Independent total-cost guide

Online GLP-1 Program Cost in 2026: Compare Total Prices

A source-based framework for comparing the real financial commitment behind online GLP-1 programs, with current Gala Health, HealthRX, SHED, SkinnyRx, Sprout Health, Strut Health, Trimi, and Willow pricing examples.

An online GLP-1 program can display one simple monthly price while charging for a longer prepaid period, limiting that price to one medication category, or leaving laboratory and other costs unresolved.

The most useful cost question is not only “Which provider shows the lowest monthly number?” It is:

What will be charged today, what is the complete financial commitment, what is included, what can change, and what becomes nonrefundable?

A lower monthly equivalent may require a larger upfront payment. A higher monthly price may offer a shorter commitment. Another program may change its fee based on the prescription, dose, or refill frequency.

This guide compares those structures without treating an advertisement as a personalized quote or predicting whether a licensed clinician will prescribe treatment.

Quick answer: What does an online GLP-1 program cost?

Among the providers Care Path Compare currently tracks:

These figures are not directly interchangeable. They involve different payment schedules, plan lengths, formulations, prescription variables, refund rules, financing, and pharmacy arrangements.

Prices and policies were checked from July 29 through August 8, 2026 and can change. Confirm the exact checkout agreement before paying.

What does “cheapest GLP-1 program” mean?

There is no responsible universal answer based only on a headline monthly price.

“Cheapest” can mean the lowest amount due today, lowest true month-to-month price, lowest monthly equivalent, lowest three-month or annual total, lowest price without a prepaid commitment, or lowest financial exposure if no prescription is issued.

Those definitions can produce different answers.

Lowest advertised recurring starting figure

Strut Health currently shows a $99 auto-refill starting price for its oral compounded semaglutide pathway. That is a product-specific starting figure, not a universal Strut program price, and the pathway is subject to clinician review and medical-necessity language.

Lowest annual monthly equivalent

Trimi and HealthRX both currently reach a $99 monthly equivalent for compounded semaglutide on a twelve-month structure. In each case, that figure is tied to a $1,188 annual total rather than twelve separate $99 charges.

Lowest first-month promotion

HealthRX also advertises $99 for the first month of its month-to-month compounded semaglutide plan for new patients. The standard monthly price and displayed renewal amount are different, so the introductory figure should not be treated as the ongoing monthly rate.

Lowest amount due today

The provider with the lowest monthly equivalent may not require the lowest payment today. A recurring product-specific starting price or first-month promotion can require less cash at checkout than a prepaid annual plan, while the annual plan can still have the lower long-term monthly equivalent.

Lowest refundable exposure

Cost also includes what may become nonrefundable. A lower-priced program can create greater financial exposure when prepaid time is not prorated or when the refund cutoff occurs before shipment.

Current provider pricing examples

Provider Headline price Important qualification What to verify
Gala Health From $179/month Based on a yearly compounded plan; another page states $199/month with a three-month plan Exact checkout charge and total commitment
HealthRX $190 monthly; from $99/month equivalent $99 first month is promotional; $99 monthly equivalent requires a $1,188 twelve-month semaglutide plan Initial charge, renewal, total prepaid amount, and refund treatment
SHED $199 for one month; from $159/month equivalent Lower semaglutide figures require six- or twelve-month plans; branded medication and membership may be separate Plan total, payment schedule, membership fee, and renewal
SkinnyRx From $199/month Five reviewed compounded pathways use “as low as” language; renewal, dose, and commitment conditions are not fully synchronized Amount charged today, standard renewal, and refund cutoff
Sprout Health $299 semaglutide; $349 tirzepatide Standard recurring prices; introductory and three-month promotions vary and may require upfront payment Charge today, recurring price, refill cadence, and refund stage
Strut Health From $99 auto-refill $99 applies to oral compounded semaglutide; other pathways start higher and product-specific eligibility language applies Exact formulation, recurring charge, shipment cadence, and cancellation cutoff
Trimi From $99/month equivalent Requires $1,188 paid annually for semaglutide Upfront amount and treatment of prepaid time
Willow From $299/month Price may vary with prescription, dose, or refill frequency Whether future monthly charges can change

This table does not rank providers and does not establish the cost of treatment for any individual.

Gala Health cost structure

Gala currently displays multiple program categories and more than one price presentation. Its prominent compounded offer starts at $179 per month on a yearly subscription. Elsewhere, Gala describes non-FDA-approved GLP-1 treatment from $199 per month with a three-month plan.

Before comparing Gala with another provider, confirm the exact offer, medication category, plan length, immediate charge, billing schedule, laboratory policy, cancellation deadline, and what refund applies if the provider does not prescribe.

Review Gala Health’s Current Plans

· See the detailed Gala Health cost guide

Affiliate disclosure: Care Path Compare may receive compensation if you use certain provider links and make a purchase, at no extra cost to you. Compensation does not determine our cost methodology, provider order, or editorial conclusions.

HealthRX cost structure

HealthRX publishes month-to-month and prepaid multi-month pricing for compounded semaglutide and tirzepatide, plus separate first-month promotions for new patients.

Compounded semaglutide

Plan Current initial price Monthly equivalent or renewal
Monthly $190 $165 displayed renewal; $99 first month for new patients
Three months $399 $133/month equivalent; $374 displayed renewal
Six months $714 $119/month equivalent; $689 displayed renewal
Twelve months $1,188 $99/month equivalent; $1,163 displayed renewal

Compounded tirzepatide

Plan Current initial price Monthly equivalent or renewal
Monthly $239 $214 displayed renewal; $149 first month for new patients
Three months $627 $209/month equivalent; $602 displayed renewal
Six months $1,194 $199/month equivalent; $1,169 displayed renewal
Twelve months $2,148 $179/month equivalent; $2,123 displayed renewal

HealthRX says a standing $25 subscriber credit is reflected in its displayed renewal amounts. The provider also advertises one-click cancellation and refunds for unshipped doses, but its separate returns policy makes prescription medication final once dispensing or shipment reaches certain stages. Treat its 30-day money-back language as qualified rather than unconditional.

Review HealthRX’s Current GLP-1 Plans

· See the detailed HealthRX cost guide

SHED cost structure

SHED publishes one-month, six-month, and twelve-month prices for its detailed compounded-injection pathways.

Compounded semaglutide

Plan Monthly equivalent Plan total
One month $199 $199
Six months $179 $1,074
Twelve months $159 $1,908

Compounded tirzepatide

Plan Monthly equivalent Plan total
One month $299 $299
Six months $269 $1,614
Twelve months $239 $2,868

SHED’s terms identify standard renewal rates of $199 for compounded semaglutide and $299 for compounded tirzepatide after the applicable minimum term. They also describe a two-month minimum, automatic renewal, shipment cycles, a 72-hour cancellation cutoff, and refund repricing for some eligible multi-month-plan refunds.

Branded Wegovy and Zepbound pathways separate the medication charge from a SHED membership. The reviewed pages contain conflicting $99 and $125 monthly membership references, so confirm the complete written total.

Review SHED’s Current Plans

· See the detailed SHED cost guide

SkinnyRx cost structure

SkinnyRx’s five compounded product pages captured on August 2, 2026 advertised:

Pathway Advertised starting price
Compounded injectable semaglutide From $199/month
Compounded sublingual semaglutide From $199/month
Compounded semaglutide tablets From $249/month
Compounded injectable tirzepatide From $299/month
Compounded tirzepatide tablets From $299/month

The reviewed Zepbound and Mounjaro pages displayed $1,400 per month with no separate membership fee, while the Wegovy pathway was marked unavailable.

The compounded pages use “as low as” language without fully synchronized public details about renewal prices, dose-related changes, commitments, or promotional conditions. SkinnyRx also describes an early refund cutoff: an order may become nonrefundable after clinician prescription review and the start of fulfillment, even though future subscription months may still be canceled.

Review SkinnyRx’s Current Prices

· See the detailed SkinnyRx cost guide

Sprout Health cost structure

Sprout Health’s main GLP-1 page lists standard recurring prices of $299 per month for compounded semaglutide and $349 per month for compounded tirzepatide. The provider describes medication when prescribed, clinician evaluation, follow-up access, refill processing, and shipping as included in the advertised compounded-program price.

Promotional funnels have also displayed lower first-month amounts and three-month totals. Those offers should not be treated as the standard monthly price. A three-month total divided by three is a monthly equivalent, not proof that the provider charges one-third of the total each month.

Sprout describes monthly and quarterly refill workflows. Confirm whether a quarterly purchase is billed upfront, how many shipments it includes, when the next charge occurs, and whether a refill form or clinician review is required before each shipment.

The formal refund policy is especially important. It describes a full refund before clinical review, a refund minus a $50 clinical-review fee after review but before pharmacy submission, and no refund after the prescription is sent to the pharmacy. Marketing pages use different summary language, so save the written policy and checkout terms that apply to the specific order.

Review Sprout Health’s Current Prices

· See the detailed Sprout Health cost guide

Strut Health cost structure

Strut Health currently advertises four compounded weight-loss pathways with product-specific starting prices rather than one universal program price.

Pathway Current advertised starting figure Important qualification
Oral compounded semaglutide From $99 on auto-refill Product-specific starting price; medical-necessity language applies
Injectable compounded semaglutide From $149 on auto-refill Confirm the prescription-specific recurring price and pharmacy
Oral compounded tirzepatide From $199 on auto-refill Product-specific eligibility and medical-necessity language applies
Injectable compounded tirzepatide From $199 on auto-refill; another section shows $325 for 30 days The same product page presents different price figures, so confirm checkout price

Strut’s terms describe recurring prescription subscriptions, while its support policy says cancellation should be requested at least 48 hours before a scheduled shipment. Prescription medication that has left the pharmacy cannot be returned or refunded.

The $99 oral semaglutide figure is therefore useful for a cheapest-program search only when it is labeled accurately: it is a starting price for one compounded oral pathway, not a universal monthly Strut rate or a price for an FDA-approved branded medication.

Review Strut’s Men’s Weight-Loss Program

· See the full Strut Health review

Trimi cost structure

Trimi publishes four billing frequencies for compounded semaglutide and tirzepatide.

Compounded semaglutide

Billing schedule Amount charged Monthly equivalent
Annual $1,188 $99
Six months $720 $120
Quarterly $435 $145
Monthly $175 $175

Compounded tirzepatide

Billing schedule Amount charged Monthly equivalent
Annual $1,500 $125
Six months $1,050 $175
Quarterly $597 $199
Monthly $235 $235

The annual option has the lowest monthly equivalent and the largest immediate payment. The monthly option has the highest monthly rate and the shortest commitment.

Trimi says medication when prescribed and the clinical services are the same across billing options and that price does not increase with prescribed dose. Confirm those provider-reported terms in the checkout agreement.

Compare Trimi’s Current Billing Options

· See Trimi monthly and annual totals

Willow cost structure

Willow currently advertises its program from $299 per month. It describes medication when prescribed, medical evaluation, treatment planning, physician access, Care Team support, and shipping as included.

Willow also states that the subscription fee may rise or fall when the prescription changes, including changes in dose or refill frequency. Treat $299 as a starting price rather than a guaranteed fixed monthly rate.

Before paying, verify the immediate charge, dose and refill pricing, laboratory policy, processing and shipping dates, and the controlling cancellation deadline.

Review Willow’s Current Pricing

· See the detailed Willow cost guide

Affiliate disclosure: Care Path Compare may receive compensation if you use certain provider links and make a purchase, at no extra cost to you. Compensation does not determine our cost methodology, provider order, or editorial conclusions.

Completing an assessment does not guarantee eligibility, treatment, a prescription, a particular medication, insurance coverage, or results.

Start with the amount actually charged

The number shown beside “per month” may not be the amount collected at checkout.

Cost field What to record
Displayed monthly amount The figure used in the advertisement
Amount charged today The actual checkout payment
Billing period Monthly, quarterly, six-month, annual, or another schedule
Required plan length The minimum commitment
Monthly equivalent Total prepaid amount divided by the number of months
Renewal amount What will be charged after the current term
Renewal date When the next charge occurs
Cancellation deadline When the request must be received
Refundable amount What may be returned and under which conditions

A program should not be described as the cheapest merely because it displays the smallest number in the first row.

Compare the same time period

Use the same period for every provider: amount due today, first month, first three months, first six months, full required commitment, first year, and renewal period.

For example, a program advertising $99 per month while charging $1,188 upfront has a lower 12-month equivalent than a $175 month-to-month program. The monthly program requires less cash at checkout and may reduce prepaid cancellation exposure. Neither structure is automatically cheaper for every comparison purpose.

What may be included in the price?

A program price may include medical intake, clinician consultation, follow-up, medication when prescribed, dose-management support, pharmacy fulfillment, supplies, shipping, coaching, laboratory coordination, or replacement shipments.

Do not infer an inclusion from broad wording such as “complete program,” “all-inclusive,” or “membership.” Record each component as included, separate, conditional, or not clearly disclosed.

Does the price include medication?

“Medication included” still requires clarification. Ask which medication category is included, whether it is compounded or FDA-approved, whether price changes with dose, which pharmacy dispenses it, whether shipping and supplies are included, and what happens if the clinician does not prescribe.

Compounded drugs are not FDA-approved finished drug products and do not undergo FDA premarket review for safety, effectiveness, or quality. A compounded product should not be described as equivalent to an FDA-approved brand solely because it references the same active ingredient.

Compounded-medication note: Compounded drugs are not FDA-approved finished drug products and do not undergo FDA premarket review for safety, effectiveness, or quality. Ask the prescribing clinician why a compounded option is being considered and verify the dispensing pharmacy.

Can the price increase with dose?

Provider policies differ. Trimi says its selected plan price remains flat across prescribed doses. Willow says its subscription price may change with the prescription, dose, or refill frequency. Gala describes all doses as included in one prominent compounded offer, but its public pages contain different plan and price presentations. HealthRX publishes plan-based prices and renewal amounts, while Strut publishes product-specific starting prices that still require prescription-specific checkout confirmation. SHED publishes plan-based starting and renewal figures but requires product-specific checkout confirmation. SkinnyRx’s public compounded pages do not clearly establish whether price changes with dose.

Verify every dose-related statement in the applicable checkout agreement.

Consultation and laboratory costs

A consultation may be included, charged separately, credited toward another service, or become nonrefundable after a defined step. Paying for an evaluation does not guarantee a prescription.

Laboratory requirements are also frequently unclear. Ask whether testing is required, who decides, whether recent results may be accepted, where testing can be completed, whether it is included, and who pays.

Do not add an estimated laboratory amount unless both the requirement and price are documented.

Shipping, supplies, and fulfillment

Verify whether the program includes standard shipping, temperature-controlled packaging, syringes, alcohol swabs, replacement shipments, reshipping, and support for delayed, damaged, or warm medication.

The telehealth platform and dispensing pharmacy may be separate entities. Confirm which one handles billing, fulfillment questions, and replacement requests.

Promotions and renewal pricing

A temporary discount should not be treated as the standard program price. Record the promotion amount, eligible plan, expiration date, first-cycle limitation, and price that follows.

HealthRX currently advertises $99 for the first month of monthly compounded semaglutide and $149 for the first month of monthly compounded tirzepatide for new patients. Those are introductory figures, not the standard monthly or renewal rates. Trimi also displays a first-cycle discount while another statement on the same page says there is no separate first-order coupon, so Care Path Compare does not include that Trimi promotion in standard pricing calculations.

FTC consumer guidance recommends reviewing how subscriptions renew, what future charges apply, and how and when cancellation must occur before enrollment.

Cancellation and refund exposure

Cancellation and refund are separate. A provider may allow cancellation while retaining the current cycle, a prepaid balance, a consultation fee, a prescription-related charge, medication already ordered, or financing obligations.

Provider Main cost-related cancellation concern
Gala Health Cancellation generally must be submitted at least 72 hours before billing; medical-disqualification refund wording is inconsistent
HealthRX One-click cancellation and unshipped-dose refunds are advertised, but prescription sales become final after dispensing or shipment stages
SHED Two-month minimum and 72-hour cutoff; shipped cycles may be nonrefundable and eligible refunds may reprice used months
SkinnyRx Order may become nonrefundable after clinician prescription review and fulfillment begin; future months can still be canceled before preparation
Sprout Health Refund treatment changes after clinical review and becomes unavailable after pharmacy submission
Strut Health Cancellation should be requested at least 48 hours before shipment; medication that leaves the pharmacy cannot be returned or refunded
Trimi Orders become nonrefundable when the clinician issues the prescription; prepaid time is not automatically prorated
Willow Official documents use different cancellation and refund deadlines

A statement such as “cancel anytime” does not necessarily mean immediate cancellation, a prorated return of prepaid funds, or termination of a separate financing agreement.

See the GLP-1 cancellation, renewal, and refund guide for a deeper framework.

How to calculate a comparable total cost

Verified total cost = membership + consultation + medication + labs + shipping + supplies + other required charges

Keep unresolved variables separate. These include charges that depend on clinical review, medication selection, insurance, dose, pharmacy, state, or future terms.

Also record the financial commitment: the total amount the consumer may remain responsible for under the selected billing agreement.

Online GLP-1 cost worksheet

Use one worksheet for each program and preserve dated source pages or screenshots.

Online GLP-1 program cost worksheet
FieldRecord
Program name
Advertised price
Amount due today
Required plan length
Membership fee
Consultation fee
Medication included?
Medication pricing method
Insurance involved?
Laboratory costs
Shipping
Supplies
Other required or third-party charges
Discount or savings-offer terms and expiration
Renewal price
Renewal date
Cancellation deadline
Refund limits
Total verified cost
Unresolved variables
Last verified date
Source URLs

Which provider currently has the lowest price?

There is no single responsible winner because the answer changes with the payment structure and product being compared.

Those figures are not interchangeable. Route and formulation differ, annual plans require much larger upfront payments, promotions expire, compounded medications are not FDA-approved finished drug products, and prescribing is never guaranteed.

Care Path Compare therefore does not name one provider as universally the cheapest GLP-1 treatment. We identify the lowest verified figure within a defined billing and product category and show the commitment attached to it.

Questions to ask before paying

  1. What exact amount will be charged today?
  2. Is the displayed monthly amount charged monthly?
  3. What is the complete plan commitment?
  4. What is the renewal amount and date?
  5. Is medication included when prescribed?
  6. Which medication category does the price cover?
  7. Can the price change with dose or refill frequency?
  8. What happens financially if no prescription is issued?
  9. Are laboratory tests required, and who pays?
  10. Are shipping and supplies included?
  11. Which pharmacy will fill the prescription?
  12. When does payment become nonrefundable?
  13. Can unused prepaid time be refunded?
  14. What deadline applies to cancellation?
  15. What happens if medication arrives warm or damaged?

Use the provider-verification checklist to record the answers.

Cost red flags that deserve clarification

These signals do not prove that a provider is illegitimate, but they warrant closer review:

Frequently asked questions

What is the cheapest online GLP-1 program?

It depends on the comparison. Strut Health currently advertises a $99 auto-refill starting price for one oral compounded semaglutide pathway. Trimi and HealthRX both display $99 semaglutide monthly equivalents on $1,188 twelve-month structures, and HealthRX separately advertises a $99 first month for new monthly-plan patients. These figures use different products and billing structures, so none should be presented as a universal cheapest treatment price.

How much do online GLP-1 programs cost per month?

Advertised prices vary by provider, medication category, plan length, dose policy, and billing method. A monthly figure may be a true monthly charge or an equivalent calculated from a prepaid plan.

Does the program price include medication?

Sometimes, but verify the exact medication category, supply period, prescription, dose policy, and pharmacy arrangement.

Can the price increase at higher doses?

It depends on the provider. Some advertise flat pricing across prescribed doses, while others state that the subscription fee may change when the prescription or refill frequency changes.

Are labs included?

Not always. Laboratory requirements and costs may depend on a clinician’s assessment or the program process.

What happens if no prescription is issued?

Refund and future-billing treatment varies. Confirm which fees remain, whether the plan stops automatically, and when any refund would be issued.

Can I cancel a prepaid plan?

A cancellation request may stop renewal without producing a prorated refund for the existing prepaid term. Review the exact provider policy before paying.

Final takeaway

The lowest monthly number is not automatically the lowest-cost option. Compare the amount due today, true billing frequency, full commitment, medication inclusion, dose-related changes, consultation and laboratory costs, shipping and supplies, renewal pricing, cancellation deadline, refund cutoff, and unused prepaid time.

Keep verified charges separate from unresolved variables, then compare providers over the same period.

Compare all eight tracked GLP-1 providersReview Gala Health costsReview HealthRX costsReview SHED costsReview SkinnyRx costsReview Sprout Health costsReview Strut HealthReview Trimi costsReview Willow costs

Source notes

Official provider and regulatory sources were checked from July 29 through August 8, 2026. Provider prices and policies can change.

  1. Gala GLP-1, compounded program, homepage and FAQ, and refund policy.
  2. HealthRX, pricing, FAQ, and returns and refund policy.
  3. SHED, terms, compounded semaglutide, compounded tirzepatide, Wegovy, and Zepbound.
  4. SkinnyRx, injectable semaglutide, sublingual semaglutide, semaglutide tablets, injectable tirzepatide, tirzepatide tablets, Zepbound, and Mounjaro.
  5. Sprout Health, GLP-1 program.
  6. Strut Health, weight-loss program, terms, and cancellation support.
  7. Trimi, pricing and refund policy.
  8. Willow, frequently asked questions and terms and conditions.
  9. U.S. Food and Drug Administration, Lean Rx, Inc. dba SkinnyRx warning letter, February 20, 2026.
  10. U.S. Food and Drug Administration, Compounding and the FDA: Questions and Answers.
  11. Federal Trade Commission, Getting In and Out of Free Trials, Auto-Renewals, and Negative Option Subscriptions.

DataForSEO was used for internal search-intent and SERP research, not as factual support for provider, medical, or regulatory claims.