Cheap weight loss injections are easy to find in 2026 and hard to trust. Advertised prices for compounded semaglutide run from $89 to $199 per month, but the ad price and the sixth-month price are often two different numbers — one platform on this list advertises $89 while its own customers report $189–$199 charges in later billing cycles, per complaints filed with the BBB and Trustpilot.
So this page ranks seven budget providers on value, not stickers: the realistic recurring bill weighed against the trust record behind it. That is why the cheapest advertiser finishes last, and why a $99 provider with published quality testing finishes first. Every price below was verified on the provider’s own site in July 2026, and every rating is editorial — built from documented research, never from first-hand drug testing.
1. bmiMD — The Cheapest Injection Price With a Record to Match
bmiMD wins this budget ranking on math plus paperwork. Its $99/month compounded semaglutide is tied for the lowest recurring price on this page, and it comes from a New York telehealth company that has been shipping since late 2022, holds a roughly 4/5 Trustpilot score, and publishes the quality-testing standards most budget rivals will not discuss.
Pricing Structure
The $99/month rate requires a 12-month plan billed $1,188 upfront. Shorter terms cost more: $109/month on 6 months, $119 on 3 months, or $129 month-to-month with no commitment at all. Compounded tirzepatide runs $139–$159/month by plan length, and new members currently get their first tirzepatide month for $89.50. Every plan bundles the telehealth visit, medication, unlimited provider messaging, and free subscription shipping; HSA/FSA cards and buy-now-pay-later are accepted.
Pros & Cons
Pros: Your card is authorized but not charged until a clinician approves you, so ineligible applicants pay $0. bmiMD says third-party FDA- and DEA-registered labs verify potency within ±10% every 3–6 months, plus USP 797 sterility and USP 85 endotoxin testing. Trustpilot sits near 4/5 across roughly 800 reviews.
Cons: It sells compounded GLP-1s only — no brand-name fallback — and correctly discloses they are not FDA-approved. It does not name its partner pharmacies. All sales are final once the pharmacy processes an order, a $50 cancellation fee applies between intake approval and pharmacy processing, and the BBB file shows a C+ with 38 complaints. Full details in our bmiMD review.
2. Noom Med — The Lowest-Risk $129 You Can Spend on Month One
Noom Med is the reputational outlier in the budget field: a BBB A+ rating, accredited since 2021, from a parent company operating since 2008. Its $129 first month of compounded semaglutide is the second-cheapest starting bill in this ranking — and unlike everything else here, the price includes the full Noom behavior-change program and coaching app.
Pricing Structure
Compounded semaglutide costs $129 the first month, then $249/month billed quarterly — roughly $747 every 12 weeks, so plan for the lump sum. The Microdose tier starts at $79 for the first month (then $199/month per Noom’s pricing hub), and compounded tirzepatide runs $149 first month, then $299/month. One caution: Noom’s own pages showed conflicting recurring prices in July 2026 ($179 vs $199 on the microdose tier, $249 vs $279 on semaglutide), so screenshot whatever your checkout shows.
Pros & Cons
Pros: Noom says its compounded medication is made in an FDA-regulated 503B outsourcing facility — the stricter compounding tier. Its Taper-Off Guarantee offers a year of free Noom or medication discounts if weight returns within 18 months after completing the 12-month protocol. The coaching is included, not upsold.
Cons: The $249 recurring rate is two and a half times bmiMD’s $99, which makes Noom the budget pick for month one rather than month twelve. Compounded plans are unavailable in Alabama, Louisiana, and Mississippi, and quarterly billing catches people off guard. The medication is still compounded and still not FDA-approved. The full math is in our Noom Med review.
3. MEDVi — A $179 Starter Month With Two Very Different Reputations
MEDVi pitches budget buyers a $179 first month of compounded semaglutide with no membership fee and refills locked at a flat rate regardless of dose. The Delaware platform says more than 100,000 patients have used it since 2023, per its own January 2026 press release — and its two public report cards flatly contradict each other.
Pricing Structure
Semaglutide injections cost $179 the first month, then a flat $299/month — a 67% step-up that puts the true first-year cost around $3,468, not the $2,148 the starter price implies. Dissolvable tablets start at $249 the first month; tirzepatide starts around $349, with third-party reports putting refills at $399–$499. One review site also reports 28-day billing cycles, which works out to roughly 13 charges a year instead of 12.
Pros & Cons
Pros: MEDVi names its compounding pharmacies (Triad Rx, RedRock Pharmacy, Beaker Pharmacy & Compounding) — transparency several cheaper rivals skip. Trustpilot shows about 4.4/5 across roughly 14,000 reviews, the largest positive review base in this ranking. Clinician review through OpenLoop Health usually lands within 24 hours, and HSA/FSA payments work.
Cons: The BBB side is grim: an F rating with 662 complaints, 100 of them unanswered, including recurring reports of surprise auto-renewal charges around $399 and refusal of refunds once medication is dispensed. We weigh both records in our MEDVi review.
4. Trinity Meds — $99 With No Annual Contract, but a 2.1-Star Problem
Trinity Meds does one thing bmiMD does not: it charges $99/month for compounded semaglutide on a plain monthly plan, no 12-month commitment required, falling to $84/month if you do commit for a year. On price alone it would rank higher. Its complaint file and its corporate paper trail are why it does not.
Pricing Structure
Semaglutide runs $99/month on a monthly plan, then $94 (3-month), $89 (6-month), and $84/month (12-month). Tirzepatide starts at $149/month, dropping to $125 on annual plans — among the lowest tirzepatide prices advertised anywhere. The price covers the consult, prescription, shipping, and check-ins, with FSA eligibility and buy-now-pay-later offered. One caution: Trinity’s own funnel page listed semaglutide from $159/month during the same week its main site said $99, so confirm the number at checkout.
Pros & Cons
Pros: Four dispensing pharmacies are named publicly with phone numbers — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, and Casa Pharma Rx. Pricing is flat at every dose, with no membership fee disclosed.
Cons: Trustpilot shows 2.1/5 across 119 reviews, with 65% one-star, citing unresponsive support and charges after cancellation. The terms make consult fees non-refundable, declare all prescription sales final, and auto-renew every plan until cancelled. Its operator, Trinity Healthcare Supply, LLC, received a June 2026 FDA warning letter over misleading compounded GLP-1 claims on its sister brand altRx. Even its state coverage is contradictory — the FAQ says all 50 states while the terms say certain states. The full file is in our Trinity Meds review.
5. OMZO — Refills Locked at $299 From a Nearly Unreviewed Platform
OMZO sells the standard budget bundle — compounded semaglutide at $199 for the first month, then $299/month locked — with no contract and the consult, medication, and shipping rolled into one price. What it cannot sell yet is a track record, and at these prices you are paying mid-tier money for an unknown.
Pricing Structure
Per OMZO’s own terms, the semaglutide first month was originally $179 and is currently offered at $199, then $299/month on refills with no dose-based tiers. Tirzepatide runs $349 the first month, then $399/month. Oral dissolvable tablets start at $249. There is no membership fee and no contract, and subscriptions can be cancelled anytime, though processed charges are not refunded.
Pros & Cons
Pros: A written full-refund right if medication has not shipped within 14 business days, plus a full refund if the clinician finds you medically ineligible. The first-month-to-refill jump is disclosed plainly in the terms rather than buried.
Cons: OMZO does not name its compounding pharmacies or disclose their 503A/503B status. Its independent footprint is about 7 Trustpilot reviews and no BBB profile — effectively no record at all. Its binding terms allow refunds only for ineligibility or billing errors, which contradicts the money-back language in its marketing funnel, and its own pages disagree on prices ($179 vs $199 first month). See our OMZO review before spending $199 to find out.
6. Sprout Health — A Written $149 Price-Lock Behind a Real Warning
On paper, Sprout Health is a strong budget buy: compounded semaglutide from $149/month, a written guarantee that the price never rises when your dose does, no membership fee, and a sublingual (under-the-tongue) option for people who cannot face a needle. The paper trail behind the company is the problem.
Pricing Structure
Homepage pricing starts at $149/month, and a 3-month supply was recently promoted at $465 — about $155/month against a $615 regular rate. Compounded tirzepatide runs a $199/month promo against a $349 regular price. Brand-name Wegovy ($1,799) and Zepbound ($1,999) are listed for buyers who want FDA-approved products. Compounded shipments do not go to Arkansas, Kansas, or New Mexico.
Pros & Cons
Pros: The price-lock is explicit on the official site — the agreed monthly payment will not increase even if your dosage does. You get a refund if the clinician finds you ineligible, and delivery typically takes 5–7 business days after prescription.
Cons: The FDA sent Sprout Health a warning letter on September 9, 2025 for falsely describing its compounded GLP-1s as FDA-approved; the site now carries a corrected disclaimer. The BBB rates it F with 32 of 63 complaints unanswered, Trustpilot sits near 2.2/5 with 84% one-star reviews, the company has only existed since January 2025, and it does not name its pharmacies. Details in our Sprout Health review.
7. altRx — The $89 Advertisement Its Own Customers Dispute
altRx owns the cheapest headline in the entire GLP-1 market: compounded semaglutide at $89/month, displayed as marked down from $199, dropping to $75/month on a 12-month plan. It finishes last on this page because the complaint record repeatedly describes people paying more than double that number.
Pricing Structure
The site lists semaglutide at $89/month and tirzepatide at $149/month (down from $299), advertised as the same price at every dose with no price hikes. Brand-name options run $1,149/month (Ozempic) to $1,579 (Wegovy). Shipping is free in about 4–5 business days, service covers all 50 states, and payments are FSA-eligible. But complaints on the BBB and Trustpilot repeatedly allege signing up at $89 and being charged $189–$199 in later billing cycles — the exact opposite of the no-price-hike pitch.
Pros & Cons
Pros: altRx publicly names its four 503A compounding pharmacies — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, and Casa Pharma Rx. Membership can be paused or cancelled anytime, and brand-name drugs are on the menu alongside compounded ones.
Cons: A BBB F rating with 39 unanswered complaints on a file opened only in May 2026. Trustpilot shows 2.5/5 across about 148 reviews (51% one-star) and notes it removed fake reviews for this company. Refunds are unavailable once an order is approved or processing. And the operating entity, Trinity HealthCare Supply, LLC, received a June 2026 FDA warning letter over misleading GLP-1 claims on this very website. Our altRx review documents the billing pattern in detail.
How We Ranked These Cheap Weight Loss Injections
Every provider was scored with the 5-factor rubric published on our How We Rank page — pricing transparency (30%), total cost (25%), safety and sourcing disclosure (20%), service flexibility (15%), and reputation (10%). But the order on this page is a value order: the realistic recurring bill weighed against the record behind it, because a cheap injection you get burned on is the most expensive kind.
That value lens explains two placements. Trinity Meds (6.8/10) sits one spot above OMZO (6.9/10) despite the fractionally lower score, because Trinity’s $99 flat month costs a third of OMZO’s $299 refills and both carry troubled or paper-thin trust records. And altRx’s $89 — the lowest sticker price anywhere — finishes seventh, because an advertised price that customers repeatedly report not paying is not a price. It is bait. Prices were verified in July 2026; ratings come from documented sources like BBB files, Trustpilot records, and FDA correspondence, and affiliate relationships never move a rank.
What Do Cheap Weight Loss Injections Include for the Money?
At every provider on this page, the monthly price buys compounded semaglutide or tirzepatide — pharmacy-made versions of the active molecules in Wegovy and Zepbound. These are not FDA-approved products: the FDA has not reviewed them for safety, effectiveness, or quality, and that regulatory gap is the main reason they cost $99 instead of the $1,300+ retail price of brand-name pens.
The flat bill typically bundles an asynchronous clinician review, the medication vial, injection supplies, shipping, and messaging support. What the low price does not change is the medicine itself. Semaglutide titrates from a 0.25mg starter dose toward a 2.4mg maintenance dose over roughly 16 weeks under the FDA-approved Wegovy schedule, and results are measured in months: trial participants on FDA-approved semaglutide lost about 14.9% of body weight over 68 weeks (STEP 1), while tirzepatide reached up to 20.9% over 72 weeks at the highest dose (SURMOUNT-1). Compounded copies have no trials of their own.
You will also be injecting at home with insulin-style syringes, not a pre-filled pen — our guide on how to inject semaglutide walks through technique, injection sites, and storage. And before comparing any two monthly rates, run the full-year math with our GLP-1 cost breakdown, because a $179 first month attached to $299 refills costs more over a year than a flat $129.
When Is a Cheap Injection Too Cheap?
Five signals separate genuinely cheap weight loss injections from a trap. First, the refill gap. Judge every provider on its recurring price: MEDVi goes $179 to $299, OMZO $199 to $299, and Noom Med $129 to $249 — all disclosed, but easy to miss. Second, complaint-contradicted pricing. altRx advertises $89 while its BBB and Trustpilot files fill with reports of $189–$199 charges; when the ads and the complaints disagree, believe the complaints.
Third, unnamed pharmacies. OMZO and Sprout Health do not say who compounds their medication or whether it comes from a 503A pharmacy or a stricter 503B outsourcing facility — with compounded drugs, the pharmacy is the product. Fourth, FDA warning letters. Two companies tied to this page were cited within the last year: Sprout Health in September 2025 for calling compounded GLP-1s FDA-approved, and Trinity Healthcare Supply, LLC in June 2026 over its altRx marketing. Fifth, one-way money terms — auto-renewal plus all-sales-final refund policies, which appear at Trinity Meds, altRx, and bmiMD alike.
No single flag disqualifies a provider, but stacking three or four should send you back up this list. Our compounded semaglutide safety guide explains how to vet a pharmacy before any money moves.
Who Qualifies for Cheap Weight Loss Injections Online?
A lower price does not lower the medical bar. Budget telehealth platforms apply the same criteria used in the FDA-approved labeling for these drugs: generally a BMI of 30 or higher, or 27+ with at least one weight-related condition like high blood pressure, type 2 diabetes, or sleep apnea. Expect to be screened out for a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome, a history of pancreatitis, pregnancy or plans to become pregnant, or an active eating disorder.
The process is the same at $99 as at $399: a 10–20 minute health questionnaire, review by a state-licensed clinician — asynchronous in most states, by video where the law requires — and, if appropriate, a prescription sent to a partner pharmacy that ships in roughly 2–7 days. Several providers on this page state plainly that a prescription is never guaranteed, and that is a mark in their favor. If a budget site appears ready to prescribe anyone with a working credit card, the discount is not a deal — it is the first warning sign.