GOAL.MD review
GOAL.MD is a St. Louis-based telehealth platform offering compounded semaglutide alongside brand-name bridges to Ozempic, Wegovy, and Zepbound. Its standout is a manual-renewal model — no auto-billing
- Semaglutide
- $179/mo
- Tirzepatide
- $249/mo (starting dose, compounded)
- Coverage
- All 50 states
- Brand-name
- Yes
Semaglutide · modeled / year
$2,148
Tirzepatide · modeled / year
$2,988
The Index scorecard
GOAL.MD scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- Transparent dose-tiered pricing on brand pens
- LegitScript Certified
- Manual-renewal model — no surprise auto-billing
- Free nutrition coach included
- BBB A+ rating since 2021
The tradeoffs
- No named compounding pharmacy partner
- Co-founder and chief physician has a 2016 federal guilty plea for distributing misbranded HGH and a (reinstated) license revocation
- No URAC or PCAB pharmacy accreditation
The bottom line
Best for: Cost-first shoppers who want manual-renewal billing with dose-tiered brand-name pricing transparency. GOAL.MD is a St. Louis-based telehealth platform offering compounded semaglutide alongside brand-name bridges to Ozempic, Wegovy, and Zepbound. Its standout is a manual-renewal model — no auto-billing
Ranked #32 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 GOAL.MD.
- #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
- #33 Semaglutide Online82
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- #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
- #54 Apex MD75
- #55 MyFastRx75
- #56 Nalena75
Pricing, states and verification reflect GOAL.MD's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on GOAL.MD's site. Not medical advice; see our disclosure.