Health guides · GLP-1 weight loss
Who prescribes semaglutide and tirzepatide online, and what it actually costs
The GLP-1 telehealth market changed when the FDA ended the semaglutide shortage listing and compounded supply tightened. These are the providers prescribing branded or legitimately compounded product, ranked on price transparency, labs, and prescriber model.

Ranked first on the six-criterion rubric, at 9.0/10.
From $39 first month membership Best with labs included
The initial lab panel is inside the published price.
From $129 first 4-week supply Easiest to cancel
Cancel online yourself, no phone call.
From $79/mo membershipQuick comparison
| # | Provider | Score | From | Labs | Prescriber | States | Cancel |
|---|---|---|---|---|---|---|---|
| 1 | 9.0 | $39 first month membership | Included | MD/DO + NP/PA | 50 + DC | Self-serve online | |
| 2 | 8.9 | $129 first 4-week supply | Included | MD/DO + NP/PA | 47 | Self-serve online | |
| 3 | 7.5 | $79/mo membership | Extra | MD/DO + NP/PA | 50 | Self-serve online | |
| 4 | 5.6 | $199/mo | Extra | NP/PA | 50 + DC | Minimum term or retention process | |
| 5 | 9.2* | $499/yr membership | Included | — | 49 | Self-serve online | |
| 6 | 6.9* | $99/mo with insurance or $169/mo cash | Extra | — | — | Self-serve online |
* Provisional: one or two criteria could not be verified from the provider’s published pages and are left out of the average. Provisional scores rank below fully verified ones.
The ranking
Adults who want brand-name, FDA-approved GLP-1s with transparent cash pricing or help using commercial insurance, and who are comfortable with an online, message-based model.
+Lists only FDA-approved branded GLP-1s (Wegovy, Zepbound, Ozempic, Foundayo), with no compounded versions
−Membership ($149/mo monthly) is billed on top of medication
On record: Telephone Consumer Protection Act suit (Wilson v. Roman Health Ventures, S.D.N.Y.) filed; dismissed Oct 2025 after a reported settlement in principle.
Adults who want a flat-priced compounded GLP-1 plan with behavioural coaching and are outside AL, LA and MS.
+Compounded GLP-1 plans bundle medication in a flat published price
−Noom's own pages list conflicting recurring prices ($249 vs $279/mo) for the same GLP-1Rx plan
On record: Noom agreed to pay $56M plus $6M in subscription credits to settle a New York federal class action alleging auto-renewal and cancellation practices on its subscriptions (pre-dates Noom Med).
Insured adults who want video-based obesity care with a choice of brand or compounded GLP-1s and are comfortable paying membership and medication separately.
+Bills insurance for visits and offers prior-authorization help for brand medications
−Medications and diagnostic services are not included in the membership fee
People with commercial insurance that covers GLP-1s who want structured video coaching and clinician oversight and can commit to at least three months.
+Available in all 50 states + DC
−3-month minimum commitment ($597), non-refundable after 72 hours
People who mainly want frequent longevity lab testing and wearable data tracking, accept an upfront non-refundable annual fee, and treat prescriptions as an optional add-on.
+Four lab panels a year (101-marker baseline plus three follow-ups) are included in the membership price
−The annual membership is non-refundable after a 7-day window, and only if no service has started (3% fee applies)
People with commercial insurance, or willing to prepay a year, who want a medically supervised programme that can use compounded, branded or non-GLP-1 medications.
+Works with commercial insurers (e.g., UnitedHealthcare, Aetna, Cigna, Anthem, BCBS) for visits and medication
−Lowest advertised prices require a 12-month plan paid up front; monthly plans cost $199-$289/mo
Also reviewed, not yet scored
We could not verify enough of these providers’ published terms to score them. They are not ranked.
- Henry Meds: Cash-pay patients who want the lowest flat all-in monthly price for compounded GLP-1s and accept that compounded drugs aren't FDA-approved.
- WeightWatchers Clinic: People who want WW's established lifestyle programme bundled with clinician-prescribed, FDA-approved GLP-1s (ideally via insurance) and can commit to six or twelve months.
Not ranked, and why
- Ivím Health
- Not yet reviewed in enough depth to rank. Listed in the directory.
Head-to-head comparisons
Tools for this decision
How we ranked these
Same rubric as every clinic list. Providers sourcing from unregulated suppliers are excluded, not ranked. Facts come from each provider’s own pricing, FAQ and terms pages, with regulator and court records where they exist. Scores are produced by a fixed table, so the same facts always give the same score. See the rubric.
Best GLP-1 telehealth providers: FAQ
What is the best glp-1 telehealth providers provider?
Ro ranks first, scoring 9.0/10 on our six-criterion rubric. Adults who want brand-name, FDA-approved GLP-1s with transparent cash pricing or help using commercial insurance, and who are comfortable with an online, message-based model.
How were these providers ranked?
Every provider is scored on the same six weighted criteria: licensed states (20%), labs included (20%), prescriber credentials (15%), cost transparency (15%), cancellation friction (15%) and formulary breadth (15%). Facts come from each provider’s published pages, checked October 18, 2026. Scores marked * are provisional because one or two criteria could not be verified.
Which of these include lab work in the price?
Ro, Noom Med, OneTwenty include the initial lab work in their published pricing. The others bill labs separately or did not publish it.
Do any of these providers have regulatory or legal issues?
Ro, Noom Med have a public regulatory or legal record, such as an FDA warning letter or lawsuit. Details and sources are on each review page.
Do providers pay to be on this list?
No. Placement is set by the rubric score. Where a provider pays us a referral fee, its link is labelled “Paid link”, and that does not change its score.