Provider Review · Updated March 2026
Refills Health Review 2026: Flat-Rate GLP-1 Pricing With Mixed Customer Feedback
Refills Health offers compounded semaglutide at $159/month and compounded tirzepatide at $259/month, with flat pricing across all dose levels. No membership fees, no contracts, and availability in all 50 states. The pricing is straightforward and competitive. But Trustpilot tells a more complicated story: 3.5 out of 5 stars across 556 reviews, with recurring complaints about shipping delays and customer service response times. In the SURMOUNT-5 trial, tirzepatide produced 20.2% weight loss versus 13.7% for semaglutide over 72 weeks (NEJM, 2025).
Quick Facts
| Detail | Refills Health |
|---|---|
| Monthly Cost | From $159/mo (semaglutide) |
| Medications | Compounded semaglutide, compounded tirzepatide |
| What’s Included | Provider consultation, prescription, medication, shipping |
| States Served | All 50 US states (not DC) |
| Membership Fee | None |
| Contracts | None |
| Insurance | No (cash-pay only, HSA/FSA eligible) |
| Trustpilot | 3.5/5 (556 reviews) |
| ClearScore | 55/100 |
What Is Refills Health?
Refills Health is a telehealth platform focused on compounded GLP-1 weight loss medications. They offer both semaglutide and tirzepatide at flat monthly rates that stay the same regardless of your dose level. This is a real advantage since many competitors charge more as your dose increases.
The company works with three FDA-regulated pharmacies: Beluga Health, Bask Health, and Wasef Health. All three are 503A compounding pharmacies. Refills also offers other medications including NAD+ injections, sermorelin, and hair loss treatments, though GLP-1 prescriptions are their primary business.
Their model is simple. You complete an online consultation, a licensed provider reviews your information and prescribes if appropriate, and the pharmacy ships directly to you. No video call required for most patients.
Pricing: What It Actually Costs
Refills Health keeps pricing simple with flat monthly rates.
| Medication | Monthly Cost | Notes |
|---|---|---|
| Compounded Semaglutide | $159/mo | Same price at all dose levels |
| Compounded Tirzepatide | $259/mo | Same price at all dose levels |
There are no hidden fees. No membership charges, no doctor visit fees, no shipping costs added at checkout. The price you see is the price you pay each month.
At $159/month for semaglutide, Refills is cheaper than Hims ($199/mo) and Henry Meds ($199/mo). The tirzepatide at $259/month is competitive with most telehealth providers, though not the cheapest available. Check our cheapest GLP-1 guide for current price comparisons across all providers.
The flat-rate structure matters more than it might seem. With providers that charge by dose, your monthly cost can double or triple as you titrate up. At Refills, you pay $159 whether you are on 0.25mg or 2.4mg of semaglutide.
Other Medications
| Medication | Monthly Cost |
|---|---|
| NAD+ Injections | Varies |
| Sermorelin | Varies |
| Hair Loss (Finasteride/Minoxidil) | Varies |
What’s Included
Every Refills Health subscription includes:
- Provider consultation (asynchronous, no video call for most patients)
- Prescription (if medically appropriate)
- Compounded medication from FDA-regulated pharmacies
- Free shipping to your door
- Ongoing provider access for dose adjustments and questions
- No auto-renewal traps (cancel anytime)
You do not need to provide lab work to get started, though your provider may request it depending on your medical history.
Pros and Cons
What I Like
- Flat pricing at all dose levels. You will not pay more as you titrate up, which saves real money over 6-12 months.
- No membership fees, no contracts, no cancellation penalties. Month-to-month only.
- Three pharmacy partners (Beluga Health, Bask Health, Wasef Health), all FDA-regulated 503A facilities.
- Semaglutide at $159/month is below the telehealth average of $200-250.
- Additional medication options (NAD+, sermorelin) if you want to add peptides later.
What Could Be Better
- Trustpilot rating of 3.5/5 is below average for the category. Hims sits at 4.0, MEDVi at 4.7.
- Shipping delays are the most common complaint. Multiple reviewers report waiting 2-3 weeks for their first shipment.
- Customer service response times are slow according to negative reviews. Some users report difficulty reaching support.
- No DC coverage. If you live in Washington, DC, you cannot use Refills Health.
Ready to explore Refills Health?
Check Refills Health Prices →How Refills Health Compares
Refills Health vs. Ro
Ro charges $149/month for compounded semaglutide on their quarterly plan, making them slightly cheaper than Refills. Ro also has a much longer track record and significantly more customer reviews (2,880+ on Trustpilot at 4.0 stars). If trust and reputation matter to you, Ro has a clear edge. But Refills offers tirzepatide, which Ro does not currently compound. Full comparison.
Refills Health vs. Hims
Hims charges $199/month for compounded semaglutide, which is $40 more than Refills. Hims has a much stronger reputation with 7,800+ Trustpilot reviews at 4.0 stars, plus brick-and-mortar brand recognition. If you want the lowest price and are comfortable with a less established provider, Refills wins on cost. If you want reliability, Hims is the safer bet. Full comparison.
The Bottom Line
Refills Health offers genuinely competitive pricing on compounded GLP-1 medications. The flat-rate model at $159/month for semaglutide and $259/month for tirzepatide is easy to understand and cheaper than most major telehealth platforms. No hidden fees, no contracts, no membership charges.
The concern is execution. A 3.5/5 Trustpilot rating across 556 reviews suggests that a meaningful number of customers have had poor experiences, particularly around shipping delays and customer support. If your medication arrives on time and you do not need to contact support, Refills is a great deal. If something goes wrong, you may have a frustrating experience getting it resolved. For price-sensitive buyers willing to accept some risk, Refills is worth considering. For everyone else, Hims or Ro offer more consistent experiences at a slightly higher price.
FAQ
Is Refills Health legitimate?
Refills Health is a real telehealth company that works with FDA-regulated 503A compounding pharmacies (Beluga Health, Bask Health, Wasef Health). They have 556 Trustpilot reviews, which confirms real customer volume. The mixed rating (3.5/5) reflects inconsistent service, not a scam operation.
How much does Refills Health cost?
Compounded semaglutide is $159/month and compounded tirzepatide is $259/month. Both are flat-rate regardless of dose. No membership fees, no doctor fees, no shipping charges. Cancel anytime.
Does Refills Health require lab work?
Lab work is not required to start treatment in most cases. Your provider may request labs based on your medical history, but it is not a standard requirement for all patients.
How long does Refills Health shipping take?
Shipping times vary. Some customers report receiving their medication within a week, while others have waited 2-3 weeks. Shipping delays are the most common complaint in negative Trustpilot reviews.
Related
Guides:
Other Reviews:
Compare: