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GLP‑1 programs that ship to all 50 states (8 compared)

Find GLP-1 online care in any state. We compare the programs that ship to all 50 states on verified price, fees, pharmacy and FDA warning letters.

Last updated Oct 28, 2026
Quick answer

The cheapest option is YourEra, at $65 a month on a 12-month plan, $780 up front. Month to month, it is $89 a month with no fee on top. We compared 8 GLP-1 programs that ship to every state 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
YourEra
$89 / mo
$65 / moLowest price
12 months, $780 up front
Lttl
$99 / mo
$89 / mo
12 months, $1,068 up front
FMmeds
$245 / mo
$95 / mo
12 months, $1,140 up front
HealthRX
$165 / mo
$99 first month
$97 / mo
12 months, $1,163 up front
GobyMeds
$169 / mo
$100 / mo
3 months, $299 up front

Ranked on our rating, then on coverage in all 50 states. 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
    YourEra
    9.0 / 10
    $65 / mo

    The lowest verified price in this ranking. On a 12-month plan, $780 up front, or $89 month to month.

    Visit YourEra
  • No membership fee
    GobyMeds
    9.2 / 10
    $100 / mo

    No separate membership fee: the monthly price covers the plan. On a 3-month plan, $299 up front, or $169 month to month.

    Visit GobyMeds
  • 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 say they serve all 50 states, but several add that what you get can depend on where you live. YourEra picks one of three pharmacies by your drug and your state, Lttl says some services may not be available in every state, and Sesame Care covers labs everywhere except nine states. Most review a written online intake; Sesame uses a video visit, YourEra adds a live video or phone visit where your state's law requires one, and Live Vital offers a free 15-minute phone consult first. For month 1, the lowest prices are YourEra's $89 for compounded semaglutide and the $99 first months at HealthRX (either drug) and Lttl (semaglutide). From month 2, YourEra's $89 is the lowest month-to-month semaglutide price here, against $99 at Lttl, $159 at bmiMD, $165 at HealthRX and $225 at FMmeds.

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

Lttl's terms say it serves all 50 states plus Washington, DC, and add that some services may not be available in every state. A clinician from an unnamed network reviews a 2-minute online quiz without a video call. Shipping is free; its shipping page allows 2 to 5 business days for the pharmacy to process an order and 3 to 7 business days in transit, while its banner says "Prescribed and shipped within 48 hours". Compounded semaglutide is $99 and tirzepatide $149 for a 4-week supply, the same price in every state Lttl lists.

What you payAmount
Compounded semaglutide$99 a month (4-week supply); $89 a month on a 12-month plan
Compounded tirzepatide$149 a month (4-week supply); $139 a month on a 12-month plan
ShippingFree; 2 to 5 business days to process plus 3 to 7 in transit, per its shipping page
MembershipNone; the same price at every dose
Month 1 total$99 for semaglutide or $149 for tirzepatide

Lttl has no FDA warning letter on file, names its four pharmacies in its terms and doesn't bill insurance.

It’s for you if
  • You live in Washington, DC, or a state other programs skip.
  • You want an online review with no video visit.
  • You want free shipping.
It’s not for you if
  • You need medication fast: its own shipping page allows up to 12 business days.
  • You want to know which clinician licensed in your state prescribes.
  • You want a brand-name pen like Wegovy or Zepbound.
  • 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

Compounded semaglutide from $169 for one month or $299 for a low-dose 3-month supply (about $100 a month), and tirzepatide from $299 or $133 a month, priced by dose, paid per order with no subscription and no membership fee. The $100 and $133 monthly prices cover a 3-month supply at the lowest doses: a single month costs $169 or $299, 3-month supplies cost more as the dose rises, and nothing is refunded once the pharmacy has dispensed it.

GobyMeds costs from $100 a month on a 3-month plan, $299 up front, or $169 month to month. There is no membership fee. You can cancel anytime.

It prescribes compounded semaglutide, compounded tirzepatide, Zepbound and Wegovy. It offers brand-name and compounded medication. Prescriptions are filled by Precision Medicine, HealthWarehouse.com, The Pharmacy Hub and Seven Cells Pharmacy. It is LegitScript certified.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Oct 26, 2026.

It’s for you if
  • You want to pay per order, with no subscription and no membership fee.
  • You start on a low dose and want the 3-month starter bundle at $299 or $399.
  • You want to know which pharmacies may fill your prescription.
  • You'd like Zepbound or Wegovy at a cash price from the same program.
It’s not for you if
  • You need a high dose of tirzepatide month to month: one month costs $299.
  • You want a refund after your medication ships.
  • You want to confirm your state is served before you start.
  • You want insurance billing.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit GobyMedsFrom $100 / mo, 3-month plan, $299 up front · $169 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 says its telehealth services are available across all 50 states, and that which treatments you can get may depend on your state. Its terms say which of its three pharmacies fills your order depends on your drug and your state, and that a live video or phone visit takes place where your state's law requires one; otherwise a provider licensed in your state reviews your online intake. Orders ship free in 1 to 2 days; some need an adult signature, and YourEra doesn't ship to PO boxes. Compounded semaglutide is $89 a month and tirzepatide $129, month to month.

What you payAmount
Compounded semaglutide$89 a month, month to month, after an auto-applied 20% off (new-patient price)
Compounded tirzepatide$129 a month, month to month ($161.25 before the 20%)
ShippingFree, 1 to 2 days
MembershipNone; the same price at every dose
Month 1 total$89 for semaglutide or $129 for tirzepatide

YourEra has no FDA warning letter on file, names its three pharmacies in its terms and doesn't bill insurance.

It’s for you if
  • You live in a state that requires a live visit and want one at no extra charge.
  • You want free delivery in 1 to 2 days.
  • You want the lowest month-to-month compounded semaglutide price on this list.
It’s not for you if
  • You want delivery to a PO box.
  • You want to know which pharmacy serves your state before you sign up.
  • You want a brand-name pen like Wegovy or Zepbound.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit YourEraFrom $65 / mo, 12-month plan, $780 up front · $89 month to month · Rated 9.0 / 10
8.7/10Very good
  • No FDA warning letter
  • LegitScript certified
  • Prices checked Oct 26, 2026

HealthRX says it serves all 50 US states, and a provider licensed in the state where you live reviews your answers to a brief set of medical questions, typically within about 24 hours. If you are approved, your medication ships overnight from a licensed 503A pharmacy by rush no-contact delivery, with no signature needed and shipping included in the price. HealthRX doesn't say whether the review is ever by video or whether any state requires one. Compounded semaglutide is $99 the first month, then $165 a month.

What you payAmount
Compounded semaglutide$99 the first month, then $165 a month (Subscribe & Save)
Compounded tirzepatide$99 the first month, then $214 a month
12-month plan$1,163 for semaglutide or $2,123 for tirzepatide, paid up front
FeesNo visit or membership fee; overnight shipping included
Month 1 total$99

HealthRX has no FDA warning letter on file; it doesn't name its 503A pharmacy and doesn't bill insurance, though plans are HSA and FSA eligible.

It’s for you if
  • You want overnight delivery to any state with no signature needed.
  • You want a $99 first month on either drug.
  • You want a written review by a provider licensed in your state, not a scheduled call.
It’s not for you if
  • You want the pharmacy named.
  • You want a video visit or a stated follow-up schedule.
  • You'd prepay 12 months for the lowest rate but aren't sure you'll stay on it. If you have side effects, talk to your provider.
  • You don't want injections, or don't feel comfortable injecting yourself.
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's states page lists all 50 states, and its terms say its services are available only to patients located in a state on that list, where its clinicians are licensed. After a clinician review of 24 to 48 hours, a licensed pharmacy compounds the drug, total processing can take 5 to 7 days, and the order then ships overnight in cold packs. You can do the online intake on your own or book a free 15-minute phone consult first. Compounded semaglutide is $299 for a prepaid 10-week protocol, about $130 a month.

What you payAmount
Compounded semaglutide$299 for a 10-week protocol, paid up front (about $130 a month)
Compounded tirzepatide$549 for a 10-week protocol (about $239 a month)
ShippingOvernight in cold packs; fee not published
Membership feeNot published
RefundsMedication is generally non-refundable once ordered or dispensed

Live Vital has no FDA warning letter on file; it doesn't name its pharmacy (its FAQ says 503A, its weight-loss guide 503B) and doesn't bill insurance, though HSA and FSA funds work.

It’s for you if
  • You want overnight cold-pack shipping once your drug is ready.
  • You'd like a free phone consult before you pay.
  • You want a medical team led by one named doctor, Dr. Patrick Taylor, MD.
It’s not for you if
  • You need your first dose within a few days: intake to starting typically takes 5 to 10 days.
  • You want a month-to-month plan rather than a prepaid 10-week protocol. If you have side effects, talk to your provider.
  • You want the pharmacy named, or one consistent pharmacy type.
  • You don't want injections, or don't feel comfortable injecting yourself.
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's product pages say its compounded semaglutide and tirzepatide are "Available in All 50 States". A board-certified physician reviews your intake in a telehealth consult, usually the same day, and the medication usually ships 3 to 5 business days after approval from a US-based licensed partner pharmacy, with free shipping on subscription orders. bmiMD doesn't say whether the consult is a video call or written, or whether any state needs more. Compounded semaglutide is $159 a month month to month.

What you payAmount
Compounded semaglutide$159 month to month; $149, $129 or $119 a month on 3-, 6- or 12-month plans
Compounded tirzepatide$249 month to month; $229, $189 or $179 a month on 3-, 6- or 12-month plans
ShippingFree on subscription orders; usually ships 3 to 5 business days after approval
Intake processing fee$100, non-refundable, if you ask to cancel after you submit your intake form
Month 1 total$159 for semaglutide or $249 for tirzepatide

bmiMD has no FDA warning letter on file; it names no pharmacy and doesn't bill insurance.

It’s for you if
  • You want a physician consult, usually the same day, wherever you live in the US.
  • You want free shipping and one price at every dose.
  • You want 24/7 chat with your physician or a support team member.
It’s not for you if
  • You need your medication within a few days: it usually ships 3 to 5 business days after approval.
  • You want to know which pharmacy ships your drug.
  • You want a multi-month plan you can get money back on: payments are non-refundable once your first order goes to the pharmacy. If you have side effects, talk to your provider.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit bmiMDFrom $119 / mo, 12-month plan, $1,428 up front · $159 month to month · Rated 8.4 / 10
8.4/10Good
  • No FDA warning letter
  • Names its pharmacy
  • LegitScript certified
  • Prices checked Oct 26, 2026

System Labs says it is available in all 50 US states, and that treatment availability depends on state telehealth regulations and pharmacy licensing. After a provider reviews your online form, you are offered a telemedicine consultation with a provider licensed in your state. Compounded tirzepatide ships with free 2-day delivery in temperature-controlled packaging. It costs $99 the first month, then $179 a month.

What you payAmount
Month 1$99
Months 2+$179 a month, the same at every dose
ShippingFree, 2-day, temperature-controlled
Fees$0 membership and consultation
3 months total$457

System Labs has no FDA warning letter on file; it names its pharmacy, The Pharmacy Hub in Miami, and doesn't bill insurance.

It’s for you if
  • You want free 2-day temperature-controlled shipping wherever you live.
  • You want a month-to-month plan you can pause or cancel.
  • You want a consultation with a provider licensed in your state.
It’s not for you if
  • You want to know before you pay whether tirzepatide is offered in your state: System Labs publishes no per-treatment state list.
  • You want compounded semaglutide or a brand-name pen.
  • You want a stated review time and follow-up schedule.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit System LabsFrom $179 / mo · Rated 8.4 / 10
8.2/10Good
  • No FDA warning letter
  • Names its pharmacy
  • Prices checked Oct 26, 2026

FMmeds' terms say its services are "available in all fifty (50) states plus the District of Columbia". One pharmacy fills every order, Manifest Pharmacy in Greer, South Carolina, and approved orders arrive in 1 to 5 business days, it says. Compounded semaglutide is $225 month to month or $95 a month on a 12-month plan charged up front.

What you payAmount
Compounded semaglutide$225 month to month; $95 a month on a 12-month plan ($1,140 up front)
Compounded tirzepatide$265 month to month; $145 a month on a 12-month plan ($1,740 up front)
ShippingFree; processed within 24 hours of approval, 1 to 5 business days
FeesNone; the same price at every dose

Compounded and not FDA-approved; FMmeds has no FDA warning letter on file, calls Manifest Pharmacy a 503A pharmacy and doesn't bill insurance.

It’s for you if
  • You live in any state or in Washington, DC.
  • You want to know which pharmacy ships to you, wherever you live.
  • You can pay a year up front for the lowest rate. If you have side effects, talk to your provider.
It’s not for you if
  • You want a low month-to-month price: $225 or $265.
  • You want a named clinician.
Visit FMmedsFrom $95 / mo, 12-month plan, $1,140 up front · $245 month to month · Rated 8.2 / 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. #2GobyMeds — from $100 a month.
  3. #3YourEra — from $65 a month.
Quick answers

GLP‑1 programs that ship to every state: 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.

YourEra has the lowest verified price in this ranking, at $65 a month on a 12-month plan, $780 up front, or $89 month to month. Check what the price includes: a membership or consultation fee can change which program is cheaper over three months.

7 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.

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

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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