Pallas Health Review: Price, Pros & Cons

Pallas Health sells compounded semaglutide and tirzepatide with a discounted first month, then a flat price billed every four weeks. The price doesn't change as your dose goes up.

Billing every four weeks means 13 charges a year, not 12. Pallas also sells quarterly, six-month and annual plans. The annual plan brings the monthly average down noticeably, and Pallas says that average holds for as long as you stay on it. Ask for the exact annual total before you commit, since it's charged as one plan.

Nothing is charged at checkout. Pallas saves your card and bills it only once a clinician writes your prescription. The plan price covers the clinician review, the medication, check-ins and dose changes, care-team messaging and free, discreet shipping. There's no membership fee, Pallas doesn't bill insurance, and FSA and HSA cards are accepted.

Pallas's clinicians can also prescribe Wegovy, Zepbound, Ozempic, Mounjaro, the Wegovy pill and Foundayo. These are cash-pay at pharmacy rates, billed monthly, and there's no insurance routing. Zepbound is listed at $1,069 a month and Wegovy at $1,349. Compounded semaglutide also comes as a daily tablet if you'd rather avoid needles.

You fill out a short online intake. A clinician licensed in your state reviews it, often the same day, and Pallas gives you the clinician's name and license details before any prescription is written. Its medical team is led by Dr. Ana Lisa Carr, who is board-certified in family, obesity and addiction medicine.

Pallas serves all 50 states and Washington, D.C. Most visits need no call, but Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, West Virginia and D.C. require one short video visit. Compounded medication comes from independent U.S.-licensed compounding pharmacies that Pallas doesn't name, and orders usually arrive within about a week of approval. Compounded medications are not FDA-approved.

Canceling is free and takes effect at the end of your billing period. Before a prescription is issued, you can cancel and owe nothing. If you aren't approved, anything charged is refunded in full. Once a prescription is issued, that cycle's order is final and isn't prorated. A damaged package must be reported within 24 hours of delivery.

Pallas also offers a six-month promise. Stay on a paid plan for six straight months, take your doses on schedule, do your check-ins, and log your starting and six-month weights in the portal. If you've lost no net weight or are unhappy, request a refund within 30 days of the six-month mark, and Pallas returns what you paid it over those six months. It's one claim per patient.

Refunds for other customer cancellations are reduced by card processing costs and a $5 fee per payment.