OrderlyMeds review
The most transparent compounded price grid we've reviewed — $74 intro semaglutide, $299 tirzepatide, branded pens priced right alongside
Reviewed August 26, 2026 · Visit OrderlyMeds
Overview
What OrderlyMeds is
OrderlyMeds does what almost nobody in this category does: publishes the whole tariff. Compounded semaglutide at $149/month ($74/month for new customers' two-month starter), compounded tirzepatide at $299 ($149 intro), and — remarkably — branded Wegovy at $1,839 and Zepbound at $1,498 listed in the same grid so the compounded discount advertises itself. Eligibility is published too, including BMI thresholds (>20 if continuing a GLP-1, >25 if new), specific exclusions, and a legally meaningful requirement that compounded preparation produce 'a significant difference' versus the FDA-approved product. The trade-offs are real: the intro price demands an upfront two-month commitment at the lowest dose, cancellation becomes impossible once the prescription is finalised, and no bloodwork is required before prescribing.
Treatment options
- Compounded semaglutide injections
- Compounded tirzepatide injections
- Branded Wegovy pen
- Branded Zepbound pen
- Longevity add-ons (NAD+, sermorelin)
Branded vs compounded
Branded and compounded
Offers both. Read the price list carefully — the headline figure is almost always the compounded option.
Branded medications
- Wegovy
- Zepbound
Compounded medications
- Compounded semaglutide (injection)
- Compounded tirzepatide (injection)
Best for
Shoppers who want every number published before committing and meet the plainly stated BMI and exclusion criteria.
Limitations
Transparency covers price and process, not outcomes: no efficacy data for the specific compounded formulations is published, and the no-bloodwork pipeline shifts screening burden onto questionnaire honesty.
Pricing
What it costs
Every figure below is published by the provider. Where a price is not published, we say so rather than estimating.
What the membership includes
- Doctor's visit, medication, syringes and shipping in one price
- Portal-chat provider access
- Meal plans, fitness app and community bundle
| Medication | Published price | Note |
|---|---|---|
| Compounded semaglutide | $74/mo | New-customer starter: $149 for 2 months, lowest dose only, paid upfront. Standard rate $149/mo, dose-independent |
| Compounded tirzepatide | $149/mo | Starter $299 for 2 months; standard $299/mo; returning-member offer $224/mo equivalent |
| Wegovy pen (branded) | $1,839/mo | Listed in the same public grid as the compounded lines |
| Zepbound pen (branded) | $1,498/mo | Listed in the same public grid as the compounded lines |
How it works
Process, eligibility and logistics
- Consultation process
- Online health screening, then a licensed physician reviews your information — with a video chat where state law requires one (Louisiana, Mississippi, New Mexico, Rhode Island, Kansas, West Virginia). Approval lands within 24–48 hours; medication typically arrives in 8–10 business days.
- Eligibility
- 18 or older; BMI greater than 20 if already taking a GLP-1, greater than 25 if new to them; not pregnant; no thyroid cancer or hyperthyroidism, gastroparesis, pancreatic cancer or pancreatitis, MEN2 syndrome, or inflammatory bowel disease. Requires a compounded preparation producing a significant difference versus the FDA-approved product. All 50 states.
- Who prescribes
- US-licensed physicians and nurse practitioners; chief medical officer Dr. Brian Spears, emergency-medicine background.
- Lab requirements
- None required for prescribing, per the FAQ; providers may recommend bloodwork.
- Ongoing support
- Provider messaging through a patient-portal chat, refill check-ins 15 days ahead of each shipment, expert-led webinars and mobile-app tracking.
- Nutrition & coaching
- Dietitian-created meal plans, protein guides, fitness-app access, a private community the brand sizes at 23,700+, a free BetterHelp month and Trifecta discounts — marketed collectively as 'a $3,700 value, FREE'.
- Pharmacy fulfilment
- Named partners: PerfectRx/PerfectionRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx — all stated to be FDA 503A-designated, sourcing the base molecule rather than salt forms, with USP-standard sterility and potency batch testing.
- Shipping
- Pharmacy ships 2–3 days after approval; syringes and alcohol pads included. The brand claims tested potency for at least 72 hours at temperatures up to 104°F.
- Insurance
- Does not accept insurance. Card and HSA/FSA payments only; no payment plans or financing.
- HSA / FSA
- Accepted for both HSA and FSA cards, with documentation provided on request.
- Cancellation
- Any time before the doctor finalises the prescription. After that, cancellation is no longer possible, with limited exceptions carved out for multi-month plans.
- Refunds
- Fully refunded if providers determine you're ineligible or deny the prescription; refunds arrive in 3–5 business days.
Assessment
Pros and cons
Editorial judgment applied to the published facts above.
Pros
- Complete public pricing including branded comparators — the strongest transparency in the compounded category
- Eligibility criteria published with actual numbers, not hidden behind a quiz
- Named 503A pharmacies with stated batch-testing standards
- Price never rises with dose; refund if denied
Cons
- Intro pricing requires an upfront two-month commitment at the lowest dose
- No cancellation once the prescription is written
- Prescribing proceeds without any bloodwork requirement
- NAD+ and sermorelin upsells blur the clinical perimeter around the GLP-1 core
Alternatives
If OrderlyMeds isn't right
Remedy Meds
Compounded semaglutide and tirzepatide in all 50 states with medication bundled into one monthly payment — and a 365-day guarantee whose fine print does most of the work
Membership not published
Noom Med
The behaviour-change incumbent publishing all-in compounded pricing — medication included from a $49 three-week introduction
$49 intro then $179/month (microdose); $39 start then $129/month (branded track)
Henry Meds
Bundles visit, medication and supplies into one monthly payment — but will not publish the number
Membership not published
OrderlyMeds: frequently asked questions
How much is compounded semaglutide at OrderlyMeds?
What BMI do I need for OrderlyMeds?
Can I cancel after being approved?
Which pharmacies compound OrderlyMeds' medication?
Sources
Verified August 26, 2026. Prices in this category change frequently — confirm current details with the provider.
Medical disclaimer
This review is editorial research about a commercial service. It is not medical advice, and it is not a recommendation to start, stop or change any treatment. GLP-1 medications are prescription drugs with real contraindications and side effects. Decisions about whether they are appropriate for you belong with a qualified clinician who knows your medical history. Prices and terms in this category change frequently — we publish the date each review was verified and link every source, but you should confirm current details with the provider before purchasing.