PreventiveMD
PreventiveMD offers compounded semaglutide at $119 for one month and tirzepatide at $139, with lower advertised monthly equivalents on prepaid plans and separate branded-drug memberships.
Our take
PreventiveMD deserves a shortlist place for shoppers who want a say in their dispensing pharmacy. Its low advertised rates are appealing, but the stronger reason to compare it is the combination of named pharmacy choices and dose-independent compounded pricing. Longer plans require upfront payment.
- Semaglutide
- $83/mo (annual prepay, $999 upfront, compounded)
- Tirzepatide
- $97/mo (annual prepay, $1,168 upfront, compounded)
- Coverage
- 43 states; excludes DC
- Brand-name
- Yes
Weigh PreventiveMD against the full graded field on the best semaglutide providers scorecard, or line it up against its closest alternatives.
Compounded semaglutide is $119 for one month or $999 prepaid for twelve (about $83/month). Tirzepatide is $139 for one month or $1,168 prepaid for twelve (about $97/month). Longer plans are paid upfront.
Choose the pharmacy before choosing the discount
PreventiveMD names Empower, Drug Crafters and Boudreaux’s New Drug Store and says patients can choose among pharmacies licensed for their state at checkout. That is a meaningful consumer benefit: the person who cares about a particular dispensing source has a concrete selection to investigate. It is not a guarantee that all three are available everywhere.
The service excludes Alaska, Arkansas, Mississippi, New Jersey, New Mexico, South Dakota, West Virginia and Washington, DC. Pharmacy-specific exclusions apply in addition. Check both layers before treating a preferred pharmacy as an available option.
A low monthly equivalent can mean a large first payment
The semaglutide table shows $119 for one month, $286 for three months, $536 for six and $999 for twelve. That puts the headline $83 monthly equivalent in context: it requires a $999 upfront purchase. Pricing is independent of prescribed dose; six- and twelve-month plans ship three months at a time.
Tirzepatide costs $139 for one month, $334 for three, $626 for six or $1,168 for twelve. Its annual plan saves $500 against twelve unchanged $139 orders. Both medications therefore offer a real published choice between a smaller first payment and a lower monthly equivalent.
Paying $999 instead of twelve $119 monthly orders saves $429 if the monthly rate stays unchanged and all twelve months are used. A shopper new to the service may reasonably pay more per month to preserve flexibility. Shipping medication in quarterly batches does not turn the annual prepayment into quarterly billing.
The exit terms matter more on a prepaid plan
The subscription policy separates the initial authorization hold from the charge after approval. Renewals continue until canceled at the then-current price. Canceling renewal does not automatically refund the paid term; consultation and pharmacy fulfillment cutoffs determine refund eligibility.
The policy says unapproved initial requests are not charged, while also describing rendered clinical services as nonrefundable. Ask how those clauses apply to the selected package if treatment is declined or later stopped. This is particularly important before paying for months you have not yet used.
Decide which kind of care you are buying
Standard intake is asynchronous; the FAQ gives a typical 24–48-hour review window. The branded choices use different economics: a $49 monthly membership plus medication, starting at $149 for the advertised Wegovy or Foundayo options and $299 for Zepbound. The compound minimums should not be used to budget for those routes.
My recommendation favors pharmacy-conscious self-pay shoppers who understand the commitment. Anyone expecting insurance administration or a routine live appointment should compare another care model. This review assessed public disclosures, not an enrolled patient’s experience or an individual pharmacy’s fulfillment.
Factor breakdown
These are recorded editorial marks, not a measure of clinical outcomes. Current prices and policies may differ from those used in the marks. See the methodology.
Strengths
- Names Empower, Drug Crafters and Boudreaux’s New Drug Store as pharmacy choices, subject to state licensing
- Publishes one-, three-, six- and twelve-month compound plans with the same price across doses
- One-month compound plans are $119 for semaglutide and $139 for tirzepatide, including medication, review, supplies and shipping
- Offers branded oral and injectable options through a separate membership model
What to consider
- The $83/$97 headlines require annual prepayment of $999/$1,168; six- and twelve-month plans ship three months at a time
- Brand-name medication costs are additional to the $49 monthly membership
- Excludes AK, AR, MS, NJ, NM, SD, WV and DC; pharmacy-specific restrictions also apply
- Initial review is generally asynchronous within 24–48 hours; renewal cancellation does not automatically refund a prepaid term
Bottom line — Grade C
Best for: Self-pay shoppers who value pharmacy choice and can weigh a prepaid discount against keeping cash and flexibility.
Look elsewhere if: People who need insurance billing, a live consultation as the standard intake, or an unconditional refund on a long plan.
Site position #53 of 541. Commercial relationships affect placement, not the score. See our featured provider, CoreAge Rx (#1), for comparison.
Closest here
The rankings grading nearest PreventiveMD — the realistic shortlist.
CoraDoc is a nationwide (all 50 states) doctor-prescribed GLP-1 weight-loss telehealth service offering compounded semaglutide (from $99/mo) and tirzepatide (from $165/mo) as flat, no-subscription programs.
Fitness RX (fitnessrx.com) is a GLP-1 weight-loss program that bundles medication with fitness and nutrition coaching across a three-phase plan.
Embody is a low-cost injection option, but the modest prepaid savings deserve a close look beside its payment-finality and renewal rules.
Brand Wegovy, Ozempic or Mounjaro when clinically appropriate, with unlimited round-the-clock clinical contact.
DoctorAdam is a Shopify-based telehealth platform offering compounded semaglutide and tirzepatide in both injection and oral tablet forms, with flat all-in monthly pricing covering physician evaluation, medication, and free shipping.
Mass-market app-first program with nationwide reach and consumer-grade polish.
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Pricing/verification reflect PreventiveMD's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on PreventiveMD's site. Not medical advice; see our disclosure.