Evidence-based telehealth reviews · Methodology v1.0
Evidence-based GLP-1, peptide and telehealth reviews
We compare verified pricing, clinician oversight, pharmacy disclosure, plan terms and patient support across leading U.S. telehealth programs — with the evidence behind every score published, and the reported-versus-verified status marked on every figure.
The economics of this category changed in late 2025 and most comparison sites have not updated. Brand Zepbound is now $299–$449/month through LillyDirect, brand Wegovy is $349 through NovoCare, the oral Wegovy tablet is $149, and either drops to about $25 with commercial coverage — against retail list prices of $1,086 and $1,349. Compounded programmes advertise $99–$299, but their legal basis closed when the FDA ended enforcement discretion in 2025, and they are not FDA-approved. For many patients the honest answer is now that brand is competitive, and sometimes cheaper. Brand prices verified against manufacturer sources, July 12, 2026.
For a patient at a maintenance dose, the difference between a compounded program and the FDA-approved brand can now be under $150/month — and in the case of the oral Wegovy tablet at $149, brand can be cheaper than much of the compounded market. What you buy with that difference is an FDA-approved product, quality-verified before marketing, in a fixed-dose device that removes the dosing-error risk, from a supply chain that cannot be shut down mid-course by an injunction. That is a materially different trade than the one the category was built on.
Editorial picks by category
We do not name a single universal winner. Different patients optimize for different things — lowest starter price, flat pricing across doses, bundled clinical services — so we award by use case and show each pick's main limitation next to its strength.
LillyDirect
Eli Lilly selling direct. Brand Zepbound at $299 (2.5mg), $399 (5mg) and $449 (7.5–15mg). Foundayo — Lilly's FDA-approved ORAL GLP-1 — starts at $149/month. Guaranteed authentic, n…
Watch: Medication only — no clinical care, and you must bring a prescription. The $449 maintenance rate requires refilling within 45 days of the previous DELIVERY or it rises to $499–$699. Foundayo escalates to $199, $299 and $349 by dose.
Oak Longevity
Oak advertises one flat price across all dosages with no membership and no subscription — semaglutide from $133/month and tirzepatide from $199 on the multi-month plan. That makes …
Watch: Not available in California. Month-to-month pricing is materially higher ($167–$299).
NexLife
NexLife bundles medication, clinician care, laboratory review, support and expedited shipping into one flat price with no membership fee and no dose-based escalation. Microdose tir…
Watch: Found is cheaper on full-dose tirzepatide at $169 — but that requires prepaying 12 months (~$2,028). Oak Longevity is cheaper on semaglutide at $133. NexLife offers no brand pathway and no insurance coordination.
Found
Found restructured in 2026: the compounded medication is now INCLUDED in the plan price, flat across semaglutide, tirzepatide and liraglutide and across all doses. $169/month on th…
Watch: The $169 rate requires prepaying twelve months (roughly $2,028 up front). Month-to-month is $289. Found also resells brand Mounjaro and Ozempic at roughly $1,100–$1,199/month — near-retail, when the manufacturers sell them direct for far less.
What brand actually costs now
We lead with brand pricing because it is the only pricing in this category we can verify against a primary source — the manufacturers publish it. Every compounded figure below it is, at best, a provider's own claim.
Brand figures are verified against manufacturer pricing pages. The compounded figure is the lowest advertised rate we have seen and is unverified. Note where the brand oral tablet sits.
Provider pricing at a glance
We therefore label every provider price with its evidence status rather than presenting all figures as equally solid, and we treat any compounded price we have not captured ourselves as Reported, not Verified. Brand pricing on this page is verified directly against manufacturer sources, which is why we lead with it.
Figures marked Verified are backed by documentation on file. Figures marked Reported — pending verification come from provider marketing or third-party reporting and are pending our direct capture. We publish the distinction rather than blur it.
| Provider | Start | Renewal | Highest dose | Membership | Shipping | Commitment |
|---|---|---|---|---|---|---|
| NexLife Verified | $147/mo (microdose) | $186/mo full-dose (12-mo); $215 month-to-month | Flat — no dose-based increase | $0 | Included (expedited) | 12-month or month-to-month |
| Found Reported — pending verification | $169/mo (12-month prepaid) | $199 (6-mo); $289 month-to-month | Flat across all compounded GLP-1s and all doses | None — medication now included | Included | 12-month prepay for the headline rate |
| Oak Longevity Reported — pending verification | $133/mo semaglutide; $199 tirzepatide | $167–$299 month-to-month | Flat across all dosages | $0 — no subscription | Included | Multi-month plan for headline rate |
| Enhance.MD Reported — pending verification | $169/mo (microdose tirz) | $212 sema; $280 tirz (12-mo) | Flat at all doses | $0 | Free | 12-month for best rate |
| Mochi Health Reported — pending verification | $178/mo total (sema) | $278 total (tirz) | Flat at all doses | $79/mo ($39 first month) | Included | Monthly; commitment tiers reduce membership |
| Shed Reported — pending verification | $149/mo (sema microdose) | $175–$474 depending on product | RISES at higher doses on injectables | $125/mo for brand-name | Included | 2-month minimum |
| TrimRx Reported — pending verification | $199/mo (sema, ongoing) | $349/mo (tirz, ongoing) | Flat at all doses | $0 | Included | Prepay tiers available |
| Henry Meds Reported — pending verification | $179/mo (liraglutide) | $297/mo sema; $349 oral tirz | Flat | $0 | Included | Paid-in-full plans cut the rate sharply |
| Noom Med Reported — pending verification | $199/mo (sema, DOSE-CAPPED) | $279 full dose; $299 tirz | Capped at 0.6mg on the $199 plan | $0 — all-inclusive | Included | Billed quarterly |
| Eden Reported — pending verification | $198/mo total (sema) | $298 total (tirz) | Flat at all doses on compounded | $99/mo REQUIRED ($39 first month) | Pending research | Monthly |
| MEDVi Reported — pending verification | $179/mo (INTRO ONLY) | $299 sema; $399 tirz | Tirzepatide rises to $499 at 10–15mg | $0 | Included | Monthly |
| bmiMD Reported — pending verification | $289/mo (sema) | $399/mo (tirz) | Flat | $0 | Included | Monthly |
| LillyDirect Verified | $149/mo (Foundayo oral) | $299–$449 (Zepbound) | $449 with 45-day refill; $499–$699 without | $0 | Free | None |
| NovoCare Pharmacy Verified | $149/mo (oral Wegovy) | $349/mo (Wegovy injectable) | $399 Wegovy HD; $499 Ozempic 2mg | $0 | Free | None |
| PlushCare Reported — pending verification | $319/mo total (Zepbound) | $419 (Wegovy) | Passes through Lilly/Novo pricing | $19.99/mo — cheapest in the category | Pending research | Monthly |
| WeightWatchers Clinic Reported — pending verification | $323/mo total (Wegovy, 12-mo) | $373–$423 total | Passes through manufacturer pricing | $74/mo ($25 first month) | Manufacturer fulfilment | 12-month medication option |
| Hims Reported — pending verification | $298/mo total (oral Wegovy) | $348–$448 total | Higher doses cost more | $149/mo ($39 first month) | Included | Monthly |
| Hers Reported — pending verification | $298/mo total (oral Wegovy) | $348–$2,048 total | Higher doses cost more | $149/mo ($39 first month) | Included | Monthly |
| Ro Reported — pending verification | $348/mo total (Wegovy) | $548 total (Zepbound) | Medication varies by dose | $149/mo Ro Body ($74 on annual) | Included | Monthly; annual prepay saves |
Why trust Transparent Peptide
GLP-1 topics
Tirzepatide
Dual GIP/GLP-1 agonist — Mounjaro & Zepbound
Semaglutide
GLP-1 agonist — Ozempic, Wegovy, Rybelsus
Compounded GLP-1
What 503A/503B compounding is — and its limits
Microdosing
Low-dose protocols: evidence vs marketing
GLP-1 costs
Normalized total-cost comparison
Safety & FDA
Current FDA status and adverse-event data