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Grade C61/100 IndexPartner

Lttl Review: Price, Pros & Cons

By The WeighLab Bench, Tools & Data Desk

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.

Check Lttl prices Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. See our disclosure.

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:

SupplySemaglutideTirzepatide
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.

Normalized Cost/Month76/100
Price Transparency78/100
Nationwide Access24/100
Formulation Options77/100
Clinical Oversight76/100
Contract Flexibility20/100

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.

Explore more provider reviews

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.

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