Compounded Semaglutide, Compared on What a Month Costs
Every price on this board is the one the seller publishes for compounded semaglutide specifically — not its tirzepatide rate, and not the lowest number anywhere on its site. Where a seller charges differently for the two molecules, and most do, the other figure belongs on the tirzepatide board, not this one.
46 providers, side by side
Ordered by our published rubric — price transparency, dose-ladder pricing and access — not by price alone; the cheapest board is a separate page. Sellers that publish a price for compounded injectable semaglutide. A figure far below what this market charges for a standing month is treated as promotional and excluded from the ordering, not silently ranked first. Sellers that publish no semaglutide price are omitted rather than ranked last — leaving one in would imply we checked and found it expensive, when what we found is that it will not say.
CoreAge Rx—Flat pricing on either molecule
Access
From $99/moInsurance
FlatVisit
All 50
Trimi Health—Tirzepatide without the usual premium
Access
From $99/moInsurance
FlatVisit
All 50- Zera Health—
Comparing oral against injection
Access
From $129/moInsurance
FlatVisit
All 50 - Cora Health—
Switching molecules without switching sellers
Access
From $99/moInsurance
FlatVisit
All 50 - Peak Wellness—
Flat pricing, premium tier
Access
From $249/moInsurance
FlatVisit
All 50 
Precision Telemed—Mid-market on both molecules
Access
From $149/moInsurance
FlatVisit
All 50- Big Easy Weight Loss—
A narrow molecule gap
Access
From $165/moInsurance
FlatVisit
All 50 - KERNX Health—
Mid-market with a flat ladder
Access
From $129/moInsurance
FlatVisit
All 50 - Longevixx—
Semaglutide, if you will not switch
Access
From $149/moInsurance
FlatVisit
All 50 
Maximus—Buyers willing to commit up front
Access
From $249.99/moInsurance
FlatVisit
All 50- NextMeds—
A typical spread, flatly priced
Access
From $129/moInsurance
FlatVisit
All 50 - Renlo Health—
Flat pricing above mid-market
Access
From $199/moInsurance
FlatVisit
All 50 - Revive Meds—
Flat ladder at a premium price
Access
From $369/moInsurance
FlatVisit
All 50 - Idgie Health—
Seeing the real oral premium
Access
From $134/moInsurance
FlatVisit
All 50 - Calibrate Health—
Reading the offer closely
Access
Not published up frontInsurance
—Visit
All 50
We never show a fabricated price or rating. Facts are shown only where a provider publishes them.
How this board is built
A handful of sellers advertise $25 a month. Nobody in this market supplies semaglutide at that rate on an ongoing basis — the middle of the field sits near $175 — so those figures are first-fill offers that revert, and they are kept out of the ordering here rather than allowed to top a board about what things cost. They still appear on each seller’s own page, labeled, because what a company advertises is a fact about that company.
The number worth more attention than the headline rate is whether the price holds as your dose climbs. Semaglutide is titrated upward over months, and a seller that re-prices at every step can end a year well above one that looked more expensive in month one. Where a seller states that its price is flat across doses, the board records it.
Why two sellers quoting the same number can bill you differently
A monthly figure is only a monthly figure if you are billed monthly. Several sellers quote a rate that assumes a quarterly or annual commitment paid upfront, divided out to look smaller. Maximus publishes this openly — $249.99 for one month, $199.49 on four, $150.32 on twelve — which makes the advertised monthly price the most expensive way to buy there. Most sellers are less explicit about it.
The second variable is the titration ladder. Semaglutide starts at 0.25 mg and commonly climbs to 2.0 or 2.4 mg. A seller holding one price across that range is selling you a different product from one that charges per milligram, even when the two advertise the same starting figure.
Third is what sits outside the product price: a consult fee, a membership, shipping. Read the total of everything charged in the first month rather than the number in the hero.
How we judge sellers
- Price transparency — Can you find what a month costs — for the molecule and the form you want — before creating an account, and does the seller's own site agree with itself?
- Honest headline — Is the figure the seller leads with the figure it bills? A price that needs a twelve-month prepay, or that is struck through from an anchor nobody pays, is a different number from a standing monthly rate.
- Dose-ladder pricing — Does the price hold as your dose escalates, or is it re-set at every step? This is the difference most buyers only discover in month three.
- Access — How many states the seller ships to, and whether it covers more than one molecule or delivery form.
We never show a fabricated price or rating, and access notes appear only where a provider publishes them. Pricing and availability change often — confirm current details on the provider’s own site.
Keep comparing
Compounded tirzepatide, ranked · The lowest real monthly prices · Oral GLP-1 options · How we score sellers
Common questions
- What does compounded semaglutide actually cost per month?
- Across the sellers on this board the middle of the market sits near $175 a month for injectable compounded semaglutide, with a working range of roughly $95 to $300. Figures far below that — several sellers advertise $25 — are introductory offers rather than standing rates, and are not ranked here.
- Is compounded semaglutide the same as Wegovy or Ozempic?
- No. Wegovy and Ozempic are FDA-approved products from Novo Nordisk. Compounded semaglutide is prepared by a compounding pharmacy against a prescription, and compounded drugs are not FDA-approved or reviewed for safety, efficacy or quality before dispensing. The price difference is large; the regulatory position is the reason.
- Why do prices for the same drug vary so much?
- Mostly through what is bundled. Some prices include the clinical consult, the titration through every dose, and shipping; others charge for each separately. Dose pricing is the biggest single divider: a flat rate across the ladder and a rate that rises with milligrams can start at the same number and end a year hundreds apart.
- Does a higher price mean better quality?
- There is no way to read that off the price. Sellers rarely name the compounding pharmacy, and almost none publish the dose the monthly figure buys. Where a seller does name its pharmacy or state a flat dose policy, we record it — those are checkable facts, unlike price as a proxy for quality.
- What happens to the price when my dose goes up?
- It depends entirely on the seller, and it is the question worth asking before signing up. Some hold one figure across every dose. Others re-price at each titration step, so the number you agreed to in month one is not the number you pay in month five. Sellers that publish a flat policy are marked on this board.