Belle Health review
Belle Health is a national DTC telehealth platform offering compounded semaglutide and tirzepatide with flat-rate pricing — the same monthly cost at every dose, with no escalation surcharge as you titrate up.
- Semaglutide
- $119/mo
- Tirzepatide
- $199/mo (all doses, 3-month plan, compounded)
- Coverage
- All 50 states
- Brand-name
- Compounded only
Semaglutide · modeled / year
$1,428
Tirzepatide · modeled / year
$2,388
The Index scorecard
Belle Health scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- Five named compounding pharmacy partners disclosed (Striker, Strive, OptioRx, Enovex, Braun PharmaCare)
- Flat-rate pricing — $119/mo semaglutide, $199/mo tirzepatide — doesn't rise at higher doses
- Free weekly registered-dietitian sessions included
- Operating since 2017
- LegitScript Certified
The tradeoffs
- $199 tirzepatide price requires a 3-month bundle commitment
- Compounded medications are not FDA-approved
- Multi-pharmacy model — formulations may differ across orders
- FDA issued this company a warning letter dated 20 February 2026; the letter is public in FDA's warning-letter database
The bottom line
Best for: Cost-first shoppers who want flat-rate compounded GLP-1 with free weekly dietitian sessions. Belle Health is a national DTC telehealth platform offering compounded semaglutide and tirzepatide with flat-rate pricing — the same monthly cost at every dose, with no escalation surcharge as you titrate up.
Ranked #29 of 492 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 491 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Belle Health.
- #23bmiMD— Very low $99/$139 pricing on both molecules nationwide — excellent sticker value, though without LegitScript verification.84/100
- #24Ro— The widest formulary — brand-name and oral access — but opaque compounded pricing means you can't model the value until you're already in the funnel.84/100
- #25Hims & Hers— Nationwide reach and a slick app at a mid-market semaglutide price — but an undisclosed tirzepatide price leaves part of the value equation blank.83/100
- #26Care Bare Rx— A LegitScript-certified, HIPAA-compliant multi-service platform that bundles weight loss with hair, TRT, sexual health and NAD+ — with both oral (Rybelsus and oral tirzepatide) and injectable compounded routes — but it won't show you a price until you're inside the intake.80/100
- #27Live Vital— A very low $99 semaglutide nationwide, with tirzepatide disclosed too — cheap and all-50, but without LegitScript verification.82/100
- #28Piper— $135 semaglutide and $199 tirzepatide nationwide — fair, fully-disclosed mid-market pricing, but without LegitScript verification to back the oversight claim.82/100
The 24 programs nearest this one
- #30 Big Easy Weight Loss82
- #31 EverSlim82
- #32 GOAL.MD82
- #33 Semaglutide Online82
- #34 Henry Meds81
- #35 Embody81
- #36 Vaylen81
- #37 Zera Health81
- #38 NP2GO79
- #39 Bionomy Health79
- #40 Cora Health79
- #41 HealthSource79
- #42 LillyDirect Foundayo79
- #43 Amazon One Medical78
- #44 Mint Med78
- #45 Primary Clinic (Direct GLP)77
- #46 Bon Health77
- #47 DoctorAdam77
- #48 PreventiveMD77
- #49 AmberHealth76
- #50 Elara Health and Wellness76
- #51 Maves76
- #52 PlushCare76
- #53 Tyde Wellness76
Pricing, states and verification reflect Belle Health's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Belle Health's site. Not medical advice; see our disclosure.