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The best compounded GLP‑1 programs (8 compared)

The best compounded GLP-1 programs online, ranked on verified price, fees, pharmacy and FDA warning letters. Compare semaglutide and tirzepatide plans.

Last updated Oct 28, 2026
Quick answer

The cheapest option is Embody, at $49 a month on a 12-month plan, $588 up front. Month to month, Collective is cheapest, at $76 a month with its membership fee. We compared 8 compounded GLP-1 programs on verified monthly price, fees, pharmacy, LegitScript status, FDA warning letters and the states they ship to, last checked Oct 26, 2026.

ProgramMonth to monthCheapest plan
Embody
$108 / mo
$49 / moLowest price
12 months, $588 up front
YourEra
$89 / mo
$65 / mo
12 months, $780 up front
Collective
$76 / mo
incl. $17 membership
—
Lttl
$99 / mo
$89 / mo
12 months, $1,068 up front
Enhanced
$129 / mo
$89 / mo
12 months, $1,068 up front

Ranked on our rating, then on programs built around compounded medication. Never on commission: the order is the same whether a program pays us or not.

The best pick for what you need

  • Best overall
    Lttl
    9.4 / 10
    $89 / mo

    Our highest-rated pick, at 9.4 / 10. On a 12-month plan, $1,068 up front, or $99 month to month.

    Visit Lttl
  • Lowest price
    Embody
    9.2 / 10
    $49 / mo

    The lowest verified price in this ranking. On a 12-month plan, $588 up front, or $108 month to month.

    Visit Embody
  • No membership fee
    YourEra
    9.0 / 10
    $65 / mo

    No separate membership fee: the monthly price covers the plan. On a 12-month plan, $780 up front, or $89 month to month.

    Visit YourEra
  • Ships everywhere
    HealthRX
    8.7 / 10
    $97 / mo

    Ships to all 50 states. On a 12-month plan, $1,163 up front, or $165 month to month.

    Visit HealthRX
Before you compare “from” prices

All eight programs here sell compounded semaglutide and compounded tirzepatide as weekly injections with the medication in the price, so the differences are the rest of the menu and the pharmacy. Lttl, YourEra, Enhanced and bmiMD add lower-dose microdosing plans, Lttl also sells compounded longevity products such as NAD+ and sermorelin, YourEra sells NAD+, and FMmeds adds vitamin B12 to both drugs. Embody, Lttl, YourEra, Enhanced and FMmeds name the pharmacies that fill their orders; Embody, HealthRX and FMmeds say they use 503A pharmacies and Lttl's launch release says the same, Enhanced says only "a licensed 503A/503B pharmacy", YourEra doesn't give a type, and Collective and bmiMD name neither the pharmacy nor its type. Month-to-month prices run from $59 a month for semaglutide at Collective, plus a $199 annual membership, to $265 a month for tirzepatide at FMmeds, and some of the lowest rates need a prepaid plan or a minimum term; if you have side effects, talk to your provider. Compounded GLP-1s are prepared by a pharmacy to a prescription, and they are not FDA-approved; the safety section explains what that means.

9.4/10Excellent
  • No FDA warning letter
  • Names its pharmacy
  • Prices checked Oct 26, 2026

Lttl sells compounded semaglutide and tirzepatide as weekly injections, lower-dose microdose plans of both, and a separate menu of compounded longevity products: NAD+ (injection, nasal spray or oral liquid), sermorelin, glutathione, MIC+B12, L-carnitine and methylene blue. Its terms name four pharmacies that may fill orders, and its launch release says they are 503A pharmacies. Semaglutide is $99 and tirzepatide $149 for a 4-week supply on the monthly plan, or $89 and $139 a month on a 12-month plan billed up front. If you have side effects, talk to your provider.

What you payAmount
Compounded semaglutide$99 a month (4-week supply); $96, $93 or $89 a month on 3, 6 or 12 months
Compounded tirzepatide$149 a month (4-week supply); $146, $143 or $139 a month on 3, 6 or 12 months
Microdose plansSemaglutide or tirzepatide, $149 a month, or $109 a month on 12 months
IncludedClinician review, medication at every dose, syringes and shipping
PharmaciesFour named, in Utah, Kentucky, New York and Alabama

Lttl has no FDA warning letter on file; Triad Rx had one in 2019, closed out in 2023, and Red Rock's Springville, Utah site received a Form 483 in July 2026 (Lttl lists its St. George site); it says it serves all 50 states and DC.

It’s for you if
  • You want a microdose plan of either GLP-1 from the same program.
  • You want compounded longevity products alongside your GLP-1.
  • You want the pharmacies named.
It’s not for you if
  • You want a compounded GLP-1 tablet; Lttl sells injections only.
  • You want the prescribing clinician or medical group named.
  • You want a refund after you submit your intake.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit LttlFrom $89 / mo, 12-month plan, $1,068 up front · $99 month to month · Rated 9.4 / 10
9.2/10Excellent
  • No FDA warning letter
  • Names its pharmacy
  • LegitScript certified
  • Prices checked Oct 26, 2026

Embody sells two compounded drugs, semaglutide and tirzepatide, both weekly injections, and names the four 503A pharmacies that fill them: Red Rock Compounding Pharmacy, Health Warehouse, Precision Medicine and Triad Rx. In its Black Friday sale until December 1, 2026, semaglutide is $49 and tirzepatide $99 a month on a 12-month plan, billed $588 and $1,188 up front and not refunded, with the medication, the doctor review and shipping included; month to month they are $99 and $149, and 3- and 6-month plans cost $89 and $79 for semaglutide, or $139 and $129 for tirzepatide. Only commit to a year if you plan to stay on the drug that long, and if you have side effects, talk to your provider.

What you payAmount
Compounded semaglutide$49 a month on a 12-month plan ($588 up front), $89 or $79 on 3- or 6-month plans, $99 month to month, in the Black Friday sale to December 1
Compounded tirzepatide$99 a month on a 12-month plan ($1,188 up front), $139 or $129 on 3- or 6-month plans, $149 month to month, in the Black Friday sale to December 1
IncludedMedication, doctor review, nursing support and shipping
Other feesNo membership, consultation or shipping fee
PharmaciesFour named 503A pharmacies in Utah, Kentucky, New York and Alabama

Embody has no FDA warning letter on file; Triad Rx had one in 2019, closed out in 2023, and Red Rock's Springville, Utah site received a Form 483 in July 2026; ships to every state except Louisiana.

It’s for you if
  • You want the pharmacies that fill your compounded GLP-1 named, with their addresses.
  • You want semaglutide or tirzepatide month to month with no fee on top.
  • You want the doctor, the drug and shipping in one charge.
  • You can commit to 12 months for the lowest rate.
It’s not for you if
  • You want more than two compounded drugs to choose from.
  • You want the $49 or $99 sale rate without a 12-month commitment.
  • You live in Louisiana.
  • You want a refund if you stop a multi-month plan early.
Visit EmbodyFrom $49 / mo, 12-month plan, $588 up front · $108 month to month · Rated 9.2 / 10
9.0/10Excellent
  • No FDA warning letter
  • Names its pharmacy
  • LegitScript certified
  • Prices checked Oct 26, 2026

YourEra sells compounded semaglutide at $89 a month and compounded tirzepatide at $129 a month, both weekly injections month to month at any dose, plus microdosing plans and NAD+. Its terms name the three pharmacies that fill orders: Galleria Medical Pharmacy, which YourEra manages, MediVera Compounding Pharmacy and VialsRx, without saying whether they are 503A or 503B. There is no membership fee, and you get a full refund if you cancel before your order ships.

What you payAmount
Compounded semaglutide$89 a month, month to month
Compounded tirzepatide$129 a month, month to month
Microdosing plans$103.20 a month on the landing page; "from $129/mo" on the home page
IncludedMedication, clinician review and shipping; prices are after an automatic 20% discount
Other feesNo membership fee

No FDA warning letter on file for YourEra; MediVera's parent, Diversified Pharmacy, had one in 2016 that the FDA closed out in 2018; LegitScript certified; all 50 states, with treatments that vary by state.

It’s for you if
  • You want the pharmacies named, including one the program manages itself.
  • You want semaglutide or tirzepatide month to month with no membership fee.
  • You want microdosing plans from the same program.
  • You want to cancel online, with a full refund before your order ships.
It’s not for you if
  • You want to know the pharmacy type, 503A or 503B.
  • You want a price that doesn't depend on a discount with no stated end date.
  • You already take a GLP-1 and want a published price; the FAQ says the pricing is for new patients.
  • You want a GLP-1 tablet now; YourEra lists tablets as coming soon.
Visit YourEraFrom $65 / mo, 12-month plan, $780 up front · $89 month to month · Rated 9.0 / 10
8.9/10Very good
  • No FDA warning letter
  • LegitScript certified
  • Prices checked Oct 26, 2026

Collective sells compounded semaglutide at $59 a month and compounded tirzepatide at $69 a month, both weekly injections at the same price at any dose, plus a required $199 annual membership. It does not name the pharmacy that makes them or say whether it is 503A or 503B, saying only that orders are filled by a state-licensed US pharmacy and every batch is third-party tested. The membership is charged after a 21-day free trial and is not refunded, so take it only if you expect to stay on treatment; if you have side effects, talk to your provider.

What you payAmount
Compounded semaglutide$59 a month, any dose
Compounded tirzepatide$69 a month, any dose
Membership$199 a year after a 21-day free trial, non-refundable
Year 1 total$907 for semaglutide, $1,027 for tirzepatide
IncludedMedication, doctor care and 2-day cold shipping; no consult or lab fee

No FDA warning letter on file; the pharmacy is unnamed, so its record can't be checked; 44 states, not Alabama, California, Louisiana, Massachusetts, Mississippi or Washington.

It’s for you if
  • You want the lowest compounded semaglutide and tirzepatide drug prices on this page.
  • You want one price for either drug at every dose.
  • You expect to stay a year, so the $199 membership is spread over 12 months.
  • You want unlimited messaging with your doctor.
It’s not for you if
  • You want to know which pharmacy compounds your drug, or its type.
  • You might stop within a month or two and don't want to pay the $199 membership.
  • You want a compounded option beyond semaglutide and tirzepatide.
  • You live in one of the six states it doesn't serve.
Visit CollectiveFrom $76 / mo · Rated 8.9 / 10
8.9/10Very good
  • No FDA warning letter
  • Names its pharmacy
  • LegitScript certified
  • Prices checked Oct 26, 2026

Enhanced sells compounded semaglutide and compounded tirzepatide as weekly injections, plus lower-dose microdosed plans of both. Its FAQ names four partner pharmacies, Red Rock Compounding Pharmacy, Health Warehouse, Precision Medicine and Triad Rx, but not which one fills your order, and says only that the drug comes from "a licensed 503A/503B pharmacy". Month to month, semaglutide is $129 and tirzepatide $169; the 12-month plans are $89 and $129 a month, charged in full at checkout. If you have side effects, talk to your provider.

What you payAmount
Compounded semaglutide$129 a month month to month; $109 or $99 a month on 3- or 6-month plans; $89 a month on a 12-month plan ($1,068 up front)
Compounded tirzepatide$169 a month month to month; $149 or $139 a month on 3- or 6-month plans; $129 a month on a 12-month plan ($1,548 up front)
IncludedMedication, doctor review, clinician check-ins and shipping
Other feesNo membership fee
PharmaciesFour named partner pharmacies in Utah, Kentucky, New York and Alabama

Enhanced has no FDA warning letter on file and LegitScript lists enhanced.com as certified; Triad Rx had one in 2019, closed out in 2023; care comes from independent telehealth providers identified at intake, and Enhanced publishes no list of states.

It’s for you if
  • You want both compounded semaglutide and tirzepatide at one price for every dose.
  • You want the partner pharmacies named.
  • You can commit to 6 or 12 months for the lowest rate.
It’s not for you if
  • You want to know which pharmacy fills your order before you buy.
  • You want insurance billing.
Visit EnhancedFrom $89 / mo, 12-month plan, $1,068 up front · $129 month to month · Rated 8.9 / 10
8.7/10Very good
  • No FDA warning letter
  • LegitScript certified
  • Prices checked Oct 26, 2026

HealthRX sells compounded semaglutide and compounded tirzepatide, both weekly injections from a 503A pharmacy it does not name. On the monthly Subscribe & Save plan, each costs $99 for the first month, then $165 a month for semaglutide or $214 for tirzepatide, with the medication, the clinician review and overnight shipping included. Prepaid 3-, 6- and 12-month plans lower the monthly rate to as little as $97 and $177; prepay only if you plan to stay that long, and if you have side effects, talk to your provider.

What you payAmount
Compounded semaglutide$99 the first month, then $165 a month; $97 a month on a 12-month plan ($1,163 up front)
Compounded tirzepatide$99 the first month, then $214 a month; $2,123 up front on a 12-month plan
IncludedMedication, clinician review and overnight cold-chain shipping
Other feesNo visit or membership fee
CancelingBy email at any time; any unshipped dose is refunded

Its own pages say it doesn't own a pharmacy and that orders are compounded by a licensed 503A pharmacy, which it doesn't name; no FDA warning letter on file; LegitScript certified (#50087439); all 50 states.

It’s for you if
  • You want a $99 first month on either compounded drug.
  • You want the pharmacy type stated, 503A.
  • You want the choice of month to month or a 3-, 6- or 12-month prepaid plan.
  • You want unshipped doses refunded when you cancel.
It’s not for you if
  • You want the pharmacy named.
  • You want more than semaglutide and tirzepatide on the GLP-1 menu.
  • You want the first-month price to last; it rises to $165 or $214.
  • You want video visits or a stated follow-up schedule.
Visit HealthRXFrom $97 / mo, 12-month plan, $1,163 up front · $165 month to month · Rated 8.7 / 10
8.6/10Very good
  • No FDA warning letter
  • Prices checked Oct 20, 2026

Live Vital sells compounded semaglutide and compounded tirzepatide as weekly injections, each as a prepaid 3-month supply at checkout: $299 for semaglutide, about $100 a month, and $549 for tirzepatide, $183 a month; the public drug pages call the same price a 10-week protocol. Both sit on a menu of other compounded peptides, and its FAQ says the drug comes from a 503A pharmacy, which it does not name, while its weight-loss guide says 503B. There is no month-to-month plan, and medication is generally not refunded once compounded or shipped, so pay for a supply only if you plan to finish it; if you have side effects, talk to your provider.

What you payAmount
Compounded semaglutide$299 for a 3-month supply, paid up front (about $100 a month)
Compounded tirzepatide$549 for a 3-month supply, paid up front ($183 a month)
IncludedClinician prescription, the medication and unlimited messaging
ShippingFree at checkout; membership fee not stated
RefundsGenerally none once the medication is compounded or shipped

A Utah practice led by Dr. Patrick Taylor, MD; no FDA warning letter on file; the pharmacy is unnamed, so its record can't be checked; its states page lists all 50 states; HSA and FSA funds are accepted.

It’s for you if
  • You want compounded GLP-1s from a practice that also prescribes other compounded peptides.
  • You want a medical team led by one named doctor.
  • You want supplies and dose adjustments included in the price.
  • You want a free phone consult before you pay.
It’s not for you if
  • You want a month-to-month plan you can stop after one month.
  • You want the pharmacy named.
  • You need your first dose within a few days; intake to first dose takes 5 to 10 days.
  • You want every fee stated before you pay.
Visit Live VitalFrom $100 / mo, 3-month plan, $299 up front · no month-to-month plan · Rated 8.6 / 10
8.4/10Good
  • No FDA warning letter
  • LegitScript certified
  • Prices checked Oct 26, 2026

bmiMD sells compounded semaglutide and compounded tirzepatide as weekly injections, each also as a microdose program, with the physician visit, the medication and shipping in one price at any dose. Month to month, semaglutide is $159 and tirzepatide $249; on a 12-month plan they are $119 and $179 a month. It does not name its pharmacy or its type, saying only that orders ship from a US-based licensed partner pharmacy. Multi-month plans can't be refunded once your first order goes to the pharmacy, so commit only if you will stay; if you have side effects, talk to your provider.

What you payAmount
Compounded semaglutide$159 a month month to month; $149, $129 or $119 on 3-, 6- or 12-month plans
Compounded tirzepatide$249 a month month to month; $229, $189 or $179 on 3-, 6- or 12-month plans
Microdose programsSemaglutide and tirzepatide; price not given here
IncludedMedication, physician visit, messaging and shipping
Other feesNo membership fee; $100 intake processing fee if you ask to cancel after you submit your intake form

Board-certified physicians do a usually same-day telehealth consult; no FDA warning letter on file; the pharmacy is unnamed, so its record can't be checked; all 50 states.

It’s for you if
  • You want standard and microdose versions of both compounded drugs.
  • You want one price that doesn't climb as your dose goes up.
  • You want a board-certified physician consult, usually the same day.
  • You will commit to 12 months for the lowest rate.
It’s not for you if
  • You want to know which pharmacy compounds your drug, or its type.
  • You want a low month-to-month tirzepatide price; it is $249.
  • You might change your mind after the intake form; canceling then costs $100.
  • You want insurance to pay.
Visit bmiMDFrom $119 / mo, 12-month plan, $1,428 up front · $159 month to month · Rated 8.4 / 10

“From” prices are the lowest verified rate on the program’s own checkout, usually a prepaid plan. Reference only: we don’t sell medication, we verify who does.

Our top picks, in short

  1. #1Lttl — from $89 a month, best for users who want one price at every dose, no membership fee, and the pharmacies named up front.
  2. #2Embody — from $49 a month, best for users who want the lowest all-in price on compounded semaglutide or tirzepatide, with no membership fee and round-the-clock specialist support.
  3. #3YourEra — from $65 a month.
Quick answers

Compounded GLP‑1 programs: what people ask

Lttl ranks first of the 8 programs we compared, rated 9.4 / 10, from $89 a month on a 12-month plan, $1,068 up front, or $99 month to month. The ranking weighs verified price, pharmacy, FDA enforcement record and state coverage, never commission.

Embody has the lowest verified price in this ranking, at $49 a month on a 12-month plan, $588 up front, or $108 month to month. Check what the price includes: a membership or consultation fee can change which program is cheaper over three months.

6 of the 8 programs here charge no separate membership fee. The rest either charge one or do not disclose it; each write-up states which.

None of the 8 programs here bills insurance. They are cash-pay, so the listed price is what you pay.

5 of the 8 programs ship to all 50 states. The others leave out a few states; each write-up gives the count.

No. Compounded drugs are made by licensed pharmacies for individual patients and are not FDA-approved; the FDA has not reviewed them for safety, effectiveness or quality. That is why every program here is checked against the FDA warning-letter register and its pharmacy record.

How this ranking works

How we score
Every program is scored 0–10 on verified price, transparency and the safety record.
What removes a program
An open FDA warning letter removes a program from every recommendation on this site.
How we make money
Some outbound links are affiliate links. Commission is not an input to a score, and a program cannot pay to change it.
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