Rankings
The rankings
Sorted on the only number that matters: the yearly one.
The cheapest tirzepatide programmes20 programmes priced over a full year with every fee counted. Coreage Rx is cheapest at $2,388.Updated 2026-09-18The cheapest semaglutide programmes16 programmes priced over a full year with every fee counted. Coreage Rx is cheapest at $1,668.Updated 2026-09-18Best value GLP-1 programmesCheapest is one question; best value is another. Where each programme actually earns what it charges.Updated 2026-09-18The cheapest tirzepatide onlineEvery provider whose monthly price actually includes the medication, sorted on what you are billed in month two.Updated 2026-09-18The cheapest semaglutide onlineSemaglutide programmes ranked on the billed monthly figure, with membership fees counted and teaser rates discarded.Updated 2026-09-18Cheapest GLP-1 without insuranceCash-pay only: no coverage, no prior authorisation, no insurer. What each programme charges and what it includes.Updated 2026-09-18GLP-1s under $150 a monthA hard price ceiling. Every programme billing $150 or less a month with the medication included.Updated 2026-09-18Best value, not just cheapestWhere the money buys something — clinical support, sourcing transparency or flexibility — rather than simply being the lowest number.Updated 2026-09-18No membership feeProviders that charge for the medication and nothing else. The single most reliable way to avoid a surprise in month two.Updated 2026-09-18Flat pricing at every doseProgrammes where the price does not rise as your dose does — which matters more over a year than most advertised discounts.Updated 2026-09-18No commitment requiredMonth-to-month programmes you can leave without forfeiting a prepaid block or a twelve-month contract.Updated 2026-09-18Zepbound alternativesZepbound is tirzepatide. Here is what else delivers the same molecule, what it costs, and what you give up.Updated 2026-09-18Wegovy alternativesWegovy is semaglutide. These are the cheaper routes to the same molecule, and the newer approved pill that changed the maths.Updated 2026-09-18Tirzepatide 5 mg: what it costsStep 2 of the tirzepatide ladder, around weeks 5-8. 6 providers charge the same here as at the starting dose — the rest may not.Updated 2026-09-18Tirzepatide 7.5 mg: what it costsStep 3 of the tirzepatide ladder, around weeks 9-12. 6 providers charge the same here as at the starting dose — the rest may not.Updated 2026-09-18Tirzepatide 10 mg: what it costsStep 4 of the tirzepatide ladder, around weeks 13-16. 6 providers charge the same here as at the starting dose — the rest may not.Updated 2026-09-18Tirzepatide 12.5 mg: what it costsStep 5 of the tirzepatide ladder, around weeks 17-20. 6 providers charge the same here as at the starting dose — the rest may not.Updated 2026-09-18Tirzepatide 15 mg: what it costsStep 6 of the tirzepatide ladder, around weeks 21+. 6 providers charge the same here as at the starting dose — the rest may not.Updated 2026-09-18Semaglutide 2.4 mg: what it costsStep 5 of the semaglutide ladder, around weeks 17+. 6 providers charge the same here as at the starting dose — the rest may not.Updated 2026-09-18GLP-1 coverage by stateOnly 13 state Medicaid programmes cover GLP-1s for obesity. Four dropped coverage in the last year. Here is the national picture and where it changed.Updated 2026-09-18GLP-1 coverage in CaliforniaMedicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in PennsylvaniaMedicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in South CarolinaMedicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in North CarolinaMedicaid coverage was dropped and then restored. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in TexasMedicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in LouisianaMedicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in UtahMedicaid coverage is time-limited. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in West VirginiaNotable for its obesity prevalence rather than its coverage rules. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in MichiganMedicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in MassachusettsCoverage exists but has been proposed for removal. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in VirginiaMedicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18GLP-1 coverage in MinnesotaMedicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.Updated 2026-09-18The pharmacies behind the prescriptionsThe pharmacy is the part that is actually regulated — and most providers will not name theirs. Here are the ones that have been named publicly.Updated 2026-09-18Belmar Pharmacy503A compounding pharmacy in Wichita, Kansas, shipping to all 50 states. Named publicly by PlexusDx. What is checkable, and how to check it.Updated 2026-09-18Strive PharmacyPCAB-accredited compounding pharmacy, licensed across multiple states. Named publicly by PlexusDx. What is checkable, and how to check it.Updated 2026-09-18Epiq ScriptsDigital mail-order compounding pharmacy licensed in 45 states plus Puerto Rico and DC. Named publicly by PlexusDx. What is checkable, and how to check it.Updated 2026-09-18VialsRxState-licensed 503A pharmacy with a published Texas Board of Pharmacy licence number. Named publicly by Trimi. What is checkable, and how to check it.Updated 2026-09-18Empower PharmacyLarge Houston compounder running both a 503A pharmacy and a 503B outsourcing facility. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18Hallandale Pharmacy503A compounding pharmacy in Florida with extensive telehealth partnerships. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18Olympia Pharmacy503B outsourcing facility in Orlando, Florida. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18ReviveRXHouston 503A compounding pharmacy built around prescriber partnerships, shipping to 45 states. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18BPI Labs503B outsourcing facility in Largo, Florida. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18Tailor Made Compounding503A compounding pharmacy in Nicholasville, Kentucky. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18Pavilion Compounding Pharmacy503A compounding pharmacy in Atlanta, Georgia. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18APS Pharmacy503A sterile compounding pharmacy in Palm Harbor, Florida, operating as Drug Depot, Inc. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18Wells Pharmacy NetworkMulti-site network running a 503A pharmacy in Florida and a 503B outsourcing facility in Tennessee. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18Asteria Health503B outsourcing facility in Birmingham, Alabama, operating as FH Investments Inc. Named publicly by . What is checkable, and how to check it.Updated 2026-09-18