- tracked the real cost
- read the fine print
Clume Health review
It names four dispensing pharmacies outright and tells you who prescribes, which almost nothing else here does, and it charges the same price whichever molecule you pick — $259 a month on the full-dose program and $219 on the maintenance and microdosing one, semaglutide or tirzepatide, oral or injectable. If you want the dual agonist that is worth real money, because most places add $80 to $150 a month for it. The pricing you meet first is where it falls down. The homepage advertises programs starting at $199 and $159, nothing on the site is priced at either, and the asterisks beside both lead to no footnote anywhere on the page. The cheaper rates it does publish are prepaid terms rather than monthly bills: $186 a month means committing 52 weeks and $200 means twelve. Canceling needs 72 hours' notice before the next billing date or that cycle is charged anyway, and no refund is given for the month you cancel or any month before it.
- HSA / FSA-eligible
- Read every disclosure
- No insurance needed
Clume Health at a glance
- Semaglutide
- $259/mo
- Tirzepatide
- $259/mo
- Coverage
- Not published
- Brand-name
- Compounded only
How I scored Clume Health
Every factor here comes from Clume Health's own pricing, its disclosures and the signup I walked, and the six add up to the 48/100 Mom-Tested Score on the same weighted six-factor method I use on every provider — never nudged by whether a provider pays us.
Scores low here: getting started asks more of your week than most.
Scores low: pinning down the real ongoing number takes work.
Scores high on medication choice — the options that matter are covered.
Scores low: whether it reaches you is the open question.
Support is the weakest part of this provider's score.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
How I verified this review
- Last verified
- September 2026
- Confidence
- medium
- Primary source
- www.clumehealth.com
It names four dispensing pharmacies outright, which almost nobody does, and it charges the same whichever molecule you pick — $259 a month full dose, $219 on the maintenance and microdosing track, semaglutide or tirzepatide, oral or injectable. The pricing you meet first is not the pricing you can buy: the homepage advertises programs starting at $199 and $159 and nothing costs either, with asterisks that lead to no footnote at all. The cheap rates it does publish are prepaid terms — $186 a month means committing a full year. Canceling needs 72 hours' notice or you are billed anyway.
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $259 | Signature program, full dose, month to monthThe rate you can actually pay month to month. The $186 advertised beside it needs a 52-week prepaid term. |
| Compounded tirzepatide | $259 | Signature program, full dose, month to monthThe same as semaglutide — Clume prices by program, not by molecule, so the dual agonist costs no more. |
| Compounded semaglutide | $219 | Microdose/Maintain program, month to monthThe maintenance and microdosing track. Its cheaper $200 rate needs a 12-week prepaid term. |
| Compounded tirzepatide | $219 | Microdose/Maintain program, month to monthAgain the same price as semaglutide on the same program. |
HSA and FSA usually work for this — worth checking your own plan. The prices here are what Clume Health's public disclosures showed at last review, and they change often; confirm the current number on Clume Health's own site.
What I like
- Names four dispensing pharmacies outright, which most sellers never do
- Names OpenLoop as the prescribing layer instead of leaving it vague
- The same price for semaglutide or tirzepatide, oral or injectable
- A separate maintenance and microdosing program at a lower rate
- Names its company, North Atelier LLC, in its own terms
The caveats
- The homepage advertises "starting at *$199/month" and "*$159/month" and no program costs either
- Those asterisks lead to no footnote anywhere on the page
- The cheapest advertised rates need a full prepaid term — $186/mo means 52 weeks
- Canceling needs 72 hours' notice before the next billing date or that cycle is charged
- No refund for the month you cancel, or any month before it
- No state list, and nothing about pregnancy, breastfeeding or postpartum timing
What I actually think of Clume Health
It names four dispensing pharmacies outright and tells you who prescribes, which almost nothing else here does, and it charges the same price whichever molecule you pick — $259 a month on the full-dose program and $219 on the maintenance and microdosing one, semaglutide or tirzepatide, oral or injectable. If you want the dual agonist that is worth real money, because most places add $80 to $150 a month for it. The pricing you meet first is where it falls down. The homepage advertises programs starting at $199 and $159, nothing on the site is priced at either, and the asterisks beside both lead to no footnote anywhere on the page. The cheaper rates it does publish are prepaid terms rather than monthly bills: $186 a month means committing 52 weeks and $200 means twelve. Canceling needs 72 hours' notice before the next billing date or that cycle is charged anyway, and no refund is given for the month you cancel or any month before it. It runs about $259/month, and it's flat at every dose — pricier than most, so the extras have to earn it.
I look at Clume Health the way moms actually have to — not just the real monthly number, but nursing and pregnancy timing and canceling without a fight. That's the stuff a generic weight-loss review skips right over.
What Clume Health really costs
- Compounded semaglutide — Signature program, full dose, month to month: $259/mo
- Compounded tirzepatide — Signature program, full dose, month to month: $259/mo
- Compounded semaglutide — Microdose/Maintain program, month to month: $219/mo
- Compounded tirzepatide — Microdose/Maintain program, month to month: $219/mo
For context, the typical ongoing price across my shortlist is around $179/month, so Clume Health sits at the pricey end.
Which meds Clume Health prescribes
Clume Health prescribes semaglutide and tirzepatide — the two with the strongest published weight-loss numbers, and having both on one account genuinely matters if insulin resistance is in the mix (which it often is with PCOS or after gestational diabetes), because that's when tirzepatide tends to be the better fit. These are compounded from a licensed pharmacy — that's why the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are, and it's worth knowing that going in.
There's a needle-free option here too, and it's worth asking exactly which kind before you choose it. An FDA-approved GLP-1 tablet is a studied medicine with its own label; a compounded under-the-tongue version is a different thing, far less studied than the shots the trials actually used. They get advertised in almost identical language.
Who Clume Health is — and isn't — for
A good fit if…
- you might need to move between semaglutide and tirzepatide as your body and hormones shift.
Look elsewhere if…
- you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
- you want to be able to cancel without a fight — the exit terms are the part of the fine print I'd read twice here.
- you'd rather a prescriber actually talk through nursing and pregnancy timing with you — that's what my #1 pick, CoreAge Rx, is built to do.
Can you trust it?
My confidence is middling — the core facts hold up, but some details (per-state availability, how the program really runs) aren't fully public. With any compounded GLP-1, the most useful thing you can do is confirm which licensed pharmacy fills it and what's actually in the formulation — I explain how I weigh oversight in the scoring method.
One line that's true of every provider on this site: no GLP-1 is established as safe in pregnancy or while breastfeeding, and the labels say don't. This is me reviewing a commercial signup, not giving you a green light — the timing call is yours and your clinician's.
So, would I use it?
Clume Health is a reasonable option — weigh it against the picks below on nursing and pregnancy timing and canceling without a fight. For most moms, CoreAge Rx is still the stronger all-round fit — and you can see them side by side in this head-to-head.
The bottom line for moms
Best for: Someone who wants tirzepatide without paying extra for it, and who cares enough about who compounds the medicine to pick a place that says so.
If Clume Health isn't the one
Providers I have a referral relationship with, ordered by Mom-Tested Score — highest first. A fee never moves a score, but it does decide who shows up in this box, so it isn't everyone: my full ranking has every provider, paid or not.
- Visit CoreAge RxMom-Tested Score94/100ACoreAge RxMy #1 pick
The one I'd point a friend to first: I finished the intake in a single nap, the price on screen was the price I'd actually pay, and both semaglutide and tirzepatide were right there on one account.
- Visit Pallas HealthMom-Tested Score86/100B+
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.
- Visit Trimi HealthMom-Tested Score85/100B
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.
Keep comparing Clume Health
Head-to-head & alternatives
Clume Health, answered
- Why does the homepage price match nothing?
- Because it matches nothing on the site. The homepage advertises GLP-1 and microdose programs "starting at *$199/month" and cellular optimization "starting at *$159/month", and no program is priced at either figure. The asterisks that should explain it lead to no footnote anywhere on the page. The real menu starts at $259 full dose and $219 for maintenance and microdosing.
- Does tirzepatide cost extra here?
- No, and that is genuinely unusual. Clume prices by program rather than by molecule, so $259 buys the full-dose Signature program whether you take semaglutide or tirzepatide, oral or injectable. Most places charge $80 to $150 more a month for the dual agonist, so if tirzepatide is what you want this is worth noticing.
- What does $186 a month actually require?
- Fifty-two weeks. The $186 rate on Signature and the $200 rate on Microdose/Maintain are prepaid terms, not lower monthly bills — a year and twelve weeks respectively. If you want to keep the option of stopping, the numbers to plan around are $259 and $219.
- Who prescribes and who compounds?
- Both are named, which is rare. The prescribing layer is OpenLoop — the intake makes you agree to OpenLoop's telehealth consent and the terms reference OpenLoop Medical Practices — and the terms name four dispensing pharmacies outright rather than calling them accredited partners. The company is North Atelier LLC, trading as Clume Health, under Iowa law.
Pricing, states and verification reflect Clume Health's public disclosures at last review; the Mom-Tested Score is one mom's editorial judgment per the published method. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See my medical disclaimer and how I'm funded.