Pricing reference
Use this guide to estimate realistic monthly and 6-month costs for semaglutide and tirzepatide programs before comparing providers. Ranges reflect current public pricing for compounded and brand-name options.
Lowest semaglutide anchor
$89/mo
Lowest tirzepatide anchor
$349/mo
Active programs tracked
15
Providers with telehealth
12
Use these ranges as a starting budget estimate. Final cost depends on dose, provider model, and whether consultations and labs are included.
| Program type | Monthly range | Notes |
|---|---|---|
| Compounded semaglutide — starting dose | $99–$199/month | Most telehealth platforms start here. Medication only; labs and consultations may be extra. Compounded, not FDA-approved as a finished drug product. |
| Compounded semaglutide — maintenance dose | $199–$349/month | Higher doses (1–2.4 mg weekly) typically cost more. Some programs include titration support; others charge per-dose. |
| Compounded tirzepatide — starting dose | $199–$299/month | Tirzepatide typically runs 10–20% more than semaglutide. Dual GLP-1/GIP action may produce greater average weight loss per clinical trials. |
| Compounded tirzepatide — maintenance dose | $299–$449/month | Higher doses (10–15 mg weekly) push monthly costs toward the upper end of this range. |
| Brand-name Ozempic (semaglutide) | $900–$1,000+/month without insurance | Covered for Type 2 diabetes on many insurance plans. Not FDA-approved for weight loss at any dose. List price before copay or insurance. |
| Brand-name Wegovy (semaglutide) | $1,300–$1,400/month without insurance | FDA-approved for weight management. Insurance coverage highly variable. Manufacturer savings programs may reduce out-of-pocket. |
| Brand-name Mounjaro/Zepbound (tirzepatide) | $1,000–$1,400/month without insurance | Mounjaro approved for Type 2 diabetes; Zepbound approved for weight management. Insurance coverage improving but not universal. |
Prices reflect publicly listed starting prices as of 2026. Actual costs depend on dose, program structure, and provider. Always verify before enrolling.
The listed monthly price rarely captures total cost. These are the most common add-ons that affect the real budget.
Medication vs full program
+$50–$150/monthSome programs charge for medication only; others bundle consultations, titration support, and labs into a higher monthly fee.
Lab work (if required)
+$75–$150 per drawSome programs require baseline labs (HbA1c, metabolic panel). If not included in the program price, this adds $150–$300/year.
Consultation fees
+$50–$150 per visitInitial consultations and follow-up check-ins may be billed separately from the medication. Confirm before enrolling.
Dose titration
VariableStarting doses are cheaper. As the protocol increases to maintenance dose over 3–6 months, monthly costs typically rise significantly.
Shipping
$0–$25/monthMost telehealth GLP-1 programs include free shipping. Some charge per order. Mobile app or portal fees are less common but exist.
GLP-1 programs use a dose titration schedule — starting doses are cheaper than maintenance doses. Budget for increasing costs over the first 3–4 months.
Compounded semaglutide — 6 months
$800–$1,800
Assumes titration from 0.25 mg to 1 mg over 3 months, maintenance at 1 mg thereafter. Does not include labs or initial consultation if billed separately.
Compounded tirzepatide — 6 months
$1,200–$2,400
Assumes titration from 2.5 mg to 7.5 mg over 3 months. Higher maintenance doses (10–15 mg) push this range further.
Add $150–$300 for labs and $50–$150 for initial consultation if not bundled. Brand-name programs with insurance copays vary widely by plan.
Compounded versions
Compounded semaglutide and tirzepatide are not covered by insurance under any circumstances. They are cash-pay only. No meaningful workaround exists.
Ozempic (Type 2 diabetes)
Often covered when prescribed for Type 2 diabetes. Coverage for weight management alone is limited. Copay varies by plan — some as low as $25–$50/month with insurance.
Wegovy / Zepbound (obesity)
FDA-approved for weight management. Insurance coverage is expanding but not universal — many employer plans exclude weight-loss drugs. Manufacturer savings cards may reduce cost.
These answers focus on pricing, program structure, and comparison context — not clinical advice.
Compounded semaglutide from telehealth platforms typically costs $99–$349/month depending on the dose and provider. Starting doses (0.25–0.5 mg/week) generally fall at the lower end; maintenance doses (1–2.4 mg/week) push toward the higher end.
No. Compounded semaglutide uses the same active ingredient as Ozempic and Wegovy but is made by compounding pharmacies rather than the brand manufacturer. It is not FDA-approved as a finished drug product and cannot be considered bioequivalent to the brand-name versions.
Insurance may cover brand-name GLP-1s (Ozempic for Type 2 diabetes, Wegovy and Zepbound for obesity) when prescribed for qualifying diagnoses. Compounded semaglutide and tirzepatide are not covered by insurance. Coverage varies significantly by plan, employer, and diagnosis.
Yes. Compounded tirzepatide typically costs 10–20% more than compounded semaglutide at equivalent doses. The price difference reflects tirzepatide's dual mechanism (GLP-1 + GIP) and higher manufacturing cost. Brand-name Mounjaro and Zepbound are comparably priced to Ozempic and Wegovy.
A realistic 6-month estimate for a compounded semaglutide program: $600–$1,800 for medication (as doses increase during titration), plus $0–$300 for labs if not included, plus $0–$600 for consultations depending on the program model. Budget $1,000–$2,500 total for the first 6 months.
Compounded semaglutide from a licensed telehealth platform is the lowest-cost legal option for most people without insurance coverage for brand-name GLP-1s. Starting programs run $99–$149/month. Always verify the provider dispenses through a licensed 503A or 503B compounding pharmacy.
Compare current GLP-1 deals
See live pricing from providers with filters for dose, insurance, and telehealth.
GLP-1 pricing guide
Broader overview of program types, insurance options, and what to watch for.
Semaglutide cost breakdown
Detailed cost comparison for semaglutide programs specifically.
Tirzepatide cost breakdown
Detailed cost comparison for tirzepatide programs specifically.
Full longevity stack calculator
See how GLP-1 fits into a broader monthly health spend.
Methodology and disclaimer
Pricing ranges on this page are derived from publicly listed program prices as of 2026. Compounded medication pricing reflects current telehealth platform offers. Brand-name pricing reflects current list prices before insurance or savings programs. All prices are estimates for budgeting purposes only — verify current pricing directly with providers before enrolling.
Informational only. Longevity Costs publishes provider research, public pricing context, and comparison summaries for informational purposes only. The site is not a medical provider, clinic, pharmacy, or emergency service. Nothing on this page is medical advice, diagnosis, treatment guidance, or a claim that a therapy is proven, guaranteed, or appropriate for you. Consult a licensed medical professional before starting or changing any therapy.
Source
Public provider websites, rate sheets, and documented offers.
Verification
Verify final pricing directly with the provider before booking.
Cadence
Data is reviewed and updated on a rolling basis.
