Compounded semaglutide typically costs between about $100 and $400 a month cash, depending on the provider, the form, and the dose. At Gentle Health the price is published in full: oral compounded semaglutide starts at $112 a month and injectable compounded semaglutide starts at $135 a month, medication included, with no insurance billing and no membership fee. That is the answer. The rest of this page explains what sits behind numbers like these anywhere you shop, so a low headline price cannot surprise you later. For the wider picture, browse our plain-language GLP-1 question library and current states-we-serve guide.
The full price table, up front
Pricing at Gentle Health depends on the dose tier your doctor prescribes, and every tier is published. The two forms are separated below so each dose and monthly price has its own row.
Oral compounded semaglutide
| Tier | Daily dose | Monthly price |
|---|---|---|
| Starting | 2–4 mg/day | $112/mo |
| Medium | >4–8 mg/day | $189/mo |
| High dose | >8–12 mg/day | $258/mo |
Injectable compounded semaglutide
| Tier | Weekly dose | Monthly price |
|---|---|---|
| Starting | 0.24–0.48 mg/wk | $135/mo |
| Medium | >0.48–1.2 mg/wk | $159/mo |
| High dose | >1.2–2.4 mg/wk | $199/mo |
The monthly price includes the medication itself, the initial review, video visits and messaging with your doctor, and overnight refrigerated shipping - and it is full and final. No added taxes, no visit fees, no delivery charges, no membership or setup fees, nothing bolted on at checkout: the price you see is the price you pay, because transparent pricing is the point of the model. It changes only if your prescribed dose moves into a different tier. HSA and FSA cards are accepted.
Why compounded costs so much less than the pharmacy counter
As of September 3, 2026, Wegovy has a list price of $1,349.02 per package. NovoCare’s self-pay rates are lower and dose-dependent: Wegovy tablets run $199-$299 per month, while standard-dose pens are $349 per month after a limited $199 introductory offer for eligible new patients. NovoCare publishes the current prices and terms. Compounded semaglutide is prepared by a licensed pharmacy for an individual prescription rather than mass-manufactured, so you are not paying for the brand.
The honest caveat that belongs next to the lower price: compounded medications are not FDA-approved and are not reviewed by the FDA before dispensing. That is the trade you should understand, and it is why the pharmacy behind the medication and the physician behind the prescription matter more, not less, at the lower price.
What quietly changes the “real” price elsewhere
When you compare providers, five things move the actual monthly cost away from the advertised one:
- Membership fees billed separately from medication. A “$99/mo” headline plus a “$79/mo membership” is $178.
- Annual-prepay teaser rates. Some widely advertised prices are the per-month rate of a full-year commitment; the month-to-month rate is far higher.
- Dose-based pricing that is not published. Most people do not stay on a starting dose. If a provider will not show you the full tier table before you sign up, assume the later tiers are the point.
- Consultation, onboarding, or lab fees.
- Shipping, especially cold-chain shipping, billed separately.
The comparison question that cuts through all five: “What is the all-in monthly price at the highest dose I might reach, in writing?”
How insurance changes the picture
Usually not for compounded medication - insurance plans generally do not cover compounded GLP-1s, and weight-management coverage for brand GLP-1s remains patchy. That question has its own full answer: see Does insurance cover compounded semaglutide?. One 2026 development worth knowing: Medicare’s GLP-1 Bridge Program, launched July 1, 2026, offers certain brand medications at a $50 copay to eligible Part D beneficiaries through December 31, 2027. It does not cover compounded medication, but if you are on Medicare and meet its criteria, it belongs in your comparison.
A fair price should still include real care
The lowest-priced corners of this category sometimes remove the medicine’s most important ingredient: a physician who evaluates you and stays reachable. At Gentle Health, every prescription is written by James Simmons, MD, licensed in the state where you live, and the intake and your doctor’s first review or visit cost nothing - you pay only if you choose to start medication after your evaluation. If treatment is not appropriate for you, the honest answer is that it is not appropriate.
Frequently asked questions
How much does compounded tirzepatide cost per month? Compounded tirzepatide at Gentle Health starts at $169 a month with every dose tier published; the full breakdown, including how brand and direct-program prices compare, is at How much does tirzepatide cost per month?
Why do GLP-1 prices vary so much between providers? Five pricing mechanisms explain nearly the whole spread, from annual-prepay teasers to unpublished dose tiers - decoded at Why do GLP-1 prices range from $99 to $600 a month?
Can you get a GLP-1 prescribed online? In most states, yes, after a real medical evaluation by a physician licensed where you live - how that works is at Can you get a GLP-1 prescribed online?
Dr. James Simmons, MD