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 | Ro | 9.0 | $39 first month membership | Included | MD/DO + NP/PA | 50 + DC | Self-serve online |
| 2 | Noom Med | 8.9 | $129 first 4-week supply | Included | MD/DO + NP/PA | 47 | Self-serve online |
| 3 | Mochi Health | 7.5 | $79/mo membership | Extra | MD/DO + NP/PA | 50 | Self-serve online |
| 4 |  Calibrate | 5.6 | $199/mo | Extra | NP/PA | 50 + DC | Minimum term or retention process |
| 5 |  OneTwenty | 9.2* | $499/yr membership | Included | — | 49 | Self-serve online |
| 6 |  Found | 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
Ro
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.
- Starting price
- $39 first month membership
- Consult model
- Asynchronous (questionnaire + messaging)
- Prescriber
- MD/DO + NP/PA
- Labs
- Included
- Insurance
- Accepted
- Availability
- 50 states + DC
- Cancellation
- Self-serve online
- Founded
- 2017 · New York, NY
Pricing
Ro Body membership costs $39 for the first month, then $149/mo on a monthly plan, or $99, $89 or $74/mo prepaid for 3, 6 or 12 months. Medication isn't included. Cash prices listed on 2026-10-17: Wegovy pill $149-$299, Wegovy pen $199 (first two months, limited-time) then $349-$399, Zepbound KwikPen $299-$449 and Foundayo $149-$299. Insurance is also an option for Wegovy, Zepbound and Ozempic pens. The membership includes lab testing 'if necessary' (a Quest metabolic panel).
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Lists only FDA-approved branded GLP-1s (Wegovy, Zepbound, Ozempic, Foundayo), with no compounded versions
- Cash price for every medication dose is published on its pricing page
- Insurance concierge checks coverage and handles prior authorization for GLP-1 pens
- Metabolic lab test at Quest included in the membership fee
Watch out for
- Membership ($149/mo monthly) is billed on top of medication
- Membership fees are non-refundable once paid, including prepaid multi-month plans
- Can't coordinate GLP-1 coverage for government insurance plans
- 747 BBB complaints in the last 3 years
Cancelling
Per the Terms of Use, revised 2026-04-02: cancel in your account under Ro Body Program > Program Details > 'Cancel Subscription', or by email. You must cancel at least 48 hours before the next renewal date. Access continues through the paid cycle. Once paid, membership fees are non-refundable. The $39 first month is refunded if you're found ineligible for GLP-1s.
Where it is available
All 50 states + DC (based on a Ro-affiliated job listing and ConsumerAffairs, not a ro.co service-area page; drug options may vary by state)
- 2025-04 Telephone Consumer Protection Act suit (Wilson v. Roman Health Ventures, S.D.N.Y.) filed; dismissed Oct 2025 after a reported settlement in principle. Source ↗
Noom Med
Adults who want a flat-priced compounded GLP-1 plan with behavioural coaching and are outside AL, LA and MS.
- Starting price
- $129 first 4-week supply
- Consult model
- Video and asynchronous messaging
- Prescriber
- MD/DO + NP/PA
- Labs
- Included
- Insurance
- Cash pay
- Availability
- 47 states
- Cancellation
- Self-serve online
- Founded
- 2008 · New York, NY
Pricing
GLP-1Rx (compounded semaglutide) per Noom pricing page as indexed Oct 2026: $129 first 4 weeks, then $249/mo on a 12-week recurring plan; other Noom pages still show $279/mo ($837 per 12 weeks). GLP-1Rx Plus (compounded tirzepatide) $149 then $299/mo; separate Telehealth for Branded Meds plan from $39 to start, then $99-$129/mo with medication billed separately.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Compounded GLP-1 plans bundle medication in a flat published price
- Initial labs at Quest or Labcorp included at no extra cost for medication-included programs (except NY, NJ, RI)
- Self-serve cancellation in app or web portal
Watch out for
- Noom's own pages list conflicting recurring prices ($249 vs $279/mo) for the same GLP-1Rx plan
- Compounded GLP-1 programs not available in Alabama, Louisiana or Mississippi
- Branded-medication plan fee excludes the drug itself and is not covered by insurance or Medicare
- Parent company settled a 2022 class action over auto-renewal and cancellation practices
Cancelling
Cancel in the app (Settings > Manage Subscription), via the web Subscription Portal, or through the app store if bought there; for GLP-1Rx the plan stays active to the end of the current cycle, and support@noom.com must be emailed to stop pending medication refills. General FAQ: initial charges refundable if requested within 14 days; renewal charges not refundable. Separate Noom Med refund policy not retrieved.
Where it is available
Compounded GLP-1Rx program: all US states except Alabama, Louisiana and Mississippi (per Noom GLP-1Rx page as indexed). DC not mentioned. Other Noom pages say only 'not available in all 50 states'.
- 2022-02 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). Source ↗
Mochi Health
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.
- Starting price
- $79/mo membership
- Consult model
- Live video consult
- Prescriber
- MD/DO + NP/PA
- Labs
- Billed separately
- Insurance
- Accepted
- Availability
- 50 states
- Cancellation
- Self-serve online
- Founded
- 2022 · San Francisco, CA
Pricing
Membership (seen 2026-10-17): $79 for 1 month, $207 for 3 months, $354 for 6 months, $588 for 12 months; separate 'Covered With Mochi' insurance plan $119 for 6 months or $199 for 12 months. Membership covers provider visits; medication and diagnostic services are billed separately, from $60 (compounded semaglutide) and $90 (compounded tirzepatide), with brand prices 'as low as' $149-$499 varying by state.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Bills insurance for visits and offers prior-authorization help for brand medications
- Video visits with physicians (MD/DO) and nurse practitioners
- Self-serve online cancellation, with phone as an alternative
- Low published starting prices for compounded medications (from $60)
Watch out for
- Medications and diagnostic services are not included in the membership fee
- Medication prices shown as 'as low as' and vary by state
- No refunds for partially used membership periods
- 1,422 BBB complaints in the last 3 years
Cancelling
Terms: cancel by selecting 'cancel subscription' in the account or by calling (619) 648-1247; email is not a valid cancellation method. Cancellation takes effect at the end of the current term. No refunds for partially used periods (discretionary refunds possible, but none for a month in which provider services were received); medication fees non-refundable once sent to the pharmacy.
Where it is available
About page: providers operate in all 50 states; FAQ: services accessible from anywhere in the US. DC not mentioned. Medication availability and pricing vary by state.
People with commercial insurance that covers GLP-1s who want structured video coaching and clinician oversight and can commit to at least three months.
- Starting price
- $199/mo
- Consult model
- Live video consult
- Prescriber
- NP/PA
- Labs
- Billed separately
- Insurance
- Accepted
- Availability
- 50 states + DC
- Cancellation
- Minimum term or retention process
- Founded
- New York, NY
Pricing
The Metabolic Reset costs $199/mo with a required 3-month commitment ($597 total), then renews monthly. It includes a 20-minute video clinician visit with lab review, 1:1 video coaching, a curriculum and a smart scale. 'Lab tests and prescription medications are not included in the membership cost'. Calibrate says most commercially insured members pay $25/mo or less for GLP-1s after the deductible. The programme fee isn't covered by insurance but is HSA/FSA-eligible.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Available in all 50 states + DC
- Insurance navigation team helps members get GLP-1s covered (about $25/mo or less for most commercially insured members, per Calibrate)
- Includes live 1:1 video coaching and a video clinician visit
- Results Money Back Promise: 50% refund if under 10% weight loss after 12 months (criteria apply)
Watch out for
- 3-month minimum commitment ($597), non-refundable after 72 hours
- Labs and medication are not included in the $199/mo fee
- Cancellation is by email with 7 days' notice before billing
- The programme fee itself isn't covered by insurance
Cancelling
There's a 3-month minimum commitment (waived if you're clinically ineligible). You can get a full refund if you cancel within 72 hours of purchase, by emailing membership@joincalibrate.com; otherwise fees are non-refundable. After the initial term you can cancel the monthly membership at any time, with 7 calendar days' notice before the next billing date. Under the Results Money Back Promise, members who lose less than 10% of body weight after 12 consecutive months and meet the criteria can request 50% of fees paid.
Where it is available
All 50 states + DC (per Calibrate FAQ)
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.
- Starting price
- $499/yr membership
- Consult model
- Unconfirmed
- Prescriber
- Unconfirmed
- Labs
- Included
- Insurance
- Cash pay
- Availability
- 49 states
- Cancellation
- Self-serve online
- Founded
- Unconfirmed
Pricing
The annual membership includes a 101-marker baseline panel plus three targeted 20-40 marker follow-up panels, device integration, AI health score, a health coach and custom supplements. Prescription medications are billed monthly or quarterly 'from $49/mo, on top of the annual membership'. The site says 'Founding pricing ends at public launch', so $499 may be a founding-member rate.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Four lab panels a year (101-marker baseline plus three follow-ups) are included in the membership price
- Price is published up front: $499/yr ($749/yr in NY/NJ), with medications 'from $49/mo'
- Lists 49 states (all but Rhode Island)
Watch out for
- The annual membership is non-refundable after a 7-day window, and only if no service has started (3% fee applies)
- Not a medical practice: prescriptions come from unnamed third-party telehealth providers, and the site does not say whether they are physicians or NPs or whether visits are by video
- Early-stage company: it opened a closed beta of 25 founding members in December 2025, and the site says founding pricing ends at public launch
- No direct insurance billing (HSA/FSA reimbursement only)
Cancelling
Payment and Refund Policy (updated 2026-07-28): cancel via the option in account settings or by emailing support@onetwenty.com. The annual membership renews automatically. A refund is available only within 7 days of purchase and only if no service has started, minus a 3% fee. After that the annual fee is non-refundable, except for a discretionary prorated refund if no lab is reachable. Medication add-ons are non-refundable once prescribed.
Where it is available
Site FAQ: 'available in 49 states except for Rhode Island'; NY and NJ carry a higher fee ($749/yr) because of state lab-draw rules. DC not mentioned.
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.
- Starting price
- $99/mo with insurance or $169/mo cash
- Consult model
- Video and asynchronous messaging
- Prescriber
- Unconfirmed
- Labs
- Billed separately
- Insurance
- Accepted
- Availability
- Unconfirmed
- Cancellation
- Self-serve online
- Founded
- Unconfirmed
Pricing
Per joinfound.com/pricing and /insurance: compounded semaglutide plans start at $99/mo with insurance or $169/mo cash, and compounded tirzepatide at $179/mo with insurance or $239/mo cash. These prices are 'based on 12-month plans paid up-front'; monthly plans start at $199/mo (insurance) or $289/mo (cash). Insurance members also pay a visit copay of about $30. Branded GLP-1s are billed separately (Wegovy/Zepbound from about $650/mo, Ozempic/Mounjaro about $1,100/mo). Non-GLP-1 plans start at $49/mo.
Prices as listed on October 17, 2026. They change often; confirm at checkout.
What we like
- Works with commercial insurers (e.g., UnitedHealthcare, Aetna, Cigna, Anthem, BCBS) for visits and medication
- Compounded GLP-1 medication included in the plan price
- Offers both branded GLP-1s and lower-cost non-GLP-1 options (from $49/mo)
- Self-serve 'Cancel Membership' link in the account
Watch out for
- Lowest advertised prices require a 12-month plan paid up front; monthly plans cost $199-$289/mo
- Lab work isn't included in the entry plan
- Insurance members must do synchronous video visits, including before each refill, with a copay of about $30
- Branded GLP-1s cost extra ($650-$1,100/mo)
Cancelling
Terms & Conditions (updated 2024-11-13): cancel via the 'Cancel Membership' link on the Account Details page or by emailing support; cancellation takes effect within 24 hours and access to providers and prescriptions stops. Subscription fees are 'final and non-refundable unless expressly stated otherwise', with refunds or credits at Found's sole discretion. The lowest prices require a 12-month prepaid plan. A search summary described a separate Refund Policy (full membership refund within 3 days or before the first consult), but I couldn't load that page to confirm it.
Where it is available
Insurance page lists about 41 states, with inconsistent detail (e.g., California shows 'No plans available'); no state list for cash-pay
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 23, 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.