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Quick answer $139 first mo

Compounded semaglutide $139 first month then $199/mo average, flat pricing at every dose, and a free AI coaching app with muscle-focused tracking.

Last updated August 21, 2026

Provider Review · Updated August 2026

Pallas Health Review 2026: The GLP-1 Program With a Real Companion App

Pallas Health is a LegitScript-certified telehealth platform for physician-supervised GLP-1 weight loss. Two things stand out in a crowded field: pricing that stays flat as your dose goes up, and a free companion app with an AI coach that tracks doses, protein, and symptoms by photo or voice. Here is what you get, what it costs, and who it fits.


Quick Facts

DetailPallas Health
Compounded Semaglutide$139 first month, then $597 every 12 weeks ($199/mo average)
Compounded Tirzepatide$179 first month, then $897 every 12 weeks ($299/mo average)
Brand-Name OptionsWegovy, Ozempic, Mounjaro, Zepbound at pharmacy cash-pay rates
What’s IncludedClinician review, medication if prescribed, dose adjustments, care-team messaging, companion app, free shipping
States ServedAll 50 states plus DC (7 states and DC require one video visit)
InsuranceNot accepted, cash-pay only (HSA/FSA eligible with Letter of Medical Necessity)
CertificationLegitScript Healthcare Merchant Certified
Operated ByBrentmoor, Inc., Newark, DE
ClearScore74/100

What Is Pallas Health?

Pallas Health (pallashealth.co) is an online weight loss clinic. You complete a medical intake, a US-licensed clinician reviews it and personalizes treatment, and medication ships to your door if prescribed. In 43 states the whole process is asynchronous with no video call required. Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, West Virginia, and Washington DC require at least one video visit.

The platform offers compounded semaglutide and compounded tirzepatide prepared by independent US-licensed pharmacies, plus the four brand-name GLP-1s at pharmacy cash-pay rates. There is also a separate NAD+ program (NAD+ is a coenzyme) available as an injection or nasal spray.

Two positioning choices define the program. First, compounded pricing does not increase with dose, where several competitors charge more as you titrate up. Second, the program puts a clinical emphasis on protecting muscle during weight loss, which shows up in the app’s protein tracking.

Pricing

Compounded semaglutide: $139 for the first month, then $597 billed every 12 weeks. That averages out to $199/month, and the price stays the same at every dose level.

Compounded tirzepatide: $179 for the first month, then $897 every 12 weeks, a $299/month average. Flat at every dose here too.

Brand-name medications: Wegovy ($1,349/mo), Ozempic ($1,299/mo), Zepbound ($1,069/mo), and Mounjaro ($1,349/mo) at cash-pay pharmacy rates. If your insurance covers a brand-name GLP-1, filling it through your own pharmacy with a copay will usually beat these numbers. See our copay card guide.

There is no membership fee and no per-visit charge. Pallas states that prices never increase, and if the clinician determines treatment is not appropriate, you get a full refund.

See Pallas Health's current pricing

Check Pallas Health →

What I Like About Pallas Health

The Companion App Is Genuinely Different

Every patient gets a free iOS app (Android and web versions exist too) with an AI coach. You log doses, protein, and symptoms by photo or voice, it syncs with Apple Health, and it nudges you between visits. Most GLP-1 platforms give you a patient portal and call it a day. An app built around daily tracking, especially protein intake, is a real differentiator for anyone worried about losing muscle along with fat.

Flat Pricing at Every Dose

Dose creep is the hidden cost of many compounded programs: the advertised price covers the starting dose, then the bill grows as you titrate. Pallas charges the same whether you are on a starting or maintenance dose, and commits to no price increases. That makes the real annual cost predictable.

LegitScript Certification

LegitScript certification means the platform passed vetting on licensing, pharmacy sourcing, and marketing practices. Plenty of GLP-1 sellers operate without it. It is not a guarantee of outcomes, but it filters out a lot of the sketchy end of this market.

Brand-Name Options Under One Roof

If you and your clinician decide compounded is not the right route, Pallas also fills Wegovy, Ozempic, Mounjaro, and Zepbound at cash-pay rates. Having both paths on one platform means switching does not require starting over somewhere else.

What Could Be Better

No Insurance Billing

Pallas is cash-pay only. If you have insurance that covers GLP-1s, your cheapest path is almost always your own coverage plus a manufacturer savings card, not any cash-pay platform. HSA/FSA funds can be used with a Letter of Medical Necessity.

Young Platform, Thin Track Record

The affiliate program launched mid-2026 and there is not yet a deep well of independent patient reviews. The infrastructure signals are good (LegitScript, licensed US pharmacies, refund policy), but it has not been through years of public scrutiny like Ro or Hims.

Tirzepatide Average Cost Is Mid-Pack

$299/month average for compounded tirzepatide is fair but not the cheapest we track. You are paying partly for the app and the flat-dose pricing. Whether that trade is worth it depends on how much you will actually use the coaching.

Quarterly Billing After Month One

After the first month, you are billed $597 or $897 every 12 weeks. The monthly average is what we quote, but the actual charge lands as a larger quarterly payment. Budget for that.

Who Pallas Health Is Best For

Pallas fits if you:

It is not the best fit if your insurance covers GLP-1s (use your coverage first), if you want the absolute lowest sticker price, or if you live in one of the video-visit states and want a fully asynchronous experience.

See if Pallas Health serves your state

Check Pallas Health →

The Bottom Line

Pallas Health is a credible new entrant with two honest differentiators: a companion app that does more than any competitor’s portal, and pricing that stays flat as your dose changes. The $139 first month is a low-risk way to find out whether the app-guided approach works for you, and the refund policy if you are not prescribed removes the intake gamble. The main unknowns are the ones every young platform has: limited independent review history and a brand you have probably not heard of yet.

Check all your options in our provider directory or see the best GLP-1 programs for 2026 ranked.


FAQ

Is Pallas Health legit?

Pallas Health is a LegitScript-certified healthcare merchant operated by Brentmoor, Inc. Intakes are reviewed by US-licensed clinicians and compounded medications come from independent US-licensed pharmacies. It is a real medical practice, not a supplement storefront.

How much does Pallas Health cost?

Compounded semaglutide is $139 for the first month, then $597 every 12 weeks ($199/month average). Compounded tirzepatide is $179 first month, then $897 every 12 weeks ($299/month average). Brand-name GLP-1s are available at pharmacy cash-pay rates. No membership fees.

Does Pallas Health take insurance?

No. Pallas is private pay only. HSA and FSA funds are eligible with a Letter of Medical Necessity. If your insurance covers GLP-1 medications, using your coverage at a regular pharmacy will usually cost less.

What is in the Pallas Health app?

A free companion app with an AI coach: dose logging, protein tracking, and symptom tracking by photo or voice, Apple Health sync, and guidance between visits. It ships with every plan at no extra cost on iOS, Android, and the web.


Compounded medications are not FDA-approved and are not generic versions of brand-name drugs. Eligibility is determined by a US-licensed clinician and individual results vary. Pallas Health is private pay only and is operated by Brentmoor, Inc. Pricing verified August 2026 and subject to change. See our disclaimer.

Guides:

Provider Reviews: Ro Review · Hims Review · Eden Review · Henry Meds Review

Compare: All Providers · Best GLP-1 Programs 2026

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