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WeighLab

PauseRX vs Shapely

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

PauseRX

Provider comparison

Readers who want a named pharmacy and provider network and can confirm the dose price before paying.

Semaglutide / month
$199/moStarting price, compounded; confirm the dose and plan total
Tirzepatide / month
$249/moStarting price, compounded; provider review and shipping included
Index 64/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check PauseRX pricing Read review

Shapely

Provider comparison

Insured patients in CA, FL, NY or TX who want help getting coverage for brand-name GLP-1s.

Semaglutide / month
$99/moPlus a separate fee, compounded
Tirzepatide / month
$166/moPlus a separate fee, compounded
Index 64/100 · Grade CChecked August 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Shapely pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Both score 64/100 on the Cost-Efficiency Index. There is no score winner; compare the treatment you need, billing terms and state availability.

Check the difference in state access

PauseRX
Coverage not published
Shapely
4 states

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

PauseRX

Shapely

Semaglutide / month
PauseRX: $199/moStarting price, compounded; confirm the dose and plan total
Shapely: $99/moPlus a separate fee, compounded
Tirzepatide / month
PauseRX: $249/moStarting price, compounded; provider review and shipping included
Shapely: $166/moPlus a separate fee, compounded
Semaglutide / year (modeled)
PauseRX: $2,388
Shapely: $2,376Includes $99/mo membership
Tirzepatide / year (modeled)
PauseRX: $2,988
Shapely: $3,180Includes $99/mo membership
State availability
PauseRX: Coverage not published
Shapely: 4 states
Oral / sublingual option listed
PauseRX: Not listed
Shapely: Not listed
Brand-name access listed
PauseRX: Yes
Shapely: Yes
Provider facts checked
PauseRX: October 2026
Shapely: August 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

PauseRX

Readers who want a named pharmacy and provider network and can confirm the dose price before paying.

Reasons to consider it

  • Public starting prices of $199 semaglutide and $249 tirzepatide
  • Names Rush Pharmacy and Beluga Health
  • Provider review, medication and shipping included with no membership fee

What to weigh up

  • Starting figures do not establish the cost of every prescribed dose; confirm your full plan total
  • Confirm state eligibility before starting
  • Dispensed medication cannot be returned

Compounded drugs are not FDA-approved. Understand the medication options.

Check PauseRX pricing Read the full PauseRX review

Shapely

Insured patients in CA, FL, NY or TX who want help getting coverage for brand-name GLP-1s.

Reasons to consider it

  • Named, credentialed founder (Dr. Justin Zaghi, Harvard-trained, board-certified obesity medicine)
  • Genuine insurance-navigation service across 8 major payers, potentially large savings if covered
  • Both cash-pay compounded and insurance-covered branded pathways offered

What to weigh up

  • Live in only 4 states (CA, FL, NY, TX) despite a '50-state expansion' announcement
  • Separate membership fee stacks on top of medication cost, and its headline prices ($9 first month, $49/mo promo) are not the real ongoing rate ($99/mo)
  • Actual out-of-pocket cost for insured users is plan-dependent and not disclosed upfront

Compounded drugs are not FDA-approved. Understand the medication options.

Check Shapely pricing Read the full Shapely review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

PauseRXShapely
Normalized Cost/Month
PauseRX:
58/100
Shapely:
65/100
Price Transparency
PauseRX:
84/100
Shapely:
64/100
Nationwide Access
PauseRX:
24/100
Shapely:
42/100
Formulation Options
PauseRX:
79/100
Shapely:
79/100
Clinical Oversight
PauseRX:
82/100
Shapely:
86/100
Contract Flexibility
PauseRX:
67/100
Shapely:
55/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.