Know who prescribes your medication, who prepares it and what you pay.

New reviews: the names behind the prescription

• BetterMe Rx Review: Pharmacy Names, Missing Prices and Refund Conflicts

  The pharmacy list is public. The full recurring price and the point when an order becomes nonrefundable need clearer answers.

  Updated 2026-10-15

• altRx Review: $89 and $149 Offers, Care Providers and Payment Rules

  The advertised monthly figures sit beside a payment-final policy, a 72-hour renewal cutoff and a June 2026 FDA warning letter.

  Updated 2026-10-15

The two medications

Nearly every programme here dispenses one of these. They are not interchangeable, and one outperformed the other in a head-to-head trial.

Who dispenses tirzepatide

The “product” column is the one to read first. One programme here dispenses the FDA-approved branded medication; everyone else supplies a compounded preparation.

Full tirzepatide comparison →

Who dispenses semaglutide

Full semaglutide comparison →

Explainers

• What "compounded" actually means

  Not a knock-off, not an approved drug. A specific legal category with specific consequences — explained without the scare tactics or the sales pitch.

  Updated 2026-09-18

• 503A vs 503B pharmacies

  Two different licences, two different rulebooks, two very different answers to "who checked this?"

  Updated 2026-09-18

• Reading your label

  What each line on the vial and the paperwork means, and the four things to check the moment the box arrives.

  Updated 2026-10-15

• Who should not take these

  The contraindications and interactions an online questionnaire may not catch. Worth reading before you fill one in.

  Updated 2026-09-18

• How to spot a bad seller

  The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.

  Updated 2026-09-18

• The twelve-month cost

  Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.

  Updated 2026-09-18

• Medicare, GLP-1s and the $50 month

  CMS is running a time-limited programme giving eligible Part D members certain GLP-1s for $50 a month. If you are on Medicare, read this before paying cash for anything.

  Updated 2026-09-18

• The approved pills changed the maths

  Two oral GLP-1s were approved either side of the new year, both starting at $149 a month. That undercuts a large part of the compounded market.

  Updated 2026-09-18

• What happens when you stop

  Most people regain a substantial share of the weight. Here is what the research actually found, and what that means for how you plan and budget.

  Updated 2026-09-18

• GLP-1s after 50

  These drugs work at any age. The risks are not identical at every age, and the muscle and bone question deserves more attention than it usually gets.

  Updated 2026-09-18

• Titration, properly explained

  When to step up, when to hold, when to go back down, and why restarting after a gap is the one genuinely dangerous mistake.

  Updated 2026-09-18

• How to read your prescription

  What the abbreviations mean, and the mg-versus-mL distinction that is the one genuine hazard in this category.

  Updated 2026-09-18

Comparisons

• Tirzepatide programmes compared

  23 programmes side by side — what each dispenses, under what authority, and what it really costs.

  Updated 2026-09-18

• Semaglutide programmes compared

  19 programmes side by side — what each dispenses, under what authority, and what it really costs.

  Updated 2026-09-18

• Brand-name or compounded?

  The difference is not quality claims either way — it is what has been reviewed, by whom, and what recourse you have.

  Updated 2026-09-18

• Best compounded tirzepatide

  Scored on true cost, price honesty, clinical support, pharmacy sourcing and how easy it is to leave.

  Updated 2026-09-18

• Best compounded semaglutide

  The compounded semaglutide programmes ranked on our published rubric, not on their advertised headline.

  Updated 2026-09-18

• Who names their pharmacy

  The hardest fact to get out of this market, and the one the FDA’s enforcement actually turns on. Here is who publishes it.

  Updated 2026-09-18

• The most transparent providers

  Ranked on whether the advertised price is the billed price, and whether the company tells you where the medication comes from.

  Updated 2026-09-18

• If you will not inject

  Two FDA-approved pills launched in 2026, plus the compounded providers offering tablets and sublingual drops.

  Updated 2026-09-18

• Providers that work your insurance

  Prior authorisations, appeals and coverage checks. For anyone whose plan might say yes, this is worth more than any discount.

  Updated 2026-09-18

• FDA-approved, not compounded

  Providers dispensing the manufacturers’ own products — Zepbound, Wegovy and the new approved pills — rather than compounded preparations.

  Updated 2026-09-18

• Ozempic alternatives

  Ozempic is approved for type 2 diabetes, not weight loss. If weight is your goal, these are the options actually intended for it.

  Updated 2026-09-18

• Tirzepatide 10 mg: what it costs

  Step 4 of the tirzepatide ladder, around weeks 13-16. 6 providers charge the same here as at the starting dose — the rest may not.

  Updated 2026-09-18

• Tirzepatide 15 mg: what it costs

  Step 6 of the tirzepatide ladder, around weeks 21+. 6 providers charge the same here as at the starting dose — the rest may not.

  Updated 2026-09-18

• Semaglutide 1 mg: what it costs

  Step 3 of the semaglutide ladder, around weeks 9-12. 6 providers charge the same here as at the starting dose — the rest may not.

  Updated 2026-09-18

• Semaglutide 2.4 mg: what it costs

  Step 5 of the semaglutide ladder, around weeks 17+. 6 providers charge the same here as at the starting dose — the rest may not.

  Updated 2026-09-18

• GLP-1 coverage by state

  Only 13 state Medicaid programmes cover GLP-1s for obesity. Four dropped coverage in the last year. Here is the national picture and where it changed.

  Updated 2026-09-18

• GLP-1 coverage in California

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

  Updated 2026-09-18

• GLP-1 coverage in Pennsylvania

  Medicaid no longer covers GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

  Updated 2026-09-18

• GLP-1 coverage in Texas

  Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

  Updated 2026-09-18

• GLP-1 coverage in Connecticut

  Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

  Updated 2026-09-18

• GLP-1 coverage in New Mexico

  Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

  Updated 2026-09-18

• GLP-1 coverage in North Dakota

  Medicaid covers weight-loss drugs but no GLP-1s. What that means, the indications that are still mandatory, and what it costs if you pay cash.

  Updated 2026-09-18

• GLP-1 coverage in Wisconsin

  Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

  Updated 2026-09-18

• GLP-1 coverage in Delaware

  Medicaid does cover GLP-1s for obesity here. What that means, the indications that are still mandatory, and what it costs if you pay cash.

  Updated 2026-09-18

• The pharmacies behind the prescriptions

  The pharmacy is the part that is actually regulated — and most providers will not name theirs. Here are the ones that have been named publicly.

  Updated 2026-09-18

• Belmar Pharmacy

  503A compounding pharmacy in Wichita, Kansas, shipping to all 50 states. Named publicly by PlexusDx. What is checkable, and how to check it.

  Updated 2026-09-18

• Strive Pharmacy

  PCAB-accredited compounding pharmacy, licensed across multiple states. Named publicly by PlexusDx. What is checkable, and how to check it.

  Updated 2026-09-18

• Epiq Scripts

  Digital mail-order compounding pharmacy licensed in 45 states plus Puerto Rico and DC. Named publicly by PlexusDx. What is checkable, and how to check it.

  Updated 2026-09-18

• VialsRx

  State-licensed 503A pharmacy with a published Texas Board of Pharmacy licence number. Named publicly by Trimi. What is checkable, and how to check it.

  Updated 2026-09-18

• Empower Pharmacy

  Large Houston compounder running both a 503A pharmacy and a 503B outsourcing facility. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• Hallandale Pharmacy

  503A compounding pharmacy in Florida with extensive telehealth partnerships. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• Olympia Pharmacy

  503B outsourcing facility in Orlando, Florida. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• ReviveRX

  Houston 503A compounding pharmacy built around prescriber partnerships, shipping to 45 states. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• BPI Labs

  503B outsourcing facility in Largo, Florida. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• Tailor Made Compounding

  503A compounding pharmacy in Nicholasville, Kentucky. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• Pavilion Compounding Pharmacy

  503A compounding pharmacy in Atlanta, Georgia. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• APS Pharmacy

  503A sterile compounding pharmacy in Palm Harbor, Florida, operating as Drug Depot, Inc. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• Wells Pharmacy Network

  Multi-site network running a 503A pharmacy in Florida and a 503B outsourcing facility in Tennessee. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

• Asteria Health

  503B outsourcing facility in Birmingham, Alabama, operating as FH Investments Inc. Named publicly by . What is checkable, and how to check it.

  Updated 2026-09-18

Prices verified 2026-09-18