We compared 10 cash-pay GLP-1 telehealth providers on price, pharmacy quality, support, and real patient reviews. Here is who comes out on top — and who to avoid.
I work in employee benefits and field GLP-1 cost questions almost daily. The same compounded semaglutide can cost $99 at one platform and $400 at another — for the exact same medication. I built this comparison to cut through the noise so patients can make an informed decision without spending hours researching.
| Provider | Starting Price | Price Lock | Labs Included | Insurance | Coaching | States |
|---|---|---|---|---|---|---|
| GobyMeds Budget Pick | $99/mo | No | No | No | No | 50 |
| Wellorithm | $147/mo | No | No | No | Yes | 49 |
| Eden Health Price Lock | $149/mo | Yes | No | No | Limited | 50 |
| Found Health Insurance | $99/mo + meds | No | Sometimes | Yes | Yes | 50 |
| MyStart Health | $179/mo | Yes | Yes | No | No | 50 |
GobyMeds is the most affordable entry point for compounded GLP-1 therapy in 2026. The $99/month starter bundle includes consultation, 12 weeks of compounded semaglutide, and free overnight cold-pack shipping — all in. No hidden fees, no membership costs.
The catch is that the $99 price applies only to starter doses. Once you titrate up to higher therapeutic doses, monthly pricing can increase to $399 to $499 per month. Plan accordingly before committing to the platform long-term.
Wellorithm offers compounded semaglutide starting at $147/month with 24/7 customer support and a rare performance-based guarantee. Patients who do not lose at least 10% of their baseline weight after 16 weeks of adherence may be eligible for a refund of up to four months of fees.
Wellorithm is not available in Louisiana. It offers compounded medications only — no brand-name options. The performance guarantee has specific eligibility conditions that should be verified directly before enrolling.
Eden's same-price-at-every-dose guarantee is the clearest reason to choose it over cheaper alternatives. Most platforms charge significantly more as your dose escalates over 6 to 12 months. Eden locks your rate from day one. For long-term patients, this often makes Eden cheaper overall despite the higher starting price.
Eden also works exclusively with PCAB-accredited compounding pharmacies that undergo third-party testing — a higher quality standard than most telehealth platforms require. The main caution is mixed customer service reviews including some billing complaints.
Found Health is the best option for patients who have insurance that might cover GLP-1 medications. Found is one of the only telehealth platforms that accepts insurance and actively navigates prior authorization on your behalf. If your employer plan covers GLP-1s, Found can help you access that benefit.
For cash-pay patients, Found is more expensive than most alternatives because membership and medication are billed separately. But the 1-on-1 coaching, accountability app, and comprehensive support make it worth the premium for patients who want more than just medication access.
MyStart Health includes blood work in its all-inclusive monthly price — a meaningful differentiator most budget platforms skip. The price lock guarantee means your rate never increases regardless of dose escalation. With 600+ board-certified doctors and 24/7 access, the clinical infrastructure is strong.
The caution is that approximately 15% of Trustpilot reviews cite fulfillment issues including medications not arriving and difficulty reaching support. Read recent reviews before committing and have a backup plan in mind.
The right provider depends entirely on your situation. Here is a simple framework:
Always ask about pricing at higher doses before enrolling. Many providers advertise a low entry price but charge significantly more once you reach therapeutic doses after 3 to 4 months. Eden Health and MyStart Health both offer price lock guarantees that protect you from this. GobyMeds and most others do not.
Answer 3 questions about your insurance situation and medication preference and our tool will rank providers by best fit and price for your specific situation. Try it free at glp1pricefinder.com →