We check what each online weight-loss program really charges — including the fine print — then line up medications, visit type and insurance so you can choose with clear eyes. Every price is individually sourced and dated. Rankings are never bought.
Sorted by lowest starting price. Each price shows the condition that unlocks it — membership, prepay, intro rate or dose. Filter to narrow the field; tap a program for the full breakdown and source.
roThe most established, most transparent option — a full FDA-approved suite (Wegovy, Zepbound, Ozempic, Foundaya) with a dedicated insurance concierge.
FoundKeeps both paths — compounded and branded — with real coaching and insurance navigation.
bmiMDConsistent low tiers plus unlimited provider messaging and physician monitoring.
embodyCompounded GLP-1 as an injection or a daily oral — from a promo $69/mo.
MEDViFlat cash pricing across all 50 states, cheapest on a 12-month prepay.
HealthRxSame price at every dose, with a weight-loss money-back guarantee.
DirectMedsLegitScript-certified, with a sublingual option and next-day shipping.
WellMedrAmong the lowest advertised rates — but the $49 figure needs a long prepay to reach.
AltRx One of the lowest bundled prices — clear, no-membership pricing, though its parent drew an FDA warning letter over past marketing claims.
TrimRxNo-appointment async program spanning compounded and branded — light on coaching.Prices are the lowest advertised starting rates as of September 2026. Most compounded programs quote these on a prepaid multi-month or promotional plan; month-to-month and higher-dose prices run higher, and membership programs bill medication separately. Always confirm current pricing at the provider before you buy.
Not "the winners" — the three that best fit distinct needs, each with the trade-off we'd want a friend to know before signing up.
Branded wegovy, zepbound, ozempic & foundaya, async + optional video
One of the most recognized names in direct-to-consumer telehealth
Tends to sit at the higher end on total monthly cost
Compounded + branded compounded + branded (wegovy, zepbound), video (insurance) or async (self-pay)
The strongest coaching and behavior-change program in our lineup
The coaching-heavy model is overkill if you only want a prescription
Compounded compounded semaglutide & tirzepatide, async questionnaire
Quick, uncomplicated signup
Lighter clinical and coaching depth
bmiMD takes a physician-led, medical-first approach to weight management. It's one of the most clinically thorough programs we reviewed, which makes it a strong fit for people with complex health needs — at the cost of speed and a higher price point.
On 12-month plan; $109 (6-mo) / $119 (3-mo) / $129–$159 month-to-month. As of 2026 · source: glp1picks.com.
A full-service telehealth weight-loss program built around GLP-1 medications, live clinician visits, and ongoing coaching. embody positions itself as an end-to-end plan rather than a prescription vending machine — and in our testing that ongoing support is what separates it from cheaper competitors.
Promo starting rate; ~$299/mo at standard/maintenance dosing. As of Jul 2026 · source: exploretreatments.com.
MEDVi is a straightforward telehealth program offering both semaglutide and tirzepatide with a quick, uncomplicated process. It's a sensible middle-ground pick for people who want efficient GLP-1 access without a lot of extras.
On 12-month prepay; month-to-month is $299/mo; tirzepatide higher. As of 2026 · source: health.usnews.com.
HealthRx is a prescription-forward telehealth program that emphasizes reliable medication access and pharmacy coordination. It's a practical choice for people who want the meds handled cleanly, with less focus on coaching.
On 12-month plan; $133/mo (3-month) to $189/mo month-to-month; same price at every dose. As of 2026 · source: matchglp1.com.
DirectMeds is a value-focused program built around simple, direct-to-door medication delivery and a fast signup. It trades coaching and extras for a low price and minimal friction.
Sublingual/oral semaglutide; injectable semaglutide ~$297/mo, tirzepatide ~$399/mo. As of Sep 2026 · source: clearmetabolic.com.
WellMedr takes a rounded, clinician-guided approach to weight management that considers wellness beyond the medication itself. It's a balanced all-rounder rather than a category leader.
Lowest rate on 12-month prepay; month-to-month advertised at $88/mo; tirzepatide from ~$89/mo. As of Sep 2026 · source: exploretreatments.com.
AltRx is a value-focused telehealth program built around compounded GLP-1 medications and a fast, streamlined intake. It trades some of the coaching depth of premium programs for a notably lower monthly cost and quick time-to-start.
Promo starting rate (semaglutide); tirzepatide from $149/mo; post-promo pricing undisclosed. As of Sep 2026 · source: altrx.com.
Sprout is a beginner-friendly telehealth weight-loss program that pairs GLP-1 medication with lifestyle guidance and a supportive, low-pressure approach. It's aimed at people easing into treatment for the first time.
Intro starting rate; ongoing ~$249/mo (semaglutide) / ~$299/mo (tirzepatide). As of Sep 2026 · source: health.usnews.com.
TrimRx is a telehealth weight-loss program that specializes in tirzepatide-based plans with flexible titration support. It's a focused option for members who have already decided tirzepatide is the route they want to take.
Advertised 'from $179/mo'; semaglutide ~$199–$349/mo by plan length; branded far higher. As of Aug 2026 · source: health.usnews.com.
Real price against real price, plus the one difference that usually decides it. Each comparison weighs the trade-offs in full.
Browse all head-to-head comparisons →
Each program gets a 0–10 on four factors, scored from the sourced data. The overall is the weighted average. We weight trust and support above the raw sticker price.
Read the full methodology →| Factor | Weight | What we evaluate |
|---|---|---|
| Value | 15% | What you get for the price — not just the lowest sticker. A premium program that includes FDA-approved medication, insurance help and real support can be good value. |
| Support | 30% | Real clinician access, coaching and follow-up — video visits and a care team score higher than async-only. |
| Medications | 25% | Medication options and legitimacy — FDA-approved branded (Wegovy, Zepbound) rates above compounded-only, and breadth and flexibility add points. |
| Transparency | 30% | How clearly and publicly pricing, terms and availability are stated — plus track record and any regulatory red flags. |
Five questions, in order. Work through them and you'll narrow 12 programs down to two or three. This is provider-selection guidance — not medical advice.
Compounded semaglutide and tirzepatide run far cheaper than branded Wegovy or Zepbound. If cost is the priority, the lowest advertised starting rates in our table are ro and WellMedr — but read the fine print: those figures usually need a prepaid multi-month plan, and month-to-month is higher.
Insurance rarely covers compounded GLP-1s, so most compounded programs are cash-pay. If you want to try insurance for branded Wegovy or Zepbound, ro and Found both run insurance navigation — expect a branded price if it doesn't come through.
Branded (Wegovy, Zepbound) is FDA-approved and consistent but costs $300–$600+/mo; compounded is cheaper ($49–$299/mo) but isn't FDA-approved and supply rules shift. ro is branded-only in 2026; Found keeps both paths; most others are compounded-only.
If you want a real care team, coaching and clinician time, weight Support heavily — Found and ro score highest there. If you just want the medication handled, an async, questionnaire-only program will be cheaper and faster.
Most compounded programs are async: you fill in a questionnaire, a clinician reviews it, and medication ships — no appointment. A few (ro, Found, WellMedR) offer a live video visit. Async is faster and cheaper; video gives you face time. Pick the one you'll actually use.
You complete a medical intake online, a licensed clinician reviews it (often over a video or structured visit) to decide whether a medication such as a GLP-1 is appropriate and safe for you, and if so a prescription is sent to a pharmacy and delivered to your door. The better programs add coaching and ongoing check-ins on top of the prescription.
Eligibility is a clinical decision, but these medications are generally considered for adults with a higher body-mass index, or a slightly lower BMI alongside a weight-related condition. A licensed clinician weighs your full health history, current medications and any contraindications. No legitimate program can promise a prescription before that review.
It varies widely by provider, medication (branded vs compounded), and your dose. Rather than publish prices that go stale within weeks, we show a relative tier ($–$$$) and link you to each provider's current offer. When comparing, always look at the total monthly cost at your expected maintenance dose — not just the intro price.
It can be, when there is a genuine clinical evaluation by a licensed prescriber, clear medication and pharmacy information, and a real way to reach someone about side effects. Be wary of any service that ‘guarantees’ a prescription with no meaningful review. Every program we rank is scored partly on exactly these safety signals.
Neither is universally better; they work in related but different ways, and the right choice depends on your tolerance, health profile, availability and your clinician's judgment. Some programs specialize in one. If you're undecided, a broad program keeps both options open.
Because these medications work on appetite regulation, stopping without a plan can bring hunger — and weight — back. That's why we weight ongoing coaching and maintenance support heavily: the programs that help you build habits and taper carefully give you the best shot at keeping results.
Sometimes. Coverage for GLP-1 medications varies a lot by plan and by whether the drug is branded or compounded. Some programs help you check and navigate insurance; many members pay out of pocket, which is part of why compounded options are popular. Check current coverage with the provider and your insurer.
The medicine and the need for a prescription are the same — the difference is convenience and structure. Online programs handle the visit, prescription, pharmacy and follow-up in one place, often with coaching built in. If you have a complex medical history, a provider with deeper clinical oversight (or your own physician) may be the better route.