Cash-price rankings · 407 prices · Updated October 2026
The best GLP-1 without insurance, cheapest first.
The lowest price with no strings attached is $79/mo from Lean Meds.
Almost every price here is compounded, not FDA-approved Wegovy, Ozempic, Zepbound or Mounjaro, and these are cash prices, not insurance. What's the difference?
Every provider, cheapest first
- 1
VisitMochi Health
From $60/moCompoundedSemaglutide · All 50 states advertised; treatment eligibility varies · score 81 - 5Visit
RxPepsDirect
From $79/moStarting dose · visit fee and shipping included · +1 moreSemaglutide · 28 states · score 55 - 15
VisitStrut Health
From $99/moSublingual · $129/mo injectableSemaglutide · 49 states (not Arkansas) · score 84 - 29Visit
Fidelity Medical Clinic
From $99/moStarting dose · compoundedSemaglutide · All 50 states · score 60 - 40Visit
Magnolia Regenerative Medicine
From $119/moStarting dose · compoundedSemaglutide · 26 states · score 62 - 52Visit
Bayan Health
$129/moBilled monthly against a multi-month protocol · compoundedSemaglutide · flat monthly rate · Not publicly listed · score 67
Sorted by lowest monthly cash price. Prices that need a long plan follow the flat ones, with the condition printed beside them.
We earn a commission when you start treatment through some links on this site, at no extra cost to you. CoreAge Rx is a featured partner, and providers we work with may appear first. See our disclosure.
488 more providers, priced and ranked →What GLP-1 costs without insurance
How the lowest published monthly price of each of 407 providers falls into price bands. Each provider counts once, at its lowest listed price; some of those prices need a long plan.
See the numbers
| Lowest monthly price | Providers |
|---|---|
| Under $100 | 46 providers |
| $100–$149 | 99 providers |
| $150–$199 | 151 providers |
| $200–$249 | 45 providers |
| $250–$299 | 44 providers |
| $300–$399 | 11 providers |
| $400–$499 | 5 providers |
| $500 and up | 6 providers |
Middle of the range: $179/mo. Compounded and brand-name prices are counted together.
Lowest price with no strings
Lean Meds
$79/mo for semaglutide — the lowest price in the whole ranking with no condition attached to it. That is $948 across twelve months at the listed rate.
A genuinely flat rate at every dose, four named pharmacies, and a homepage that keeps advertising the twelve-month tier instead.
The cheapest number advertised
Telos Rx — $49/mo
It is the lowest figure anyone in our ranking publishes, and it comes with a condition: microdosed, annual. A microdosed or annual-commitment rate is a real price, but it is not a month-to-month price and it is not what the row above is offering. Verdict Score 85/100 · Grade B.
We earn a commission when you start treatment through some links on this site, at no extra cost to you. CoreAge Rx is a featured partner, and providers we work with may appear first. See our disclosure.
The flat prices only
Strike the asterisks and the ranking looks different
347 of the 407 published figures carry a condition — an annual commitment, a microdosed protocol, or a “from” that names a floor rather than a rate. Those are real offers and we have not deleted them. But if you want the price you can cancel out of next month, this is the honest top of the board.
1. Lean Meds — $79/mo
$948 a year at that rate · semaglutide · All 50 states
Weakest factor: cancellation fairness (60). A shopper who wants a genuinely flat month-to-month rate and will ignore a countdown clock.
70CVisit site ↗2. CoreAge Rx — $99/mo
$1,188 a year at that rate · semaglutide · All 50 states
Weakest factor: formulary choice (88). Anyone who wants transparent flat pricing and nationwide access without a teaser-rate bait-and-switch.
94AVisit site ↗3. Eden — $99/mo
$1,188 a year at that rate · semaglutide · All 50 states
Weakest factor: formulary choice (86). People who want one flat price at every dose, with no membership fee, from a high-disclosure provider.
91A−Visit site ↗4. Alan Meds — $99/mo
$1,188 a year at that rate · semaglutide · All 50 states
Weakest factor: real-world results (82). Bargain hunters who want the lowest flat price and an oral option, and will do their own vetting.
84BVisit site ↗5. Live Vital — $99/mo
$1,188 a year at that rate · semaglutide · All 50 states
Weakest factor: formulary choice (78). Semaglutide-first shoppers on a budget who want nationwide access.
83BVisit site ↗6. GOAL.MD — $99/mo
$1,188 a year at that rate · semaglutide · All 50 states
Weakest factor: cancellation fairness (56). Shoppers who want manual-renewal billing with dose-tiered brand-name pricing transparency.
73CVisit site ↗7. Vitara RX — $99/mo
$1,188 a year at that rate · semaglutide · 49 states
Weakest factor: formulary choice (40). Anyone who wants a price that does not rise as they titrate up.
64CVisit site ↗8. Lttl — $99/mo injectable month-to-month, $96/mo on 3 months, $93/mo on 6 months, $89/mo on a 12-mo prepay
$1,188 a year at that rate · semaglutide · Multi-state
Weakest factor: member support (52). Shoppers comparing commitment lengths who want the true month-to-month rate visible, or who want a low-dose option instead of a standard injection.
61CVisit site ↗
What we cannot tell you. Our record holds cash prices and a yes/no brand-access flag — 170 of 548 providers can route you to an FDA-approved brand product at all. It holds no brand cash price, no formulary and no prior-authorization data, so no row on this page is a statement about what Zepbound or Wegovy would cost you, with or without a plan. When we have that data we will publish it; until then the gap is the honest answer.
Paying cash, answered
- What is the cheapest GLP-1 without insurance?
- Telos Rx files the lowest figure in our ranking at $49/mo (microdosed, annual) — but that rate is conditional (microdosed, annual). The lowest price with no condition attached at all is Lean Meds at $79/mo for semaglutide, which works out to $948 across a year at that rate. We rank both separately because a conditional headline rate and a flat monthly price are not the same offer.
- How much does a GLP-1 cost per month paying cash?
- Across the 407 providers here that publish a price, the cheapest disclosed monthly figure is $49 and the most expensive cheapest-line is $1,399. That is the spread for compounded medication bought directly. Brand-name Zepbound or Wegovy bought without insurance is a different and considerably larger number, and it is not one we hold data on.
- Are these prices for Ozempic, Wegovy or Zepbound?
- Almost none of them. Ozempic, Wegovy, Mounjaro and Zepbound are FDA-approved brand products from Novo Nordisk and Eli Lilly. The figures here are overwhelmingly compounded semaglutide and tirzepatide dispensed by licensed pharmacies — a different route the FDA has not reviewed for safety, efficacy or quality, which is a large part of why it is cheaper. Rows listing a brand-name price are marked BRAND.
- Will my insurance cover any of this?
- We cannot tell you, and we would rather say so than guess. Our ranking records cash prices and whether a provider offers brand-name access at all — 170 of 548 do. It records no formulary, no prior-authorization outcome and no copay, so nothing on this page is a coverage prediction. Compounded medication is in any case rarely reimbursed; readers who want a covered brand product generally need a prescriber pursuing prior authorization, not a cash telehealth.
- Why is a provider you do not rank highly at the top of this list?
- Because this page is sorted by price, honestly. The cheapest provider is often not the best-scoring one, and quietly reordering the ranking to put our better-rated names on top would make the ranking useless for the one question it exists to answer. The Verdict Score sits in its own column so you can see exactly what you are trading away for the lower number.
Where to go from here
- Best semaglutide providers — if you have settled on semaglutide and want the ranking on quality, not just price.
- Best tirzepatide providers — the same for tirzepatide, including the entries we would not pick.
- The true cost calculator — this site ranks the figure each provider advertises. That one extends every provider’s own step-ups and term commitments across the horizon you pick, and prints the gap between the two.
- What compounded GLP-1 costs per month — why the sticker moves, and what else lands on the bill.
- Compounded vs brand-name GLP-1 — the trade you are actually making for the lower number.
- Is compounded semaglutide legit and safe? — how to check a pharmacy before you pay one.
- All our rankings — every ranking we publish, in one index.
Prices are each provider's own public disclosures at last review and change without notice — confirm before you pay. The Verdict Score is our editorial judgment per the published methodology. This page is informational and not medical advice; compounded medications are not FDA-approved brand products. See our medical disclaimer.