Pharmacy transparency is the single thing that separates a trustworthy GLP-1 service from a risky one. Anyone can promise weight loss. Far fewer will tell you exactly where the medication is made, what tests it passed, and who reviewed your file before it shipped.
Here are five services that actually answer those questions.
Quick Comparison
| Service | Compounded Sema Price | Compounded Tirz Price | States | Pharmacy Named? | Overnight Shipping | Physician Review |
| HealthRX | ~$99/mo | ~$149/mo | All 50 | Yes (Manifest, SC) | Free | ~24 hrs |
| FormBlends | ~$299/vial | ~$349/vial | 47 | Yes (FDA-reg 503A) | Not specified | Physician oversight |
| Mochi Health | ~$99/mo | ~$199/mo | Most states | Not publicly named | Standard | Obesity-med MDs |
| Henry Meds | ~$179-249 mo 1 | Not listed | Most states | Not publicly named | 24-72 hrs | Standard |
| Hims & Hers | No longer compounded | No longer compounded | All 50 | N/A | Standard | Standard |
*Prices reflect publicly available cash-pay rates as of mid-2026 and can change. Branded med prices vary heavily by insurance.*
1. HealthRX
Starting price: compounded semaglutide ~$99/month, tirzepatide ~$149/month.
That pricing is genuinely low relative to most telehealth options right now. It is not a bait-and-switch intro offer. The service publishes its rates upfront and ships free overnight to all 50 states, which matters if you live somewhere rural and do not want to wait a week for a weekly injection.
The pharmacy is Manifest Pharmacy in Greer, South Carolina. That matters more than it sounds. Many compounding-based telehealth brands process prescriptions through unnamed labs with no public accountability. Manifest operates under 503A/USP-797 standards with lot tracking from production through delivery. HealthRX also holds LegitScript certification (cert 50087439), a third-party credential that requires documented compliance review.
A US board-certified physician reviews your online health assessment in roughly 24 hours. Once approved, the medication ships overnight. The model is cash-pay only, no insurance billing, but at $99 the monthly cost undercuts most branded alternatives even after savings cards.
The efficacy numbers cited on the site come from published clinical trials: a 68-week randomized controlled trial published in the *New England Journal of Medicine* in 2021 showed roughly 15% body weight reduction with semaglutide; a 72-week trial published in the same journal in 2022 showed roughly 21% with tirzepatide. Those are trial results, not HealthRX outcomes. Compounded semaglutide and tirzepatide are not FDA-approved products and are not equivalent to Ozempic, Wegovy, or Mounjaro.
Best for: People who want low cash pricing, verified pharmacy sourcing, and fast delivery across all 50 states.
2. FormBlends
Compounded semaglutide ~$299/vial, tirzepatide ~$349/vial. Yes, that is higher than HealthRX. The reason some people choose it anyway comes down to documentation.
FormBlends publishes per-product purity testing, including HPLC purity percentages, mass spectrometry identity results, and endotoxin and sterility data with named purity numbers. That level of publicly posted lab documentation is rare among GLP-1 telehealth providers. The pharmacy is an FDA-registered 503A compounding facility. Physician oversight is standard across all prescriptions.
FormBlends ships to 47 states, three fewer than HealthRX. The other meaningful difference: the service carries a wide peptide catalog beyond GLP-1s, including compounds used for recovery, longevity, and cognitive support, all under the same clinician model. For someone who wants a single provider for GLP-1 therapy and additional peptide protocols, that consolidation has real practical value.
Best for: Buyers who prioritize published batch testing, or who want GLP-1s alongside a broader peptide catalog from one platform.
3. Mochi Health
Mochi has built a real clinical layer. Board-certified obesity-medicine physicians handle prescriptions, not general practitioners moonlighting in telehealth. Compounded semaglutide runs around $99/month, tirzepatide around $199. The monitoring cadence is heavier than most budget services, which either reassures you or feels like friction depending on your needs.
Best for: People who want consistent clinical check-ins and obesity-medicine specialization at a mid-range price.
4. Henry Meds
Henry Meds focuses on speed. The first month of compounded semaglutide typically runs $179-249, with shipping in 24-72 hours after approval. The monitoring is lighter than Mochi, and the pharmacy is not publicly identified by name, which is worth knowing. Cash-pay only, no insurance.
Best for: People who want fast turnaround and no long intake process, and are comfortable with a leaner clinical model.
5. Hims & Hers
After the Novo Nordisk settlement in March 2026, Hims & Hers stopped offering compounded GLP-1s and moved to branded medications. Injectable Wegovy runs around $299/month, oral semaglutide around $249, and Zepbound around $399. With insurance and a manufacturer savings card, some patients bring that down to nearly nothing. The platform is polished and widely available, but cash-pay costs are high without insurance coverage.
Best for: Insured patients who qualify for branded meds and can use a savings card to reduce out-of-pocket cost significantly.
A Note Before You Order Anything
Compounded GLP-1 medications are not FDA-approved. The FDA issued warning letters to more than 30 telehealth and compounding firms in early 2026, so the regulatory picture is still shifting. None of the compounded options above should be described as identical to brand-name drugs. Talk to a licensed physician before starting any GLP-1 therapy. Pricing listed here reflects publicly available information as of mid-2026 and is subject to change.
Common Questions
Does it matter which 503A pharmacy is filling your compounded semaglutide?
Yes, it matters quite a bit. A 503A pharmacy must meet USP-797 sterility standards and can only dispense on a per-patient prescription basis. But not all 503A pharmacies publish lot-level testing data. HealthRX names Manifest Pharmacy specifically. FormBlends names an FDA-registered 503A facility and posts HPLC and sterility results. Most other services on this list do not publicly identify their pharmacy at all.
Why did Hims & Hers stop offering compounded tirzepatide and semaglutide while other services still do?
The Novo Nordisk settlement in March 2026 directly affected Hims & Hers, pushing the platform to branded medications only. Other services, including HealthRX, FormBlends, Mochi, and Henry Meds, continued offering compounded versions under 503A rules. The legal and regulatory situation around compounding is still active, and that could change for any provider with little warning.
Is the $99/month price at HealthRX and Mochi the same thing?
The monthly cost is similar, but the clinical model is different. Mochi uses board-certified obesity-medicine physicians and a heavier check-in schedule. HealthRX uses US board-certified physicians with roughly a 24-hour review window and free overnight shipping. Both are cash-pay only. Which one suits you depends on whether you want more clinical hand-holding or faster, leaner logistics.
What does LegitScript certification actually tell you about a telehealth GLP-1 service?
LegitScript is a third-party compliance organization that reviews telehealth and pharmacy operators against documented legal and safety standards. Holding a certification, like HealthRX’s cert 50087439, means the service passed that review at the time of certification. It is not a government credential and does not guarantee outcomes, but it is a meaningful bar that many telehealth startups do not clear.
If FormBlends costs three times more per vial than HealthRX, what is the actual case for paying more?
The argument is documentation. FormBlends publicly posts HPLC purity percentages, mass spectrometry identity confirmation, and endotoxin and sterility data for its compounded products. If you want to read the batch test before injecting, FormBlends gives you that. HealthRX does not publish the same level of per-batch public data, though it names its pharmacy and holds LegitScript certification. For most people the $99 option is fine. For people who want to read the actual lab report, FormBlends is the only option here that provides it.
Sources
- FDA: 503A Compounding Pharmacy Regulations and 2025-2026 Enforcement Actions (FDA.gov)
- Wilding et al., *New England Journal of Medicine*, 2021 (semaglutide weight loss trial)
- Jastreboff et al., *New England Journal of Medicine*, 2022 (tirzepatide weight loss trial)
- LegitScript Certification Registry (LegitScript.com)
- Novo Nordisk settlement coverage: *Reuters*, March 2026
- Individual brand pricing pages (Hims & Hers, Mochi Health, Henry Meds, Ro Body) accessed mid-2026
