PlushCare Review: Price, Pros & Cons
PlushCare (a Transcarent, Inc. subsidiary) is a virtual primary-care platform whose board-certified MDs can prescribe brand-name GLP-1s (via insurance or Novo Nordisk's NovoCare cash-pay program) or compounded semaglutide/tirzepatide in 40 states plus DC while the brand drugs are on FDA's shortage list.
In this review
Prices at a glance
- Semaglutide
- $499/moBrand Wegovy through NovoCare Pharmacy, plus a separate fee
- Tirzepatide
- $299/mo2.5 mg brand Zepbound vial through LillyDirect; $399 at 5 mg, $449 at 7.5 mg and up, plus a separate fee
- Coverage
- All 50 states
- Brand-name
- Yes
Semaglutide · estimated annual cost
$6,228
Includes the required $19.99/mo membership
Tirzepatide · estimated annual cost
$3,828
Includes the required $19.99/mo membership
Who PlushCare may suit
Patients who want a real board-certified physician managing GLP-1s alongside general primary care, and are prepared to navigate insurance or a manufacturer cash-pay program rather than a single flat price.
Where the value is
- Board-certified physicians (not NP-only) available in all 50 states for general virtual primary care
- Lists the Zepbound self-pay prices by dose on its own page: vials at $299, $399 and $449 a month, pens at $650
- Owned by Transcarent, a venture-backed platform with a named, traceable corporate lineage
- Insurer prior-authorization outreach and an in-app prescription discount card for patients who do have coverage
The tradeoffs
- Compounded semaglutide ($149 at 0.25 mg, $299 above) is offered only while the brand drug is on FDA's shortage list, and compounded options only in 40 states plus DC
- A $19.99/mo membership (first month free) and, without insurance, a $129 visit come on top of the medication price
- The Wegovy page still quotes a $199 first-months price 'valid through March 2026', a date that has passed; its own headline says from $499
- Facing a class-action settlement (Robbins v. PlushCare) alleging patients were enrolled in a recurring monthly subscription without clear disclosure or an easy cancellation path
- GLP-1 prescribing is a clinician's in-visit judgment call, not guaranteed at signup
How PlushCare bills for weight care
PlushCare is a virtual primary care practice, so you don't buy a GLP-1 plan from it. You pay for a membership and for visits, and the medication is billed separately.
- Membership: $19.99, with the first month free. It covers same-day appointments seven days a week, unlimited messages with your care team and discounts on lab tests.
- Visits with insurance: PlushCare is in network with many major insurers, and most in-network patients pay $30 or less per visit.
- Visits without insurance: the first visit is $129.
Lab work and medication aren't included in either price. Your doctor will often order labs before deciding on treatment, and you pay the lab or your plan for those.
Considering PlushCare?
Check the plan total, billing period and cancellation terms before you enroll. A clinician decides whether treatment is appropriate.
Paying for brand-name drugs
PlushCare's doctors can prescribe Wegovy, Zepbound, Saxenda, Contrave and other weight drugs, and send the prescription to your pharmacy of choice. If you're insured, the care team handles prior authorization for you. It says putting the request together usually takes three to seven business days, and insurers typically take another seven to 14 days to decide. If you're denied, you can still buy the drug at the cash price, and PlushCare's in-app discount card takes 7% to 20% off some medications.
If you pay cash, PlushCare points you to the drugmakers' own pharmacies. Wegovy comes through Novo Nordisk's NovoCare pharmacy, which has charged a lower introductory price for the first two months at the two lowest doses. PlushCare's own Wegovy information still says that offer runs through March 2026, so check the current price before you count on it. Zepbound vials come through LillyDirect, at a self-pay price that rises with the dose up to 7.5 mg and then stays flat.
Compounded semaglutide and tirzepatide
PlushCare says its doctors prescribe compounded semaglutide or tirzepatide only while the brand-name drug is on the FDA's shortage list. When they do, a partner sterile compounding pharmacy makes it, and you pay that pharmacy's cash price by card during your appointment. The compounded semaglutide price is lower at the starting dose than at higher ones. Insurance doesn't cover compounded drugs.
Compounded prescriptions are limited to residents of 40 states and Washington, D.C. Alabama, Alaska, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Minnesota, South Carolina and South Dakota aren't on the list. Ask at your first visit whether a compounded option is open to you at all.
Refunds and what you can't get back
PlushCare refunds the cost of a visit if it can't treat or assess you, if a connection problem stops the consultation, if the doctor is more than 10 minutes late, or if a state licensing issue gets in the way. That refund covers the appointment, not the membership.
There's no refund once a doctor has done any level of assessment, including a visit that ends with lab orders or a referral but no prescription. Prescriptions can't be returned. The membership can be canceled at any time.
The Index scorecard
PlushCare scored on our six Cost-Efficiency Index factors. See the methodology.
The bottom line
PlushCare (a Transcarent, Inc. subsidiary) is a virtual primary-care platform whose board-certified MDs can prescribe brand-name GLP-1s (via insurance or Novo Nordisk's NovoCare cash-pay program) or compounded semaglutide/tirzepatide in 40 states plus DC while the brand drugs are on FDA's shortage list.
Compare the total cost of other GLP-1 programs and alternatives to PlushCare before deciding. A clinician should help you choose the right treatment.
Other programs to compare with PlushCare
These are partners: we may earn a commission if you sign up, at no cost to you.
CoreAge RxPartner
Semaglutide modeled $99/mo · Tirzepatide modeled $149/mo
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
EdenPartner
Semaglutide modeled $99/mo · Tirzepatide modeled $129/mo
Eden charges $99 a month for compounded semaglutide and $129 for compounded tirzepatide, the same at every dose, with the visit, medication and shipping included.
FoundPartner
Semaglutide modeled $215.58/mo · Tirzepatide modeled $313.08/mo
Found bundles compounded semaglutide or tirzepatide into a care plan you can pay for with insurance or cash; month to month, semaglutide is $199 insured or $289 cash.
Compare with other providers
The providers whose Cost-Efficiency Index scores sit closest to PlushCare's. See the alternatives to PlushCare.
- 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
Explore more provider reviews
Pricing, states and verification reflect PlushCare's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on PlushCare's site. Not medical advice; see our disclosure.