Semaglutide Cost: What You Actually Pay in 2026
The cost of semaglutide depends on which plan you choose and whether you go through insurance.
The cost of semaglutide depends on which plan you choose and whether you go through insurance. Compounded semaglutide starts at $169 for the first month with the provider visit included.
Is this you?
Is this you?
You tried every diet and the weight comes back. Your jeans do not fit anymore and the scale will not budge. You snack at night or crash at 3 pm. You have no time for clinic visits or the nearest weight-loss specialist is an hour away. You want to keep up with the kids and feel like yourself again. If you nodded at two or three of those, keep reading.
Pricing
Breaking down the cost
Compounded semaglutide starts at $169 for the first month. That includes the provider visit, the medication, and shipping. No separate doctor fee.
The three-month plan brings it to $160 a month. You pay $480 upfront for three months.
The six-month plan brings it to $152 a month. You pay $912 upfront for six months. That is the lowest monthly price.
Provider visit and shipping are included in every plan.
Pricing in your door
One price. Provider visit, medication and shipping included.
- First month$239
- 3-month plan$227/mo
- 6-month plan$215/mo
- First month$169
- 3-month plan$160/mo
- 6-month plan$152/mo
- Provider visit
- Medication
- Cold shipping to your door
- Refills on a schedule
- Care team messaging
- Cancel anytime online
Insurance vs out of pocket
Most insurance plans do not cover semaglutide for weight loss. When they do, the copay is often $200 to $500 a month. The cash price for compounded semaglutide is lower than most copays.
Most people pay out of pocket because it is faster and cheaper. No prior authorization and no waiting for approval.
Brand-name semaglutide vs compounded
Brand-name semaglutide can cost over $1,000 a month without insurance. Compounded semaglutide gives you the same active ingredient at a fraction of the cost. Compounded by a U.S.-licensed pharmacy and prescribed by a U.S.-licensed physician.
The difference is that compounded semaglutide is mixed by a pharmacy instead of manufactured by a drug company. The active ingredient is the same.
Ready when you are. Ten minutes on your phone.
Start my online visitThe real thing vs the rest
Gummies and GLP-1 pills are not the same thing
People ask about gummies because they cost less. They were not in the clinical trials. Swallow a GLP-1 pill and about 1% reaches your blood. Inject semaglutide and about 80% does. Injectable semaglutide posted about 15% average body weight loss in clinical trials. A gummy cannot deliver that.
Liposomal drops fall into the same category. The absorption is nowhere near what injectable medication delivers.
The real thing vs the rest
A gummy cannot do this. Not even close.
Weight loss gummies, so called GLP-1 pills and liposomal drops sold on social media were never in the clinical trials. Injectable tirzepatide and semaglutide were. Overseas research-only vials have no pharmacy and no physician behind them.
Weight loss gummies
0 mg
No GLP-1 medication inside. Fiber and plant extracts.
Pills and drops
about 1%
Swallow it and about 1 of every 100 units reaches your blood.
Weekly injection
about 80%
Absorbed from the fat layer. Nothing in the way.
Swallow it: about 1% reaches your blood. Inject it: about 80% does. Same comparison we show on our homepage.
| What you get | PepHaūs prescription | Gummies and “GLP-1 pills” | Grey market vials |
|---|---|---|---|
| Studied in clinical trials | |||
| Average loss in clinical trials | About 15% to 20% of body weight | None reported | Unknown |
| Physician licensed in your state | |||
| U.S.-licensed pharmacy | |||
| Tested product, cold shipped | |||
| Provider visit included | |||
| Dose tuned to you |
Pricing
What it costs
Compounded semaglutide starts at $169 for the first month. The three-month plan is $160 a month ($480 upfront). The six-month plan is $152 a month ($912 upfront). Provider visit and shipping are included.
The price is the same whether you go through insurance or not. Most people pay out of pocket because the cash price is lower than most copays.
Pricing in your door
One price. Provider visit, medication and shipping included.
- First month$239
- 3-month plan$227/mo
- 6-month plan$215/mo
- First month$169
- 3-month plan$160/mo
- 6-month plan$152/mo
- Provider visit
- Medication
- Cold shipping to your door
- Refills on a schedule
- Care team messaging
- Cancel anytime online
LegitScript certified
A real U.S. pharmacy vs the grey market
The grey market sells overseas research-only vials with no pharmacy, no provider, and no testing. You are on your own with dosing and you have no idea what is in the vial.
PepHaūs is LegitScript certified. The medication is compounded by a U.S.-licensed pharmacy and prescribed by a U.S.-licensed physician.
FAQ
FAQ
Can I use my FSA or HSA card?+
Yes. Semaglutide prescribed for weight loss is an eligible medical expense.
What if insurance covers part of it?+
If your insurance covers semaglutide for weight loss, submit the receipt and they may reimburse part of the cost.
Do refills cost the same as the first month?+
On the three-month and six-month plans, every month costs the same. The first-month plan is month to month at $169.
Can I switch plans after I start?+
Most providers let you change plans when your current one ends. Contact the care team.
What if I want to stop before my plan ends?+
Contact the care team and they will stop future shipments. Most providers do not refund unused months.
Do you ship to all 50 states?+
Weight-loss medication ships to all 50 states. Check your address at checkout. Ready to start? Head to the semaglutide page to see your options or read more about semaglutide without insurance or compounded semaglutide vs tirzepatide .
Start your visit from your phone
Ten minutes on your phone. A physician licensed in your state. A box on your porch in 2 to 3 business days.
See if you qualifyYour care team
Every PepHaus visit is reviewed by a licensed physician from the Wasef Health Group provider network. A doctor reads your intake, decides if treatment fits, and sets your plan.
Meet the physiciansThis article is educational and is not medical advice. Compounded medications are not FDA-approved. Treatment requires evaluation by a licensed provider.