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Ranked #510 · Grade C

Ascend Vitality review

Ascend Vitality (Ascend Vitality LLC, Sheridan WY) is a cash-pay compounded GLP-1 telehealth platform selling injectable and oral-tablet semaglutide ($199/mo, $176/mo on a 6-month plan) and injectable tirzepatide ($299/mo).

Visit Ascend Vitality Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. See our disclosure.
Semaglutide
$199/mo (plus a separate fee, compounded)
Tirzepatide
$299/mo (compounded)
Coverage
Coverage not published
Brand-name
Compounded only

Semaglutide · modeled / year

$2,388

Tirzepatide · modeled / year

$3,588

Pricing verified August 2026

The Index scorecard

Ascend Vitality scored on our six Cost-Efficiency Index factors. See the methodology.

Normalized Cost/Month31/100
Price Transparency30/100
Nationwide Access24/100
Formulation Options77/100
Clinical Oversight74/100
Contract Flexibility37/100

Where the value is

  • Both injectable and oral-tablet forms of semaglutide and tirzepatide are offered — a rare combination
  • LegitScript certified, with '503A Pharmacy Approved' and FDA-approved-facility manufacturing claims displayed
  • Real 6-month prepay discount on semaglutide ($199/mo down to $176/mo), not just a first-month teaser
  • Legal entity and physical address are publicly disclosed: Ascend Vitality LLC, 30 N Gould St Ste R, Sheridan, WY 82801

The tradeoffs

  • The homepage's 'Fall Promo Applied! $120 Off' banner is layered on top of the $199/$299 base price, so the number a shopper sees first is a temporary promotional rate
  • All medications are compounded — not FDA-reviewed for safety or effectiveness
  • No named medical director, founder, or individual prescriber — care is attributed to the third-party 'Dr. Telx clinician network'
  • Explicitly excludes five states: Louisiana, Mississippi, Kansas, New Mexico, West Virginia
  • Oral-tablet pricing is not shown on the injectable pages verified here

The bottom line

Best for: Cost-first shoppers who want cash-pay compounded GLP-1 in both injectable and oral-tablet form, outside LA/MS/KS/NM/WV. Ascend Vitality (Ascend Vitality LLC, Sheridan WY) is a cash-pay compounded GLP-1 telehealth platform selling injectable and oral-tablet semaglutide ($199/mo, $176/mo on a 6-month plan) and injectable tirzepatide ($299/mo).

Ranked #510 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.

Compare with other providers

All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Ascend Vitality.

The 18 programs nearest this one

Pricing, states and verification reflect Ascend Vitality's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Ascend Vitality's site. Not medical advice; see our disclosure.

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