Harper Meds Review: Price, Pros & Cons

Harper Meds says its program starts at $149 a month, and that the price covers the doctor consultation, the prescription, the medication and shipping, with no other fees. That figure is for compounded semaglutide. Harper also sells compounded tirzepatide, but its homepage doesn't show that price. It's cash pay only, with no insurance.

Check the exact monthly charge for your drug at checkout. Harper's terms describe the program as a monthly membership billed about every 28 to 30 days, which means a year can run to 13 charges rather than 12.

You aren't charged until a doctor approves you. Harper places a hold on your card at checkout and only takes the payment once your prescription goes to the pharmacy.

You take a five-minute quiz, and a U.S.-licensed doctor reviews it to decide whether you're a candidate. Bloodwork isn't required, though you can upload recent results with your intake, and Harper accepts patients who are already on a weight-loss medication. Once approved, medication ships from a partner pharmacy and refills arrive automatically each month, with a notice before each shipment. You can message your doctor through the patient portal at any time, and phone and email support runs from 8 a.m. to 1 a.m. Eastern, seven days a week.

The company behind the site is Nexus Health Solutions LLC. The doctors come from two physician networks, Wasef Health and Beluga Health. Harper doesn't name the pharmacy.

Harper's terms include a weight-loss guarantee. If you don't lose at least 10% of your starting weight after your first 16 weeks, it refunds your first four months of billing. To qualify:

• You must be a new customer who reported your weight accurately at intake.
• You must take your weekly compounded semaglutide dose for 16 weeks straight, 16 doses in all.
• You can't have been prescribed another weight-loss drug in the past 12 months.
• You must prove your weight, either with a written attestation from a licensed clinician or a video of yourself on a scale reciting a code Harper sends you.

The guarantee is written for semaglutide, so ask whether it applies if you're on tirzepatide.

• Canceling. You can cancel anytime by phone, email or your account, with no contract or cancellation fee. Membership fees already paid aren't refunded. You can also delay a billing date or switch to on-demand refills.
• Your state. Harper doesn't publish a list of the states it serves, and its terms say some services are limited to certain states.
• The pharmacy wording. Harper's disclaimer says its drugs come from "503A Outsourcing Facilities." Outsourcing facilities are the 503B category, so ask which kind of pharmacy fills yours.
• Borrowed terms. Parts of the terms describe a testosterone program with at-home blood draws, which Harper's site doesn't sell. Compounded drugs aren't FDA-approved.