Home / Best online semaglutide program

27 programs. Seven tests. One honest pick.

Best online semaglutide program in 2026: 27 compounded programs, rated

Our pick for the best online semaglutide program is NexLife, 9.6 out of 10 in our October 2026 rating of 27 programs: $139 a month at every dose, or $119 on a 12-month plan, all in, with named partner pharmacies, a named medical director and real people on call 24/7. Paying less elsewhere? We match it.† Compounded semaglutide isn’t FDA-approved.

  • Seven tests, the same for every program, ours included
  • Every price checked on the program’s own site on October 13, 2026, with links
  • No paid placements: no program paid to be on this page
Published by NexLifeLegitScript-certifiedUpdated October 14, 2026 · First published October 14, 2026Medically reviewed by the NexLife clinical team, led by Adam Kennah, MD (NPI 1144260043)
1
NexLifeOur pick

$139/mo, all-inclusive, same price at every dose

From $119/mo on a 12-month plan

Brand-name Wegovy pill starts at $149 a month at NovoCare, medication only

Check my eligibility

About 3 minutes online. A licensed provider decides if treatment is right for you.

Switching? We’ll match the monthly price you pay now.† How it works

4.8 out of 5 on Trustpilot

  • 5,000+ members served
  • LegitScript certified
  • State-licensed 503A pharmacies
  • Free expedited shipping
  • HSA and FSA accepted
  • 24/7 support, real people

Yes, we rank ourselves first. NexLife publishes this rating and is one of its 27 programs. That’s why every program faces the same seven tests, every price links to its source and every program’s points are printed below, so you can check our math. Compounded medicines aren’t FDA-approved. A NexLife provider prescribes one only if it offers a significant difference for you compared with an FDA-approved medicine.

Key takeaways

  • Our pick: NexLife, 9.6 out of 10. $139 a month at every dose, all in, or $119 on a 12-month plan. NexLife publishes this rating, so every program’s points are printed below.
  • Lowest flat month-to-month price we rated: PreventiveMD, $119 at every dose. AltRx advertises $89 but doesn’t say how long its plan runs.
  • Read the fine print: 4 of the 27 programs charge more as your dose rises, 4 add a membership or program fee and 6 have a first-month price that jumps later.
  • Brand-name Wegovy through NovoCare is $149 a month for the pill’s starting dose and $349 a month for the pen, for the medication alone.
  • Compounded semaglutide isn’t FDA-approved. A NexLife provider prescribes it only if it offers a significant difference for you compared with an FDA-approved medicine.

Quick picks

The best online semaglutide program for you

There isn’t one best provider for everyone. Here’s our pick for each common need, using only what each program publishes.

The best online semaglutide program for each need
If you wantOur pickWhy
The best overall programNexLifeTop score (9.6/10): $139 a month at every dose, all in, named pharmacies and medical director, 24/7 support from real people. Pay less elsewhere? Matched.†
The lowest flat month-to-month pricePreventiveMD$119 at every dose (9.0/10), or about $83 a month on a prepaid year ($999).
The lowest advertised priceAltRx$89 a month, though it doesn’t say how long the plan runs, and Trustpilot has removed its profile.
The lowest 12-month priceEmbody$69 a month, $828 upfront. Month to month it’s $79 the first month, then $299.
Coaching built into the programNoom$129 for the first 4 weeks, then $279 a month, billed every 12 weeks.
A brand-name pillWegovy pill, NovoCare$149 a month at 1.5 mg, up to $299 at 9 mg and 25 mg, for the medication alone.
Medicare Part DMedicare GLP-1 BridgeA $50 monthly copay for Wegovy if you’re eligible, with prior authorization.

The rating

All 27 semaglutide programs, rated

Sorted by score. Tap a name for its full review. NexLife is highlighted because it’s ours.

27 online semaglutide programs, rated
ProgramScoreRegular monthly priceFirst monthLowest plan priceSame price at every dose?Trustpilot
1. NexLife
Our pick · top score
9.6/10$139 Pay less elsewhere? Matched†Same$119 (12 mo, $1,428)Yes4.8 (394)
2. PreventiveMD
Lowest flat monthly price
9.0/10$119Sameabout $83 (12 mo, $999)Yes4.8 (273)
3. Belle8.5/10$199Same$109 (12 mo, $1,308)Yes4.5 (1,467)
4. Cora8.3/10$175Same$99 (12 mo, $1,188)Yes59 reviews
5. Rx.com
No auto-renewal
8.3/10$175Same$99 (12 mo, $1,188)Yes4.0 (4)
6. AltRx
Lowest advertised price
8.1/10$89Same—YesProfile removed by Trustpilot
7. Ondra Health8.0/10$149Same$96 (12 mo, $1,149)Yes34 reviews
8. BMI MD7.8/10$159Same$119 (12 mo, $1,428)Yes4.5 (875)
9. Raeliva7.8/10$219Same$150 (6 mo, $900)Yes4.2 (16)
10. Mochi Health7.3/10$139Same$109 (12 mo, $1,308)No, rises with dose4.5 (19,429)
11. Refills7.0/10$199Same$99 (12 mo, $1,188)Yes4.2 (1,704)
12. MEDVi6.8/10$299$149—Yes4.3 (15,004)
13. Sprout Health6.7/10$149 per 4 weeksSame$99 (12 mo, $1,188)Yes4.2 (207)
14. Ola Health6.5/10$129 to $199Same—No, rises with doseNo Trustpilot profile
15. Gala GLP-16.2/10Not published ($199 on a plan)—$199 (3 mo, $597)Yes4.6 (4,226)
16. Shed6.2/10$199Same$159 (12 mo, $1,908)Not stated4.6 (1,137)
17. Shapely6.2/10$238 to $278Same$198 (3 mo, $594)No, rises with dose4.5 (179)
18. Alloy6.1/10$169Same—Not stated4.3 (4,042)
19. He & She MD5.8/10Not published ($149 on a plan)—$99 (12 mo, $1,188)Not statedNo reviews yet
20. Fifty 4105.8/10$199Same—Not stated4.8 (6,333)
21. Remedy Meds5.2/10$299 per 4 weeks$179—Yes4.6 (13,773)
22. Ivím Health
Top Trustpilot score
5.1/10Not published (from $139.99)——Not stated4.9 (39,782)
23. Noom
Most built-in coaching
5.1/10$279 (billed every 12 weeks)$129—Not stated4.5 (67,126)
24. Embody
Lowest 12-month price
5.0/10$299$79$69 (12 mo, $828)Yes3.8 (9,782)
25. CoreAge Rx4.8/10Not published ($79 on a plan)—$79 (12 mo, $948)YesRating withheld by Trustpilot
26. Henry Meds4.3/10$297Same$197 (12 mo, $2,364)No, rises with dose4.4 (12,535)
27. Bodybuilding Health+3.4/10$279$179about $159 (3 mo, $478)Not statedNo reviews yet

Prices from each program’s own site, checked October 13, 2026 (Belle’s month-to-month prices on October 7). Regular monthly price = what you pay after any first-month offer, at the starting dose, with any required membership or program fee. Lowest plan price = the lowest per-month price on a prepaid or committed plan, with its length and total. Trustpilot scores read October 13–14, 2026. Compounded semaglutide isn’t FDA-approved; a NexLife provider prescribes it only if it offers a significant difference for you compared with an FDA-approved medicine.

Method

How we rated them

Every program went through the same seven tests, ours included: 100 points, shown as a score out of 10. No program paid to be here.

  • 1. Real monthly price · 35 points

    What you pay after any first-month offer, at the starting dose, with any required membership or program fee. $130 a month or less earns all 35, $450 or more earns none, in a straight line between. Billing every 4 weeks counts as 13 charges a year (Noom’s 12-week bills count as three 4-week months). No month-to-month price published: we use its shortest plan and halve the points.

  • 2. Same price at every dose · 15

    One price from the first dose to the last, stated on its site: 15. Price rises with dose: 5. Not stated: 3.

  • 3. Fees and fine print · 10

    No membership or program fee on top: 5. No first-month price that jumps afterward: 5.

  • 4. Care included · 10

    Coaching, dietitian or nutrition support: 5. Ongoing messages or check-ins with your provider: 5.

  • 5. Names who fills and prescribes · 15

    Names its pharmacies: 8. Names the physician who leads its care, or its prescribing physicians: 7 (only a medical group, or only non-physician clinicians: 3).

  • 6. Easy to leave · 5

    A month-to-month plan: 3. Cancel any time with no notice period: 2 (72 hours’ notice, or terms not stated: 1; 30 days’ notice or no cancellation once a program starts: 0).

  • 7. Patient reviews · 10

    Trustpilot TrustScore with 100 or more reviews, scaled from 3.0 (0 points) to 5.0 (10). Under 100 reviews or none: 3. Profile removed or rating withheld by Trustpilot: 0.

  • Same tests for everyone, NexLife included. NexLife publishes this page and is one of the 27 programs. That’s why the rules and every program’s points are printed here.
  • Only what programs publish. We read each program’s pricing page, FAQ and About or terms pages on October 13, 2026, and its Trustpilot profile on October 13–14, 2026. If a fact wasn’t on those pages, it doesn’t earn points. The pages we read are linked in each review and in Sources.
  • No paid placement. No program paid to be on this page, and none of the links earn us a commission.
  • Corrections, fast. If a program’s price or policy changed, email care@nexlife.us and we’ll recheck it.

Reviews

All 27 programs, reviewed

What each one charges, what it does well and what’s worth knowing before you sign up, taken from its own website.

1

NexLife

9.6/10 · Our pick · top score

$139Pay less elsewhere? Matched†

$139 a month at every dose; $132, $125 or $119 a month on 3-, 6- or 12-month plans. $1,668 the first year month to month.

What we like

  • One price at every dose, all in: $139 a month, or $119 on a 12-month plan. No membership fee.
  • Names its three partner pharmacies and its medical director, Adam Kennah, MD (NPI 1144260043). Real people answer 24/7 at (949) 818-8000.
  • Pay less elsewhere? NexLife matches a lower regular monthly price from another licensed U.S. telehealth provider.†

Worth knowing

  • Month to month, $139 isn’t the lowest flat price we rated. Its 12-month price, $119, matches PreventiveMD’s month-to-month price, but PreventiveMD’s own 12-month plan is about $83 a month.
  • Plans renew until you cancel, and cancelling takes 30 days’ notice.
Pharmacies: Absolute Pharmacy (Lutz, FL), Premium Compounding (Decatur, AL), Boudreaux’s New Drug Store (Lake Charles, LA)Doctors: Nexlife Medical Group P.C.; medical director Adam Kennah, MD (NPI 1144260043)Cancel: 30 days’ notice (its policy)Trustpilot: 4.8 from 394 reviews

Source: NexLife’s plans, checked October 13, 2026. See its points.

2

PreventiveMD

9.0/10 · Lowest flat monthly price

$119

$119 a month; $286 for 3 months, $536 for 6 or $999 for 12 (about $83 a month), the same at every dose. $1,428 the first year month to month.

What we like

  • The lowest flat month-to-month price among the programs we rated: $119, the same at every dose, or about $83 a month on a 12-month plan ($999 upfront).
  • Names its four partner pharmacies and lets you choose one at checkout where more than one serves your state.
  • No membership, consultation or cancellation fees.

Worth knowing

  • Care is by message: no live visits, coaching or nutrition program.
  • No named physician lead; its terms name its medical group, LocumTele, LLC.
Pharmacies: Empower Pharmacy, Midwest Compounders Pharmacy, Drug Crafters, Boudreaux’s New Drug StoreDoctors: Its terms name LocumTele, LLC as its medical group; we found no named physician leadCancel: Any time, no notice periodTrustpilot: 4.8 from 273 reviews

Source: PreventiveMD’s site, checked October 13, 2026. See its points.

3

Belle

8.5/10

$199

$199 a month on its monthly plan (checked October 7); from $109 a month on a 12-month plan (October 13). $2,388 the first year month to month.

What we like

  • $199 a month on its monthly plan, or from $109 on a 12-month plan, with no membership fee.
  • Nutrition guidance and nurse support included; names its partner pharmacies.

Worth knowing

  • Its month-to-month price wasn’t on the product page on October 13; we used our October 7 check.
  • No named physician lead on the pages we checked.
Pharmacies: Olympia Pharmaceuticals, Hillstone PharmacyDoctors: Names its clinical team (physician assistants, nurse practitioners, nurses, dietitians)Cancel: Not stated on the pages we checkedTrustpilot: 4.5 from 1,467 reviews

Source: Belle’s site, checked October 7, 2026. See its points.

4

Cora

8.3/10

$175

$175 a month; $145 on 3 months, $120 on 6, $99 on 12 ($1,188), the same at every dose. $2,100 the first year month to month.

What we like

  • Clear pricing, the same at every dose: $175 month to month, down to $99 on 12 months ($1,188).
  • Names its pharmacies (Hallandale Pharmacy, VialsRx) and its group medical director.

Worth knowing

  • No coaching program on the pages we checked.
  • Only 59 Trustpilot reviews so far.
Pharmacies: Hallandale Pharmacy, VialsRxDoctors: Group medical director Dr. David Wasef, MD (Wasef Health provider network)Cancel: Any time, no notice periodTrustpilot: 59 reviews

Source: Cora’s site, checked October 13, 2026. See its points.

5

Rx.com

8.3/10 · No auto-renewal

$175

$175 a month; $495 for 3 months, $875 for 6, $1,188 for 12 ($99 a month), the same at every dose. $2,100 the first year month to month.

What we like

  • Plans don’t renew on their own: nothing ships or bills until you confirm a refill.
  • One price from the first dose to the last; $99 a month on a 12-month plan ($1,188).

Worth knowing

  • Month to month costs $175; the low price needs a 12-month plan ($1,188).
  • Almost no Trustpilot reviews (4).
Pharmacies: Manifest Pharmacy (Greer, SC)Doctors: Uses MD Integrations; names its assigned physicians in four statesCancel: Any time, no notice periodTrustpilot: 4.0 from 4 reviews

Source: Rx.com’s site, checked October 13, 2026. See its points.

6

AltRx

8.1/10 · Lowest advertised price

$89

$89 a month, “no price hike, cancel anytime”; the plan length isn’t stated. $1,068 the first year month to month.

What we like

  • $89 a month, “no price hike,” with shipping included.
  • Names four partner pharmacies, with addresses and phone numbers.

Worth knowing

  • Doesn’t say how long the plan runs.
  • Trustpilot has removed its profile: “The business you’re trying to find goes against our guidelines.”
Pharmacies: RedRock Pharmacy, Health Warehouse, Precision Medicine, Triad RxDoctors: OpenLoop Healthcare Partners, PCCancel: Any time, no notice periodTrustpilot: Profile removed by Trustpilot

Source: AltRx’s site, checked October 13, 2026. See its points.

7

Ondra Health

8.0/10

$149

$149 a month; $113 on a 3-month plan; $96 on a 12-month plan ($1,149), which only some of its pharmacies offer. $1,788 the first year month to month.

What we like

  • $149 a month, down to $96 on a 12-month plan, with one price across titration doses.
  • Names its partner pharmacies and its medical director, Dr. David Wasef, MD.

Worth knowing

  • Which plan lengths you can buy depends on the pharmacy that serves your state.
  • Only 34 Trustpilot reviews so far.
Pharmacies: Optio RX, Hallandale Pharmacy, Vials RXDoctors: Medical director Dr. David Wasef, MD (Wasef Health, PC), and a named chief medical officerCancel: Not stated on the pages we checkedTrustpilot: 34 reviews

Source: Ondra Health’s site, checked October 13, 2026. See its points.

8

BMI MD

7.8/10

$159

$159 a month; $149, $129 or $119 a month on 3-, 6- or 12-month plans ($1,428 for 12), the same at every dose. $1,908 the first year month to month.

What we like

  • One price at every dose: $159 a month, down to $119 on a 12-month plan.
  • Unlimited messaging with your provider and nutrition guidance; a refund if you’re not eligible.

Worth knowing

  • Its page says prices went up for new members on August 4, and some comparison sites still list older, lower prices.
  • Doesn’t name its pharmacies or doctors on the pages we checked.
Pharmacies: Not named on the pages we checkedDoctors: Refers to “doctor networks of U.S.-licensed clinicians” without naming themCancel: Not stated on the pages we checkedTrustpilot: 4.5 from 875 reviews

Source: BMI MD’s site, checked October 13, 2026. See its points.

9

Raeliva

7.8/10

$219

$219 a month; $500 for 3 months ($167 a month) or $900 for 6 ($150 a month). $2,628 the first year month to month.

What we like

  • Names its medical director, its prescribing physicians (with NPI numbers) and five partner pharmacies.
  • Cancel by email any time, with no fee.

Worth knowing

  • $219 a month on its monthly plan, and no 12-month plan.
  • A new name (onlinesemaglutide.org until August 2026), with 16 Trustpilot reviews.
Pharmacies: Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx, Foothills PharmacyDoctors: Medical director Dr. Hirenkumar Italia; prescribing physicians named with NPI numbersCancel: Any time, no notice periodTrustpilot: 4.2 from 16 reviews

Source: Raeliva’s site, checked October 13, 2026. See its points.

10

Mochi Health

7.3/10

$139

Medication from $60 a month by dose, plus a $79 monthly membership ($49 a month if you prepay a year): $139 at the lowest dose. $1,668 the first year month to month if your dose stayed at the lowest level.

What we like

  • $139 a month at the lowest dose, including the $79 membership; registered dietitians and health coaches included.
  • 4.5 on Trustpilot from 19,429 reviews, and 24/7 phone support.

Worth knowing

  • Medication is priced by dose, so the monthly cost climbs as your dose does.
  • The membership is on top of medication ($49 a month if you prepay a year).
Pharmacies: Not named on the pages we checkedDoctors: Names its physicians on its About pageCancel: Not stated on the pages we checkedTrustpilot: 4.5 from 19,429 reviews

Source: Mochi Health’s site, checked October 13, 2026. See its points.

11

Refills

7.0/10

$199

$199 a month (shown against $249); $159, $139 or $99 a month on 3-, 6- or 12-month plans. $2,388 the first year month to month.

What we like

  • $199 a month, the same every month, down to $99 on 12 months.
  • Names its partner pharmacies.

Worth knowing

  • The price is shown against a struck-through higher one.
  • No coaching, and no named doctors on the pages we checked.
Pharmacies: Hallandale Pharmacy, Perfect Rx PharmacyDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: 4.2 from 1,704 reviews

Source: Refills’ site, checked October 13, 2026. See its points.

12

MEDVi

6.8/10

$299

$149 the first month, then refills “locked in” at $299. $3,438 the first year month to month.

What we like

  • Dietitian visits and care coaching included.
  • Names its partner pharmacies (RedRock Pharmacy, Beaker Pharmacy).

Worth knowing

  • $149 the first month, then refills at $299.
  • Its brand-name options add a $99 monthly membership.
Pharmacies: RedRock Pharmacy, Beaker Pharmacy & CompoundingDoctors: CareGLP Affiliated P.C.s and OpenLoop HealthCancel: Not stated on the pages we checkedTrustpilot: 4.3 from 15,004 reviews

Source: MEDVi’s site, checked October 12, 2026. See its points.

13

Sprout Health

6.7/10

$149 per 4 weeks

$149 every 4 weeks (13 charges a year); $99 a month on a 12-month plan ($1,188 upfront). $1,937 the first year month to month.

What we like

  • The same price at any dose, with the provider visit, medication and shipping included.
  • $99 a month on a 12-month plan ($1,188 upfront).

Worth knowing

  • Billed every 4 weeks, so 13 charges a year: about $1,937 month to month.
  • No coaching, and no named pharmacies or doctors on the pages we checked.
Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: 4.2 from 207 reviews

Source: Sprout Health’s site, checked October 13, 2026. See its points.

14

Ola Health

6.5/10

$129 to $199

$129 to $199 a month, depending on dose and pharmacy. $1,548 the first year month to month if your dose stayed at the lowest level.

What we like

  • Starts at $129 a month at its lowest doses, the lowest starting price we found.
  • Publishes a dose-by-dose price table and names its partner pharmacies.

Worth knowing

  • The price rises with dose and pharmacy, up to $199 a month.
  • Keeps a $50 consultation fee if a provider finds you ineligible. No Trustpilot profile.
Pharmacies: Drug Crafters, ReviveRX, White Label/Nova, Mountain CareDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: No Trustpilot profile

Source: Ola Health’s site, checked October 13, 2026. See its points.

15

Gala GLP-1

6.2/10

Not published ($199 on a plan)

$199 a month on a 3-month plan; it also advertises “start for $179/mo”; no monthly price published. No month-to-month price to total.

What we like

  • Every dose included at one price, plus an app, a care team 7 days a week and provider messaging.
  • 4.6 on Trustpilot from 4,226 reviews.

Worth knowing

  • No month-to-month price published: $199 a month on a 3-month plan, and a “start for $179/mo” offer without a stated term.
  • Doesn’t name its pharmacies.
Pharmacies: Not named on the pages we checkedDoctors: OpenLoop-affiliated medical groupsCancel: Any time, no notice periodTrustpilot: 4.6 from 4,226 reviews

Source: Gala GLP-1’s site, checked October 13, 2026. See its points.

16

Shed

6.2/10

$199

$199 a month; $179 a month on 6 months or $159 on 12. $2,388 the first year month to month.

What we like

  • Health coaching and unlimited provider follow-ups.
  • 4.6 on Trustpilot from 1,137 reviews.

Worth knowing

  • Cancel at least 72 hours before billing; longer plans have a minimum term.
  • Its product page doesn’t say whether the price holds at every dose.
Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: At least 72 hours before billingTrustpilot: 4.6 from 1,137 reviews

Source: Shed’s site, checked October 13, 2026. See its points.

17

Shapely

6.2/10

$238 to $278

Medication $139 a month at low to mid doses, $179 at high doses, plus a $99 monthly membership: $238 to $278. $2,856 the first year month to month if your dose stayed at the lowest level.

What we like

  • Monthly video visits and dietitian visits; names its medical director, Ana Lisa Carr, MD.
  • Can also help you use insurance for brand-name GLP-1 medicines.

Worth knowing

  • A $99 monthly membership on top of medication, and a higher price at high doses: $238 to $278.
  • Serves only California, Florida, New York and Texas.
Pharmacies: Not named on the pages we checkedDoctors: Medical director Ana Lisa Carr, MD; founder Dr. Justin ZaghiCancel: Not stated on the pages we checkedTrustpilot: 4.5 from 179 reviews

Source: Shapely’s site, checked October 13, 2026. See its points.

18

Alloy

6.1/10

$169

Medication from $70 a month plus the $99 monthly Weight Care fee: $169 at the lowest dose. $2,028 the first year month to month.

What we like

  • Built for women in midlife: a menopause-specialized doctor, unlimited messaging and dose adjustments.
  • Names its chief medical advisor, Dr. Sharon Malone.

Worth knowing

  • A $99 monthly Weight Care fee on top of medication: $169 at the lowest dose.
  • Higher-dose prices aren’t published.
Pharmacies: Not named on the pages we checkedDoctors: Dr. Sharon Malone, MD, chief medical advisorCancel: Not stated on the pages we checkedTrustpilot: 4.3 from 4,042 reviews

Source: Alloy’s site, checked October 13, 2026. See its points.

19

He & She MD

5.8/10

Not published ($149 on a plan)

$447 for 3 months, $834 for 6 or $1,188 a year ($99 a month); the 6-month price renews at $1,194 ($199 a month). No month-to-month price to total.

What we like

  • Names its chief medical officer and its partner pharmacies; GLP-1 coaching in its app.
  • You’re charged only if you’re prescribed.

Worth knowing

  • Intro pricing that resets: its 6-month plan ($834) renews at $1,194 ($199 a month).
  • Doesn’t ship GLP-1s to Louisiana, and has no Trustpilot reviews yet.
Pharmacies: Jungle Jim’s Pharmacy (F&F Pharmacies), GoGoMeds (Specialty Medical Drugstore)Doctors: Chief medical officer Dr. Ozita Cooper, MD; clinical providers through Wasef Health, PCCancel: Not stated on the pages we checkedTrustpilot: No reviews yet

Source: He & She MD’s site, checked October 13, 2026. See its points.

20

Fifty 410

5.8/10

$199

$199 for a 1-month program. $2,388 the first year month to month.

What we like

  • You pay only if you’re prescribed; free refrigerated shipping.
  • 4.8 on Trustpilot from 6,333 reviews.

Worth knowing

  • One-month semaglutide program at $199; whether the price changes with dose isn’t stated.
  • Doesn’t name its pharmacies or doctors on the pages we checked.
Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: 4.8 from 6,333 reviews

Source: Fifty 410’s site, checked October 13, 2026. See its points.

21

Remedy Meds

5.2/10

$299 per 4 weeks

$179 for the first 4 weeks, then $299 every 4 weeks (13 charges a year). $3,767 the first year month to month.

What we like

  • 4.6 on Trustpilot from 13,773 reviews; cancel any time.
  • A “price lock guarantee” on its page.

Worth knowing

  • Billed every 4 weeks: $299 after a $179 first month, about $3,767 a year.
  • Doesn’t name its pharmacies or doctors on the pages we checked.
Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: Any time, no notice periodTrustpilot: 4.6 from 13,773 reviews

Source: Remedy Meds’ site, checked October 13, 2026. See its points.

22

Ivím Health

5.1/10 · Top Trustpilot score

Not published (from $139.99)

Medication from $65 a month plus a $74.99 monthly program fee ($139.99); 1-, 2-, 4- or 6-month programs. No month-to-month price to total.

What we like

  • Weekly check-ins and dose adjustments, plus coaching and holistic consults.
  • 4.9 on Trustpilot from 39,782 reviews, the highest score we saw.

Worth knowing

  • A $74.99 monthly program fee on top of medication, and no month-to-month price published.
  • No cancellation once a program starts.
Pharmacies: Not named on the pages we checkedDoctors: Founded by Dr. Taylor KantorCancel: Not once a program startsTrustpilot: 4.9 from 39,782 reviews

Source: Ivím Health’s site, checked October 13, 2026. See its points.

23

Noom

5.1/10 · Most built-in coaching

$279 (billed every 12 weeks)

$129 for the first 4 weeks, then $279 a month, billed $837 every 12 weeks (its FAQ says $249). $3,477 the first year month to month.

What we like

  • Coaching and a psychology-based program built in, plus a named chief medical officer.
  • 4.5 on Trustpilot from 67,126 reviews.

Worth knowing

  • $129 for the first 4 weeks, then $279 a month, billed every 12 weeks.
  • Not available in Alabama, Louisiana or Mississippi.
Pharmacies: Not named on the pages we checkedDoctors: Chief medical officer Dr. Jeffrey EglerCancel: Any time, no notice periodTrustpilot: 4.5 from 67,126 reviews

Source: Noom’s site, checked October 13, 2026. See its points.

24

Embody

5.0/10 · Lowest 12-month price

$299

$79 the first month (a one-month sale), then $299. $828 for 12 months ($69 a month). $3,368 the first year month to month.

What we like

  • Low prepaid prices: $69 a month on a 12-month plan ($828 upfront).
  • Free 1:1 care coaching.

Worth knowing

  • The $79 first month is a one-month sale; then $299.
  • 3.8 on Trustpilot from 9,782 reviews; cancel at least 72 hours before billing.
Pharmacies: Not named on the pages we checkedDoctors: Its terms refer to independent medical groups without naming themCancel: At least 72 hours before billingTrustpilot: 3.8 from 9,782 reviews

Source: Embody’s site, checked October 13, 2026. See its points.

25

CoreAge Rx

4.8/10

Not published ($79 on a plan)

$79 a month when paid annually (its October 6 announcement); its monthly price isn’t published. No month-to-month price to total.

What we like

  • $79 a month when you prepay a year, the same at every dose.
  • No membership fees.

Worth knowing

  • No monthly price published: the low price needs a year paid upfront.
  • Trustpilot shows “This company’s rating is unavailable due to a breach of our guidelines” and says it removed fake reviews.
Pharmacies: Not named on the pages we checkedDoctors: “US board-certified physicians,” not namedCancel: Not stated on the pages we checkedTrustpilot: Rating withheld by Trustpilot

Source: CoreAge Rx’s site, checked October 13, 2026. See its points.

26

Henry Meds

4.3/10

$297

$297 a month for a set amount of medication; $1,482 for 6 months or $2,364 for 12 if paid in full. $3,564 the first year month to month if your dose stayed at the lowest level.

What we like

  • 4.4 on Trustpilot from 12,535 reviews.
  • About $197 a month on a 12-month plan paid in full.

Worth knowing

  • $297 a month for a set amount of medication (up to 10 mg every 70 days on its monthly plan).
  • Doesn’t name its pharmacies or doctors on the pages we checked.
Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: 4.4 from 12,535 reviews

Source: Henry Meds’ site, checked October 13, 2026. See its points.

27

Bodybuilding Health+

3.4/10

$279

$179 the first month, shown against $279; $159.33 a month on a 3-month bundle ($478). $3,248 the first year month to month.

What we like

  • One account for GLP-1s plus longevity and sexual-health medicines.

Worth knowing

  • $179 the first month, shown against $279; $159.33 a month on a 3-month bundle.
  • No Trustpilot reviews yet, and no named pharmacies or doctors on the page we checked.
Pharmacies: Not named on the pages we checkedDoctors: “Contracted physicians,” not namedCancel: Not stated on the pages we checkedTrustpilot: No reviews yet

Source: Bodybuilding Health+’s site, checked October 13, 2026. See its points.

Show your work

The points behind every score

The points behind every semaglutide score
ProgramPrice (35)Same at every dose (15)Fees (10)Care (10)Names who fills and prescribes (15)Easy to leave (5)Reviews (10)Score (/10)
1. NexLife34.01510101539.09.6
2. PreventiveMD35.0151051159.09.0
3. Belle27.51510101147.58.5
4. Cora30.1151051553.08.3
5. Rx.com30.1151051553.08.3
6. AltRx35.0151051150.08.1
7. Ondra Health32.9151001543.08.0
8. BMI MD31.8151010047.57.8
9. Raeliva25.3151051553.07.8
10. Mochi Health34.05510747.57.3
11. Refills27.515100846.07.0
12. MEDVi16.5155101146.56.8
13. Sprout Health31.615100046.06.7
14. Ola Health35.05100843.06.5
15. Gala GLP-113.7151010328.06.2
16. Shed27.531010048.06.2
17. Shapely23.25510747.56.2
18. Alloy30.7355746.56.1
19. He & She MD16.5310101513.05.8
20. Fifty 41027.53105049.05.8
21. Remedy Meds13.81555058.05.2
22. Ivím Health17.03510709.55.1
23. Noom16.23510727.55.1
24. Embody16.51555044.05.0
25. CoreAge Rx17.515105010.04.8
26. Henry Meds16.75100047.04.3
27. Bodybuilding Health+18.7350043.03.4

Points out of 100, divided by 10 for the score. The rules for each test are above.

Not rated

Checked, but not rated

We also looked at these semaglutide programs on October 13, 2026. Their prices were unclear, contradicted each other or weren’t published, so we couldn’t score them fairly.

  • TrimRx. Its own landing page lists three different tirzepatide prices ($249, $279 and $449 a month, with a $279 first month) and three for semaglutide ($149, $179 and $199). Ask for your price in writing. Trustpilot: 3.8 from 5,389 reviews.
  • Fridays. Advertises $117 (semaglutide) and $198 (tirzepatide) a month with promo codes, next to “$279/mo” and “$389/mo with an annual plan.” We couldn’t confirm a regular monthly price. Trustpilot: 4.1 from 4,938 reviews.
  • SkinnyRx. Its product pages didn’t load prices for us. Trustpilot: 4.7 from 5,443 reviews.
  • IvyRx. Shows “GLP-1 $77” and “Microdose $69” without saying per week or per month. Trustpilot: 4.7 from 7,510 reviews.
  • ReflexMD. No prices on its site; you book a call with a “wellness advisor.” Trustpilot: 4.6 from 3,195 reviews.
  • MyStart Health. “Starts at $299/month, excluding any discounts,” without saying which medication; the price doesn’t rise with dose. Trustpilot: 4.1 from 326 reviews.

Two medications.
One flat price each.

Both are prepared by state-licensed 503A partner pharmacies and shipped free. Your provider helps you decide which one fits.

GLP-1

$139/mo

Semaglutide

Weekly GLP-1. Care, coaching and shipping included.

Get started
GIP + GLP-1

$169/mo

Tirzepatide

Weekly and dual-action. Care, coaching and shipping included.

Get started
What’s inside every plan
  • Semaglutide: compounded, acts on the GLP-1 pathway, taken once a week
  • Tirzepatide: compounded, acts on two hormone pathways (GIP and GLP-1), taken once a week
  • Prepared by state-licensed 503A partner pharmacies
  • A licensed provider who reviews your history and follows your dose
  • A personalized nutrition plan and a 1:1 coaching call
  • Free expedited shipping; orders usually ship within 1 to 2 business days
  • 24/7 support from real people, plus physician access during clinical hours
  • HSA and FSA cards accepted, and Klarna or Afterpay at checkout
  • Prefer no injections? Ask about the sublingual tablet, at its own flat price

Prescription required. Compounded medications are not FDA-approved, and a provider prescribes one only if it offers a significant difference for you compared with an FDA-approved medicine. On 12-month plans: $139 a month for tirzepatide, $119 for semaglutide, still the same at every dose. Prices checked October 7–13, 2026.

Your dose goes up.
Your price doesn’t.

No membership, no dose surcharges, no surprises. One flat, all-inclusive monthly price at every dose.

NexLife month-to-month price, month by month
Month oneMonth twoMonth threeEvery month after
Semaglutide$139$139$139$139
Tirzepatide$169$169$169$169

Paying less somewhere else? Send us a receipt from another licensed U.S. telehealth provider and we’ll match your regular monthly price. See the terms

Month-to-month plan, all-inclusive. Longer plans cost less and stay flat. Tirzepatide is $159, $149 and $139 a month on 3-, 6- and 12-month plans. Semaglutide is $132, $125 and $119.

The NexLife Price Match Guarantee

Keep your price.
Upgrade your care.

Already on compounded tirzepatide or semaglutide? Bring your price to NexLife. If you pay less with another licensed U.S. telehealth provider, we match your regular monthly price for as long as your plan stays active.† You keep your price, and you gain a provider who follows your dose, a personal nutrition plan, a 1:1 coaching call and real people who answer 24/7.

  1. 1Send a receipt from the last 60 days
  2. 2A NexLife provider reviews your prescription
  3. 3Pay your matched price, at every dose
Switch and keep my price

Locked while your plan is activeSame price at every doseNo membership fee

†NexLife Price Match Guarantee: for new members switching from a licensed U.S. telehealth provider with an active prescription for compounded tirzepatide or semaglutide. Send a receipt from the last 60 days and we match your regular all-in monthly price on the month-to-month plan, for the same medication (medication plus required fees; not first-month offers, sale prices, coupons or prepaid multi-month rates), for as long as your plan stays active. A NexLife provider must determine that treatment is right for you. Not open to people with Medicare, Medicaid or TRICARE coverage. Full terms.

Brand-name

If you want brand-name Wegovy

Wegovy is FDA-approved and made by Novo Nordisk. Online, you pay the self-pay price for the medication, plus any program fee.

Brand-name Wegovy online: what it costs
RoutePriceWhat it covers
Wegovy pill, NovoCare$149 at 1.5 mg, $199 at 4 mg, $299 at 9 mg and 25 mgMedication only
Wegovy pen, NovoCare$349 ($399 at 7.2 mg); $199 for your first two fills at 0.25 and 0.5 mgMedication only
Ro or Hims, Wegovy pillFrom $298 at the starting doseIncludes the $149 monthly membership
Medicare GLP-1 Bridge$50 a month copayWegovy for eligible Part D enrollees, with prior authorization, through December 31, 2027

Brand-name prices from our price index, checked October 7, 2026. Medicare terms from the GLP-1 Bridge rules. Wegovy is FDA-approved; compounded semaglutide is not.

Before you pay

Seven questions to ask any program before you pay

  • What will I pay in month two, and at my maintenance dose? Ask for the regular all-in price, not the first-month price.
  • Is there a membership or program fee on top? Add it to the medication price.
  • Which pharmacy fills my prescription? A program should name it so you can look it up with your state’s board of pharmacy.
  • Who is the doctor responsible? Look for a named medical director or prescribing physicians, and check them in the NPI Registry.
  • How do I cancel, and how much notice do you need? Get the answer in writing before you pay.
  • Does a prepaid plan get refunded if I stop? Most don’t refund medication that has shipped.
  • Can I reach a person? Side effects and shipping problems don’t wait for business hours.

Safety

Red flags

Walk away if you see any of these.

  • No prescription or no provider review. Semaglutide is prescription-only.
  • Vials labeled “for research use only” or “not for human consumption” or sells “semaglutide sodium” or other salt forms, which the FDA says it isn’t aware of any lawful basis to compound.
  • A price far below everyone else’s with no pharmacy named.
  • A first-month price with no regular price beside it.
  • No way to reach a person, or no cancellation terms on the site.
  • A Trustpilot profile that was removed, or a rating Trustpilot withholds for breaching its guidelines.

Our verdict

Why NexLife comes out on top

We rank ourselves first, so we hold that claim to a higher bar. Here’s what the seven tests rewarded, and where other programs lost points.

What lost points elsewhere

  • A price that climbs with your dose
  • A membership or program fee on top of the medication
  • A first-month price that jumps in month two
  • No named pharmacy or doctor
  • A low price that needs a year paid upfront

What NexLife scored on

  • $139 a month from 0.25 mg to 2.4 mg
  • No membership fee, ever
  • Provider, nutrition plan and a 1:1 coaching call included
  • Named partner pharmacies and a named medical director with an NPI you can look up
  • One number, 24/7: (949) 818-8000. We follow up with the pharmacy for you

When we’re not your best fit: if you want FDA-approved Wegovy, pen or pill, or help getting insurance to cover it, choose a brand-name route from the table above.

One number for everything.

A question about your vial, a package that arrived warm, a dose that feels wrong: call or text us 24/7 at (949) 818-8000. Real people answer. We follow up with the pharmacy for you and get back to you. You never have to chase anyone.

The best online semaglutide program: your questions

What is the best online semaglutide provider in 2026?

Our pick is NexLife, the top score (9.6 out of 10) in our October 2026 rating of 27 programs: $139 a month at every dose, all in, or $119 on a 12-month plan, with named partner pharmacies, a named medical director and real people on call 24/7. Paying less with another licensed U.S. telehealth provider? We match your price. NexLife publishes this rating, so it prints every program’s points.

Which semaglutide provider is cheapest online?

AltRx advertises $89 a month but doesn’t say how long the plan runs. Among the programs we rated, the lowest flat month-to-month price is PreventiveMD’s $119, the same as NexLife’s price on a 12-month plan. Prepay a year and Embody is $69 a month ($828 upfront), CoreAge Rx $79 ($948) and PreventiveMD about $83 ($999). Embody’s $79 is a one-month sale; then it’s $299.

How did you rate the programs?

Seven tests, 100 points: real monthly price (35), the same price at every dose (15), fees and fine print (10), care included (10), naming its pharmacies and doctors (15), how easy it is to leave (5) and Trustpilot reviews (10). We used only what each program publishes, checked October 13, 2026.

Is it fair for NexLife to rate itself?

We publish this page and NexLife is one of the programs, so we hold ourselves to the same seven tests, link every price to its source, print every program’s points and say when another program is cheaper. NexLife loses points for its 30-day cancellation notice. Corrections: care@nexlife.us.

Which semaglutide programs charge the same price at every dose?

16 of the 27 programs say so on their sites, including NexLife, PreventiveMD, Belle, Cora, Rx.com, AltRx, Ondra Health, BMI MD, Raeliva and 7 more. These price by dose: Mochi Health, Ola Health, Shapely, Henry Meds.

Which semaglutide programs charge a membership or program fee?

Mochi Health ($79 a month); Shapely ($99 a month); Alloy ($99 a month); Ivím Health ($74.99 a month). Brand-name programs such as Ro and Hims add a $149 monthly membership. NexLife has no membership fee.

Which programs have a first-month price that jumps?

MEDVi ($149, then $299); Remedy Meds ($179, then $299); Noom ($129, then $279); Embody ($79, then $299); Bodybuilding Health+ ($179, then $279). He & She MD’s intro pricing resets after 6 months. Always ask for the regular monthly price.

Is compounded semaglutide the same as Wegovy?

No. Wegovy is FDA-approved and made by Novo Nordisk. Compounded semaglutide is prepared by a state-licensed pharmacy for an individual prescription, isn’t FDA-approved and hasn’t been reviewed by the FDA for safety, effectiveness or quality.

How do I know an online semaglutide provider is legit?

Look for a provider licensed in your state, a named pharmacy you can verify with your state’s board of pharmacy, a named doctor you can look up in the NPI Registry, a published all-in price and a real person to call. Check its Trustpilot profile for warnings. NexLife is LegitScript-certified.

What does brand-name Wegovy cost online?

The Wegovy pill through NovoCare costs $149 a month at 1.5 mg, $199 at 4 mg and $299 at 9 mg and 25 mg. The Wegovy pen is $349 a month ($199 for your first two fills). On Medicare Part D, the GLP-1 Bridge can bring Wegovy to a $50 copay with prior authorization.

Can I switch programs and keep my price?

If you’re switching from a licensed U.S. telehealth provider with an active compounded prescription, NexLife matches your regular all-in monthly price. Send a receipt from the last 60 days. A NexLife provider reviews your history and current dose first.

Important safety information

Compounded tirzepatide and semaglutide are not FDA-approved, and the FDA hasn’t reviewed them for safety, effectiveness or quality. A provider prescribes them only when they offer a significant difference for you compared with an FDA-approved product. Both medicines may cause thyroid tumors, including cancer: don’t use either if you or a family member has had medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2).

Read the full safety information

In studies with rodents, both medicines caused thyroid tumors; it isn’t known whether they cause them in people. Tell your provider if you notice a lump or swelling in your neck, hoarseness, trouble swallowing or shortness of breath.

Serious side effects can include inflammation of the pancreas (pancreatitis), gallbladder problems, low blood sugar (especially with insulin or sulfonylureas), kidney problems from dehydration, severe stomach problems, serious allergic reactions, vision changes in people with type 2 diabetes, and a faster heart rate. Tell your care team before any surgery or procedure that uses anesthesia or deep sedation. Don’t combine either medicine with other GLP-1 medicines.

Tirzepatide can make birth control pills less effective: switch to a non-oral method, or add a barrier method such as condoms, for 4 weeks after you start and for 4 weeks after each dose increase. Both medicines may harm an unborn baby. Semaglutide should be stopped at least 2 months before a planned pregnancy. Tell your provider right away if you’re pregnant, planning to be, or breastfeeding.

This is a summary, not the complete safety information. Read the full Prescribing Information for FDA-approved tirzepatide (Zepbound) and semaglutide (Wegovy), and talk with your provider. You can report side effects to the FDA at 1-800-FDA-1088 or fda.gov/medwatch.

Who checked this page

Adam Kennah, MDMedical Director, NexLife · Board-certified in emergency medicine · NPI 1144260043

Leads the NexLife clinical team, which medically reviewed this page on October 14, 2026.

NexLife editorial teamResearch and pricing

Checked every program’s published price, plans and policies on October 13, 2026, and Trustpilot on October 13–14, 2026.

  • Every fact, sourced. Each price and rule links to the page it comes from.
  • How we make money. NexLife is a telehealth provider. We earn revenue when people join NexLife.
  • Corrections, fast. See something wrong or out of date? Email care@nexlife.us and we’ll fix it.

Pay less elsewhere? We match it.

27 programs rated. One flat price.

Start online in about 3 minutes. A licensed provider decides if treatment is right for you.

  1. 1
    Tell us about you

    A short online health assessment, about 3 minutes.

  2. 2
    A licensed provider reviews it

    You’re prescribed only if treatment is right for you.

  3. 3
    We ship it, then stay with you

    Our partner pharmacy usually ships within 1 to 2 business days. Free shipping, 24/7 support.

Sources

  1. NexLife. Semaglutide prices and plans. Checked October 13, 2026.
  2. PreventiveMD. Semaglutide prices and plans. Checked October 13, 2026.
  3. Belle. Semaglutide prices and plans. Checked October 7, 2026.
  4. Cora. Semaglutide prices and plans. Checked October 13, 2026.
  5. Rx.com. Semaglutide prices and plans. Checked October 13, 2026.
  6. AltRx. Semaglutide prices and plans. Checked October 13, 2026.
  7. Ondra Health. Semaglutide prices and plans. Checked October 13, 2026.
  8. BMI MD. Semaglutide prices and plans. Checked October 13, 2026.
  9. Raeliva. Semaglutide prices and plans. Checked October 13, 2026.
  10. Mochi Health. Semaglutide prices and plans. Checked October 13, 2026.
  11. Refills. Semaglutide prices and plans. Checked October 13, 2026.
  12. MEDVi. Semaglutide prices and plans. Checked October 12, 2026.
  13. Sprout Health. Semaglutide prices and plans. Checked October 13, 2026.
  14. Ola Health. Semaglutide prices and plans. Checked October 13, 2026.
  15. Gala GLP-1. Semaglutide prices and plans. Checked October 13, 2026.
  16. Shed. Semaglutide prices and plans. Checked October 13, 2026.
  17. Shapely. Semaglutide prices and plans. Checked October 13, 2026.
  18. Alloy. Semaglutide prices and plans. Checked October 13, 2026.
  19. He & She MD. Semaglutide prices and plans. Checked October 13, 2026.
  20. Fifty 410. Semaglutide prices and plans. Checked October 13, 2026.
  21. Remedy Meds. Semaglutide prices and plans. Checked October 13, 2026.
  22. Ivím Health. Semaglutide prices and plans. Checked October 13, 2026.
  23. Noom. Semaglutide prices and plans. Checked October 13, 2026.
  24. Embody. Semaglutide prices and plans. Checked October 13, 2026.
  25. CoreAge Rx. Semaglutide prices and plans. Checked October 13, 2026.
  26. Henry Meds. Semaglutide prices and plans. Checked October 13, 2026.
  27. Bodybuilding Health+. Semaglutide prices and plans. Checked October 13, 2026.
  28. Trustpilot. Company profiles of the programs above. Read October 13–14, 2026.
  29. U.S. Food and Drug Administration. FDA’s concerns with unapproved GLP-1 drugs used for weight loss.
  30. U.S. Food and Drug Administration. Compounding and the FDA: questions and answers.
  31. U.S. Court of Appeals for the Fifth Circuit. Outsourcing Facilities Association v. FDA, No. 25-10600 (Aug. 27, 2026).
  32. CMS NPI Registry. Adam Kennah, MD (NPI 1144260043).
  33. LegitScript. Certification lookup for nexlife.us.
  34. The New England Journal of Medicine. Once-weekly semaglutide in adults with overweight or obesity (STEP 1), 2021.
  35. Eli Lilly and Company. Zepbound (tirzepatide) prescribing information.
  36. Novo Nordisk. Wegovy (semaglutide) prescribing information.
  37. NexLife. Compounded tirzepatide plans.