Cheapest GLP-1 without insurance
Cash-pay only: no coverage, no prior authorisation, no insurer. What each programme charges and what it includes.
Updated 2026-09-18 · every price checked by hand
How we make money: one company on this page — Coreage Rx — pays us a commission when a reader signs up through our link. It buys them nothing else: not a better score, not a higher place in the table, not the removal of a single criticism. Our scoring method and full disclosure are both public.
If you have no coverage, or your insurer has already said no, the calculation is simple: which programme delivers medication for the smallest monthly number without an insurer involved at all.
We have deliberately excluded the programmes built around insurance coordination here. They can be excellent — but their value depends entirely on a claim being approved, and a fee for insurance advocacy is dead weight if you are paying cash regardless.
What gets a programme onto this table
- Cash-pay programmes where the medication is included in the monthly price.
- Programmes whose main value is insurance coordination are excluded — see the insurance page for those.
- No prior authorisation or coverage approval required to get the quoted price.
11 of the 21 providers we track qualify. Every figure checked by hand and verified 2026-09-18 and re-checked periodically.
The list
| # | Provider | Per month | Per year | Score |
|---|---|---|---|---|
| 1 | Coreage Rx | $149 | $1,788 | 4.5 |
| 2 | Ozari Health | $86 | $1,032 | 4.4 |
| 3 | Trimi | $99 | $1,188 | 4.6 |
| 4 | Hims & Hers | $188 | $2,256 | 3.5 |
| 5 | PlexusDx | $189 | $2,268 | 4.4 |
| 6 | Eden | $198 | $2,376 | 3.1 |
| 7 | Ivím Health | $199 | $2,388 | 4 |
| 8 | Coby Health | $229 | $2,748 | 3.6 |
| 9 | Lemonaid Health | $278 | $3,336 | 3.5 |
| 10 | Henry Meds | $297 | $3,564 | 3 |
| 11 | Remedy Meds | $299 | $3,588 | 3.5 |
Cheapest qualifying option: Ozari Health at $86 a month. Our featured partner is pinned to the top of the list where it qualifies — see how we rate for who scores higher.
1. Coreage Rx — Best overall on true monthly cost
$149 a month, no membership fee. Flat-rate telehealth program for compounded GLP-1s. The medication, the clinician visits and the ongoing check-ins are quoted as one number, with no separate membership billed alongside it.
The $99 and $149 rates are annual-plan prices. If you want month-to-month, budget $149 and $199 instead, and check the refund terms before prepaying a year. Read the full Coreage Rx review.
2. Ozari Health — Lowest advertised semaglutide price
$86 a month, no membership fee. Flat-rate compounded GLP-1 telehealth service operating in all 50 states, with physician review through the Arora Health network and a dedicated health concierge.
Confirm whether $86 is a month-to-month rate or requires a longer commitment, and ask which pharmacy compounds it. Read the full Ozari Health review.
3. Trimi — Lowest flat price with named pharmacies
$99 a month, no membership fee. Flat-rate compounded GLP-1 programme on annual plans, with medical oversight through the Arora Health clinician network and publicly named 503A compounding pharmacies.
Both headline prices are annual-plan rates. Confirm the month-to-month figure and the refund terms before prepaying twelve months. Read the full Trimi review.
4. Hims & Hers — Widest range of formats
$188 a month, including the $39 fee. Large publicly traded telehealth platform. Sells oral kits, compounded injections and branded Zepbound side by side, with a membership required across the board.
The advertised entry prices and the membership are separate charges. Add $39/month to whatever medication figure you were quoted. Read the full Hims & Hers review.
Questions we get asked
Can I get a GLP-1 without insurance at all?
Yes. Every programme on this page is cash-pay and does not bill insurance. You will still need a prescription from a licensed clinician, which is included in the price.
Would Medicare be cheaper?
For eligible beneficiaries, almost certainly. From 1 July 2026 CMS is running a programme giving eligible Part D members certain GLP-1s for $50 a month, which undercuts every cash price here.
Two things worth knowing before you buy on price
Compounded preparations are not FDA-approved. Two approved oral GLP-1s now start around $149 a month, and from 1 July 2026 eligible Medicare beneficiaries can access certain GLP-1s for $50 a month — both of which beat a large part of this market. See the approved pills and the Medicare programme.
In STEP-1, adults on 2.4 mg lost an average of about 14.9% of body weight over 68 weeks. That figure comes from a controlled trial of the active ingredient, not from any particular seller's product.