Best GLP-1 Telehealth Providers 2026: Pricing & Programs Compared
Compounded semaglutide now ranges from $114 to $299 per month and compounded tirzepatide from $177 to $399 per month across the major GLP-1 telehealth platforms. This guide compares five providers — SurpassMD, TrimRx, Fridays, Henry Meds, and Remedy Meds — on entry pricing, dose-escalation cost, prescription process, shipping, and cancellation terms.
GLP-1 Telehealth Providers Compared (July 2026)
The table below shows advertised prices for compounded medication including provider review and shipping. Higher doses cost more at most platforms; SurpassMD and TrimRx are the exceptions, with one flat price across dose levels.
| Feature | SurpassMD | TrimRx | Fridays | Henry Meds | Remedy Meds |
|---|---|---|---|---|---|
| Semaglutide (monthly) | As low as $114/mo (flat) | $179 first mo, then $299 | $249/mo | $297/mo | $299/mo |
| Semaglutide (best rate) | $114/mo (flat) | $174/mo (12-mo) | $150/mo (12-mo) | ~$197/mo (12-mo) | Month-to-month only |
| Tirzepatide (monthly) | As low as $177/mo (flat) | $279 first mo, then $399 | Not core offering | $349-449/mo (oral) | $399/mo |
| Oral option | Oral semaglutide | No | Oral semaglutide | Oral sema + tirz | No |
| Dose escalation cost | Flat, all doses | Flat price all doses | Flat within plan | +$100/tier above 1mg | Flat within plan |
| Shipping | Cold, 48 hours | 3-5 business days | 3-7 business days | 3-5 business days | 3-7 business days |
| Coaching included | Nutrition guidance included | Basic support | 1:1 nutritionist | Basic (premium extra) | Unlimited messaging |
| Insurance help (brand meds) | Cash-pay only | Cash-pay only | Yes | Limited | Brand available, cash |
| Coverage | 50 states + DC | Most states | Most states | Most states | Most states |
Pricing verified from provider websites and third-party reviews; providers change pricing frequently. All compounded medication prices require provider approval and vary by dose at most platforms (SurpassMD and TrimRx price flat). Compounded medications are not FDA-approved.
SurpassMD: Lowest Flat Price & Fastest Shipping
SurpassMD advertises compounded semaglutide as low as $114/month and tirzepatide as low as $177/month, flat across all doses — the lowest prices among the providers compared here as of 2026. The price does not rise as you titrate up. The platform operates in all 50 states plus DC, ships cold within 48 hours of approval, includes nutrition guidance, and accepts HSA/FSA and Klarna. An oral semaglutide tablet is available for patients who prefer a non-injection route.
The model is standard asynchronous telehealth: online intake, independent licensed provider review, and pharmacy fulfillment if a prescription is appropriate. SurpassMD is cash-pay only and does not bill insurance, Medicare, or Medicaid. Read the full breakdown in our SurpassMD review.
Best for: price-sensitive patients who want injectable or oral semaglutide at the lowest advertised monthly cost, and anyone burned by slow fulfillment elsewhere.
TrimRx: Flat Pricing Through Dose Escalation
TrimRx's distinguishing feature is flat pricing at every dose level: $349/month for compounded tirzepatide whether you are on a starting dose or the maximum. Since most GLP-1 patients escalate doses over 4-6 months, platforms that charge by dose tier get more expensive exactly when you are most committed. TrimRx's month-to-month semaglutide runs $179 for the first month and $299 after; prepaid 12-month plans bring it to $174/month.
Best for: patients planning to reach higher maintenance doses who want a predictable bill. See our full TrimRx review.
Fridays: Strongest Coaching Bundle & Insurance Support
Fridays bundles 1:1 nutritionist coaching, clinician consultations, and insurance-navigation support for brand-name medications into every plan. Compounded semaglutide runs $249/month on a rolling basis, dropping to $150/month with a 12-month prepaid plan — the cheapest committed semaglutide price in this comparison. Brand-name Ozempic ($1,498) and Zepbound ($1,828) are available for patients who want FDA-approved medication.
Best for: patients who want structured coaching and a path to brand-name coverage, not just medication fulfillment. See our full Fridays review.
Henry Meds: Tirzepatide Specialty at a Premium
Henry Meds built its brand on reliable compounded tirzepatide access, and it remains a tirzepatide-first platform with oral tablet options. Pricing has climbed: injectable semaglutide starts around $297/month (the advertised $179 applies to liraglutide, not semaglutide), and doses above 1mg add roughly $100 per tier. Six-month prepay brings semaglutide to about $247/month.
Best for: patients who specifically want Henry's oral tirzepatide tablets or its consultation depth, and accept the higher price. See our full Henry Meds review.
Remedy Meds: Simple Month-to-Month, Highest Price
Remedy Meds keeps things simple — $299/month for compounded semaglutide and $399/month for tirzepatide, billed monthly with no prepay tiers, including clinician check-ins and unlimited messaging. It is the most expensive compounded option in this comparison, and the FDA issued the company a warning letter in September 2025 over marketing that implied its compounded medications were FDA-approved equivalents. Brand-name Ozempic ($1,299) and Zepbound ($1,399) are also offered.
Best for: patients who refuse prepay commitments and value unlimited provider messaging. See our full Remedy Meds review.
How to Choose a GLP-1 Telehealth Provider
Price the medication you will actually be taking in month six, not month one. Most patients escalate from a starting dose to a maintenance dose within 4-6 months, and platforms that price by dose tier can nearly double in cost over that window. Ask four questions before subscribing: What does my maintenance dose cost? What is the cancellation notice period? How fast does medication ship after approval? And is the pharmacy a licensed 503A or 503B facility?
For deeper pricing context, see our guides to compounded semaglutide cost, compounded tirzepatide cost, and the full GLP-1 telehealth price comparison. For head-to-head matchups, see SurpassMD vs Henry Meds, SurpassMD vs TrimRx, SurpassMD vs Fridays, and SurpassMD vs Remedy Meds.
Whichever platform you choose, verify current pricing directly on the provider's site before starting an intake — GLP-1 telehealth pricing changed at least twice at most platforms in the last year, and advertised floors move.
Frequently Asked Questions
As of 2026, SurpassMD advertises the lowest price for compounded semaglutide at $114/month, flat across all doses, followed by Fridays at $150/month (with a 12-month prepaid plan) and TrimRx at $174/month (12-month prepay). For month-to-month plans without prepayment, SurpassMD ($114 flat) and TrimRx ($179 first month, then $299) are the lowest-cost entry points. Most platforms price by dose, so on those treat advertised starting prices as floors; SurpassMD and TrimRx are the exceptions with one flat rate at every dose.
You complete an online health intake covering weight history, medications, and contraindications. A licensed provider reviews your information (asynchronously at most platforms, by video at some) and determines whether treatment is appropriate. If a prescription is issued, a partner compounding pharmacy ships the medication directly to you, usually cold-packed. Subscriptions typically bundle the provider review, medication, and shipping into one monthly price.
No. Compounded versions of semaglutide and tirzepatide are prepared by state-licensed compounding pharmacies but are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality. Brand-name versions (Wegovy, Ozempic, Zepbound, Mounjaro) are FDA-approved. Compounded GLP-1s exist in a shifting regulatory environment, so availability can change.
Most compounded GLP-1 programs are cash-pay only and do not bill insurance, Medicare, or Medicaid. SurpassMD, Remedy Meds, and TrimRx are direct-pay models. Fridays is a partial exception: it offers support with insurance paperwork for brand-name medications like Ozempic and Zepbound, though its compounded plans are still cash-pay. Many providers accept HSA/FSA cards and buy-now-pay-later options like Klarna or Affirm.
SurpassMD advertises cold-chain shipping within 48 hours of approval. Most competitors quote 3-7 business days from prescription to delivery. Shipping speed matters more than it seems: injectable compounded semaglutide and tirzepatide are temperature-sensitive and ship with ice packs, and long fulfillment delays are one of the most common complaints across GLP-1 telehealth reviews.
Yes. Provider-switching is common, usually driven by price or fulfillment delays. When you switch, the new platform runs its own intake and provider review; most will ask your current dose so the new prescription continues your titration schedule rather than restarting. Check your existing subscription terms first, since some plans bill on a cycle and require cancellation notice before renewal.
Reputable platforms do not charge the medication fee if no prescription is issued — confirm this in the billing terms before starting any intake. Common disqualifiers include a history of medullary thyroid carcinoma or MEN2, pancreatitis, pregnancy or breastfeeding, BMI below the platform threshold, and interacting medications. No legitimate telehealth platform guarantees a prescription.
This page is for informational purposes and is not medical advice. SurpassMD is operated by Life Vitality LLC, which also owns Peptide Dossier. Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. Prescriptions are never guaranteed; eligibility is determined by an independent licensed provider. Pricing is subject to change.