Most of this market makes you enter an intake funnel to learn a price. Ondra puts the entire grid on one page — both molecules, four plan lengths, eight prices — before asking you for anything.
Compounded semaglutide runs $149 a month billed monthly, $113 a month on a quarterly plan at $339, $108 a month on six months at $649, or $96 a month on twelve months at $1,149. Every figure includes the provider consultation, the medication, the supplies and free shipping, with no membership fee, and the same price applies across every titration dose within a plan.
The recorded $96 semaglutide annual-plan rate is above CoreAge Rx’s $79 monthly equivalent on a 12-month plan, below Mochi's $139 all-in, below OrderlyMeds' $149 standard. It also requires handing over $1,149 before you know whether you tolerate the drug.
The disclosure is the real differentiator
Ondra names its clinical entity as Wasef Health, PC and its medical director as David Wasef, MD. It names Hallandale Pharmacy and Vials RX as the partners serving its 6- and 12-month plans, describes its network as state-licensed 503A and 503B facilities, and states it is a LegitScript-certified telehealth practice.
Set that against the rest of the field. CoreAge Rx will not name its pharmacy and tells you to phone support to find out. Mochi calls its partners 'trusted'. Eden and Measured name none. Only OrderlyMeds, Found and Precision Telemed come close, and none of them names the prescribing entity as well.
Where the prepayment risk sits
Gastrointestinal side effects cluster in the first weeks and after each dose increase, and they are the main reason people stop. Committing twelve months upfront means committing through the exact window in which you are most likely to want out.
Ondra does not publish cancellation terms or a refund policy, which makes that commitment harder to assess than it should be. If you want the annual rate, ask what happens if you stop at month three before you pay.
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.