Which online program charges the least for tirzepatide?

Among the six we compared, the brand-name programs are the most expensive: Hims and Hers, Ro and LifeMD all list Zepbound from $299 per month plus a $149 monthly membership, about $448 a month at the lowest dose. Biotech Lifestyle is $169 for the first month and $456 per 90 days on its quarterly plan, which is $152 per month, with no membership fee and the same price at every dose. Shed is $299 month to month or $239 on a twelve-month plan. Prices were checked on each provider's site on October 1, 2026.

Which online program charges the least for semaglutide?

Biotech Lifestyle is $99 for the first month and $297 per 90 days on its quarterly plan, which is $99 per month, with no membership fee and no price change as your dose increases. Hims and Hers, Ro and LifeMD list brand-name Wegovy pens from $199 per month plus a $149 monthly membership, about $348 a month at the lowest dose. Noom Med starts at $129 and moves to $249 per month after the first four weeks. Shed is $199 month to month. Prices were checked on October 1, 2026.

Which GLP-1 telehealth programs charge a membership fee?

Hims and Hers, Ro and LifeMD all charge $39 for the first month and then $149 every month, billed separately from the medication. Ro lowers the fee to $99, $89 or $74 per month if you prepay three, six or twelve months. Shed's terms describe a membership fee that is bundled into the program price and is non-refundable once you are approved. Biotech Lifestyle and Noom Med charge no separate membership fee. Biotech Lifestyle also includes the provider visit, a $49.99 value that is waived.

Does the price go up when my tirzepatide or semaglutide dose increases?

At Biotech Lifestyle and Shed the price is flat across doses. Brand-name Zepbound and Wegovy are priced by dose by the manufacturers, so at Hims and Hers, Ro and LifeMD the medication line rises as your dose goes up while the membership keeps billing. Noom Med does not price by dose but starts with an introductory month that renews higher: $149 to $299 per month for tirzepatide and $129 to $249 for semaglutide.

Why is Biotech Lifestyle the pick?

Because the costs that surprise people are the ones it does not have: no $149 monthly membership, no price step when your dose goes up, no renewal rate hidden behind an introductory month, and no twelve-month lock to get the best price. The first month is $99 for semaglutide or $169 for tirzepatide, the quarterly plans cover 90 days, and overnight shipping with supplies is included. For most people that is the simplest way to know what the next year will cost.

Are these medications FDA-approved?

Zepbound and Wegovy, sold by Hims and Hers, Ro and LifeMD, are FDA-approved brand-name products. Biotech Lifestyle, Noom Med and Shed prescribe compounded tirzepatide or semaglutide, which are prepared by licensed pharmacies for individual patients and are not FDA-approved. All six programs require an evaluation by a licensed provider before anything is prescribed.

Tirzepatide and Semaglutide Online: 6 Providers Compared on Price, Fees and Dose Increases

By Joe Elliott. Published October 1, 2026. Last updated October 1, 2026. 10 min read.

This site is reader supported. When you visit a provider or supplier linked from this article we may earn a commission, which never changes what we write. How we work.

Tirzepatide and semaglutide are now sold by dozens of online programs, and the price on the home page is rarely what you pay by month four. The biggest names charge a monthly membership fee on top of the medication, and the medication itself gets more expensive as your dose goes up. Others quote an introductory month that doubles at renewal. We went through six of the most searched telehealth programs and wrote down what each one actually charges, what it includes, and what happens to the price as treatment continues.

Biotech Lifestyle is our pick for most people, and we explain exactly why below the tables. Three of the six programs here bill a $149 per month membership before you have paid a cent for medication. Biotech Lifestyle charges no membership fee, one price at every dose, and a first month of $99 for semaglutide or $169 for tirzepatide.

How we compared them

Every figure below was read on the provider's own website on October 1, 2026. We did not use coupon codes, affiliate rates or third-party summaries. Where a site does not publish a number, the cell says so rather than guessing. Prices change often, so treat this as a snapshot and confirm on the provider's site before you buy.

Price What the medication costs per month, the first-month rate if there is one, and the real total once any membership is added.
Membership fees Anything charged on top of the medication: membership, program, enrollment or consult fees.
Price increases Whether the price rises when your dose goes up or when an introductory month ends.
Features Brand-name or compounded, provider access, supplies, shipping speed, coaching, HSA and FSA.

Tirzepatide: six programs compared

Tirzepatide is the dual GIP and GLP-1 agonist, the active ingredient in Zepbound and Mounjaro. Hims & Hers, Ro and LifeMD sell the brand-name pens and vials and bill a membership on top. Biotech Lifestyle, Noom Med and Shed prescribe compounded tirzepatide with the medication included in the price.

Tirzepatide	Our pickBiotech LifestyleVisit Biotech Lifestyle	ComparedHims & HersVisit Hims & Hers	ComparedRoVisit Ro	ComparedLifeMDVisit LifeMD	ComparedNoom MedVisit Noom Med	ComparedShedVisit Shed
Price	$169 first month $456 per 90 days on the quarterly plan, which is $152 per month Price never changes	From $299 per month for brand-name Zepbound (medication only) Plus the membership below. Lowest-dose total: $448 per month	From $299 per month for brand-name Zepbound KwikPen (medication only) Plus the membership below. Lowest-dose total: $448 per month on the monthly plan	From $299 per month for brand-name Zepbound vial (medication only) Plus the program fee below. Lowest-dose total: $448 per month	$149 for the first 4 weeks then $299 per month, billed every 12 weeks ($897 per quarter)	$299 per month, month to month $269 per month on a 6-month plan $239 per month on a 12-month plan
Membership fees	$0. No membership, program or enrollment fee. The provider visit is included, a $49.99 value that is waived.	$149 per month membership $39 for the first month, then $149 every month, billed separately from the medication and required to stay on treatment.	$149 per month membership $39 for the first month, then $149 per month. Drops to $99, $89 or $74 per month only if you prepay 3, 6 or 12 months. Medication is billed on top.	$149 per month membership $39 for the first month, then $149 a month for the program. Medication cost is not included. Program fees are not refunded if your insurance will not cover the medication.	$0 separate fee. Clinical care, medication and the Noom app are bundled into one price (GLP-1Rx Plus program).	Bundled. The terms describe a membership fee that is non-refundable once you are approved; no separate amount is published.
Price increases	None. Same price at every vial strength, and no membership to renew. Adjust or cancel anytime.	Yes. Brand-name Zepbound is priced by dose, so the medication line rises as your dose goes up. The $149 membership renews on top every month.	Yes. Brand-name Zepbound is priced by dose. The membership renews every month, or every 3, 6 or 12 months if prepaid.	Yes. Brand-name Zepbound is priced by dose. The $149 program fee renews monthly.	Yes. The price doubles after the first month, from $149 to $299.	No. Flat across doses. Multi-month plans carry a minimum term with no refund inside it.
Features	Compounded tirzepatide with vitamin B12. Licensed provider evaluation, syringes and swabs, UPS Next Day Air shipping, ongoing provider messaging and dose adjustments. HSA and FSA accepted.	Brand-name Zepbound (FDA-approved), not compounded. Provider evaluation, ongoing care through the membership, app messaging. Zepbound also offered at $1,899 per month as a single-dose pen.	Brand-name Zepbound (FDA-approved), not compounded. Provider support, side-effect management and dose adjustments through the Ro Body membership. Insurance checker for brand coverage.	Brand-name Zepbound (FDA-approved), not compounded. Clinician consultations, coaching, lab work, insurance assistance. Medicare and other government coverage not eligible.	Compounded tirzepatide. Clinician evaluation, the Noom app with daily lessons and coaching, food and weight tracking. HSA and FSA eligible. Not available in all states.	Compounded tirzepatide. Unlimited provider visits, free standard shipping, tracking app, text-based coaching, nurse and nutritionist access. HSA and FSA eligible.

Scroll sideways to see all six columns. Brand-name Zepbound is priced by dose by the manufacturer, so the "from" price is the lowest dose only. The $448 totals add the $149 membership to the lowest-dose medication price. Biotech Lifestyle prices are the live prices on biotechlifestyle.com; the quarterly plan is paid once and covers 90 days.

Semaglutide: six programs compared

Semaglutide is the GLP-1 agonist behind Ozempic and Wegovy. The same split applies: the three membership programs sell brand-name Wegovy with the fee on top, while Biotech Lifestyle, Noom Med and Shed prescribe compounded semaglutide at an all-in price.

Semaglutide	Our pickBiotech LifestyleVisit Biotech Lifestyle	ComparedHims & HersVisit Hims & Hers	ComparedRoVisit Ro	ComparedLifeMDVisit LifeMD	ComparedNoom MedVisit Noom Med	ComparedShedVisit Shed
Price	$99 first month $297 per 90 days on the quarterly plan, which is $99 per month Price never changes	From $199 per month for brand-name Wegovy pen (medication only); Wegovy pill from $149 Plus the membership below. Lowest-dose total: $348 per month	From $199 per month for brand-name Wegovy pen (medication only); Wegovy pill $149 Plus the membership below. Lowest-dose total: $348 per month on the monthly plan	From $199 per month for brand-name Wegovy pen (medication only) Plus the program fee below. Lowest-dose total: $348 per month	$129 for the first 4 weeks then $249 per month, billed every 12 weeks ($747 per quarter)	$199 per month, month to month $179 per month on a 6-month plan $159 per month on a 12-month plan
Membership fees	$0. No membership, program or enrollment fee. The provider visit is included, a $49.99 value that is waived.	$149 per month membership $39 for the first month, then $149 every month, billed separately from the medication and required to stay on treatment.	$149 per month membership $39 for the first month, then $149 per month. Drops to $99, $89 or $74 per month only if you prepay 3, 6 or 12 months. Medication is billed on top.	$149 per month membership $39 for the first month, then $149 a month for the program. Medication cost is not included. Program fees are not refunded if your insurance will not cover the medication.	$0 separate fee. Clinical care, medication and the Noom app are bundled into one price (GLP-1Rx program).	Bundled. The terms describe a membership fee that is non-refundable once you are approved; no separate amount is published.
Price increases	None. Same price at every vial strength, and no membership to renew. Adjust or cancel anytime.	Yes. Brand-name Wegovy is priced by dose, so the medication line rises as your dose goes up. The $149 membership renews on top every month.	Yes. Brand-name Wegovy is priced by dose. The membership renews every month, or every 3, 6 or 12 months if prepaid.	Yes. Brand-name Wegovy is priced by dose. The $149 program fee renews monthly.	Yes. From $129 to $249 after the first month.	No. Flat across doses. Multi-month plans carry a minimum term with no refund inside it.
Features	Compounded semaglutide with vitamin B12. Licensed provider evaluation, syringes and swabs, UPS Next Day Air shipping, ongoing provider messaging and dose adjustments. HSA and FSA accepted.	Brand-name Wegovy (FDA-approved), not compounded. Provider evaluation, ongoing care through the membership, app messaging.	Brand-name Wegovy (FDA-approved), not compounded. Provider support, side-effect management and dose adjustments through the Ro Body membership. Insurance checker for brand coverage.	Brand-name Wegovy (FDA-approved), not compounded. Clinician consultations, coaching, lab work, insurance assistance. Medicare and other government coverage not eligible.	Compounded semaglutide. Clinician evaluation, the Noom app with daily lessons and coaching, food and weight tracking. HSA and FSA eligible. Not available in all states.	Compounded semaglutide. Unlimited provider visits, free standard shipping, tracking app, text-based coaching, nurse and nutritionist access. HSA and FSA eligible.

The $348 totals add the $149 membership to the lowest-dose Wegovy pen price. Noom Med bills in twelve-week blocks after the first month. Shed's lowest rate requires a twelve-month plan.

Why Biotech Lifestyle is our pick

Four things that decide your real cost, and where Biotech Lifestyle lands on each

No membership fee, ever Hims & Hers, Ro and LifeMD each bill $149 a month before the medication. At Biotech Lifestyle the price is the medication, the provider visit (a $49.99 value, waived) and shipping. Nothing is billed on top.
One price at every dose Whatever vial strength your provider prescribes, the price you see is the price you pay. Brand-name Zepbound and Wegovy cost more at every step up, and the membership keeps renewing alongside.
A low first month without a twelve-month lock $99 for semaglutide, $169 for tirzepatide. The quarterly plans ($297 and $456) cover 90 days, not a year, and you can adjust or cancel anytime.
Everything in the box, overnight Vitamin B12 in the formulation, syringes and swabs, UPS Next Day Air shipping and ongoing provider messaging are included. HSA and FSA are accepted.

See tirzepatide pricing See semaglutide pricing

Treatment is prescribed only after an evaluation by a licensed provider. Compounded medications are prepared by licensed pharmacies for individual patients and are not FDA-approved.

If you specifically want the FDA-approved brand-name pen and your insurance covers it, Hims & Hers, Ro and LifeMD can help you get there, and LifeMD will check your coverage for you. Paying cash, though, the membership changes the math: $149 a month is $1,788 a year before any medication. If you want behavior coaching built into the program and do not mind the price stepping up after the first month, Noom Med is the most complete app. Shed is the closest competitor on price and is also flat by dose, but its best rate needs a twelve-month plan. For everyone else, a flat price with no fees and no lock-in is the simplest way to know what the next year costs, and that is where Biotech Lifestyle stands apart.

Trustpilot and Google ratings

Review scores are a blunt tool, but they catch patterns that a pricing page will not: billing surprises, shipping delays, and how a company behaves when you cancel. These are the scores shown on each provider's Trustpilot profile and, where one exists, a public Google rating, as of October 1, 2026. Each score links to the source so you can read the recent reviews yourself.

ProviderTrustpilotGoogle
Biotech LifestyleOur pick5.0Trustpilot 5.0Google
Hims & Hers2.9Trustpilot No public rating foundGoogle
Ro3.9Trustpilot No public rating foundGoogle
LifeMD3.9Trustpilot No public rating foundGoogle
Noom Med4.5Trustpilot No public rating foundGoogle
Shed4.6Trustpilot No public rating foundGoogle

Scores change daily and are shown without review counts. Read recent reviews on the platform itself before you decide.

Whichever program you choose, five questions will save you money and frustration. Every one of them is answered in the tables above for the six programs we compared.

Is there a membership fee, and is it billed separately from the medication? A $149 membership plus a $299 pen is a $448 month, and the fee keeps billing even in months you skip a refill.
Is the headline price the month-one price or the ongoing price? If the site says "first month" or "to get started", find the renewal number before you enter a card.
Does the price change when your dose goes up? Most people on tirzepatide or semaglutide increase their dose at least twice in the first few months, and brand-name pens are priced by dose.
How long are you locked in? A twelve-month prepay is a different commitment from a month-to-month plan, and most prepaid plans are non-refundable once the first shipment goes out.
What is in the box and how fast does it arrive? Syringes, swabs and overnight or refrigerated shipping are included at some programs and not others.

Brand-name or compounded

Three programs in this comparison sell brand-name Zepbound and Wegovy, which are FDA-approved and priced by the manufacturer at each dose. The other three, including Biotech Lifestyle, prescribe compounded tirzepatide or semaglutide. Compounded medications are prepared by licensed pharmacies for individual patients and are not FDA-approved. Every program here requires an evaluation by a licensed provider before anything is prescribed, and none of them can promise a result. The right choice depends on your coverage, your budget and your provider's judgment; the tables above are meant to make the cost side of that decision clear.

This article is for information only and is not medical advice. Compounded medications are prepared by licensed pharmacies for individual patients and are not FDA-approved. Prescriptions are issued only after evaluation by a licensed provider. Individual results vary.