How long does a 5 mg semaglutide vial last?

It depends entirely on the dose. The company's published titration chart starts at 0.2 mg a week for four weeks and 0.6 mg for the next four, which uses about 3.2 mg in eight weeks. Five milligrams therefore covers roughly ten weeks at those opening doses, and about two weeks at the 2.4 mg maximum the same chart names.

What does a month cost at the maintenance dose?

About 10.4 mg of semaglutide is needed to cover a calendar month at the 2.4 mg weekly maximum. At the $25.35 per milligram tier that is roughly $264, and at the $16.88 tier roughly $176. Neither figure is printed; both follow from the per-milligram rates the company itself publishes.

Is the listed Zepbound price the cost of the drug?

No. The Zepbound page describes it as an initial telehealth consult fee for a LillyDirect prescription, with $80 charged for each refill script afterwards. The medication is bought from LillyDirect, and Balanced Hormone Health publishes no price for it, linking out to Lilly instead.

What does compounded tirzepatide cost?

The starter is a 60 mg vial with B6 at $8.32 a milligram, which the site describes as roughly a twelve-week supply. A 75 mg glycine package is $7.20 a milligram, and 120 mg refills for established patients on 6 mg or more come down to $7.08. Supply length is stated to vary with personalized dosing.

Is Balanced Hormone Health legit?

Balanced Hormone Health is a compounded semaglutide sellers service. Its stated availability: All states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.

Is Balanced Hormone Health expensive compared with other compounded semaglutide sellers providers?

Balanced Hormone Health publishes a starting figure of $181/mo. Across the 153 compounded semaglutide sellers providers we review that publish a single monthly figure, those run $76 to $369 with a median of $178, which puts Balanced Hormone Health above the median. The other 7 compounded semaglutide sellers providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Updated September 2026

Balanced Hormone Health review

Milligrams priced, months not

Prices are set by the total milligrams in the vial rather than by the month, so what a month costs depends entirely on the dose reached.

Our verdict

Balanced Hormone Health prints the milligram content beside every price and states in a footnote that it does not sell by duration of time. The compounded semaglutide entry buys 5 mg, and the company's own titration chart puts the weekly dose at 0.2 mg for four weeks and 0.6 mg for four more. Five milligrams therefore covers roughly ten weeks at the opening doses and about two weeks at the 2.4 mg maximum that same chart names. A per-milligram rate is published for every package, falling from $39.40 to $16.88 as the vial gets larger. The Zepbound item listed alongside is not medication: the fee buys an initial telehealth consult for a LillyDirect prescription, with $80 per refill script and the drug bought from Lilly.

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. The order on this page is not commercial, and a commission never changes what we write about a provider. How we make money.

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At a glance

Category: compounded semaglutide
Molecule: Semaglutide · Tirzepatide
Form: Injection
Dose pricing: Rises with dose
From: $197 per 5 mg vial
Dose published: Yes
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Labs: Not stated
Availability: All states
Updated: September 2026

What it is

A telehealth practice selling compounded semaglutide and compounded tirzepatide by total milligrams in the vial, available in all states, alongside hormone replacement and fat-loss injections.

How it works

A free consultation comes first, and a vial is then chosen by its total milligram content rather than by a billing period. The price covers the vials, virtual practitioner visits, shipping, syringes, alcohol pads, an online support group and messaging through Klara. The site states there are no contracts, memberships or hidden fees. Interest-free installments and CareCredit are offered at checkout.

Pricing transparency

Compounded semaglutide is sold in five packages differing by the vitamin or diluent paired with it, priced from $39.40 a milligram at 5 mg down to $16.88 a milligram at 40 mg. Compounded tirzepatide runs from $11.44 a milligram at 68 mg down to $6.00 a milligram at 150 mg, and its 60 mg starter is described as roughly a twelve-week supply. The headline semaglutide rate is expressed per month, but carries two footnotes: that pricing is per total milligram per vial, and that the company does not sell by duration of time. A buyer converting either into a monthly cost has to supply the weekly dose themselves.

Branded vs compounded

Compounded semaglutide and compounded tirzepatide, paired with B6, B12, glycine or sterile water depending on the package chosen. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. The company states it is not a compounding pharmacy and partners with licensed and accredited 503A and 503B facilities in the United States, which it identifies by number rather than by name. Brand Zepbound is offered on a separate page and is not compounded.

Pros and watch-outs

What we like

Total milligrams are printed beside every price in every package
A per-milligram rate is published, from $39.40 down to $16.88
Vials, visits, shipping, syringes and messaging are inside the price
A titration chart is published, so the milligrams can be converted

Watch-outs

No price is expressed per month, by the company's own footnote
The listed Zepbound figure is a consult fee, not medication
Zepbound refills add $80 per script on top of whatever Lilly charges
The compounding pharmacies are numbered rather than named

Best for

Buyers willing to convert milligrams into months themselves.

Who should look elsewhere

Anyone comparing sellers on a single monthly figure.

How Balanced Hormone Health compares

A few alternatives worth a look, depending on what you’re optimizing for.

SkinnyRx
A tirzepatide price you can check
See SkinnyRx →
Bodybuilding Health+
A headline that is the monthly rate
See Bodybuilding Health+ →
Synergy Rx
Compounded and branded together
See Synergy Rx →

Compare all providers side by side →

More compounded semaglutide sellers reviews: Breeze MedsCare Bare RxCollectiveCoreAge RxDirect MedsEden

Owen Castellanos

Evidence & trials · Reviewed and last verified September 2026

How we assessed this. This review reflects GLP Loss’s own read of Balanced Hormone Health’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

How long does a 5 mg semaglutide vial last?: It depends entirely on the dose. The company's published titration chart starts at 0.2 mg a week for four weeks and 0.6 mg for the next four, which uses about 3.2 mg in eight weeks. Five milligrams therefore covers roughly ten weeks at those opening doses, and about two weeks at the 2.4 mg maximum the same chart names.
What does a month cost at the maintenance dose?: About 10.4 mg of semaglutide is needed to cover a calendar month at the 2.4 mg weekly maximum. At the $25.35 per milligram tier that is roughly $264, and at the $16.88 tier roughly $176. Neither figure is printed; both follow from the per-milligram rates the company itself publishes.
Is the listed Zepbound price the cost of the drug?: No. The Zepbound page describes it as an initial telehealth consult fee for a LillyDirect prescription, with $80 charged for each refill script afterwards. The medication is bought from LillyDirect, and Balanced Hormone Health publishes no price for it, linking out to Lilly instead.
What does compounded tirzepatide cost?: The starter is a 60 mg vial with B6 at $8.32 a milligram, which the site describes as roughly a twelve-week supply. A 75 mg glycine package is $7.20 a milligram, and 120 mg refills for established patients on 6 mg or more come down to $7.08. Supply length is stated to vary with personalized dosing.
Is Balanced Hormone Health legit?: Balanced Hormone Health is a compounded semaglutide sellers service. Its stated availability: All states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.
Is Balanced Hormone Health expensive compared with other compounded semaglutide sellers providers?: Balanced Hormone Health publishes a starting figure of $181/mo. Across the 153 compounded semaglutide sellers providers we review that publish a single monthly figure, those run $76 to $369 with a median of $178, which puts Balanced Hormone Health above the median. The other 7 compounded semaglutide sellers providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Check availability →

Or compare every compounded semaglutide seller.