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Pillar Health Review: Price, Pros & Cons

By The WeighLab Bench, Tools & Data Desk

Pillar Health lists compounded semaglutide at $189 a month and tirzepatide at $249, the same at every dose with no membership fee, and a welcome code halves the first month.

Visit Pillar Health 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.
Semaglutide
$189/moCompounded, same price at every dose; first month $94.50 with the welcome code
Tirzepatide
$249/moCompounded, same price at every dose; first month $124.50 with the welcome code
Coverage
48 states + DC
Brand-name
Compounded only

Semaglutide · modeled / year

$2,268

Tirzepatide · modeled / year

$2,988

The Index scorecard

Pillar Health scored on our six Cost-Efficiency Index factors. See the methodology.

Normalized Cost/Month72/100
Price Transparency94/100
Nationwide Access78/100
Formulation Options66/100
Clinical Oversight71/100
Contract Flexibility55/100

Where the value is

  • Both monthly prices are on the weight-loss and product pages before any questionnaire, with $0 membership and free shipping
  • The program price covers every dose in the titration ladder, from 0.25 mg to 2.4 mg of semaglutide and 2.5 mg to 15 mg of tirzepatide
  • Publishes where it serves: 48 states and Washington, D.C., with Alaska and Mississippi excluded
  • Unlimited messaging with the clinical team and follow-ups are part of the program
  • Also offers a tirzepatide microdosing program and peptide, NAD+ and sexual health treatments

The tradeoffs

  • Pillar is a storefront: starting treatment hands you to a separate checkout platform whose own terms set the charges, renewals, cancellations and refunds
  • Its refund policy points you to that provider's terms rather than stating its own cancellation or refund rules
  • It doesn't name the pharmacy that fills your prescription
  • The tirzepatide microdosing card reads "249/month" while its start button shows a $99.50 first month, so confirm the standing price at checkout
  • Compounded semaglutide and tirzepatide are not FDA-approved products

The bottom line

Best for: Shoppers who want one flat monthly price for compounded semaglutide or tirzepatide that won't rise as the dose goes up. Pillar Health lists compounded semaglutide at $189 a month and tirzepatide at $249, the same at every dose with no membership fee, and a welcome code halves the first month.

For comparison, read our review of CoreAge Rx, one of our partners. Partners are listed first on our leaderboard; every provider is scored on the same six factors.

Other programs to compare with Pillar Health

These are partners: we may earn a commission if you sign up, at no cost to you.

  • Enhance MDPartner

    Semaglutide from $212/mo · tirzepatide from $280/mo

    Enhance MD charges $212 a month for compounded semaglutide and $280 for tirzepatide at every dose, with lab work every six months included; the first month is $100 less.

  • HealthRXPartner

    Semaglutide from $190/mo · tirzepatide from $239/mo

    HealthRX charges $190 a month for compounded semaglutide and $239 for tirzepatide month to month; the $99 and $179 it advertises are prepaid twelve-month prices.

  • SkinnyRxPartner

    Semaglutide from $249/mo · tirzepatide from $299/mo

    SkinnyRx charges $99 for the first month of compounded semaglutide or tirzepatide, then $249 or $299 a month; prepaid plans bring semaglutide down to $199 a month.

Compare with other providers

The providers whose Cost-Efficiency Index scores sit closest to Pillar Health's. See the alternatives to Pillar Health.

The 23 programs nearest this one

Pricing, states and verification reflect Pillar Health's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Pillar Health's site. Not medical advice; see our disclosure.

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