
The compounded semaglutide landscape has narrowed dramatically in 2026. Hims and Ro exited the market. Calibrate went brand-name only. But compounded semaglutide is still available through providers that partner with 503A compounding pharmacies for patient-specific prescriptions. Here are the providers still operating — ranked by price, clinical quality, and transparency.
How We Evaluated
Every provider was assessed on 5 criteria:
- Pricing transparency — All-inclusive or hidden fees?
- Pharmacy sourcing — Licensed 503A pharmacy with state board oversight?
- Clinician access — Can you actually reach your prescriber?
- Medication range — Semaglutide only, or also tirzepatide?
- Cancellation flexibility — Month-to-month or locked contract?
Our #1 Pick
TelehealthFX
Semaglutide
From $199/mo
From $199/mo
Tirzepatide
From $349/mo
From $349/mo
Pharmacy
Licensed 503A
Licensed 503A
Contract
Month-to-month
Month-to-month
All-inclusive pricing (no consultation fees, no shipping fees, no hidden charges). Unlimited clinician messaging. HSA/FSA accepted. Same-day evaluations. Both semaglutide and tirzepatide available. Cancel anytime — no lock-in.
Get Started#2. Henry Meds
- Price: $199–$449/month (varies by dose)
- Pros: Well-established, wide dose range, good patient portal
- Cons: Separate consultation fee ($49). Some patients report slower clinician response times. Limited tirzepatide availability.
#3. SkinnyRx / Ivím Health
- Price: $249–$499/month
- Pros: Established compounding relationships, offers combination formulations (semaglutide + B12)
- Cons: Higher starting price. Some plans require 3-month commitment. Check current availability in your state.
#4. Heally
- Price: $225–$400/month
- Pros: Quick onboarding, marketplace model connects you with local providers
- Cons: Experience varies by clinician (marketplace model). Less consistent than direct-employ models.
#5. Mochi Health
- Price: $250–$450/month
- Pros: Strong clinical protocol, detailed intake process, metabolic health focus
- Cons: Newer to market. Limited availability in some states. Wait times reported during peak demand.
Red Flags to Watch For
- No clinician evaluation required. Any provider that ships semaglutide without a medical consultation is operating illegally.
- Prices below $150/month. Legitimate compounded semaglutide from a licensed 503A pharmacy has real costs. Prices significantly below $150 suggest either diluted formulations or unverified sourcing.
- No pharmacy licensing information. Ask which pharmacy compounds the medication and verify their state board of pharmacy license.
- No ongoing clinical oversight. A prescription-and-goodbye model is medically irresponsible. Your provider should monitor your progress and adjust dosing.
All-Inclusive. No Hidden Fees. Cancel Anytime.
Compounded semaglutide from $199/month. Compounded tirzepatide available. HSA/FSA accepted.
Start NowReferences
- FDA. (2025). Drug shortages: Semaglutide injection products resolved. fda.gov/drugs/drug-shortages
- National Association of Boards of Pharmacy. (2026). Compounding pharmacy verification standards. nabp.pharmacy
