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WeighLab

Vital Step vs StackMD

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.

Vital Step

Provider comparison

Shoppers who want a GLP-1 tablet option in any state and are willing to finish the intake to see the real monthly price before paying.

Semaglutide / month
$161/moLowest advertised rate, compounded; the plan behind it and the regular monthly price appear only after the intake
Tirzepatide / month
$198/moLowest advertised rate, compounded; the regular monthly price appears only after the intake
Index 65/100 · Grade CChecked October 2026

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

Check Vital Step pricing Read review

StackMD

Provider comparison

Readers who want to compare vial strengths and formulations, with the dose and refill total confirmed before payment.

Semaglutide / month
$125$225 per vial (compounded; monthly cost depends on the prescribed dose)
Tirzepatide / month
$199$449 per vial (compounded; monthly cost depends on the prescribed dose)
Index 64/100 · Grade CChecked October 2026
Check StackMD 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

Vital Step has the higher Cost-Efficiency Index: 65/100 versus 64/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

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.

Vital Step

StackMD

Semaglutide / month
Vital Step: $161/moLowest advertised rate, compounded; the plan behind it and the regular monthly price appear only after the intake
StackMD: $125$225 per vial (compounded; monthly cost depends on the prescribed dose)
Tirzepatide / month
Vital Step: $198/moLowest advertised rate, compounded; the regular monthly price appears only after the intake
StackMD: $199$449 per vial (compounded; monthly cost depends on the prescribed dose)
Semaglutide / year (modeled)
Vital Step: $1,932
StackMD: —
Tirzepatide / year (modeled)
Vital Step: $2,376
StackMD: —
State availability
Vital Step: All 50 states
StackMD: All 50 states
Oral / sublingual option listed
Vital Step: Yes
StackMD: Yes
Brand-name access listed
Vital Step: Not confirmed
StackMD: Yes
Provider facts checked
Vital Step: October 2026
StackMD: October 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.

Vital Step

Shoppers who want a GLP-1 tablet option in any state and are willing to finish the intake to see the real monthly price before paying.

Reasons to consider it

  • Semaglutide and tirzepatide both come as weekly injections or daily dissolving tablets
  • Publishes a list of all 50 states it ships to
  • Free expedited delivery and round-the-clock support, with side-effect questions and dose adjustments included

What to weigh up

  • Only "as low as" figures are published; the plan length behind $161 and $198 and the regular month-to-month price are shown only after the intake
  • No refunds at all: the refund policy says all fees and charges are non-refundable, in whole or in part
  • Subscriptions renew automatically, the first renewal may be charged early, and you must cancel at least 3 days before renewal

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

Check Vital Step pricing Read the full Vital Step review

StackMD

Readers who want to compare vial strengths and formulations, with the dose and refill total confirmed before payment.

Reasons to consider it

  • Publishes vial ranges of $125–$225 semaglutide and $199–$449 tirzepatide
  • Offers oral semaglutide and tirzepatide tablets
  • Lists Wegovy and Zepbound consultations separately from medication

What to weigh up

  • A vial price is not a fixed monthly cost; ask how long your prescribed vial lasts
  • Brand consultation fees do not include the medication
  • Does not name its dispensing pharmacies
Check StackMD pricing Read the full StackMD 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.

Vital StepStackMD
Normalized Cost/Month
Vital Step:
68/100
StackMD:
45/100
Price Transparency
Vital Step:
30/100
StackMD:
54/100
Nationwide Access
Vital Step:
86/100
StackMD:
86/100
Formulation Options
Vital Step:
77/100
StackMD:
64/100
Clinical Oversight
Vital Step:
71/100
StackMD:
78/100
Contract Flexibility
Vital Step:
61/100
StackMD:
69/100

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.