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:
- Gala Health advertises a compounded program from $179 per month on a yearly subscription, while another Gala page describes a $199 monthly price tied to a three-month plan.
- HealthRX lists compounded semaglutide at $190 month to month, with a $99 first-month promotion for new patients and a $99 monthly equivalent on a $1,188 twelve-month plan.
- SHED advertises compounded semaglutide at $199 for one month, $179 per month on a six-month plan, or $159 per month on a twelve-month plan. Compounded tirzepatide is advertised at $299, $269, or $239 using the same plan lengths.
- SkinnyRx advertises five compounded pathways from $199 to $299 per month using “as low as” language. Its reviewed Zepbound and Mounjaro pages displayed $1,400 per month.
- Sprout Health lists standard monthly prices of $299 for compounded semaglutide and $349 for compounded tirzepatide. Promotional funnels also show first-month and three-month discounts that should be separated from recurring prices.
- Strut Health advertises a product-specific $99 auto-refill starting price for oral compounded semaglutide, with higher starting prices for its other compounded weight-loss pathways.
- Trimi advertises compounded semaglutide from a $99 monthly equivalent, but that requires a $1,188 annual payment. Its month-to-month semaglutide option is currently $175.
- Willow advertises pricing from $299 per month and says the subscription price may change with the prescription, dose, or refill frequency.
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
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
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
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
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
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
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
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
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.
| Field | Record |
|---|---|
| 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.
- Lowest product-specific recurring starting figure we currently track: Strut Health advertises oral compounded semaglutide from $99 on auto-refill. That does not apply to every Strut pathway.
- Lowest twelve-month semaglutide monthly equivalent we currently track: Trimi and HealthRX both display $99 per month equivalents tied to $1,188 annual totals.
- Lowest first-month semaglutide promotion we currently track: HealthRX advertises $99 for the first month for new patients, followed by a different standard monthly and renewal structure.
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
- What exact amount will be charged today?
- Is the displayed monthly amount charged monthly?
- What is the complete plan commitment?
- What is the renewal amount and date?
- Is medication included when prescribed?
- Which medication category does the price cover?
- Can the price change with dose or refill frequency?
- What happens financially if no prescription is issued?
- Are laboratory tests required, and who pays?
- Are shipping and supplies included?
- Which pharmacy will fill the prescription?
- When does payment become nonrefundable?
- Can unused prepaid time be refunded?
- What deadline applies to cancellation?
- 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:
- a monthly equivalent is more prominent than the total amount due;
- the required commitment is not displayed near the price;
- medication inclusion or dose pricing is unclear;
- laboratory costs are omitted;
- renewal pricing is difficult to find;
- cancellation language uses multiple deadlines;
- refund rules change after prescribing without clear notice;
- a discount is promoted without its renewal price; or
- payment is requested before important terms are available in writing.
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.
- Gala GLP-1, compounded program, homepage and FAQ, and refund policy.
- HealthRX, pricing, FAQ, and returns and refund policy.
- SHED, terms, compounded semaglutide, compounded tirzepatide, Wegovy, and Zepbound.
- SkinnyRx, injectable semaglutide, sublingual semaglutide, semaglutide tablets, injectable tirzepatide, tirzepatide tablets, Zepbound, and Mounjaro.
- Sprout Health, GLP-1 program.
- Strut Health, weight-loss program, terms, and cancellation support.
- Trimi, pricing and refund policy.
- Willow, frequently asked questions and terms and conditions.
- U.S. Food and Drug Administration, Lean Rx, Inc. dba SkinnyRx warning letter, February 20, 2026.
- U.S. Food and Drug Administration, Compounding and the FDA: Questions and Answers.
- 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.