Comparisons

Side by side

What each programme dispenses, and how the two regulatory categories differ.

  • 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