Ranked · 43 providers · updated September 16, 2026
Best compounded semaglutide providers
These are the online providers selling compounded semaglutide, ranked by the same published score used across this site, with what each charges per month all-in. NuForm Health ranks first of the 23 whose pricing and licensing we have verified, at $131/month all-in.
Compounded semaglutide, ranked
- 1Compounded tirzepatideCompounded semaglutide
Scores 8.5 on public signals, including 4.9/5 from 1,165 Trustpilot reviews.
- 2Compounded tirzepatideCompounded semaglutide
Scores 8.0 on public signals, including 4.6/5 from 105 Trustpilot reviews.
- 3Compounded semaglutideCompounded tirzepatide
Scores 7.8 on public signals, including 4.5/5 from 1,026 Trustpilot reviews.
- 4Compounded tirzepatideCompounded semaglutide
Scores 7.8 on public signals, including 4.6/5 from 1,227 Trustpilot reviews.
- 5Compounded tirzepatideCompounded semaglutide
Scores 7.5 on public signals, with a BBB grade of F.
On record: a BBB alert (2026-03). What that was →
- 6Compounded tirzepatideCompounded semaglutide
Scores 7.5 on public signals, including 4.9/5 from 1,031 Trustpilot reviews.
- 7Compounded semaglutideCompounded tirzepatideBrand-name GLP-1s
Scores 7.5 on public signals, including 4.2/5 from 4,698 Trustpilot reviews.
- 8Compounded tirzepatideCompounded semaglutideBrand-name GLP-1sOral GLP-1s
Scores 7.5 on public signals, including 4.4/5 from 1,936 Trustpilot reviews.
- 9Compounded tirzepatideCompounded semaglutide
Scores 7.5 on public signals, including 4.8/5 from 5,301 Trustpilot reviews.
- 10Compounded tirzepatideCompounded semaglutideBrand-name GLP-1s
Scores 7.5 on public signals, including 4.3/5 from 14,733 Trustpilot reviews.
On record: 2 regulatory items in the last two years, most recently a manufacturer or class-action lawsuit (2026-04). What that was →
Ranked: the top 10 of 23 providers in this category whose pricing, licensing and public ratings we have verified. We track 43 in total — the rest are listed below and will be ranked as each one is checked.
Also tracked in this category, not yet ranked
We hold a profile and a public-reputation score for each of these, but not yet a price we have captured from the provider's own page — so they are not ranked against the list above.
The cheapest lane, and why
Compounded semaglutide is the lowest-priced route to a GLP-1 in the US, and the reason is not efficiency. It is a pharmacy-made version of the molecule in Wegovy and Ozempic that has not been through the FDA's review of safety, effectiveness or manufacturing quality, and that difference is what the price reflects. What compounded semaglutide is explains it properly.
The comparison worth making is not against the list price. Novo now sells the Wegovy pill self-pay at $149 a month and the pen at $349, so the gap between compounded and FDA-approved semaglutide is far narrower than it was two years ago — and at the oral dose, sometimes non-existent.
What separates the providers
At these prices the medicine is close to a commodity, so the differences are operational: whether the price is genuinely all-in or a membership is charged on top, whether the price is fixed or rises with your dose, whether the pharmacy is named, how quickly a clinician responds, and how hard it is to cancel.
The regulatory line matters more in this lane than any other. The FDA sent two rounds of warning letters to telehealth companies marketing compounded GLP-1s, in September 2025 and February 2026, and Novo and Lilly have sued a long list of compounders and platforms. Where a provider we rank is named in one of those, it is shown on its row and set out with sources on its profile.
Reading the table
Prices are each provider's cheapest compounded semaglutide plan, normalised to one month, including any mandatory membership, at the regular rate rather than a first-month offer. Where a provider prices per dose, the figure shown is the starting dose.
A provider with no row in our price table is one that does not publish a comparable figure — not one we judged expensive. We do not estimate prices.
Questions worth asking before you pay
Which pharmacy compounds it, and will they send you a certificate of analysis? A provider that answers both plainly is in a small minority, and it is the single most useful question in this lane. Ask too whether the price is fixed or rises with the dose, because a plan that looks cheapest at 0.25 mg often is not at maintenance.
Several providers here also sell compounded semaglutide as a pill or a sublingual rather than an injection. Those forms are not equivalent to the approved oral medication and have even less published evidence behind them than the injectable compounded version, so treat a low price on one as a reason to ask more questions rather than fewer.
How this ranking is built
A provider is ranked here once we hold a price captured from its own page, a check on who prescribes and who dispenses, and its public ratings. Everything else we track in the category is listed underneath, unranked, and moves up as it is verified — we would rather show you a short list we can evidence than a long one we cannot.
The order on this page is the site's published score, filtered to this category — the same ranking you see on the provider directory and the homepage. It is not a list of who pays us: nothing on this site can be bought, sponsored placements are labelled and scored by the identical formula, and the one provider our owners are connected to is disclosed wherever it appears.
The score blends public reputation signals — Trustpilot, Google and BBB ratings and volumes — with a transparency check on six things a provider either publishes or does not: licensed US clinicians, a US pharmacy, upfront pricing, brand-name options, compounded options, and accreditation. Customer reviews left on this site weigh into it as they arrive, with a Bayesian prior so a single five-star review cannot lift a provider above one with hundreds.
The full formula, including the weightings and the worked example, is published on how we rank providers, and our commercial relationships are set out in the disclosure.
Best compounded semaglutide providers: questions
What is the best compounded semaglutide provider?
The provider ranked first scores highest on public ratings and transparency among those selling compounded semaglutide. Because the medicine is similar across providers, the practical differences are price, whether the pharmacy is named, responsiveness and cancellation terms — all shown per row or on the linked profile.
How much does compounded semaglutide cost?
Plans that include the medication, the clinician and shipping generally run from about $80 to $200 a month at the starting dose, rising with the dose at most providers. The dated table on this page ranks every provider that publishes a comparable monthly figure.
Is compounded semaglutide cheaper than Wegovy?
Usually, but by less than people expect. Novo sells the Wegovy pill self-pay from $149 a month and the pen from $349, so at the lower doses an FDA-approved option can be competitive with a compounded plan once you add a telehealth membership to it.
Is compounded semaglutide safe?
It is not FDA-approved, which means it has not been through the agency's review of safety, effectiveness or manufacturing quality, and the FDA has reported thousands of adverse-event and dosing-error reports involving compounded GLP-1s. That is a different risk profile from an approved medication, not a verdict on any individual pharmacy.
Rate GLP-1 editorial team
Researches provider pricing, licensing and public ratings from primary sources and re-verifies every profile on a published schedule.
September 16, 2026
Prices, ratings and policies re-checked against the sources below. Report an error
Not paid by compounded semaglutide
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