- tracked the real cost
- read the fine print
Fierce Health review
The two microdose SKUs I could confidently price — $197 semaglutide, $297 tirzepatide — both currently promotional against a much higher struck-through 'regular' price; the standard-dose tier exists but I couldn't pin its real cost to a specific SKU today, so I left it off rather than guess.
- HSA / FSA-eligible
- Read every disclosure
- No insurance needed
Fierce Health at a glance
- Semaglutide
- From $197/mo
- Tirzepatide
- From $297/mo
- Coverage
- Not disclosed — ships to most states, refunds if unavailable
- Brand-name
- Compounded only
How I scored Fierce Health
Every factor here comes from Fierce Health's own pricing, its disclosures and the signup I walked, and the six add up to the 51/100 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.
Covers what most moms need, if not every option.
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
- August 2026
- Confidence
- low
- Primary source
- fiercehealth.com/collections/all
$197 and $297 — and both are microdose programs rather than standard doses, shown against a struck-through regular price. Standard-dose products exist but I couldn't pin their prices to a specific molecule. No state list, just 'ships to most states' with a refund if yours isn't covered.
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $197 | Microdose programShown against a struck-through 'regular price $591' — treat $197 as the current promotional/intro rate, not a confirmed ongoing one. A standard-dose program is also sold, but its price wasn't confidently attributable to a specific SKU on the pages checked, so it's left off this table rather than guessed. |
| Compounded tirzepatide | $297 | Microdose programSame microdose-only caveat as semaglutide — a standard-dose tirzepatide program exists but its price couldn't be confidently attributed to a specific SKU today. |
HSA and FSA usually work for this — worth checking your own plan. The prices here are what Fierce Health's public disclosures showed at last review, and they change often; confirm the current number on Fierce Health's own site.
What I like
- LegitScript badge visible on-site
- A clearly priced microdose program for both molecules, with the promotional discount disclosed rather than hidden
- A stated refund if your state can't be shipped to, rather than silence on the question
- A broader adjunct catalog (NAD+, glutathione, methylene blue) if you're shopping for more than GLP-1s
The caveats
- Standard-dose program pricing isn't clearly attributable to a specific SKU on the pages checked — confirm the real number before assuming it matches the microdose price
- No enumerated state list — only generic 'ships to most states' language
- No named medical director — only a generic 'board-certified MDs' claim
- The $197/$297 prices are shown as promotional against a much higher struck-through 'regular' price, not confirmed as the permanent rate
What I actually think of Fierce Health
The two microdose SKUs I could confidently price — $197 semaglutide, $297 tirzepatide — both currently promotional against a much higher struck-through 'regular' price; the standard-dose tier exists but I couldn't pin its real cost to a specific SKU today, so I left it off rather than guess. It runs about $197/month, and it's flat at every dose.
I look at Fierce 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 Fierce Health really costs
- Compounded semaglutide — Microdose program: $197/mo
- Compounded tirzepatide — Microdose program: $297/mo
That's about in line with the ~$179/month middle of my shortlist.
Which meds Fierce Health prescribes
Fierce 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.
Who Fierce 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'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?
I'll be honest: I couldn't verify much — Fierce Health publishes little about how the program actually runs, so you're buying on price and trust in its partners. 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?
Fierce 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: Moms specifically looking for a microdosing program who are comfortable confirming the standard-dose price and their state's shipping eligibility directly before committing.
If Fierce 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 Fierce Health
Head-to-head & alternatives
Fierce Health, answered
- How much does Fierce Health cost?
- As I last checked, Fierce Health's pricing starts around $197/month (From $197/mo semaglutide, From $297/mo tirzepatide). Confirm the current, all-in number on Fierce Health's own site before you commit — these move.
- Is Fierce Health okay to use while I'm breastfeeding?
- No — and that's true of every GLP-1, compounded or brand: none is established as safe in pregnancy or breastfeeding, and the labels say don't. Fierce Health is no exception. Plan any GLP-1 for after weaning and talk the timing through with your own clinician. I'm a mom, not a doctor.
- Does Fierce Health have both semaglutide and tirzepatide?
- Yes — Fierce Health offers both. Tirzepatide's dual GIP/GLP-1 action is often the one clinicians reach for when insulin resistance drives weight, which matters if you've got PCOS or a history of gestational diabetes.
- Where does Fierce Health land on your list?
- Fierce Health scores 51/100 on the Mom-Tested Score (ranked #244), which weights the six things that actually matter when you're doing this around kids. My #1 pick, CoreAge Rx, leads the list — worth seeing how they stack up.
Pricing, states and verification reflect Fierce 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.