What Compounded GLP-1 Actually Costs Per Month

Ask five telehealth sites what compounded GLP-1 costs and you will get five different answers, several of them intro rates that will not last. This is a plain cost guide: the real disclosed ranges across the providers we track, what moves the number up or down, and how to model what you will personally pay for a year.

The headline range: about $65 to $349 per month

Across the compounded GLP-1 providers on the Cost-Efficiency Index, disclosed monthly prices run from roughly $65 at the low end to about $349 at the high end (per each provider's published pricing, last reviewed 2026). The cheapest sticker on the board is Primary Clinic / Direct GLP at $65 for semaglutide — but it serves only about 10 states, which is exactly why sticker price alone is misleading. In the value tier, verified all-50-state providers such as Vitara RX at $99 semaglutide and Ondra Health at $93 show what a low price plus nationwide access actually looks like.

What drives the spread

Four things move your monthly cost:

Molecule. Semaglutide is usually cheaper than tirzepatide; some providers list both at the same price, others charge a clear premium for tirzepatide. We compare them in semaglutide vs tirzepatide.

Dose. Compounded pricing is often flat per month regardless of dose at a given provider, but not always — some tiers rise as your dose escalates, which matters because most people titrate upward over their first few months.

Provider positioning. Budget operators compete on raw price; premium ones charge more for stronger disclosure, oversight, or brand access. A mid-market $149–$199 flat price from an all-50, verified provider is often the best true value even though it is not the lowest sticker.

Bundling. Some prices include clinician visits and shipping; others add fees. Always confirm what the number includes.

Sticker price is not annual cost

The number on the landing page is a starting point, not a total. Two things routinely make your real cost higher: teaser rates that step up after the first month, and dose escalation that can shift you into a higher price tier. A $99 intro that becomes $199 in month two costs about $2,090 over a year, not $1,188 — a difference that changes which provider is actually cheapest. We walk through the full method in the true monthly cost of GLP-1.

Model your own number

Do not trust a single sticker — build the year. Use the cost calculators to plug in a provider's disclosed price, add any month-two step-up, and multiply out 12 months. Then compare finalists on total annual cost side by side with the compare tool. One note on what you are buying: compounded GLP-1 medication is not FDA-approved, and the FDA does not verify the safety, effectiveness, or quality of compounded drugs¹ — so weigh price against a verifiable pharmacy, not in isolation. The compounded market exists at this price largely because these molecules spent time on the FDA drug-shortage list, which permits compounding under defined conditions²; we cover what that means for you in is compounded semaglutide legit and safe.