What is flat dose pricing?

One monthly price that does not change as your dose is titrated upward. The alternative is pricing per milligram, where the figure rises at every step — so the number you agreed to in month one is not the number you pay in month five.

Does my GLP-1 dose actually increase?

Almost always. Semaglutide is typically started at 0.25 mg and worked up toward 2.0 or 2.4 mg over months; tirzepatide starts at 2.5 mg and can go considerably higher. Starting low is how both drugs limit nausea, so escalation is the normal path rather than the exception.

Is a flat-priced seller always cheaper?

No — it depends where each seller starts. A flat seller at $249 is not cheaper than a per-milligram seller at $99 for someone who stays at a low dose. The advantage appears with escalation, and it grows the longer you stay on a maintenance dose.

How do I find out a seller's dose pricing policy?

Ask before signing up, because it is rarely on the pricing page. The sellers on this board publish the policy themselves. Where a seller does not state one, we record the policy as unknown rather than assuming it is favorable.

What is flat dose pricing?

One monthly price that does not change as your dose is titrated upward. The alternative is pricing per milligram, where the figure rises at every step — so the number you agreed to in month one is not the number you pay in month five.

Does my GLP-1 dose actually increase?

Almost always. Semaglutide is typically started at 0.25 mg and worked up toward 2.0 or 2.4 mg over months; tirzepatide starts at 2.5 mg and can go considerably higher. Starting low is how both drugs limit nausea, so escalation is the normal path rather than the exception.

Is a flat-priced seller always cheaper?

No — it depends where each seller starts. A flat seller at $249 is not cheaper than a per-milligram seller at $99 for someone who stays at a low dose. The advantage appears with escalation, and it grows the longer you stay on a maintenance dose.

How do I find out a seller's dose pricing policy?

Ask before signing up, because it is rarely on the pricing page. The sellers on this board publish the policy themselves. Where a seller does not state one, we record the policy as unknown rather than assuming it is favorable.

The escalation tax

Sellers That Hold One Price as Your Dose Climbs

Semaglutide starts at 0.25 mg and commonly ends near 2.4 mg. Tirzepatide starts at 2.5 mg and can reach 15 mg. Every seller on this board states that its monthly price does not change across that climb — which is a different product from one that charges per milligram, even when the two advertise the same opening figure.

By Hana BrennanPricing & provider data

140 providers comparedReviewed against our editorial methodologyPartners listed firstUpdated October 2026

Disclosure: GLP Loss is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.

Top 5 for a price that holds across doses

Every seller here is a partner — we may earn from these links

GalaPartner
One price across both molecules
From
$199
Check availability
EdenPartner
A price worth confirming in writing
From
$198
Check availability
YourEraPartner
A seller that states its own terms
From
$79.20
Check availability
Belle HealthPartner
Reading which rung is monthly
From
$199
Check availability
CoreAge RxPartner
Flat pricing on either molecule
From
$99
Check availability

The shortlist

140 providers, side by side

Sellers whose own published policy states that the monthly price is the same at every dose. Inferred flatness does not qualify: two matching prices for different molecules say nothing about what a seller charges at the top of a titration ladder.

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GalaPartner

One price across both molecules

Sellers That Hold One Price as Your Dose Climbs

Top 5 for a price that holds across doses

140 providers, side by side

How this board is built

How the escalation tax adds up

How we judge sellers

Keep comparing

Common questions