GOAL.MD Review: Price, Pros & Cons

GOAL.MD sells compounded semaglutide and tirzepatide injections at one price for every dose. What changes the price is how much you pay up front. Each drug has four options: month to month, or a three-, six- or twelve-month plan charged once, in full, at the start. The longer the plan, the lower the monthly rate, and the twelve-month plan is the figure GOAL.MD's ads lead with. Tirzepatide costs more than semaglutide at every plan length.

The price covers the physician evaluation and ongoing supervision, the medication from a licensed U.S. pharmacy, unlimited nutrition coaching and free expedited shipping. GOAL.MD is cash pay only. It doesn't bill insurance, but it accepts HSA and FSA cards and offers Affirm, Afterpay and Klarna. Confirm the current monthly figure for your drug and plan before you pay, because the advertised rate assumes a year paid in advance.

This is the part of GOAL.MD that stands out. It doesn't auto-bill its compounded programs. Your first payment covers the consultation, the physician's evaluation and the first shipment. Around day 21, before your supply runs out, the care team contacts you. If you want to continue, they process the next order; if you want to pause or stop, nothing is charged and no cancellation notice is needed.

The flip side is that every compounded order is final once it's paid. Because the medication is made for you, GOAL.MD won't cancel or refund it after payment, and that includes a prepaid plan.

GOAL.MD's physicians can also prescribe Wegovy, Ozempic and Zepbound through its Brand-Name GLP-1 Access program. You pay GOAL.MD $95 a month for physician supervision, or $255 for three months, $450 for six or $780 for twelve. The medication itself is bought separately through the drugmakers' own programs, LillyDirect and NovoCare, so your total is the drug plus the fee.

GOAL.MD's pages describe this fee two ways. One says it's billed automatically while you stay enrolled and can be canceled before your next refill is authorized. Another says it's a one-time payment with no stored card. Ask which applies before you sign up. Either way, once a physician has started clinical work for a period, the fee isn't refunded or prorated.

GOAL.MD is a veteran-owned telehealth practice founded in 2019. It names its physicians, led by Chief Physician and co-founder Dr. Michael Mimlitz, MD, with Dr. Michael Fitch and Dr. Joel Jones. The intake takes about three minutes and a licensed physician decides whether to prescribe. GOAL.MD says it serves all 50 states, though which drug you can get depends on your state and pharmacy eligibility.

You can reach a person by phone, weekdays 9 a.m. to 5 p.m. Central. GOAL.MD doesn't name the 503A or 503B pharmacies that compound its medication, so ask who will fill yours. Compounded semaglutide and tirzepatide are not FDA-approved.