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Cost Plus Drugs Review: Pros & Cons

By The WeighLab Bench, Tools & Data Desk

Mark Cuban's transparent-pricing online pharmacy.

In this review

Not available to order

Cost Plus Drugs is a mail-order pharmacy. It fills prescriptions but doesn't prescribe, so you need a prescriber first.

Looking for a GLP-1 program you can start online? See the cheapest GLP-1 providers or the leaderboard.

Where the value is

  • Transparent pricing: wholesale cost + 15% markup + $5 pharmacy fee, the same for everyone
  • Around $279/mo for branded Ozempic — well below typical retail list prices
  • Mark Cuban's PBM-disrupting pharmacy, praised by Forbes Health, Wired, and KFF Health News
  • Ships to all 50 states; genuine FDA-approved Novo Nordisk Ozempic, not compounded
  • Partnered with 9amHealth so you can get prescribed and fill at Cost Plus pricing

The tradeoffs

  • Fulfillment only — no telehealth intake; you need a prescription from an outside clinician
  • Ozempic is FDA-indicated for type 2 diabetes, not weight management — weight-loss use is off-label
  • Wegovy availability has been spotty — check current stock before assuming it ships
  • No compounded semaglutide or tirzepatide — brand only
  • No clinical follow-up — side-effect monitoring falls to your prescribing clinician

Cost Plus Drugs fills prescriptions, it doesn't write them

Cost Plus Drugs is a mail-order pharmacy known for selling medications at a published markup over what it pays for them. It fills prescriptions, but it doesn't write them, so it can't start you on a GLP-1 by itself.

If you already have a prescription from your doctor or a telehealth company, you can ask whether Cost Plus stocks your medication and what it charges, since its catalog changes over time. To get a prescription in the first place, you'll need a licensed provider who handles the medical review and decides on the dose. To start treatment, compare compounded semaglutide providers or compounded tirzepatide providers.

The bottom line

Mark Cuban's transparent-pricing online pharmacy.

Compare the total cost of other GLP-1 programs and alternatives to Cost Plus Drugs before deciding. A clinician should help you choose the right treatment.

GLP-1 programs you can start online

These are partners: we may earn a commission if you sign up, at no cost to you.

  • Strut HealthPartner

    Semaglutide modeled $99/mo · Tirzepatide modeled $149/mo

    Strut sells compounded semaglutide from $99 a month as a lozenge or $129 as a weekly injection, and tirzepatide from $149, all on auto-refill.

  • bmiMDPartner

    Semaglutide modeled $159/mo · Tirzepatide modeled $249/mo

    bmiMD charges $159 a month for compounded semaglutide and $249 for tirzepatide month to month, the same at every dose, with lower prices on three-, six- and twelve-month plans.

  • RxSpan MDPartner

    Semaglutide modeled $249/mo · Tirzepatide modeled $329/mo

    RxSpan MD puts injections, oral capsules and three brand-name drugs on one account, with every price and plan length published; one month of the semaglutide injection is $249.

Compare with other providers

More GLP-1 providers we have reviewed. See the alternatives to Cost Plus Drugs.

Explore more provider reviews

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

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