Provider Review · Updated March 2026
Lavender Sky Health Review 2026: The Widest Pharmacy Network in Telehealth GLP-1
Lavender Sky Health offers compounded semaglutide from $149/month and compounded tirzepatide from $175/month across 10+ pharmacy partners. They are the only telehealth provider I have found with this many pharmacy options, giving patients real choice in pricing, medication format, and additive selection. They also offer oral and sublingual versions of both semaglutide and tirzepatide, which is rare. There is a $25/month treatment plan fee on top of medication cost. Trustpilot rating is 4.4/5 across 89 reviews. In the SURMOUNT-5 trial, tirzepatide produced 20.2% weight loss versus 13.7% for semaglutide over 72 weeks (NEJM, 2025).
Quick Facts
| Detail | Lavender Sky Health |
|---|---|
| Monthly Cost | From $149/mo (semaglutide) + $25/mo treatment plan fee |
| Medications | Compounded semaglutide, compounded tirzepatide (injectable + oral/sublingual) |
| What’s Included | Provider consultation, prescription, treatment plan management, dose adjustments |
| Pharmacy Partners | 10+ (AbsoluteRx, Alchemist, BPI, Empower, Hallandale, OptioRx, Red Rock, Southend, South Lake, Strive) |
| Insurance | No (HSA/FSA accepted) |
| Trustpilot | 4.4/5 (89 reviews) |
| ClearScore | 55/100 |
What Is Lavender Sky Health?
Lavender Sky Health is a telehealth weight loss provider that takes a different approach than most competitors. Instead of locking you into a single pharmacy, they partner with 10+ compounding pharmacies and let you choose based on price, medication format, and the specific additives you want in your compound.
This pharmacy-choice model is unique. Most telehealth providers (Hims, Ro, Henry Meds) use one or two pharmacy partners and you get whatever they ship. Lavender Sky works more like a broker, matching you with the pharmacy that best fits your preferences and budget. Your provider helps guide this decision based on your medical needs.
The company also stands out for offering both injectable and oral/sublingual forms of semaglutide and tirzepatide. If you dislike needles or want to try a different delivery method, Lavender Sky has more options than almost anyone else in the space.
Pricing: What It Actually Costs
Lavender Sky Health charges a $25/month treatment plan fee on top of the medication cost. This covers your provider consultation, ongoing treatment management, and dose adjustments.
Injectable Medications
| Medication | Pharmacy | Monthly Cost | Notes |
|---|---|---|---|
| Compounded Semaglutide | AbsoluteRx | From $149/mo | Lowest injectable semaglutide option |
| Compounded Semaglutide | Other pharmacies | $149-250/mo | Varies by pharmacy and additives |
| Compounded Tirzepatide | BPI | From $175/mo | Lowest injectable tirzepatide option |
| Compounded Tirzepatide | Other pharmacies | $175-350/mo | Varies by pharmacy and additives |
Oral/Sublingual Medications
| Medication | Duration | Cost |
|---|---|---|
| Oral/Sublingual Tirzepatide | 60 days | $475-625 |
| Oral/Sublingual Semaglutide | 60 days | $295-595 |
The oral options are more expensive per month than injectables. Sublingual tirzepatide works out to roughly $238-313/month, and sublingual semaglutide to roughly $148-298/month depending on the formulation and dose.
Total Monthly Cost (Including Treatment Plan Fee)
| Medication | Medication Cost | + Plan Fee | Total |
|---|---|---|---|
| Cheapest Semaglutide Injectable | $149/mo | + $25/mo | $174/mo |
| Cheapest Tirzepatide Injectable | $175/mo | + $25/mo | $200/mo |
At $174/month total for semaglutide, Lavender Sky is still cheaper than Hims ($199/mo) even with the plan fee. For current prices across all providers, check our cheapest GLP-1 guide.
What’s Included
The $25/month treatment plan fee covers:
- Licensed provider consultation (initial and ongoing)
- Prescription management and dose adjustments
- Pharmacy selection guidance across 10+ partners
- Treatment plan customization (additive selection, format choice)
- Ongoing medical oversight throughout your treatment
Medication and shipping costs are separate and vary by pharmacy.
Additive Options
Lavender Sky offers the widest additive selection I have seen in telehealth GLP-1. Depending on the pharmacy, you can request:
- B6 (supports metabolism)
- B12 (energy, common GLP-1 add-on)
- Glycine (amino acid, supports sleep and recovery)
- Niacinamide (B3, supports cellular health)
- Levocarnitine (L-carnitine, supports fat metabolism)
Not every pharmacy offers every additive, but your provider can help match you with the right pharmacy based on what you want.
Pros and Cons
What I Like
- 10+ pharmacy partners give you real choice in pricing, format, and additives. No other telehealth GLP-1 provider offers this level of selection.
- Injectable and oral/sublingual options for both semaglutide and tirzepatide. If needles are a barrier, this matters.
- Semaglutide starting at $149/month (before plan fee) is competitive pricing from a well-reviewed provider.
- Strong Trustpilot rating of 4.4/5 across 89 reviews. Most feedback highlights responsive communication and pharmacy flexibility.
- HSA/FSA accepted for payment.
What Could Be Better
- The $25/month treatment plan fee adds up. Over a year, that is an extra $300 on top of medication costs. Most competitors bundle this into their pricing.
- Having 10+ pharmacy options can be overwhelming. If you just want someone to tell you what to take and ship it, this model may feel like too many decisions.
- Only 89 Trustpilot reviews. The rating is strong, but the sample size is small compared to Hims (7,800+) or Ro (2,880+).
- Oral/sublingual options are significantly more expensive than injectables, running $238-313/month for tirzepatide.
Ready to explore Lavender Sky Health?
Check Lavender Sky Health Prices →How Lavender Sky Health Compares
Lavender Sky Health vs. Ro
Ro offers compounded semaglutide from $149/month on their quarterly plan. That is cheaper than Lavender Sky’s $174/month total (medication + plan fee). Ro is also a much larger company with thousands of reviews. But Ro does not offer tirzepatide, does not offer oral/sublingual options, and gives you no pharmacy choice. If you want simplicity, go with Ro. If you want options, Lavender Sky wins. Full comparison.
Lavender Sky Health vs. Hims
Hims charges $199/month for compounded semaglutide with everything bundled in. Lavender Sky’s total cost for semaglutide ($174/month) is lower. Hims is a publicly traded company with massive brand recognition and 7,800+ Trustpilot reviews. Lavender Sky is smaller but offers tirzepatide, oral/sublingual options, and pharmacy choice that Hims does not match. Choose Hims for brand reliability, Lavender Sky for flexibility. Full comparison.
The Bottom Line
Lavender Sky Health fills a unique niche in the telehealth GLP-1 market. No other provider I have reviewed offers this combination of pharmacy choice, medication format variety, and additive options. If you are the type of person who researches ingredients, compares pharmacies, and wants control over your treatment, Lavender Sky was built for you.
The trade-off is complexity. You will need to make more decisions than you would with a simpler provider like Hims or Ro. The $25/month plan fee adds cost, though the base medication prices are low enough that the total is still competitive. The 4.4/5 Trustpilot rating across 89 reviews is encouraging but not yet definitive. For informed, self-directed patients who want the widest selection of GLP-1 options in telehealth, Lavender Sky Health is a strong choice.
FAQ
How much does Lavender Sky Health cost?
Semaglutide starts at $149/month and tirzepatide starts at $175/month for injectables, plus a $25/month treatment plan fee. Oral/sublingual options cost more: $295-595 for 60 days of semaglutide and $475-625 for 60 days of tirzepatide.
Does Lavender Sky Health offer oral GLP-1 medications?
Yes. Lavender Sky is one of the few telehealth providers offering both oral/sublingual semaglutide and oral/sublingual tirzepatide alongside traditional injectables. The oral options cost more but eliminate the need for injections.
How many pharmacies does Lavender Sky Health work with?
Lavender Sky partners with 10+ compounding pharmacies including AbsoluteRx, Alchemist, BPI, Empower, Hallandale, OptioRx, Red Rock, Southend, South Lake, and Strive. Your provider helps you choose based on price, format, and additive preferences.
Does Lavender Sky Health accept insurance?
No. Lavender Sky is cash-pay only. They do accept HSA and FSA cards for payment.
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