GLP-1 cost per month: what 37 online clinics actually charge

The number on a GLP-1 clinic's pricing page is usually not what you will pay per month. That sounds like a complaint about marketing. It isn't. It's an arithmetic problem, and in the worst case we found it makes a clinic look 3.5 times cheaper than it is.

We read the published price of the 37 clinics we ranked on 30 September on their own live pages (all 37 confirmed by that date) and recorded what the number actually referred to. Here is the pattern.

13 of the 37 headline rates come with a locked commitment

The commitment isn't always visible in the number. One form it takes is an annual prepayment divided by twelve, displayed with "/mo" after it.

MEDGm publishes "$169/mo" for compounded semaglutide. That figure is $2,028 charged up front. Its own cancellation policy says the fee is "charged upfront for the contracted term you selected and is non-refundable." If you want to pay monthly and keep the ability to stop, the rate is $299. For comparison, TMates' one-month semaglutide rate is $249 and Trimi's no-commitment rate is $175.

That isn't a trick unique to MEDGm. Thirteen of the thirty-seven attach a locked commitment to their headline rate. Not always a prepayment, but always a term. What separates them is whether they tell you.

Trimi tells you. Its page says, in its own words, that "prices shown are monthly equivalents of annual billing," and it prints the no-commitment rate — $175/mo. In the same card as the $99/mo annual figure. That is the clearest pricing disclosure we found anywhere in this category, and it is why Trimi has the highest transparency score on this site despite not having the lowest price.

Two clinics don't quote in months

This is the part that will cost you real money if you compare headline figures.

Luvo Health quotes per four weeks. Compounded semaglutide is $209 per 4-week delivery, billed every 28 days. Thirteen deliveries fit in a year, not twelve, so that is about $227 a month. And the first delivery is half price, $104.50, so the first charge you see is not the ongoing one either. Until September, Luvo quoted per week instead, with a 52-week plan paid up front; the unit changed, the need to convert didn't.

Maximus quotes compounded medication per 28-day supply and brand-name medication per month, on the same page, with nothing marking the difference. There are 13.04 twenty-eight-day cycles in a year, not 12. So $116 per 28 days is roughly $1,513 a year, where $116 a month would be $1,392. About $121 a year that doesn't appear anywhere in the figure you're shown.

One clinic's headline price doesn't include the medication

Sesame's page leads with "$59/mo for care" and then, to its credit, says plainly: "+ medication from $149/mo (paid separately)." So $59 is nobody's monthly cost. The real floor is $208. Sesame discloses this clearly. But the big number on the page is still the one that excludes the thing you came for.

8 of the 37 rise after the first month

Eight clinics publish an introductory rate. Welludr (formerly Wellmedr), Pallas Health, Enhance.MD, Embody, SnagRx, SkinnyRx, Luvo Health and Sprout Health all show a first-period figure that is not the ongoing one. Three more. Oak, Care Bare Rx and Strut Health — don't say whether their rate holds at all, which is its own answer.

Fridays is worth a note: its $99/mo needs a discount code and a 12-month supply, and the page lists $279/mo for an annual plan directly underneath it. The page says its prices are "locked in forever", but not whether that covers the code price, so we recorded both figures rather than pick one.

A figure we deliberately did not use

TMates lists brand-name Zepbound and Wegovy at $99/mo. TMates' own FAQ on the same page says the cost depends on your insurance plan. The cards carrying $99 don't say whether it's a cash price or an insured one.

We did not use $99 as TMates' starting price, and we did not decide what it means either. It's recorded as published-but-unqualified. If we had taken it at face value, TMates would appear on this site as the cheapest source of brand-name GLP-1s in the country. A claim its own page doesn't support.

What to actually ask

The published range across these 37 clinics is $49 to $299 a month, with a median of $149. Those numbers are close to meaningless on their own, because they're not all measuring the same thing. Four questions make them comparable:

1. Is this a monthly price, or a year divided by twelve? If the latter, what is the month-to-month rate, and is the prepayment refundable?
2. What unit is this? A month, four weeks, or a 28-day supply? Thirteen cycles a year is not twelve.
3. Does it include the medication? If the headline is a membership, ask what the medication costs on top.
4. Is this the first month or every month? And if the clinic won't say whether the rate holds, treat that as a no.

Every figure on this site is read on the clinic's own live pages, with the date it was read shown next to it. Where a clinic quotes in four-week deliveries, as Luvo does, the figure is converted to a month and the conversion is written into the evidence. Maximus is the exception: its $116 is recorded as published, per 28-day supply, and not converted to a month.

9 of the 17 clinics named here pay us a commission when a reader signs up through our link; scores are evidence-based; active partners are listed first at equal displayed scores. The editorial policy explains what that means in practice, and how we verify prices describes the procedure, including the specific ways a price gets misread.