Best Compounded GLP-1 Providers Ranked by What They Actually Publish

How We Ranked These Providers

Almost every roundup of compounded GLP-1 providers ranks on price alone. That is a mistake, because the advertised price is frequently the least reliable number on the page. It is often promotional, often tied to a long prepaid plan, and often silent about what happens when your dose escalates.

So we ranked on disclosure as much as cost. A provider that publishes a slightly higher price along with its refund policy, cancellation terms, state exclusions and dose-escalation behaviour is more useful to you than one advertising a headline rate you cannot verify or hold them to.

What we weighted

• •Published pricing — is there a real number for every medication, or one vague 'from' figure?
• •Fee structure — is medication bundled into the price, or is there a separate membership fee stacked on top?
• •Dose-escalation cost — does the price rise as you titrate upward?
• •Refund and cancellation terms — are they published before you pay?
• •State availability — does the provider tell you where it operates?
• •Compounding disclosures — does it state plainly that compounded drugs are not FDA-approved?
• •Shipping and cold-chain handling — GLP-1s are temperature-sensitive.

Published Pricing at a Glance

Best Overall: CoreAge Rx

CoreAge Rx remains our top pick because it gets the fundamentals right at once: a genuinely low published price on both medications, no membership fee stacked on top, and free 2-day shipping included rather than sold separately.

At $99/month for compounded semaglutide and $149/month for tirzepatide, it undercuts most of the market while still bundling the medication into the advertised figure — which is the single most important thing to check when comparing providers. A $99 all-in price beats an $84 price that turns out to sit on top of an undisclosed membership fee.

Best Budget Option: Bliv

Bliv publishes the lowest entry prices we found — compounded semaglutide from $58/month and tirzepatide from $99/month — with no contracts required. For patients whose primary constraint is monthly cost, it is the obvious starting point.

As with any provider advertising market-low pricing, confirm two things before enrolling: whether the rate is tied to a longer prepaid plan, and whether it holds as your dose escalates.

Best for Transparency: Coby Health

Coby Health does not publish the lowest price — in fact it does not publish a site-wide headline price at all, which is its main weakness. But on every other disclosure dimension it is the strongest provider we reviewed.

It charges no subscription or membership fee. It publishes staged refund terms: cancel before pharmacy submission and you are refunded minus a $50 non-refundable visit and clinical fee; once shipped, refunds are not possible. It names the four states it cannot serve — Arkansas, Louisiana, Mississippi and New Mexico. And it states outright that it does not process insurance.

Best Compounding Disclosure: Maximus

Maximus answers a question almost no other provider will address, and one most patients do not know to ask: which chemical form of the drug does your pharmacy actually compound?

Maximus states it uses only the base form of semaglutide and tirzepatide, and warns that some pharmacies use salt forms such as 'Semaglutide Sodium' or 'Semaglutide Acetate' which — in its words — 'are different chemicals, are not equivalent, and have not been tested for safety or effectiveness,' adding that using salt-form compounds 'may be unsafe or ineffective.'

Salt-form semaglutide has been a persistent concern in the compounded market. A provider that raises the issue unprompted and answers it plainly is telling you something meaningful about how it selects its pharmacy partners.

Best Dose-Ladder Transparency: Rixa Health

Rixa Health does something no other provider we found does: it publishes a price for every single dose level, with the exact weekly milligram dose attached to each. Semaglutide runs from $195 to $310 across five levels; tirzepatide from $280 to $525 across six.

Each price 'covers everything for 4 weeks, including medication, shipping and any provider interactions you need between refills,' with no contracts or long-term commitments. Rixa also names its clinicians publicly with credentials and years of experience.

Best for Long-Term Cost: ScriptsMD and Maximus

Two providers commit in writing that your price will not climb as your dose does. Maximus states it offers 'flat-rate monthly plans that include access to all dose tiers.' ScriptsMD states 'our prices do not increase for higher doses.' Because GLP-1 therapy titrates upward over months, either commitment can be worth more across a year than a lower entry price that escalates.

The difference between them is confidence in the total. Maximus publishes its compounded entry prices ($116 and $198 per 28-day supply) and accepts HSA/FSA at checkout, so you can compute your cost. ScriptsMD advertises a lower entry point but leaves the total ambiguous, as below.

Best for Needle-Free Options: ShedRx

If injections are the barrier, ShedRx offers more alternatives than anyone else we reviewed: GLP-1 liquid drops taken daily, sublingual GLP-1 lozenges, and Foundayo, an orforglipron pill. It also carries brand-name Wegovy and Zepbound alongside its compounded line, so you can move between them without switching providers.

It is not the cheapest — semaglutide starts at $159/month — but it attaches a 120-day guarantee: lose 5% of your weight in 120 days or your money back, subject to published terms.

What to Verify Before You Pay Anyone

Whichever provider you choose, these are the questions that most reliably separate a good experience from a bad one. Ask them before you enter a card number.

The Compounded Medication Caveat

Everything in this ranking is a compounded product, and that carries a category-level caveat that applies regardless of which provider you choose.

None of that makes compounded medication automatically unsafe — legitimate compounding pharmacies are licensed and regulated, and compounded GLP-1s have made therapy accessible to many people priced out of brand-name products. But it does mean you should treat provider quality as a genuine safety question, not just a shopping preference. If a provider will not tell you its refund policy or which state rules it follows, that reticence is information.

If you would rather avoid the compounded market entirely, our comparison of brand-name versus compounded GLP-1s walks through what actually differs, and providers like Ro Body, Calibrate and Sesame offer routes to FDA-approved medication instead.