Lttl Review: Price, Pros & Cons
Lttl charges $99 every four weeks for compounded semaglutide and $149 for tirzepatide on a cancel-anytime auto-refill, with small discounts for longer supplies.
In this review
Compounded drugs are not FDA-approved. Treatment requires a clinician's assessment. Understand compounded GLP-1 treatment.
Prices at a glance
- Semaglutide
- $99 per 4 weeksCompounded, auto-refill
- Tirzepatide
- $149 per 4 weeksCompounded, auto-refill
- Coverage
- Coverage not published
- Brand-name
- Not confirmed
Semaglutide · estimated annual cost
$1,287
13 charges a year: billed every four weeks
Tirzepatide · estimated annual cost
$1,937
13 charges a year: billed every four weeks
Who Lttl may suit
Shoppers who want a low price without prepaying, and who are fine with a refill that ships and bills every four weeks.
Where the value is
- Every medication and supply length is priced on its plans page before checkout
- Longer supplies trim the price only a little: semaglutide is $96, $93 or $89 per four weeks on 12-, 24- or 52-week supplies, so month to month costs you almost nothing extra
- Named medical advisory board (pharmacist, nurse practitioner, physical therapist) rather than zero disclosure
- Real LegitScript verification badge with a working certificate link
- Flat dose pricing — "Same price at every dose", so titrating up does not raise the monthly bill
- A needle-free route on semaglutide: an orally dissolving tablet
The tradeoffs
- Billing is every four weeks, so a year is 13 charges: about $1,287 on semaglutide and $1,937 on tirzepatide
- The struck-through $249 and $339 beside each price are not a price anyone is quoted, so ignore the "savings" figures
- A first-month discount of up to $140 is applied automatically, so check what your second order costs
- No specific compounding pharmacy named — the site refers only to "a partner U.S. pharmacy"
- No states-served list published; eligibility depends on where unnamed "partner providers are licensed"
- Compounded only — no brand Wegovy, Ozempic, Zepbound or Mounjaro lane at any price
Lttl's plan prices
Lttl prints every price and every supply length on its plans page before you take the quiz. Longer supplies cut the price a little:
| Supply | Semaglutide | Tirzepatide |
|---|---|---|
| 4 weeks, auto-refill | $99 | $149 |
| 12 weeks | $96 | $146 |
| 24 weeks | $93 | $143 |
| 52 weeks | $89 | $139 |
Prices are per four weeks. Lttl labels them "/mo," but the auto-refill ships a four-week supply, so a year on the monthly plan is 13 charges. The 52-week supply is billed as one payment: $1,068 for semaglutide or $1,668 for tirzepatide.
The gap between paying monthly and paying for a year is small, $10 every four weeks. That makes the monthly plan, which you can stop at any time, an easy default.
Ignore the crossed-out $249 and $339 beside each price and the "savings" figures built on them. A first-month discount of up to $140 is also applied automatically, so check what your second order will cost.
Considering Lttl?
Check the plan total, billing period and cancellation terms before you enroll. A clinician decides whether treatment is appropriate.
Lttl pays us a commission if you start there. This does not change its Index score.
What's included
The price is the same at every dose, shipping is free and support runs through the patient portal around the clock. There are no other fees on the plans page. Lttl doesn't bill insurance, though many people pay with HSA or FSA funds.
After a prescription is written, the pharmacy usually processes the order in 2 to 5 business days. Delivery takes 3 to 7 business days in cold-chain packaging, and a signature may be needed. Lttl also sells microdose semaglutide and tirzepatide plans, plus longevity products like NAD+ and sermorelin.
Who prescribes and who fills it
Independent U.S.-licensed clinicians review your assessment and decide whether to prescribe. A partner U.S. pharmacy compounds and ships the medication, but Lttl doesn't name it.
Lttl serves adults in the states where its partner providers are licensed. It doesn't publish that list, so confirm your state during the quiz.
Canceling and refunds
You can cancel from your account or by email at any time, and future shipments and charges stop. An order the pharmacy has already processed can't be canceled or refunded.
Once medication ships, it can't be returned, even unopened. If a package arrives damaged or wrong, contact Lttl within 7 days with photos and it will arrange a replacement. Consultation fees are generally non-refundable once a provider has reviewed your file, whether or not you're prescribed. Report billing errors within 30 days.
The Index scorecard
Lttl scored on our six Cost-Efficiency Index factors. See the methodology.
The bottom line
Lttl charges $99 every four weeks for compounded semaglutide and $149 for tirzepatide on a cancel-anytime auto-refill, with small discounts for longer supplies.
Compare the total cost of other GLP-1 programs and alternatives to Lttl before deciding. A clinician should help you choose the right treatment.
Other programs to compare with Lttl
These are partners: we may earn a commission if you sign up, at no cost to you.
Sprout HealthPartner
Semaglutide modeled $161.42/mo · Tirzepatide modeled $215.58/mo
Sprout charges $149 every four weeks for compounded semaglutide and $199 for tirzepatide, or $99 and $149 a month if you prepay a full year.
OakPartner
Semaglutide modeled $250/mo · Tirzepatide modeled $300/mo
Oak's order form charges $250 a month for compounded semaglutide and $300 for tirzepatide at every dose, with no subscription and brand-name pens on the same menu, while its marketing pages advertise figures from $89 to $190 that the form does not offer.
EmbodyPartner
Semaglutide modeled $79/mo · Tirzepatide modeled $129/mo
Embody sells compounded semaglutide from $79 a month and tirzepatide from $129, marked as sale prices, with prescribers from the OpenLoop Health network.
Compare with other providers
The providers whose Cost-Efficiency Index scores sit closest to Lttl's. See the alternatives to Lttl.
- MangoRx— MangoRx, a men's health brand, sells one GLP-1 product: Slim, a compounded semaglutide tablet that dissolves in the mouth, at $299 for a 30-day supply.61/100
- DudeMeds— DudeMeds sells compounded semaglutide at $179 a month and tirzepatide at $249, but only in prepaid multi-month "commit kits" billed $716 and $747 up front.61/100
- Docberry— Docberry sells compounded semaglutide only as prepaid bundles, $796 for four months or $2,028 for twelve, and tirzepatide at $1,745 for three months; there is no month-to-month plan.61/100
- Maves— Maves publishes compounded semaglutide at $249 monthly after a $189 first month and tirzepatide at $349 after a $249 first month, with clinician messaging and shipping included.60/100
- JumpstartMD— JumpstartMD combines 14 California clinics with online care, brand-name and compounded medication options, and a separate monthly membership.60/100
- AquaVita NextGen— AquaVita NextGen, a Lake Forest, CA medspa (23321 El Toro Rd Suite G) expanding into telehealth, sells compounded semaglutide ($215/mo) and tirzepatide ($320/mo) as flat one-month or discounted three-month packages.60/100
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Pricing, states and verification reflect Lttl's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Lttl's site. Not medical advice; see our disclosure.