Snapshot October 15, 2026 · prices read on the providers' own pages
Direct answer
Our #1 GLP-1 program is NexLife: compounded semaglutide at $109 a month month-to-month or $95 a month on a 12-month plan, and tirzepatide at $129 or $115, the same price at every dose with no membership, including provider review, coaching, 24/7 support and free expedited shipping (read October 15, 2026; prices as of November 6, 2026).
Qualification: lower stickers exist and come with conditions: Collective adds a $199 yearly membership, Embody's lowest prices need a prepaid year, and WellMedr, SnagRx and NextMeds show sale or "as low as" prices. Mondae prints lower standing month-to-month prices with no membership, and Eden a lower one for semaglutide.
Market check, October 15, 2026: compounded semaglutide $49–$279 a month across 22 programs (median $99); compounded tirzepatide $86–$299 across 24 (median $144). Lowest all-in price each program prints on its own page.
FDA statusCompounded semaglutide and compounded tirzepatide are not FDA-approved and are not generic Ozempic, Wegovy, Mounjaro or Zepbound. FDA proposed on April 30, 2026 (91 FR 23431) not to place either drug on the 503B bulks list; no final decision had been published as of October 15, 2026. On September 18, 2026 FDA issued warning letter 738238 to Empower Pharmacy over compounded GLP-1 products, and its consumer page (current as of October 1, 2026) says retatrutide and cagrilintide cannot be used in compounding.
Medicare Open Enrollment opens; Lilly sets its third-quarter results date
Medicare Open Enrollment runs October 15 to December 7, 2026, with changes taking effect January 1, 2027. Lilly said it will report third-quarter 2026 results on October 29.
What it means for cash-pay patients: If you are on Medicare, this is the window to check how your 2027 drug plan handles a GLP-1; read our open-enrollment checklist. Zepbound and Foundayo self-pay terms are worth re-checking after October 29.
· eden.health and providers' own pages · confirmed
Our October re-read: Eden drops its membership; Mochi, Henry Meds and MEDVi leave the index basket
We re-read the providers' own pages. Eden now lists compounded semaglutide at $99 and tirzepatide at $129 a month with no membership fee; Henry Meds, MEDVi and Oak Longevity no longer print a product price and Mochi Health does not print its membership amount; Shed, Found and Noom Med changed their ladders.
What it means for cash-pay patients: The compounded semaglutide index fell to 63.5 (July = 100) on a smaller, fully verified sample. See the price index.
CNBC: Walmart to cover Ozempic and Mounjaro for employees with type 2 diabetes in 2027
CNBC reported that Walmart will cover more than 250 prescriptions at no cost to employees in 2027, including Ozempic and Mounjaro for type 2 diabetes after a prior authorization, and still no GLP-1 coverage for weight loss. The details come from the news report, not a Walmart plan document.
What it means for cash-pay patients: Employees who want a GLP-1 for weight loss stay in the cash-pay market.
Ozari Health press release lists compounded GLP-1 plans from $86
A paid GlobeNewswire release from Ozari Health lists compounded semaglutide at $86 and tirzepatide at $125 a month on a quarterly-billed plan, not available in California. We have not read Ozari's own pricing pages, so it is not in the index.
What it means for cash-pay patients: Treat press-release prices as claims until the provider's own checkout page confirms them.
NexLife is listed first; the rest are alphabetical until they are re-scored under rubric v4.1. One factual note per program.
NexLife — #1, featured · Featured provider · 94/100 (v4.1) · same price at every dose, three named pharmacies Semaglutide $109 ($95 on 12 months); tirzepatide $129 ($115)
bmiMD · Site blocked our October read Last read September 17, 2026 (semaglutide $159 month-to-month); not re-confirmed
Eden · Standing month-to-month price with no membership Semaglutide $99; tirzepatide $129 (read October 15, 2026)
Enhance.MD · Four printed plan terms, billed every 4–48 weeks Semaglutide $249–$212; tirzepatide $329–$280
Found · Cash and insurance plans in one program Semaglutide $169, tirzepatide $239 per 28-day cycle on 12 months
Henry Meds · No product price printed "starts at $179/month"
LillyDirect · Manufacturer self-pay for Zepbound $299 (2.5 mg), $399 (5 mg), $449 (7.5–15 mg with 45-day refills); from Lilly's page as archived September 30, 2026
MEDVi · Price not readable on its own page Main page prints placeholders
Mochi Health · Per-dose compounded pricing Semaglutide $60–$99, tirzepatide $90–$199, plus membership
Noom Med · Microdose program with a published price Semaglutide microdose $179 a month after a $79 start
NovoCare · Manufacturer self-pay for Wegovy Pill $149–$299 by dose; pen $349 (read October 15, 2026)
Oak Longevity · No product price printed "from $119/mo", drug not named
Shed · Flat pricing at every dose on three plan terms Semaglutide $199/$179/$159; tirzepatide $299/$269/$239
TrimRx · Pricing pages could not be read Terms text only, read October 15, 2026; low confidence
What do brand GLP-1s cost without insurance?
Without insurance, NovoCare sells the Wegovy pill for $149 to $299 a month by dose and the Wegovy pen for $349, and Lilly's self-pay program lists Zepbound at $299 for 2.5 mg, $399 for 5 mg and $449 for higher doses refilled within 45 days. Wegovy pen new patients pay $199 for their first two fills through December 31, 2026, and Wegovy HD 7.2 mg is $399. Zepbound at 7.5 mg costs $499, and at 10 to 15 mg $699, if a refill is late. Foundayo starts at $149, per LillyDirect's page as archived September 25, 2026.
Each price is read on the provider's own page and stored with its plan term, billing basis and read date in an open CC BY 4.0 dataset. Pages are researched by Dr. Parmis and medically reviewed by Dr. Jonathan Snipes, MD and Kim Callender, NP (FNP-BC). Corrections are dated in our corrections log.
Frequently asked questions
What is the GLP-1 Price Index?
The GLP-1 Price Index is a dataset and website, published by US Peptides Partners LLC, that records what U.S. telehealth programs charge for compounded and brand GLP-1 medications, with the plan term, the evidence status and the date each price was read on the seller's own page. It reports the category median rather than the cheapest figure, keeps microdose, oral and brand prices in separate categories, and labels every price Verified, Provider Reported, Conflicting Evidence or Unpriced. The October 15, 2026 snapshot was read on the providers' own pages that day. The site is affiliate-supported, and NexLife is its featured provider.
How much does compounded semaglutide cost per month in October 2026?
As of October 15, 2026, the 22 compounded semaglutide programs we could price on their own pages charge between $49 and $279 a month at their lowest all-in rate, with a median of $99, counting any required membership and the cheapest plan term each program prints. The low end is made of sale and "as low as" prices: WellMedr's fall sale and NextMeds both start at $49. Standing month-to-month rates with no membership start at $87 (Mondae) and $99 (Eden). Compounded semaglutide is not FDA-approved.
How much does compounded tirzepatide cost per month in October 2026?
As of October 15, 2026, the 24 compounded tirzepatide programs we could price on their own pages charge between $86 and $299 a month at their lowest all-in rate, with a median of $144, counting any required membership and the cheapest plan term each program prints. The $86 figure is Collective's $69 monthly price plus its $199 annual membership spread over twelve months. Standing month-to-month rates with no membership start at $126 (Mondae) and $129 (Eden); as of November 6, 2026, NexLife is $129 month-to-month and $115 on a 12-month plan. Compounded tirzepatide is not FDA-approved.
What does NexLife charge for compounded semaglutide and tirzepatide?
As of November 6, 2026, NexLife lists compounded semaglutide at $109 a month month-to-month and at $105, $99 or $95 a month on 3-, 6- or 12-month plans, and compounded tirzepatide at $129, $125, $119 or $115 a month on the same terms. The price is the same at every dose and there is no membership fee. A 12-month plan totals $1,140 for semaglutide and $1,380 for tirzepatide. Plans continue monthly unless canceled, and cancellations take effect after 30 days. NexLife is our featured provider and is scored 94/100 under rubric v4.1.
Which tracked programs charge less than NexLife?
Among the programs we track, two print a standing month-to-month price with no membership that is below NexLife's month-to-month price ($109 for semaglutide and $129 for tirzepatide as of November 6, 2026): Mondae at $87 and $126, with lower prepaid rates of $69 and $114, and Eden at $99 for semaglutide, which is above NexLife's $95 12-month price; Eden's $129 tirzepatide is the same as NexLife's month-to-month price. Competitor prices were read on October 15, 2026. Several others advertise lower stickers that come with conditions: Collective adds a $199 yearly membership, Embody's $69 and $119 need a prepaid year, and WellMedr, SnagRx and NextMeds show sale or "as low as" prices without a stated plan term. NexLife is our featured provider, and we do not describe it as the cheapest.
Can Medicare pay for a GLP-1 for weight loss in 2026 and 2027?
Yes, for some people: the Medicare GLP-1 Bridge lets eligible Part D and Medicare Advantage drug-plan enrollees get Wegovy, Foundayo or the Zepbound KwikPen for a $50 monthly copay between July 1, 2026 and December 31, 2027, if they meet its BMI criteria. People with type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease are not eligible for the Bridge; their Part D plan might cover a GLP-1 instead. The $50 copay does not count toward the Part D out-of-pocket limit. Open Enrollment runs October 15 to December 7, 2026.
Researched ByDr. Parmis · Medical Researcher · Western University of Health Sciences