7 Cheapest Online GLP-1 Providers (2026 Cost Comparison)

Every list of the cheapest online GLP-1 providers has the same flaw: it ranks the advertised price, and advertised prices in this market are marketing. This page works differently. We ordered all seven providers below by their lowest verified ongoing monthly price for compounded semaglutide — pulled from each company’s own website in July 2026 — then documented what each cheap number costs you in commitments, promo expirations, and complaint records.

Fair warning: sorting the cheapest online GLP-1 providers strictly by price puts two troubled companies on top. altRx ($89/month) carries a BBB F rating with 39 unanswered complaints, and Trinity Meds ($99/month) sits at 2.1/5 on Trustpilot. Their low prices earn their rank here; their records earn their Fair scores. The cheapest provider we would actually hand a card to is bmiMD — $99/month on a 12-month plan, with a Trustpilot record around 4/5 and no charge until a clinician approves you.

1. altRx — $89 a Month, the Lowest Sticker We Verified

altRx owns the lowest advertised GLP-1 price we could verify anywhere in July 2026: compounded semaglutide at $89/month, displayed as a markdown from a $199 list price. The company behind it — Trinity HealthCare Supply, LLC, doing business as altRx from a Miami private-mailbox address — has only had a BBB file since May 2026. It scores 6/10 (Fair), the lowest on this page, and the gap between its price rank and its score is the entire story of budget GLP-1 shopping.

Pricing Structure

Compounded semaglutide is $89/month (against a crossed-out $199), and compounded tirzepatide is $149/month (down from $299). A 12-month semaglutide commitment cuts the rate to $75/month — $900 a year, the lowest annual figure in this comparison. The site claims the same price at every dose, no membership fee, free shipping, and service in all 50 states. Brand-name drugs are also listed for cash: Ozempic from $1,149, Zepbound from $1,249, and Wegovy from $1,579 per month. FSA payment is accepted; insurance is not.

Pros & Cons

Pros: altRx publicly names all four of its 503A compounding pharmacies — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, and Casa Pharma Rx — which many pricier rivals refuse to do. Membership can be paused or cancelled anytime, and brand-name options exist alongside the compounded ones.

Cons: This is where $89 gets expensive. The BBB rates altRx an F after it failed to respond to 39 complaints. Trustpilot shows 2.5/5 across roughly 148 reviews, 51% of them one-star — and the recurring allegation is specific: customers say they signed up at $89 and were billed $189–$199 in later cycles, contradicting the no-price-hike promise. Trustpilot has also removed fake reviews for this company. Refunds are limited to medical ineligibility or verified billing errors within 28 days, and in June 2026 the FDA sent altRx’s operating entity a warning letter over misleading compounded GLP-1 claims. The full timeline is in our altRx review.

2. Trinity Meds — $99 a Month With No Contract Attached

Trinity Meds sells the cheapest no-commitment semaglutide on this page: $99/month, month to month, falling to $84/month if you commit to a year. Company press materials identify its operator as Trinity Healthcare Supply, LLC — the same LLC name the FDA addressed in its June 8, 2026 warning letter about the altRx brand. Two storefronts, one corporate family, and a 6.8/10 (Fair) score.

Pricing Structure

Compounded semaglutide runs $99/month on a monthly plan, $94 on 3 months, $89 on 6 months, and $84 on 12 months. Compounded tirzepatide starts at $149/month, dropping to $125 on annual plans. The price is all-inclusive — consultation, prescription, shipping, and check-ins — with FSA eligibility and buy-now-pay-later financing. One inconsistency worth knowing: Trinity’s own funnel site listed semaglutide from $159/month and tirzepatide from $259/month the same week its main site said $99 and $149. The price you see appears to depend on which door you enter through.

Pros & Cons

Pros: Flat pricing at every dose, verified on the official site. The same four dispensing pharmacies as altRx are named publicly with phone numbers, and there is no separate membership fee on top of the medication price.

Cons: Trustpilot sits at 2.1/5 across 119 reviews, 65% one-star, citing unresponsive support and charges after cancellation. Per terms quoted in the company’s own press release, consult fees are non-refundable, all prescription sales are final, and every program auto-renews until cancelled. Coverage claims conflict too — the FAQ says all 50 states while the formal terms say certain states. There is no BBB profile to check, and the funnel page says a first delivery typically takes 1.5–3 weeks. Our Trinity Meds review weighs whether $99 covers that risk.

3. bmiMD — The Cheapest Price With a Record We Can Defend

Here is where price and reliability finally meet. bmiMD, a New York telehealth company operating since December 2022, matches Trinity’s $99 headline — but pairs it with a Trustpilot record around 4/5 across roughly 800 reviews and published quality-testing claims. It scores 8.2/10 (Very Good) and is our top pick on this page.

Pricing Structure

Compounded semaglutide costs $129/month with no commitment, $119/month on a 3-month plan, $109 on 6 months, and $99/month on a 12-month plan billed $1,188 upfront. Compounded tirzepatide runs $139–$159/month by plan length, with an $89.50 first-month promo for new members. Pricing is flat at every dose and bundles the telehealth visit, unlimited provider messaging, and free shipping on subscriptions. HSA/FSA cards and buy-now-pay-later are accepted.

Pros & Cons

Pros: Your card is authorized — not charged — until a clinician approves you, so ineligible applicants pay $0. bmiMD also publishes testing claims most budget rivals skip: potency verified within ±10% every 3–6 months, sterility to USP 797, and endotoxin testing to USP 85, via third-party FDA- and DEA-registered labs.

Cons: The $99 rate demands $1,188 upfront. Cancel between intake approval and pharmacy processing and you owe a $50 fee, and all sales are final once the pharmacy processes an order. The BBB rates it C+ with 38 complaints, the compounding pharmacies are not named, and there is no brand-name option at all — compounded only, which the site correctly discloses is not FDA-approved. Full analysis in our bmiMD review.

4. Sprout Health — $149 Flat, With a Price Lock in Writing

Sprout Health advertises compounded semaglutide from $149/month with a written guarantee that the price never increases when your dose does — plus the only sublingual (under-the-tongue) semaglutide option in this comparison. The Encinitas, California company has existed only since January 2025 and scores 6.4/10 (Fair).

Pricing Structure

The homepage lists semaglutide at $149/month; the product page ran a 3-month supply at $465 (about $155/month, regular $615) when we checked in July 2026. Compounded tirzepatide was promoted at $199/month against a $349 regular rate, and the get-started page pushed a $250-off first-month offer with a countdown timer. Brand-name Wegovy ($1,799) and Zepbound ($1,999) are listed for cash. There is no membership or consultation fee — but notice how much of this pricing is promotional. Third-party reviews have cited $199–$299/month figures at other times, so treat any displayed number as a snapshot. Compounded shipments do not go to Arkansas, Kansas, or New Mexico.

Pros & Cons

Pros: The price-lock guarantee is explicit on the official site — the rate never rises with dose. You get a refund if the clinician rules you ineligible, and prescription-to-delivery generally runs 5–7 business days.

Cons: The FDA sent Sprout Health a September 2025 warning letter 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, and Trustpilot shows about 2.2/5 with 84% one-star per July 2026 search snapshots — including complaints of charges placed within minutes of applying, before any consultation. Its compounding pharmacies are not named. Our Sprout Health review covers the warning letter line by line.

5. TrimRx — $199 a Month If You Will Sign for a Year

TrimRx, run by San Diego’s MetaFit Pharma Solutions LLC since June 2024, advertises compounded semaglutide from $199/month — with an annual commitment. Month to month, the standard rate is about $349 per the company’s March 2026 press release. It scores 7.8/10 (Good), the second-highest score on this page.

Pricing Structure

The $199 semaglutide rate requires a 12-month commitment, about $2,388 per year; per third-party pricing reports, plan tiers run from $349 month-to-month down to roughly $174/month on a 12-month prepaid plan. Compounded tirzepatide is promoted at $349/month flat across every dose from 2.5mg to 15mg ($449 standard rate). The number is genuinely all-inclusive: provider visits, medication, syringes, alcohol pads, a sharps container, and cold-chain shipping, with no platform or membership fees. HSA/FSA payment is accepted.

Pros & Cons

Pros: $0 is charged until a prescription is actually approved, the initial consultation is free, and TrimRx has been BBB accredited since June 2025. A month-to-month option exists if you refuse contracts — you just pay about $150/month more for the freedom.

Cons: The advertised price and the no-commitment price differ by roughly $150/month, which is the promo trap in its politest form. Trustpilot averages a polarized ~3.3/5 across ~727 reviews, with negatives concentrated on multi-month upfront billing and cancellation friction; prepaid plans reportedly do not refund unused months. TrimRx declines to name its compounding pharmacies, and its own blog has quoted tirzepatide at $299, $349, and $449 in different posts. Details in our TrimRx review.

6. Noom Med — The Best Provider Here Is Only Sixth-Cheapest

This entry proves the ordering rule means something. Noom Med scores 8.7/10 (Very Good) — the highest score on this page — but lands sixth because its ongoing price is $249/month. What the extra money buys: a company founded in 2008, a BBB A+ rating with accreditation since 2021, medication from an FDA-regulated 503B outsourcing facility per Noom, and the full behavior-change coaching app bundled into every plan.

Pricing Structure

Compounded semaglutide costs $129 the first month, then $249/month billed quarterly — roughly $747 per 12-week cycle, and about $2,868 across a first year. A Microdose tier starts at $79 the first month, then $199/month per the pricing hub (a product page said $179 the same week — Noom’s own pages disagree). Compounded tirzepatide runs $149 the first month, then $299. A brand-name pathway costs $39 the first month, then $99/month plus the medication itself through insurance or cash pay.

Pros & Cons

Pros: The 503B sourcing claim is the strongest manufacturing disclosure in this comparison — 503B outsourcing facilities follow stricter federal standards than the 503A pharmacies most budget providers use. The Taper-Off Guarantee offers a year of free Noom or medication discounts if weight returns within 18 months after its 12-month protocol. FSA/HSA eligible.

Cons: At $249/month ongoing, a year costs more than double bmiMD’s plan rate — you are paying for the program, not just the drug. Billing arrives in quarterly lumps after month one, compounded plans are unavailable in Alabama, Louisiana, and Mississippi, and no refund policy is published beyond cancel-anytime. Our Noom Med review breaks down whether the coaching earns the premium.

7. MEDVi — $179 to Start, $299 Every Month After

MEDVi closes this list with the classic teaser structure: $179 for the first month of compounded semaglutide, then flat $299/month refills — a 67% jump that makes it the most expensive ongoing plan here despite the cheap-looking front door. The Delaware platform claims more than 100,000 patients since 2023 in its own January 2026 press release and scores 7.6/10 (Good).

Pricing Structure

After the $179 promo month, semaglutide refills hold at $299/month regardless of dose — about $3,468 in year one. Daily dissolvable tablets start at $249 the first month, with refill pricing unpublished (third-party reviews cite up to $369). Compounded tirzepatide starts around $349, with refills reported at $399–$499 by third parties. Brand-name plans add a $99 membership on top of medication cost. One more wrinkle, per third-party reports: billing may run on a 28-day cycle, 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), holds a ~4.4/5 Trustpilot average across roughly 14,000 reviews, offers both injections and daily dissolvable tablets, and clinician review through OpenLoop Health usually lands within 24 hours.

Cons: The BBB file is the worst on this page by volume: an F rating, 662 complaints, 100 unanswered, with recurring reports of unauthorized auto-renewal charges around $399 and refusals to refund dispensed orders. If you plan to stay on treatment past month one, five providers above beat this price. See our MEDVi review for the complaint pattern.

How We Ordered the Cheapest Online GLP-1 Providers

The order on this page follows one rule: the lowest verified ongoing monthly price for compounded semaglutide on the cheapest plan each provider publishes, checked on the providers’ own websites in July 2026. Rank does not follow score — that is deliberate. Scores come from the 5-factor rubric on our How We Rank page (pricing transparency 30%, total cost 25%, safety and sourcing 20%, flexibility 15%, reputation 10%), and they stay identical everywhere on this site.

That is why altRx can sit first on price with the lowest score (6/10) while Noom Med sits sixth with the highest (8.7/10). These are editorial ratings assembled from provider websites, BBB files, Trustpilot records, and FDA correspondence — we do not test medications ourselves, and affiliate commissions do not move a rank or a score.

Why Do Cheap GLP-1 Prices Jump After You Sign Up?

Four mechanisms turn an $89 advertisement into a $200+ reality, and every one of them appears on this page.

Strikethrough promos. altRx displays $89 against a crossed-out $199 list price, with nothing saying when the promo ends. Its Trustpilot record includes repeated allegations of $189–$199 charges in later billing cycles. When the regular price is printed right there on the page, assume it can come back.

First-month teasers. MEDVi’s $179 becomes $299 in month two, a 67% increase. Noom’s $129 becomes $249, up 93%. Neither jump is hidden — but both require reading past the biggest number on the screen.

Commitment pricing. The $99 rate at bmiMD and the $199 rate at TrimRx both require 12-month commitments, and bmiMD bills the entire $1,188 upfront. That can still be the right deal — just understand you are fronting a year of cash to lock the rate.

Billing-cycle games. Noom bills in quarterly lumps of roughly $747 after month one, and third-party reports describe MEDVi billing on a 28-day cycle — about 13 charges per year instead of 12.

Here is what the seven advertised prices actually add up to over a first year of semaglutide, using each provider’s published rates:

Provider	Advertised price	The catch	Realistic first-year cost
altRx	$89/mo	Complaints allege $189–$199 later charges	$1,068 if billed as advertised
Trinity Meds	$99/mo	Auto-renews; all sales final	$1,188 ($1,008 on annual plan)
bmiMD	$99/mo	Requires $1,188 billed upfront	$1,188
Sprout Health	$149/mo	Displayed prices are promotional	$1,788
TrimRx	$199/mo	Requires a 12-month commitment	$2,388
Noom Med	$129 first month	Then $249/mo billed quarterly	About $2,868
MEDVi	$179 first month	Refills flat at $299/mo	About $3,468

The spread between the cheapest and priciest real first-year cost is about $2,400 — on pages that all advertise numbers between $89 and $199. For the full math on doses, pharmacy markups, and yearly totals, see our GLP-1 cost breakdown.

Are the Cheapest Online GLP-1 Providers Safe to Order From?

The cheapest online GLP-1 providers all get their low prices the same way: compounded semaglutide or tirzepatide — and compounded GLP-1s are not FDA-approved. The FDA has publicly raised concerns about unapproved GLP-1 drugs, including reports of dosing errors and adverse events. The headline results people quote — about 14.9% average weight loss over 68 weeks in the STEP 1 trial and up to 20.9% over 72 weeks in SURMOUNT-1 — come from trials of the FDA-approved products, not the compounded copies these providers ship.

Within the budget tier, three separations matter. First, warning letters: Sprout Health received one in September 2025, and altRx’s operating company received one in June 2026 — that is two of the seven names here. Second, pharmacy disclosure: altRx, Trinity Meds, and MEDVi name their pharmacies publicly; bmiMD, TrimRx, and Sprout Health do not. Third, manufacturing standard: Noom says its medication comes from a 503B outsourcing facility, which follows stricter federal manufacturing rules than the patient-by-patient 503A pharmacies altRx uses. Our compounded semaglutide safety guide explains how to vet a pharmacy before your first shipment arrives.

Also expect real screening at any legitimate provider: prescriptions generally require a BMI of 30+, or 27+ with a weight-related condition, and several companies here state plainly that a prescription is never guaranteed. A cheap provider willing to prescribe to anyone with a card is not a bargain — it is a liability.

Could Insurance Beat Every Cash Price on This Page?

Yes — if your plan covers it. Brand-name Wegovy and Zepbound are FDA-approved for chronic weight management, and with coverage, a monthly copay can come in below even the $89 cash floor on this page. That is the single biggest reason not to start with the cheapest cash provider by default.

None of the seven providers here bills insurance for compounded plans — cash-pay is the business model, which is exactly why these prices exist. But it costs nothing to check coverage before you wire $1,188 upfront to a cash plan. Our guide to whether insurance covers GLP-1s walks through employer plans, Medicare rules, and prior authorization step by step. If coverage falls through, come back here — the cash market is where you will land, and now you know exactly what each cheap number really costs.