Pallas Health review
Pallas lists compounded semaglutide at $139 for the first month, then $199 every four weeks, and tirzepatide at $179, then $299 every four weeks. Annual plans advertise $139/$239 monthly equivalents. Compounded prices remain flat across doses; brand pens are priced separately at cash-pay pharmacy rates that can vary by dose. Provider care and shipping are included.
then $199/mo ongoing
- HSA / FSA-eligible
- Walked the public signup
- No insurance needed
- walked the public signup
- tracked the real cost
- read the fine print
Pallas Health at a glance
- Semaglutide
- $199/mo
- Tirzepatide
- $299/mo
- Coverage
- All 50 states + D.C. (async in 43)
- Brand-name
- Yes
How I scored Pallas Health
Every factor here comes from Pallas Health's own pricing, its disclosures and the signup I walked, and the six add up to the 86/100 Mom-Tested Score on the same weighted six-factor method I use on every provider. Some providers are partners, and we may be paid if you sign up through our links.
One of the easiest starts on my list — very little stands between you and a real answer.
Fair, once you've read past the plan structure or an intro rate.
Scores high on medication choice — the options that matter are covered.
Scores high: where you live is unlikely to be the obstacle.
Standard support — enough to stay on track, not high-touch.
Workable to cancel, just not frictionless.
How I verified this review
- Confidence
- high
- Primary source
- Pallas Health's website
Compounded semaglutide is $139 first month, then $199 every four weeks; tirzepatide is $179, then $299 every four weeks. Annual equivalents are $139/$239. Compounded prices are flat across doses. Brand pens are billed monthly at cash-pay rates and may vary with dose.
What to expect when you sign up
I walked Pallas Health's public signup — a first-hand look at the flow. I don't create accounts, enter medical info, or check out, so this is what any visitor sees, not a patient outcome.
- 1Prices are on the homepage — both compounded plans and all four brand-name options, before any intake
- 2Start a visit; eligibility is decided by a US-licensed clinician
- 3In 43 of 50 states the whole thing is asynchronous — no video call to schedule around nap time
- 4Medication ships free, and only once a clinician has actually prescribed it
What I noticed
- Billing is every 4 weeks — $199 for semaglutide, $299 for tirzepatide — so you get 13 charges a year, not 12
- The first month is genuinely cheaper ($139 or $179), and after that the 4-week price is the real number to plan around
- 'Refunded in full if a clinician decides treatment isn't right for you' is stated up front, which is more than most
- Two clinicians are named on the site, and both are listed in the federal NPI registry
Pricing
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $139 → $199 | All doses (billed every 4 weeks)$139 for your first month, then $199 every 4 weeks. An annual plan brings it to about $139/mo. Same price at every dose, and the clinician, dose adjustments, check-ins and care-team messaging are all in it. |
| Compounded tirzepatide | $179 → $299 | All doses (billed every 4 weeks)$179 for your first month, then $299 every 4 weeks; about $239/mo on the annual plan. Flat at every dose, with provider care included. |
| Brand tirzepatide | $1069 | Zepbound (brand-name)Real FDA-approved Zepbound at a cash-pay price, on the same platform as the compounded plans. |
| Brand semaglutide | $1299 | Ozempic (brand-name)Cash-pay brand Ozempic. Not billed to insurance — Pallas is cash-pay only. |
| Brand semaglutide | $1349 | Wegovy (brand-name)Cash-pay brand Wegovy, the on-label weight-loss semaglutide. |
| Brand tirzepatide | $1349 | Mounjaro (brand-name)Cash-pay brand Mounjaro. |
HSA and FSA usually work for this — worth checking your own plan. The prices here are what Pallas Health's public disclosures showed at last review, and they change often; confirm the current number on Pallas Health's own site.
What I like
- Both routes in one place — compounded from ~$199/mo and genuine brand Zepbound, Ozempic, Wegovy and Mounjaro cash-pay
- Compounded plans have a flat price at every dose with no separate membership fee
- Asynchronous care in 43 of 50 states — no video call to schedule
- Two named clinicians, both active in the federal NPI registry
- A real, specific refund policy: full refund if a clinician declines you
- A genuine LegitScript seal
- All 50 states plus D.C., with free shipping once prescribed
The caveats
- Bills every 4 weeks, not by the calendar month — 13 charges a year — and the lowest monthly figures need the annual plan
- The compounding pharmacy is never named, only 'US-licensed compounding pharmacies'
- Cash-pay only — it does not bill insurance at all, so there's no coverage route
- Canceling a qualifying payment costs a $5 processing fee plus payment-processing costs
- Seven states still require a live video visit before a prescription
- No postpartum, breastfeeding or PCOS guidance specific to mothers
What I actually think of Pallas Health
Pallas lists compounded semaglutide at $139 for the first month, then $199 every four weeks, and tirzepatide at $179, then $299 every four weeks. Annual plans advertise $139/$239 monthly equivalents. Compounded prices remain flat across doses; brand pens are priced separately at cash-pay pharmacy rates that can vary by dose. Provider care and shipping are included. The number they lead with is $139, but the price that sticks is closer to $199/month — so read the headline as an introductory offer, not the real monthly number.
I look at Pallas 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 Pallas Health really costs
- Compounded semaglutide — All doses (billed every 4 weeks): $139 to start, then $199/mo
- Compounded tirzepatide — All doses (billed every 4 weeks): $179 to start, then $299/mo
- Brand-name tirzepatide — Zepbound (brand-name): $1069/mo
- Brand-name semaglutide — Ozempic (brand-name): $1299/mo
- Brand-name semaglutide — Wegovy (brand-name): $1349/mo
- Brand-name tirzepatide — Mounjaro (brand-name): $1349/mo
That's about in line with the ~$179/month middle of my shortlist.
Which meds Pallas Health prescribes
Pallas Health prescribes semaglutide and tirzepatide. They work differently; a clinician should assess the indication, medical history, contraindications and practical access before choosing between them. It can also route you to FDA-approved brand pens, not just compounded — and the on-label products come with the manufacturer's own pregnancy and lactation labeling, which is a lot cleaner to hand to your OB.
Who Pallas Health is — and isn't — for
A good fit if…
- you want a real person reading your history around nursing and pregnancy timing, not a quiz that rubber-stamps you.
- you might need to move between semaglutide and tirzepatide as your body and hormones shift.
- staying covered no matter where you are matters — a move for family shouldn't blow up your care.
Look elsewhere if…
- 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 want to compare another option before deciding — review the published terms and support offered by CoreAge Rx, our featured partner, alongside this provider.
Can you trust it?
I'm confident in the public facts on Pallas Health — pricing, pharmacies, and the clinical network all checked out when I last looked. 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.
Pregnancy plans and breastfeeding need a product-specific discussion with your prescriber. Lactation guidance differs by medicine and formulation; limited milk-transfer studies do not establish long-term safety for every infant. See the breastfeeding evidence guide and plan the timing with your own clinician.
So, would I use it?
Pallas Health is a reasonable option — weigh it against the picks below on nursing and pregnancy timing and canceling without a fight. If you want a second option, CoreAge Rx is our featured partner — you can see them side by side in this head-to-head.
The bottom line for moms
Best for: Moms who want the option of either compounded or real brand-name GLP-1s from one place, who don't want the bill climbing as they titrate, and who are fine with a charge every four weeks.
If Pallas Health isn't the one
These are partners — we may be paid if you sign up through these links. My full list has every provider, partner or not.
- Visit CoreAge RxMom-Tested Score94/100ACoreAge RxFeatured partner
A featured partner advertising compounded semaglutide at $79 and tirzepatide at $129 a month, with the same price at every listed dose, supplies and shipping included.
- Visit Found HealthMom-Tested Score73/100C
Found combines medication, clinical care and membership in its compounded plans, billed every 28 days. Cash semaglutide costs $289 after the introductory cycle and tirzepatide $359; prepaid terms cost less. Insurance care requires video visits plus copays, while self-pay usually uses chat or text.
- Visit SnagRxMom-Tested Score68/100C
Compounded semaglutide at $69 a month and tirzepatide at $119, one flat price that SnagRx says covers the medication, the supplies, the doctor review and shipping, with no membership fee and cancellation by email or phone. Both figures are advertised against struck-through list prices of $299 and $349 under a live countdown clock, and the promise to lock that rate for life is marketing rather than a published term. It ships from licensed US pharmacies it never names, and says it ships everywhere except Louisiana, with Nebraska limited to patients 19 and older.
Providers like Pallas Health
A few more providers with a lot in common with Pallas Health, if you want to read them side by side.
- Vytora Health review69/100 · Grade C · Brand-name available · $179+/mo
- Bon Health review70/100 · Grade C · Brand-name available · $220+/mo
- GOAL.MD review76/100 · Grade C · Brand-name available · $179+/mo
- He and She MD review61/100 · Grade C · Brand-name available · $199+/mo
- Shed review80/100 · Grade B− · Brand-name available · $199+/mo
- TOM Weight Loss review60/100 · Grade C · Brand-name available · $199+/mo
Keep comparing Pallas Health
Head-to-head & alternatives
Pallas Health, answered
- Is Pallas really $199 a month?
- Close. Compounded semaglutide is $139 for your first month, then $199 every four weeks, so it lands 13 times a year rather than 12. If you're sure you'll stay, the annual plan works out to about $139 a month. Tirzepatide follows the same shape: $179, then $299 every four weeks, or about $239 a month on the annual plan.
- Does the price go up when my dose goes up?
- For compounded plans, Pallas says the price stays the same at every dose, with clinician care, dose adjustments, check-ins and messaging included. Brand-name medication uses pharmacy cash-pay pricing that can vary by product and dose.
- Do I have to do a video call?
- In most states, no. Pallas says care is fully asynchronous in 43 of 50 states, so you're messaging rather than booking a face-to-face slot. Seven states do require a live video visit — that's a state rule, not a Pallas quirk. If you're in one of those, budget for one appointment; if you're not, this is about as low-friction as GLP-1 care gets when you're working around small kids.
- Can I get brand-name Wegovy or Zepbound here?
- Yes, and that's genuinely unusual on a platform that also sells the cheap compounded version. Zepbound is $1,069 a month, Ozempic $1,299, and Wegovy and Mounjaro $1,349 each — all cash-pay, because Pallas doesn't bill insurance at all. Those are real on-label products with their own pregnancy and lactation labeling, which the compounded versions don't have. The prices are steep, but having both routes in one place means you don't have to switch providers if you change your mind.
Pricing, states and verification reflect Pallas 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.