Pallas Health
Ranked #2 · Grade B+
Pallas is one of the few places that will sell you either the cheap compounded route or the real brand-name pen without making you pick a provider first — compounded semaglutide works out to about $199 a month and tirzepatide about $299, while actual Zepbound, Ozempic, Wegovy and Mounjaro sit alongside them at cash-pay prices from $1,069. The price genuinely doesn't climb as you titrate, Pallas says so plainly on its own site, and the clinician, dose adjustments, check-ins and messaging are all inside that one number with no membership fee stacked on top. Two clinicians are named and both check out in the federal NPI registry, the LegitScript badge it displays is a real one, and it publishes an actual refund policy — full refund if a clinician turns you down, and a $5 processing fee if you cancel a qualifying payment — which is more paperwork than most of this market bothers with. The two things to know before you commit: it bills every 12 weeks in $597 and $897 chunks rather than monthly, and it never names its compounding pharmacy.
The broadest GLP-1 menu I've found anywhere — brand Zepbound and Wegovy, two GLP-1 pills, and three compounded molecules — from doctors who actually specialize in midlife hormones, with one mandatory $99 fee sitting quietly on top of every price it advertises.
Trimi Health
Ranked #4 · Grade B
The price-first pick: some of the lowest flat, all-inclusive pricing I found, in all 50 states — great if the monthly number is your whole decision and you read the annual-prepay fine print before you sign.
Gala Health
Ranked #5 · Grade B
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it won't name.
Breeze Meds
Ranked #6 · Grade B
A LegitScript-verified compounded option with a named medical team, all-50 coverage, and no subscription — semaglutide starts at $199, though it's one of several near-identical white-label sibling brands.
Knownwell
Ranked #7 · Grade B
The only provider on my list that behaves like an actual doctor's office — in-network with most commercial plans and Medicare, dietitians and coaches built in, and every self-pay price published down to the dose — as long as you can get to a booked appointment every month at the start.
Synergy Rx
Ranked #9 · Grade B
Now confirmed to publish real GLP-1 prices — compounded semaglutide from $199, tirzepatide from $349, plus brand options — right on its products page, no consult required, contrary to what an earlier check found.
The Edit
Ranked #10 · Grade B
The Edit is one of the very few providers on this page that names both the medical practice writing your prescription and the pharmacy compounding it — Arora Health & Aesthetics, LLC and The Pharmacy Hub — rather than gesturing at 'licensed US providers'. Compounded semaglutide is $209 a month and tirzepatide $309, the same price at every dose, with the prescription, all injection supplies, the clinician visit and temperature-controlled two-day shipping inside that one number and no membership fee on top. First orders are $100 off, and three- and six-month plans bring the per-month equivalent down to $192 and $178 for semaglutide. It covers all 50 states and, unusually for this market, runs a complete Spanish-language version of the site rather than a machine-translated shim. The limits are real but narrow: it is compounded-only, so there is no FDA-approved Wegovy or Zepbound here, and there is no postpartum, breastfeeding or PCOS guidance anywhere on the site.
Telos Rx
Ranked #11 · Grade B
Four flat, posted price points and a written promise your cost won't climb with your dose — a real step up in clarity from what we found last check — undercut by a state list it still won't publish.