 2026.
$1,200 / 12 mo
- 60
Queen RX
45 states · Index 71 C · Sema $100/mo (starting dose, bundle, compounded) · Tirz $1,200/yr · Read review
$1,200 / 12 mo
Method · Twelve-month figures are the disclosed monthly semaglutide rate × 12 — the sticker taken at its word, not a quote. Nothing is estimated: dose escalation, first-month promotions, consult and lab fees and separate memberships are not in the number, so read every row as a floor. Partners are placed first; every row is still ordered by annual cost within its group. Assume any provider we list may compensate us — we may earn a commission at no extra cost to you, which we disclose rather than leave you to infer. See the disclosure and methodology.
$16,200 separates the cheapest semaglutide year from the dearest
Collective anchors the bottom of the ranking at $59/mo for the medication, plus a required $199/year membership billed separately — about $708 across a year. At the other end, myRocky runs $16,908 for the same twelve months of the same molecule. That gap does not come from the drug — it comes from the program wrapped around it.
Collective serves Coverage not published — a price you cannot legally buy in your state is not a price. Among providers publishing an all-50-state footprint the cheapest semaglutide year is SnagRx at $828, and that is the number most readers should actually compare against.
What you save by choosing semaglutide over tirzepatide
For a flat monthly rate, multiplying by 12 keeps the same order a monthly list already shows — we won't pretend otherwise. Where this site earns its keep is the number no sticker-price list computes: at the 341 providers in our ranking that disclose both molecules, semaglutide costs less than tirzepatide over a year at every one of them except where the two are priced identically — see semaglutide vs. tirzepatide, cost and efficacy for how the two actually compare on outcomes, not just price. The saving ranges from $-3,600 a year (as low as Nurx) to $8,400 a year (at Modern Age), averaging about $859. 34 providers on that list — Found and Curex and Amble and Aspen and Nalena and He & She MD and Amazon One Medical and Clume Health and Queen RX and Dollar Dad Club and Hello Alpha and Rejuve Meds and CaliberRx and Next Vial and ElitePhysiqMD and Lemonaid Health and Youth & Soul and AVArx and June Health and Layla and MaxLife and Sumbare Wellness and Vitalex Health and ARSYNL Rx and ElleS and Injectco and Luma Meds and Mint Medical Clinic and Iron Med RX and Ryze Rx and Heros Health and Bloom MD and Meto and Thryve — charge the same price for both molecules, so there is no saving there either way.
| Provider | Sema / yr | Tirz / yr | Annual saving on sema |
|---|---|---|---|
| Modern Age | $10,800 | $19,200 | $8,400 |
| CeliaRx | $3,588 | $8,388 | $4,800 |
| VirtualCare2Go | $3,348 | $7,548 | $4,200 |
| TeleWellnessMD | $4,188 | $8,148 | $3,960 |
| Balanced Hormone Health | $2,364 | $5,988 | $3,624 |
| Piper | $7,020 | $10,344 | $3,324 |
| PeptidesRx | $3,852 | $6,912 | $3,060 |
| OrderlyMeds | $888 | $3,588 | $2,700 |
| Breeze Meds | $2,388 | $4,788 | $2,400 |
| Nu Image Medical | $1,188 | $3,588 | $2,400 |
| Wholesome Clinic | $1,788 | $4,188 | $2,400 |
| PlushCare | $2,388 | $4,788 | $2,400 |
| iThriveMD | $2,388 | $4,788 | $2,400 |
| LifeMD | $3,576 | $5,976 | $2,400 |
| Options Medical Weight Loss | $2,388 | $4,788 | $2,400 |
| Rivas Medical Weight Loss | $4,788 | $7,188 | $2,400 |
| Gaya Wellness | $1,788 | $4,188 | $2,400 |
| DadVantage Men's Health | $2,400 | $4,800 | $2,400 |
| Heva Health | $1,800 | $4,068 | $2,268 |
| Oria Meds | $2,388 | $4,428 | $2,040 |
| Premium Health | $3,300 | $5,340 | $2,040 |
| AM Rx | $3,564 | $5,388 | $1,824 |
| Zealthy | $3,564 | $5,388 | $1,824 |
| Synergy Rx | $2,388 | $4,188 | $1,800 |
| Heally | $1,788 | $3,588 | $1,800 |
| Fidelity Medical Clinic | $2,388 | $4,188 | $1,800 |
| PrideRx | $2,976 | $4,776 | $1,800 |
| Open Water Rx | $2,388 | $4,068 | $1,680 |
| Lean Rx | $3,192 | $4,788 | $1,596 |
| Neo Soma Healthcare | $2,388 | $3,960 | $1,572 |
| Independent Wellness | $2,988 | $4,548 | $1,560 |
| Unique Physique | $1,908 | $3,468 | $1,560 |
| Nirwana Health | $1,788 | $3,348 | $1,560 |
| Invigor Medical | $2,700 | $4,200 | $1,500 |
| Tuyo Health | $1,860 | $3,348 | $1,488 |
| Tonik Wellness | $2,700 | $4,188 | $1,488 |
| Fitish | $2,628 | $4,068 | $1,440 |
| Zappy Health | $1,908 | $3,348 | $1,440 |
| LeanDose | $1,908 | $3,348 | $1,440 |
| Tru2u | $2,700 | $4,140 | $1,440 |
| MedLeanRx | $1,788 | $3,228 | $1,440 |
| Näky | $1,740 | $3,180 | $1,440 |
| Transparent Meds | $2,748 | $4,188 | $1,440 |
| Contour Health | $1,332 | $2,664 | $1,332 |
| Eden | $2,868 | $4,188 | $1,320 |
| Kongo | $1,428 | $2,748 | $1,320 |
| Rx.com | $2,100 | $3,420 | $1,320 |
| Fridays | $2,988 | $4,308 | $1,320 |
| Neuvé Health | $2,604 | $3,888 | $1,284 |
| HealthOn | $2,268 | $3,540 | $1,272 |
| AquaVita NextGen | $2,580 | $3,840 | $1,260 |
| Ivy Rx | $1,164 | $2,388 | $1,224 |
| ShedRx (Shed) | $2,388 | $3,588 | $1,200 |
| Strut Health | $1,188 | $2,388 | $1,200 |
| Care Bare Rx | $2,388 | $3,588 | $1,200 |
| PlexusDx | $1,788 | $2,988 | $1,200 |
| Henry Meds | $2,988 | $4,188 | $1,200 |
| REMEVi | $2,628 | $3,828 | $1,200 |
| NP2GO | $1,800 | $3,000 | $1,200 |
| KERNX Health | $1,548 | $2,748 | $1,200 |
What the annual figure leaves out
Every number above is the disclosed monthly rate multiplied by twelve — we invent no cost the ranking does not record. That multiplier also does not tell you where you can legally buy the price. Of the 381 providers in this priced ranking, 277 do not publish an all-50-state footprint:
- Collective — Coverage not published
- Royal Medical Center — Coverage not published
- OrderlyMeds — Coverage not published
- OurView Health — Coverage not published
- NuuVim — Coverage not published
- Hello Alpha — Coverage not published
- RxPepsDirect — 28 states
- Potere Health MD — 1 state
- PreventiveMD — 36 states
- Primary Clinic (Direct GLP) — WA, NM, AZ, UT, FL, DC, KS, OK, VA, GA
- Rejuve Meds — Coverage not published
- altRX — Coverage not published
- Cielo — Coverage not published
- Revel RX — Coverage not published
- NuvaHealth — Coverage not published
- Luma Health Co — 30 states
- TRYM Health — Coverage not published
- Strut Health — 49 states (not Arkansas)
- Candor Rx — Coverage not published
- Harbor — Coverage not published
- Novi — Coverage not published
- Nu Image Medical — Coverage not published
- Factor Health MD — Coverage not published
- HealthHub — Coverage not published
- HeliMeds — Coverage not published
- AbundRX — Coverage not published
- Teleios Health — Coverage not published
- Shapely — 4 states
- CoraDoc — Coverage not published
- GobyMeds — Coverage not published
- Livea — 4 states
- TideMedix — Coverage not published
- FitFlow — Coverage not published
- LumiMeds — Coverage not published
- EOS Health — 40 states
- Trinity Meds — Coverage not published
- RxION Health — Coverage not published
- Luci — Coverage not published
- Medi-Weightloss — Coverage not published
- T2D.com — 1 state
- Thryve — Not disclosed
- Queen RX — 45 states
- RxPros — Coverage not published
- Medical Health Institute — Coverage not published
- JumpstartMD — 1 state
- Blis MD — Coverage not published
- Vita Bella — 46 states
- Contour Health — Coverage not published
- Elevate Health — Coverage not published
- Bliv — Coverage not published
- Center for Medical Weight Loss (CMWL) — Coverage not published
- Measured — Coverage not published
- Coivas — Coverage not published
- Magnolia Regenerative Medicine — 26 states
- Pomegranate Health — Coverage not published
- Mixx Health & Wellness — 44 states
- Bon Health — Coverage not published
- MANÜ Telehealth — Coverage not published
- Jently — Coverage not published
- BiltRx — Coverage not published
Dose escalation, a promotional first month that resets, and consult, lab or membership fees are also not in the number — the method is the same one behind the true monthly cost of GLP-1, and the cost calculators will run your own numbers.
Cheapest semaglutide, answered
- What is the cheapest semaglutide provider over a full year?
- At its disclosed monthly rate, Collective carries the lowest twelve-month semaglutide cost we track — $59/mo for the medication, plus a required $199/year membership billed separately works out to about $708 a year. It serves Coverage not published, which is the catch. Among providers publishing an all-50-state footprint, the lowest twelve-month figure is SnagRx at about $828.
- Is cheap compounded semaglutide the same as Wegovy or Ozempic?
- No. Wegovy and Ozempic are Novo Nordisk's FDA-approved brand semaglutide — Wegovy for chronic weight management, Ozempic for type 2 diabetes, both reviewed by the FDA for safety, effectiveness and quality. Wegovy's approximate US cash list price is around $1,349/mo. Compounded semaglutide, which is almost everything here, is a different product prepared by a compounding pharmacy — same active ingredient in most cases, but not FDA-approved and not FDA-reviewed as a finished drug.
- How much less does semaglutide cost than tirzepatide at the same provider?
- Across the 341 providers in our ranking that disclose both molecules, choosing semaglutide over tirzepatide saves $-3,600 to $8,400 a year, averaging about $859. 34 providers on that list price both molecules identically, so the saving there is zero.
- Does multiplying the monthly rate by 12 change which provider is cheapest?
- No — for a single flat monthly rate, multiplying by 12 preserves the same order a monthly list would show. What can move a row on the page you're looking at is placement: partners are surfaced first, as they are on every ranking on this site (see our disclosure), and every row is still ordered strictly by twelve-month cost within its group. The dollar figure next to each provider is never adjusted either way.
- What does the twelve-month semaglutide figure leave out?
- It is the disclosed monthly semaglutide rate multiplied by twelve — the sticker taken at its word, nothing added and nothing estimated. It does not model dose escalation into a higher price tier, a promotional first month that resets, one-time consultation or lab fees, or a membership charged alongside the medication. Every one of those pushes the real figure up, never down.
The other rankings
- Cheapest tirzepatide over 12 months — the same annual method, for readers who already know they want tirzepatide instead.
- Compounded semaglutide, plainly explained — what compounded semaglutide is and its FDA status, plus a top-picks version of this same ranking.
- Wegovy & Ozempic cost — the brand-first answer, if FDA-approved semaglutide is what you actually want.
- Cheapest GLP-1 providers that are actually worth it — value-ranked on the Cost-Efficiency Index across both molecules, not price alone.
- Cheapest GLP-1 for a full year — the broader annual ranking, not narrowed to one molecule.
Related reading: compounded vs brand-name GLP-1 cost, is compounded semaglutide legit and safe, semaglutide vs tirzepatide value, or line two finalists up side by side.
Prices are each provider's public disclosures at last check and move fast — confirm before you buy. Compounded medications are not FDA-approved. Not medical advice; see our medical disclaimer.