What GLP-1 treatment actually costs in 2026

The two-part structure

Almost every telehealth provider in this category charges a membership fee and bills medication separately. The advertised number is usually the membership, and it is usually the smaller of the two.

Verified membership fees range widely: PlushCare at $19.99/month, Lemonaid at $49/month, WeightWatchers at $74–84/month, Ivím at $74.99/month, Mochi at $79/month, Alloy at $99/month, and LifeMD at $149/month.

Only one provider we verified — Henry — bundles the visit, medication and supplies into a single monthly payment. It also does not publish what that payment is, which makes it impossible to compare.

Compounded medication, as published

Alloy: compounded semaglutide starting at $70 for a one-month supply. Mochi: compounded semaglutide $60, compounded semaglutide pill $87, compounded tirzepatide $90, compounded orforglipron $52.

Ivím: compounded semaglutide starting at $149/month. Lemonaid: compounded semaglutide and tirzepatide at $299/month standard, $249/month on three-month plans, $229/month on six-month plans for tirzepatide, with microdoses at $199/month.

Watch the total. Alloy's $70 medication sits under a $99 programme fee — $169/month combined. Mochi's $60 sits under $79 — $139/month. The medication headline alone will mislead you.

Branded medication, as published

The manufacturer reference: NovoCare Pharmacy publishes Wegovy self-pay at $149/month for 1.5 mg and 4 mg tablets; $199/month for new patients' first two fills of 0.25 mg and 0.5 mg injections, then $349/month; $349/month for 1 mg, 1.7 mg and 2.4 mg; and $399/month for 7.2 mg. Shipping is free and no prior authorisation is required.

Sesame publishes the same structure — Ozempic and Wegovy pen at $199/month for two months then $349/month — and references NovoCare directly.

Telehealth retail varies enormously for identical products. Mochi publishes Ozempic at $199 and Wegovy at $299; Lemonaid publishes Ozempic at $1,199 and Wegovy at $1,599. That is not a typo, and it is the single strongest argument for checking manufacturer pricing before accepting a provider's quote.

LifeMD publishes Wegovy pen starting at $199 and Zepbound vial starting at $349/month for self-pay, and claims copays as low as $0 with insurance.

The promotional rates that expire

First-month discounts are near-universal: LifeMD $39 (then $149), Mochi $39 (then $79), WeightWatchers $25 (then $74–84), PlushCare first month free (then $19.99), Alloy $50 off the first month.

More consequentially, some medication pricing is time-limited. NovoCare publishes the $199 rate for 0.25/0.5 mg injections as applying to new patients' first two fills through 31 December 2026, then $349/month. The 4 mg tablet rate of $149 is published through 31 August 2026, then $199/month.

Sesame's $199 Ozempic and Wegovy pricing is explicitly for the first two months for new patients, then $349/month.

Budget the standing rate, not the introductory one. The introductory period is shorter than the time it takes to titrate to a maintenance dose.

Costs that are not in the headline

Labs. Amazon states labs are purchased separately and not included in the treatment price. PlushCare offers lab discounts rather than including labs. LifeMD and Sesame include lab work in their programmes — a genuine differentiator at their price points.

Commitment lock-in. WeightWatchers states cancellation does not take effect until the end of your 6- or 12-month commitment plan. Henry states multi-month plans may require paying the remaining balance unless you are medically unable to continue. Lemonaid's cheapest compounded rates require three- or six-month commitments.

Non-refundable fees. LifeMD states plainly that if your insurance declines the medication, you can cancel going forward but membership fees already incurred are not refundable.