Ranked Index · Updated April 28, 2026
Best Compounded Semaglutide Programs (2026)
We track 68 compounded semaglutide programs across the US. Pricing ranges $80 to $349/mo (median $199). This page ranks them by ClearScore (a composite of price, transparency, clinical oversight, and verified ratings) and shows the cheapest options separately.
Top 10 by ClearScore
ClearScore weights price (30%), state coverage (15%), clinical oversight (20%), transparency on compounding source (20%), and verified user ratings (15%). Methodology details on our methodology page.
- MEDVi · $199/mo · ClearScore 83
The tirzepatide specialist. Compounded Mounjaro/Zepbound molecule with body composition tracking and clinical monitoring. - Ro · $149/mo · ClearScore 82
One of the most affordable and well-established online GLP-1 programs with fast shipping and solid clinical support. - MyDietDoc · $274/mo · ClearScore 82
Same-day doctor consultations, included nutritionist, and anti-nausea meds with every GLP-1 program. 10+ years in business. - Red Mountain Weight Loss · $299/mo · ClearScore 81
Medical weight loss clinics in AZ and TX with board-certified physicians, in-clinic body composition scans, and GLP-1 programs. - Hims · $199/mo · ClearScore 80
Polished telehealth platform with compounded semaglutide, great app experience, and strong brand reputation. - Valley Medical Weight Loss · $325/mo · ClearScore 80
Arizona-based weight loss clinics with transparent GLP-1 pricing, no contracts, and flexible scheduling across Phoenix metro. - Hers · $199/mo · ClearScore 79
Women-focused GLP-1 program with tailored support, great app, and content designed for women's health needs. - JumpstartMD · $349/mo · ClearScore 79
Bay Area's leading medical weight loss clinics with physician-supervised GLP-1 programs and over a decade of patient outcomes data. - Options Medical Weight Loss · $349/mo · ClearScore 78
Physician-supervised weight loss clinics with in-person GLP-1 prescribing, body composition analysis, and regular check-ins. - Form Health · $149/mo · ClearScore 78
Board-certified obesity medicine physicians only. Real specialists prescribing GLP-1s, not NPs or PAs. Insurance-friendly.
Cheapest 10 by price
| Rank | Provider | $/mo | ClearScore |
|---|---|---|---|
| 1 | Maximus | $80 | 72 |
| 2 | Helimeds | $99 | 40 |
| 3 | Embody | $99 | 55 |
| 4 | GobyMeds | $100 | 52 |
| 5 | Pomegranate Health | $119 | 60 |
| 6 | Found Health | $129 | 77 |
| 7 | Gimme Care | $130 | 58 |
| 8 | Oak | $130 | 70 |
| 9 | Maximus | $133 | 72 |
| 10 | Big Easy Weight Loss | $133 | 55 |
How to choose
If price is your priority
Look at the cheapest 10 above. Maximus ($80/mo) is the cheapest verified program. At those price points, you're typically getting medication-only with minimal clinician interaction. That's fine if you have a stable dose and just need refills.
If clinical oversight is your priority
Filter for ClearScore 75+. These programs include scheduled clinician check-ins, ongoing dose titration support, and metabolic lab work in some cases. Expect to pay $200 to $350/mo.
If you want labs included
Several top-ranked programs include baseline metabolic labs (A1C, lipid panel, liver function). This is genuinely useful if you don't have a primary care physician monitoring you. Programs explicitly including labs: Ro, Found Health, and others.
Compounded vs brand: 2026 status
The FDA shortage ended February 2025. Compounded semaglutide remains legal under personalized-prescription rules (503A pharmacies) and limited 503B outsourcing-facility production. The legal path narrowed but did not close.
Differences vs brand:
- Price: compounded is $80 to $349/mo, vs Wegovy at $499 to $1,300/mo and Ozempic at $900 to $1,000/mo cash-pay
- Form: compounded is typically vial + syringe; brand is auto-injector pen
- Additional ingredients: many compounded versions include B12 or glycine. Not in brand
- Insurance: brand is sometimes covered. Compounded is virtually never covered
Read our deeper analysis: Compounded vs brand-name GLP-1 and How to verify your compounding pharmacy.
FAQ
Is compounded semaglutide legal in 2026?
Compounded semaglutide is legal under personalized-prescription rules from a licensed compounding pharmacy with a valid prescription. The FDA shortage ended February 2025, which narrowed the regulatory path. 503A pharmacies must compound for a specific patient (no bulk). 503B outsourcing facilities can produce in larger quantity but only without exact copies of the brand drug.
How much does compounded semaglutide cost in 2026?
Compounded semaglutide ranges $80 to $349/mo across 68 programs we track. Median price is $199/mo. Cheapest are owner-operated compounding pharmacies. Most expensive include lab work, coaching, or premium service tiers.
How is compounded semaglutide different from Wegovy or Ozempic?
Same active molecule (semaglutide), different supply chain. Wegovy and Ozempic are produced by Novo Nordisk under FDA approval. Compounded semaglutide is produced by US compounding pharmacies under prescription rules, with semaglutide sourced from FDA-registered API suppliers. Some compounded versions contain additional ingredients (B12, glycine), which is why they are not "exact copies" of the brand drug.
How do I verify a compounding pharmacy is legitimate?
Three checks. First, verify state pharmacy license through your state board of pharmacy. Second, ask for a Certificate of Analysis (COA) for the batch you receive. Third, verify the compounding facility is registered with the FDA (503A state-licensed, or 503B FDA-registered outsourcing facility).
What happened to compounded GLP-1 after the FDA shortage ended?
The FDA declared the semaglutide shortage resolved in February 2025. Compounding pharmacies were given a wind-down period. Personalized-prescription compounding remains legal in most states, but volume-based compounding (which dominated during the shortage) is not. Many telehealth platforms shifted to brand-only or hybrid programs.
Sources
- FDA Drug Shortages database, semaglutide injection status update (February 2025)
- FDA guidance on 503A and 503B compounding (current as of 2026)
- State boards of pharmacy licensure databases (verified per provider)