Every provider in this category quotes a monthly figure. HealthiCare is the only one that opens it up and shows you what is inside, including how much of it is its own margin.
Compounded semaglutide at $126 a month is published as six lines: $50 medication, $15 doctor consultation, $5 prescription preparation, $20 shipping and handling, $15 telehealth platform fee, and $21 HealthiCare service at 20%. A three-month plan brings it to $107.10 a month, billed at $321.30.
We checked the arithmetic. The compounded rows total exactly what is published. That sounds like a low bar until you consider that the actual drug is $50 of a $126 charge — and that no competitor lets you make that observation at all.
What $126 a month actually buys
| Component | Cost | Share |
|---|---|---|
| Medication | $50 | 40% |
| Shipping and handling | $20 | 16% |
| HealthiCare service (20%) | $21 | 17% |
| Doctor consultation | $15 | 12% |
| Telehealth platform fee | $15 | 12% |
| Prescription preparation | $5 | 4% |
Scroll the table sideways to see every column.
It names the people and the pharmacy
The medical provider is named as Beluga Health, with Dr Jonah Mink named and a contact number published, stated to be certified across all 50 states. The pharmacy is named as F&F Pharmacies Inc, trading as Jungle Jim's Pharmacy, with a street address in Fairfield, Ohio and a phone number, licensed in 44 states.
The quality protocol is published in more detail than anyone else attempts: API certificates of analysis from FDA-registered manufacturers, frozen sealed storage, aseptic compounding, quarantine pending third-party potency, sterility and endotoxicity testing, unique lot numbers with beyond-use dates, and lot scanning tied to your patient file at dispensing.
The two things to ask about
The second is smaller but telling. On the Wegovy Pill row, the itemised components total $383.46 against a published price of $268.68 — the total shown equals the medication line alone. The compounded rows are exact, so this looks like an error rather than a pattern, but it is worth confirming before ordering the branded product.
Note also that the compounded pricing is stated to apply to all US states except California.
What it actually costs per year
Advertised prices in this category are usually medication only. Add the membership back in and the ranking changes. Pick a provider, or enter the quote you were given.
One-month semaglutide rate. Starting at $79/month equivalent requires a 12-month plan ($948 total); confirm payment and renewal terms.
- First month
- $139
- Every month after
- $139
- Total over 12 months
- $1,668
No membership on this plan, so every dollar goes to medication and care.
Figures are the providers' own published prices as of our last review of each. Promotional rates, multi-month prepayment and dose changes can all move these numbers — confirm at checkout.
What compounded semaglutide actually is
Semaglutide is the active ingredient in Ozempic and Wegovy, both FDA-approved products from Novo Nordisk. A compounded version is prepared by a pharmacy rather than manufactured by Novo Nordisk, and it is not an FDA-approved product. FDA has not evaluated it for safety, effectiveness or quality.
That distinction is the single most important thing to understand before buying. The efficacy data you have read about — the 15% average body-weight reduction, the cardiovascular outcomes — comes from trials of the branded product. Those results are routinely used to sell compounded versions that were never in the trials.
Dosing typically starts at 0.25 mg weekly and escalates over several months toward a maintenance dose, which is why dose-dependent pricing matters so much: a plan that looks cheap at the starting dose can cost several times more by the time you reach a therapeutic one.
The common side effects are gastrointestinal — nausea, vomiting, diarrhoea, constipation — and are usually worst in the days after a dose increase. They are the main reason people stop. Slower titration and adequate fibre and fluid intake are the standard mitigations.
Before you buy from anyone
- Get the total monthly cost in writing — medication plus any membership, not the headline figure.
- Ask whether the price changes as your dose increases. This is where most of the money is lost.
- Ask which pharmacy compounds it, and whether it is a 503A or 503B facility.
- Confirm what happens if you stop after one month, and whether there is an auto-rebill.
- Ask whether a refund is available if a provider declines to prescribe.
- Tell the prescriber every medication and supplement you take, including anything bought online.