Pharmacy review

PlexusDx semaglutide review

Pharmacy transparency and genetic testing. What is actually dispensed, how the prescription works, and what the price really is — $189 a month.

Updated 2026-09-18

Disclosure: one company on this page — Coreage Rx — pays us a commission when a reader signs up through our link. It does not buy a better score, a higher ranking, or the removal of any criticism. The scoring rubric and the full disclosure are both published.


Compounded semaglutide at $189 a month, no membership, same price at every dose, from six publicly named 503A pharmacies.

More than the $99 leaders and less than every membership-charging programme here. The premium buys verifiability rather than convenience.

The prescription, at a glance

Prescription summaryPlexusDx
Dispensed by
PlexusDx
Medication
Compounded semaglutide
Advertised from
$129 / month
Membership fee
None
Total per month
$189
Total per year
$2,268
FDA approved
No — compounded preparation
Price verified
2026-09-18

What is actually supplied

Compounded semaglutide from a state-licensed pharmacy, with CLIA-certified labs behind the company’s testing line and SOC 2 and HIPAA claims on the platform. Not FDA-approved, as with every compounded preparation on this site.

How the prescription works

Independent clinician review, ongoing provider check-ins, 50-state licensure. Genetic and blood testing are sold alongside, which some readers will want and others will find is noise around a prescription.

Prescription GLP-1 and peptide programmes with no membership fee, built around genetic testing, using independent clinicians and a publicly listed set of 503A pharmacies.

Reading the price

About $2,268 a year with no fee behind the medication price.

No membership fee, and the price does not change as the dose is adjusted.

What we verified

  • GLP-1 weight-loss programmes start at $129/month.
  • Compounded semaglutide injection listed at $189/month with no membership fee and the same price at every dose.
  • A $189/month microdose tier is offered for compounded semaglutide or tirzepatide.
  • No membership or platform fee is charged alongside the medication.
  • Publicly names six 503A pharmacy partners: Belmar, Strive, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills.
  • Clinical oversight via LionMD, with named physicians and NPI numbers published.
  • Licensed providers in all 50 states; CLIA-certified labs for its testing line.

Checked 2026-09-18. Pricing here changes frequently; treat anything older than a month as a starting point rather than a quote.

Strengths

  • The most detailed pharmacy disclosure in this comparison — six named 503A partners.
  • Names its prescribing physicians along with their NPI numbers.
  • No membership fee, and flat pricing across the dose range.
  • Genetic and blood testing available alongside the prescription.

Drawbacks

  • The genetics-led positioning adds cost and complexity some people will not want.
  • The $129 figure is a programme floor rather than the injection price.
  • Weight care sits alongside a broad longevity and supplement line rather than being the sole focus.

Important. The advertised "from $129" is the programme floor. Budget $189/month for the compounded injection tier.

How it scored

PlexusDx scores 4.4 out of 5, placing it 3 of 17 for semaglutide. Weights are fixed before assessment and published on how we rate.

CriterionWeightScore
True monthly cost30%4.6 / 5
Price honesty20%4.5 / 5
Clinical support20%3.8 / 5
Pharmacy sourcing15%4.9 / 5
Cancelling15%4 / 5

Our verdict

The most checkable programme in this comparison. That is worth paying for if the compounding question is the thing that has been stopping you.

Every programme dispensing this medication

Dispensed byProductPer monthScore
Coreage Rx
Best overall on true monthly cost
Compounded$1494.5
Trimi
Lowest flat price with named pharmacies
Compounded$994.6
PlexusDx
Pharmacy transparency and genetic testing
Compounded$1894.4
Ozari Health
Lowest advertised semaglutide price
Compounded$864.4
Ivím Health
Unlimited clinician access
Compounded$1994
Mochi Health
Insurance concierge support
Compounded$178
+$79 fee
3.6
Coby Health
Multi-month value with supplies included
Compounded$2293.6
Hims & Hers
Widest range of formats
Compounded$188
+$39 fee
3.5
Ro
Branded medication with insurance help
FDA-approved brand$448
+$149 fee
3.5
Zealthy
Low-cost entry with insurance routing
Compounded$1513.5
LifeMD
Insurance coordination
Compounded$1493.5
Noom Med
Behaviour change alongside medication
Compounded$1493.5

More on the differences in semaglutide explained.

Read next

  • Coreage Rx semaglutide review

    Best overall on true monthly cost. What is actually dispensed, how the prescription works, and what the price really is — $149 a month.

  • Trimi semaglutide review

    Lowest flat price with named pharmacies. What is actually dispensed, how the prescription works, and what the price really is — $99 a month.

  • Ozari Health semaglutide review

    Lowest advertised semaglutide price. What is actually dispensed, how the prescription works, and what the price really is — $86 a month.

  • 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.

  • 503A vs 503B pharmacies

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

  • Semaglutide programmes compared

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