What does a month of semaglutide cost at Blue Sky MD?

That cannot be established from the published pages. The medication is advertised at $40 a week in office, but GLP-1 prescribing requires enrollment in the medical weight loss program. The practice states that the program's out-of-pocket cost varies with insurance and with a patient's goals, and directs anyone asking to a text line rather than to a published figure.

Is the $40 figure weekly or monthly?

The GLP-1 page and the compounded semaglutide page both state it as $40 per week, and tirzepatide as $60 per week. A comparison table elsewhere on the same site presents those same two numbers as monthly in-office pricing. One of the two presentations is wrong, and the difference between them is more than fourfold.

Does Blue Sky MD take insurance?

Yes, for the practice itself. Blue Sky MD is a primary care practice in-network with most major primary-care plans and states that benefits are verified before a patient commits. Compounded GLP-1 medication remains a self-pay item regardless, which is why the program cost and the drug price are two separate questions and only one of them has a published answer.

Where can Blue Sky MD treat patients?

North Carolina only. Seven clinics cover Asheville, Hendersonville, Greensboro, Winston-Salem, Mooresville–Lake Norman and two Charlotte locations, and telehealth visits are offered for patients who cannot reach an office for a weekly appointment. Both advertised medication rates are labeled in office, so the lowest figure is attached to attending in person.

Updated September 2026

Blue Sky MD review

Program price withheld

The weekly medication rate is published in plain type; the mandatory program it is gated behind is the one number the practice will not put on a page.

Our verdict

Blue Sky MD advertises compounded semaglutide at $40 a week and compounded tirzepatide at $60, then attaches an asterisk: enrollment in the medical weight loss program is required to qualify for either. Asked what that program costs, the practice answers that out-of-pocket costs vary because insurance can be billed, that self-pay pricing depends on a patient's goals, and that the way to find out is to send a text message. The medication figure is therefore a component price, not a total, and no total can be assembled from what is published. The same site compounds the problem by printing those figures as weekly on the GLP-1 page and as monthly in its own comparison table.

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At a glance

Category: GLP-1 pricing
Molecule: Semaglutide · Tirzepatide
Form: Injection
States: 1
Dose published: No
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Availability: North Carolina only
Updated: September 2026

What it is

A North Carolina physician-led practice operating seven clinics since 2008, combining medical weight loss, bioidentical hormone therapy and advanced lab testing, with GLP-1 injections administered in office or shipped, and telehealth visits available alongside in-person care.

How it works

Care begins with a free online health assessment and a provider consultation that determines eligibility for the weight loss program; GLP-1 prescribing follows enrollment rather than preceding it. The program itself is built around weekly one-to-one coaching and lab-led adjustment, and because the clinics are a primary care practice, most major plans can be billed for the visits.

Pricing transparency

The medication rate is published clearly enough: compounded semaglutide at $40 a week in office and compounded tirzepatide at $60, with an as-low-as qualifier. What sits underneath it is not. Access to either drug is conditional on enrolling in the medical weight loss program, and the practice states that out-of-pocket cost for that program varies with insurance and with a patient's goals, directing anyone who asks to a text line. A buyer cannot add the two halves together, because only one half has a number. A second inconsistency runs through the same pages: the GLP-1 page prices both drugs per week, while the practice's own tirzepatide-versus-semaglutide comparison table presents the identical $60 and $40 figures per month.

Branded vs compounded

Compounded semaglutide and compounded tirzepatide as weekly injections, given in office or shipped home, alongside brand Wegovy, Ozempic, Zepbound and Mounjaro for patients whose insurance will cover them. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. The compounding pharmacy is not named, and no milligram strength is published beside either rate.

Pros and watch-outs

What we like

A primary care practice, so most major plans can be billed for the visits
Brand Wegovy, Ozempic, Zepbound and Mounjaro are offered alongside compounded options
Seven North Carolina clinics, operating since 2008
In-person visits and lab testing are available rather than asynchronous care only

Watch-outs

The weight loss program is mandatory for GLP-1 access and its cost is not published
The same two figures appear as weekly on one page and monthly on another
Care is limited to North Carolina
No milligram strength or compounding pharmacy is stated

Best for

North Carolina patients using insurance

Who should look elsewhere

Anyone needing a total cost before booking

How Blue Sky MD compares

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

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

Editor · Reviewed and last verified September 2026

How we assessed this. This review reflects GLP Loss’s own read of Blue Sky MD’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

What does a month of semaglutide cost at Blue Sky MD?: That cannot be established from the published pages. The medication is advertised at $40 a week in office, but GLP-1 prescribing requires enrollment in the medical weight loss program. The practice states that the program's out-of-pocket cost varies with insurance and with a patient's goals, and directs anyone asking to a text line rather than to a published figure.
Is the $40 figure weekly or monthly?: The GLP-1 page and the compounded semaglutide page both state it as $40 per week, and tirzepatide as $60 per week. A comparison table elsewhere on the same site presents those same two numbers as monthly in-office pricing. One of the two presentations is wrong, and the difference between them is more than fourfold.
Does Blue Sky MD take insurance?: Yes, for the practice itself. Blue Sky MD is a primary care practice in-network with most major primary-care plans and states that benefits are verified before a patient commits. Compounded GLP-1 medication remains a self-pay item regardless, which is why the program cost and the drug price are two separate questions and only one of them has a published answer.
Where can Blue Sky MD treat patients?: North Carolina only. Seven clinics cover Asheville, Hendersonville, Greensboro, Winston-Salem, Mooresville–Lake Norman and two Charlotte locations, and telehealth visits are offered for patients who cannot reach an office for a weekly appointment. Both advertised medication rates are labeled in office, so the lowest figure is attached to attending in person.

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