- tracked the real cost
- read the fine print
SexyMD review
Priced by how long you commit rather than by how much you take: semaglutide is $269 a month if you stay flexible and $199 on a 48-week plan, with tirzepatide at $369 and $299, and the 12- and 24-week plans in between at $249 and $229 for semaglutide. The advertised "from $199 per month" is the year-long option, so the honest uncommitted figure is about 35% higher, and the longer plans ship every twelve weeks rather than monthly. Because the price is set by commitment and not by dose, the bill does not climb as you titrate, which is genuinely useful if you are planning ahead. Two things deserve attention first. The product pages never name the molecule at all, selling only a "GLP-1" and a "GLP-1 + GIP", with semaglutide and tirzepatide appearing nowhere except the terms. And the same three testimonials run on both product pages, one of them about the dual agonist while sitting on the semaglutide page, under a "Loved by 800+ women" line with no source attached.
- HSA / FSA-eligible
- Read every disclosure
- No insurance needed
SexyMD at a glance
- Semaglutide
- $269/mo
- Tirzepatide
- $369/mo
- Coverage
- All 50 states, claimed
- Brand-name
- Compounded only
How I scored SexyMD
Every factor here comes from SexyMD's own pricing, its disclosures and the signup I walked, and the six add up to the 57/100 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.
Wide coverage, but worth confirming your own state before you commit.
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
- sexymd.com
Priced by how long you commit rather than by your dose: $269 a month for semaglutide if you stay flexible, down to $199 on a 48-week plan, with tirzepatide at $369 falling to $299. The advertised "from $199" is the year-long option, so the honest month-to-month number is about 35% higher. Two things I noticed first. The product pages never say which drug you are getting — they sell a "GLP-1" and a "GLP-1 + GIP", and only the terms mention the molecules. And the same three testimonials run on both pages, one of them about the dual agonist while sitting on the semaglutide page.
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $269 | 4-week plan, month to monthThe rate if you do not commit. The advertised "from $199" is the 48-week plan — about 35% cheaper but nearly a year long. |
| Compounded semaglutide | $199 | 48-week plan, delivered every 12 weeksThe advertised headline. It needs a 48-week commitment and ships quarterly. The 12-week and 24-week plans sit between at $249 and $229. |
| Compounded tirzepatide | $369 | 4-week plan, month to monthThe uncommitted rate for the dual agonist. |
| Compounded tirzepatide | $299 | 48-week plan, delivered every 12 weeksThe cheapest tirzepatide rate, again on a 48-week commitment. The 12-week and 24-week plans are $349 and $329. |
HSA and FSA usually work for this — worth checking your own plan. The prices here are what SexyMD's public disclosures showed at last review, and they change often; confirm the current number on SexyMD's own site.
What I like
- Priced by commitment length rather than dose, so the bill does not climb as you titrate
- A clear four-tier ladder published before any intake
- $199 semaglutide and $299 tirzepatide are competitive if a 48-week plan suits you
- Names its company, SexyMD LLC of Las Vegas, in its terms
- Medication prepared by 503A and 503B pharmacies, with financing offered
The caveats
- The advertised "from $199" is a 48-week commitment; month to month is $269, about 35% higher
- The product pages never name the molecule
- The same three testimonials run on both product pages, one on the wrong product
- "Loved by 800+ women" is repeated sitewide with no source
- The 24- and 48-week plans deliver every twelve weeks rather than monthly
- Nothing about pregnancy, breastfeeding or postpartum timing
What I actually think of SexyMD
Priced by how long you commit rather than by how much you take: semaglutide is $269 a month if you stay flexible and $199 on a 48-week plan, with tirzepatide at $369 and $299, and the 12- and 24-week plans in between at $249 and $229 for semaglutide. The advertised "from $199 per month" is the year-long option, so the honest uncommitted figure is about 35% higher, and the longer plans ship every twelve weeks rather than monthly. Because the price is set by commitment and not by dose, the bill does not climb as you titrate, which is genuinely useful if you are planning ahead. Two things deserve attention first. The product pages never name the molecule at all, selling only a "GLP-1" and a "GLP-1 + GIP", with semaglutide and tirzepatide appearing nowhere except the terms. And the same three testimonials run on both product pages, one of them about the dual agonist while sitting on the semaglutide page, under a "Loved by 800+ women" line with no source attached. It runs about $269/month, and it's flat at every dose — pricier than most, so the extras have to earn it.
I look at SexyMD 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 SexyMD really costs
- Compounded semaglutide — 4-week plan, month to month: $269/mo
- Compounded semaglutide — 48-week plan, delivered every 12 weeks: $199/mo
- Compounded tirzepatide — 4-week plan, month to month: $369/mo
- Compounded tirzepatide — 48-week plan, delivered every 12 weeks: $299/mo
For context, the typical ongoing price across my shortlist is around $179/month, so SexyMD sits at the pricey end.
Which meds SexyMD prescribes
SexyMD 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 SexyMD is — and isn't — for
A good fit if…
- 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 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.
A standing caveat, because I'm a mom writing this and not your doctor: GLP-1 meds aren't established as safe during pregnancy or breastfeeding, and every label advises against it. Nothing here changes that — plan the timing with your own clinician.
So, would I use it?
SexyMD 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 confident she will stay on treatment for a year and wants the commitment discount, who will confirm which molecule she is being prescribed first.
If SexyMD 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 SexyMD
Head-to-head & alternatives
SexyMD, answered
- Why is the advertised $199 not what I would pay?
- Because it is the 48-week plan. SexyMD prices by commitment length, so $199 a month means signing up for close to a year with deliveries every twelve weeks. Month to month the same product is $269, about 35% more. For tirzepatide it is $299 on a 48-week plan and $369 month to month.
- Which drug is in the injection?
- The product pages do not say. They sell "Compounded GLP-1 Injections" and "Compounded GLP-1 + GIP Injections", and the only place semaglutide and tirzepatide are named is the terms and conditions. GLP-1 alone is semaglutide and GLP-1 plus GIP is tirzepatide, but you should not have to read a legal document to find out what you are being prescribed.
- Can I trust the testimonials?
- I would be careful. The same three testimonials run on both product pages, and one of them describes the dual agonist while appearing on the semaglutide page. The site also repeats "Loved by 800+ women" throughout with no source or methodology behind the figure.
- Does the price change as my dose goes up?
- No. SexyMD prices by plan length rather than by dose, so titrating up does not change your bill. That is a real advantage over places whose price climbs with the dose — the thing to think about here is how long you are willing to commit, not how much medication you end up on.
Pricing, states and verification reflect SexyMD'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.