Skip to main content

Ranked Index · Updated April 28, 2026

Best Compounded Semaglutide Programs (2026)

We track 70 compounded semaglutide programs across the US. Pricing ranges $78 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.

Quick answer: Top-ranked compounded semaglutide programs in 2026 are Yucca Health ($146/mo), MEDVi ($199/mo), and Ro ($149/mo). The cheapest verified program is Lavender Sky Health at $78/mo. Median across our index is $199/mo.

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.

  1. Yucca Health · $146/mo · ClearScore 84
    Compounded GLP-1s from $146/mo. 50-state telehealth, 2-day shipping, 20K+ patients, LegitScript verified.
  2. MEDVi · $199/mo · ClearScore 83
    The tirzepatide specialist. Compounded Mounjaro/Zepbound molecule with body composition tracking and clinical monitoring.
  3. Ro · $149/mo · ClearScore 82
    One of the most affordable and well-established online GLP-1 programs with fast shipping and solid clinical support.
  4. MyDietDoc · $274/mo · ClearScore 82
    Same-day doctor consultations, included nutritionist, and anti-nausea meds with every GLP-1 program. 10+ years in business.
  5. 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.
  6. Hims · $199/mo · ClearScore 80
    Polished telehealth platform with compounded semaglutide, great app experience, and strong brand reputation.
  7. Valley Medical Weight Loss · $200/mo · ClearScore 80
    Arizona GLP-1 clinic pricing: compounded semaglutide $200–$325 per ongoing 4-week vial; eligible first vial $99. Compare ongoing costs and locations.
  8. Oak · $119/mo · ClearScore 80
    Compounded semaglutide from $119/mo, tirzepatide from $185/mo. Starting prices confirmed by Oak September 16, 2026; confirm your dose and plan terms.
  9. Hers · $199/mo · ClearScore 79
    Women-focused GLP-1 program with tailored support, great app, and content designed for women's health needs.
  10. 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.

Cheapest 10 by price

Rank Provider $/mo ClearScore
1 Lavender Sky Health $78 78
2 Measured $79 78
3 Maximus $80 72
4 Helimeds $99 40
5 Embody $99 55
6 GobyMeds $100 52
7 Pomegranate Health $119 60
8 Oak $119 80
9 Found Health $129 77
10 Gimme Care $130 58

How to choose

If price is your priority

Look at the cheapest 10 above. Lavender Sky Health ($78/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 in February 2025, and the broad shortage-based path for routine copies ended after the enforcement grace periods. Compounded semaglutide is not FDA-approved or a generic. Limited patient-specific compounding may still occur when applicable federal and state requirements are met.

Differences vs brand:

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 not FDA-approved and is not a generic substitute for Wegovy or Ozempic. After the FDA ended the semaglutide shortage in February 2025, routine copies lost the shortage-based exemption. A licensed prescriber and pharmacy must determine whether a patient-specific compounded drug satisfies federal and state requirements.

How much does compounded semaglutide cost in 2026?

Compounded semaglutide ranges $78 to $349/mo across 70 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?

Wegovy and Ozempic are FDA-approved Novo Nordisk products. Compounded semaglutide is not FDA-approved, has not been reviewed as bioequivalent, and should not be described as the same as or a generic version of either brand. Formulation, ingredients, testing, and oversight can differ.

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 and the enforcement grace periods ended in 2025. The broad shortage-based path for routine copies ended. Limited patient-specific compounding can still occur when applicable requirements are met, but it is not an FDA-approved substitute.


Sources

Related

Compare GLP-1 Providers →