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.
44 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.
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
We never show a fabricated price or rating. Facts are shown only where a provider publishes them.
How this board is built
This is the variable most likely to be discovered in month five rather than at signup. A seller at $99 that re-prices at every step and a seller at $149 that does not can cross over well before a year is out, and the second one was cheaper the whole time for anyone who escalates. Almost nobody puts the policy in the hero, which is why it has a board of its own here.
Flat pricing is a claim the seller makes, and this board takes it from the seller’s own stated policy rather than inferring it from two prices that happen to match. Matching figures for semaglutide and tirzepatide say nothing about what happens at the top of either ladder.
How the escalation tax adds up
Titration is not optional. Both drugs are started low to limit nausea and worked upward toward a maintenance dose over roughly four to five months. Anyone who responds well is likely to spend most of the year at a higher dose than the one they started on.
That makes the shape of a seller’s pricing more important than its opening figure. A flat seller quotes you one number for the year. A per-milligram seller quotes you the cheapest month you will ever have, and the difference compounds every step.
It is worth asking directly before signing up, because the answer is rarely on the pricing page: does this price change when my dose does? A seller that will not answer plainly has answered.
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 semaglutide, ranked · Compounded tirzepatide, ranked · The lowest real monthly prices · How we score sellers
Common questions
- 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.