Lttl in brief
Lttl sells compounded semaglutide from $99 a month and compounded tirzepatide from $149 a month on month-to-month refills, dropping to $89 and $139 if you prepay a full year. It suits cost-focused buyers who like a flat price at every dose. The catch: compounded only, no insurance, and no refunds once the pharmacy processes an order.
- PriceFrom $99/mo month to month
Assume we may earn a commission, at no cost to you. Partners we work with carry a small, fixed edge in where they are listed; the scores themselves are not adjusted.
- Semaglutide
- $99/mo injectable month-to-month, $96/mo on 3 months, $93/mo on 6 months, $89/mo on a 12-mo prepay
- Tirzepatide
- $149/mo injectable month-to-month, $146/mo on 3 months, $143/mo on 6 months, $139/mo on a 12-mo prepay
- Coverage
- Multi-state
- Brand-name
- Compounded only
Lttl pricing
As listed on Lttl's own site, October 2026.
| Plan | Price | Billing | What's included |
|---|---|---|---|
| Compounded semaglutide, monthly auto-refill | Price $99/mo | Billing 4-week supply billed each month; cancel anytime | Includes Provider review, medication, cold-chain shipping, care-team messaging |
| Compounded semaglutide, 3 / 6 / 12 months | Price $96 / $93 / $89 per month | Billing Billed $288 quarterly, $558 every six months or $1,068 a year | Includes Same as monthly; one flat price at every dose |
| Compounded tirzepatide, monthly auto-refill | Price $149/mo | Billing 4-week supply billed each month; cancel anytime | Includes Provider review, medication, cold-chain shipping, care-team messaging |
| Compounded tirzepatide, 3 / 6 / 12 months | Price $146 / $143 / $139 per month | Billing Twelve months billed $1,668 upfront | Includes Same as monthly; one flat price at every dose |
| Microdose semaglutide or tirzepatide | Price $149/mo monthly, down to $109/mo yearly | Billing $387 quarterly, $714 every six months or $1,308 a year | Includes Low-dose compounded medication and provider oversight |
| See plans on Lttl | |||
Our take on Lttl
Lttl's pitch is a price table you can actually read. One plans page lists both weight-loss injections against four supply lengths, and in October 2026 the numbers were low: semaglutide at $99 a month on a monthly auto-refill, $96 on three months, $93 on six and $89 on a twelve-month plan billed $1,068 upfront. Tirzepatide ran $149, $146, $143 and $139, with the year billed at $1,668. Each rung sits beside a struck-through "regular" figure of $249 or $339 and a large "Save" badge; treat those anchors as decoration and compare the rate you would actually pay. A banner also advertises up to $140 off the first month with a code applied automatically, so your first charge may land lower than the table.
The gap between the commitment lengths is small, only a few dollars a month, which changes the usual math. With semaglutide, a year upfront saves $10 a month over the monthly refill but locks $1,068 into a drug you may stop, change or not tolerate. For most first-timers the month-to-month rate is the sensible way in, since you can cancel from your account or by email before the next refill. Lttl also promises one flat price at every dose, so moving up the dose ladder does not raise the bill.
Everything here is compounded. Lttl says its medications are made in FDA-registered facilities but are not FDA-approved, and it offers no brand-name Wegovy or Zepbound; if your insurance covers a brand drug, its pricing page says your prescriber can discuss that path, but Lttl itself bills no insurance. HSA and FSA cards may work depending on your plan administrator. Next to the weight-loss injections sits a microdose line, low-dose semaglutide or tirzepatide from $109 a month on a yearly plan and $149 month to month, aimed at people who want a gentler start.
What Lttl does not publish is just as useful to know. There is no list of states served, only a line that care is available where its partner providers are licensed, and product pages name no specific pharmacy, just "U.S.A. licensed pharmacies." Care runs by message through your account rather than scheduled video visits.
Signing up, paying and canceling
What Lttl's own site shows a new patient.
- The front door is a free two-minute assessment that asks for no card; the pricing page says you are only charged once a provider has reviewed it and issued a treatment plan.
- Shipping per the FAQ: most orders ship two to five business days after the prescription is written and arrive within three to seven business days, cold-packed where needed and tracked.
- Canceling is self-serve in your account or by email and stops future charges, but an order the pharmacy has already processed cannot be canceled or refunded, and unopened medication cannot be returned.
- Consultation fees are described as generally non-refundable once a provider has reviewed your information, even if no prescription is issued, so a decline is not free.
- Damaged or wrong shipments must be reported within seven days of delivery, with photos and the order number, for a replacement.
The scorecard
Lttl scored on our six published factors. See the methodology.
What we like
- The plans page prices every product at all four lengths — monthly, 3, 6 and 12 months — so the real month-to-month rate is public
- Price is flat at every dose, so moving up a dose does not raise the monthly bill
- States plainly that its compounded GLP-1s 'are not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality'
- Runs a microdose line — low-dose semaglutide or tirzepatide at $149/mo month-to-month — for people sensitive to side effects
The caveats
- Compounded only, and compounded GLP-1s are not FDA-approved; no brand-name Wegovy, Zepbound, Ozempic or Mounjaro
- Four partner pharmacies are named in section 11 of the Terms — RedRock Pharmacy (St. George, UT), Health Warehouse (Florence, KY), Precision Compounding Pharmacy (Bellmore, NY) and Triad Rx (Daphne, AL), each with a website, address and phone — but nowhere a buyer is looking, and the identical block appears on Taurus Meds, Remevi, Embody and Nolu — so it reads as a shared platform bench rather than a Lttl-specific supply chain
- The marketed 'Plans start at $89/mo' is the twelve-month semaglutide rate, billed $1,068 upfront; month-to-month is $99 semaglutide and $149 tirzepatide
- No public list of states served; eligibility depends on where unnamed partner providers happen to be licensed
- Medication cannot be returned or refunded once it ships, the terms impose individual arbitration with a class-action waiver, and consultation fees are generally non-refundable once a provider has reviewed you
Lttl: common questions
How much does Lttl cost?
Lttl charges $99 a month for compounded semaglutide and $149 a month for compounded tirzepatide on a monthly auto-refill. Longer plans cut that slightly, down to $89 and $139 a month on a twelve-month plan billed upfront at $1,068 or $1,668. The price stays the same at every dose, and a first-month discount code is applied automatically.
Does Lttl take insurance?
No. Lttl does not bill insurance, and it notes that compounded GLP-1 medications are rarely covered by commercial or government plans anyway. You pay out of pocket, though many members use HSA or FSA funds; Lttl suggests confirming eligibility with your plan administrator before checkout.
Can you cancel Lttl anytime?
Yes. You can cancel from your account or by emailing the care team, and cancellation stops future shipments and charges. The limit is that any order the pharmacy has already processed cannot be canceled or refunded, and prescription medication cannot be returned once it ships, even unopened.
Is Lttl legit?
Lttl is a real telehealth platform that connects adults with US-licensed clinicians who review an online assessment and can prescribe compounded semaglutide or tirzepatide. It states plainly that its compounded drugs are not FDA-approved. It does not publish a list of states served or name its pharmacies on product pages, so ask before you pay if those matter.
The verdict
Best for: 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. Compounded semaglutide and tirzepatide injections plus a microdose line, with every commitment length priced on one public page and one flat price at every dose.
Ranked #310 of 548 providers we have reviewed — for comparison, read the CoreAge Rx review, ranked #1. In the ranking it sits between Aquivia Health at #309, 64/100 above and MyStart Health at #311, 63/100 below, with the Fresh Day Meds write-up the next one down.
Lttl is one of 548 providers in this ranking, which makes the fair next question who sits above it — our shortlist of Lttl alternatives answers it in order, with every score shown. For the wider picture, every review we have published ranks the field on the same six factors. We have also compared it head to head: CoreAge Rx vs Lttl goes to CoreAge Rx, 94/100 to 61/100.
Compare Lttl
Compare with other providers
The closest reviews to Lttl by Verdict Score — the realistic shortlist if you are weighing this one up.
- #324Primary Clinic— Primary Clinic (Direct GLP) is a Direct Primary Care membership rather than the usual direct-to-consumer GLP-1 marketplace.63/100
- #325RxSaludable— RxSaludable is a Spanish-language GLP-1 weight-loss telehealth service (atencion en espanol) offering compounded semaglutide from $99 the first month ($179/mo after) and tirzepatide from $189 the first…63/100
- #326Wisp— Wisp is a US telehealth provider whose weight care vertical offers brand-name Wegovy, Zepbound, and Saxenda alongside a compounded sublingual semaglutide drops formulation at $225/month.63/100
- #327HumeCare+— HumeCare+ is the GLP-1 telehealth program from Hume Health, the body-composition scale company.60/100
- #328Mint Med— A flat $159 across every dose of either GLP-1, with no membership.62/100
- #329Alinwell— Publishes its pharmacies' certificates of analysis and then advertises a first-month price as if it were the rate.62/100
Pricing, states and verification reflect Lttl's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on Lttl's site. Not medical advice; see our disclosure.