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What Compounded GLP-1 Costs Per Month — and Why the Number Moves

How compounded GLP-1 pricing really works: intro rates, dose step-ups, membership splits, and how to normalize any offer to one figure.

By The Scorecard Lab, Provider Testing Desk
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The Scorecard's #1 pick

CoreAge Rx

A−91.8

Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

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Semaglutide
$99/mo
Tirzepatide
$149/mo
Coverage
All 50 states
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Compounded

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MadeMed

B−

Publishes its price at every single dose, so what a titrated dose costs is knowable on day one.

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Ask "what does compounded GLP-1 cost per month?" and you will get a dozen different answers, all of them technically true and none of them the number you will actually pay. That is not because anyone is lying. It is because monthly cost is assembled from several moving parts, and providers show you the most flattering slice. This guide teaches you to reassemble the whole figure yourself.

First, what "compounded" means for price

A compounded GLP-1 is prepared by a pharmacy rather than mass-produced under an FDA-approved application; it is not FDA-approved and is priced outside the brand manufacturer's list-price system1. That is precisely why compounded pricing is so variable: there is no single national list price to anchor to. Each provider and pharmacy sets its own, and the number you are quoted is a quote — not a market fact. That price is also tied to a legal availability window that moves — see why compounded GLP-1's legality hinges on the FDA shortage list for the mechanism behind why a rock-bottom compounded quote can disappear or change without warning.

The parts that make up your monthly number

**The introductory rate.** Many offers lead with a first-month or first-90-day price that is not the ongoing rate. Find the "then" price, because that is what you will pay for most of the year. The Edit is a textbook specimen: its advertised $109 semaglutide price is a first-order promotion, $100 off a single month, while the standing rate is $209.

**The dose step-up.** GLP-1 dosing titrates upward over time. If a provider prices by dose, your monthly cost rises as you climb the ladder. A low starting-dose price can look very different at maintenance.

**The membership split.** Some providers separate a recurring "membership" or "consultation" fee from the medication cost. Both are real money leaving your account each month; add them together.

**Billing cadence.** A figure quoted per month may actually bill quarterly, and a "per month" number derived from a prepaid multi-month package assumes you stay the whole term. Convert everything to true dollars per single month — and check what the provider means by "month", because Vyvron bills every four weeks while printing a monthly price, which is thirteen charges a year rather than twelve. Some providers never show you any other figure: MyDrHank publishes only its twelve-month prepay rate — its price component picks the cheapest rung of the term ladder, so the month-to-month price you would pay if you did not commit for a year appears on no page on the site. The same construction runs on SkinnyRx, where the advertised $199 a month is a twelve-month plan — its price code filters the one-month option out before choosing a headline, the month-to-month rate is $349, and the cheap rate arrives as one $2,388 charge on day one that renews every year. And a provider can remove the choice entirely: Pallas Health sells no month-to-month plan at all, so its advertised "$199/mo average" is one $597 charge, billed every twelve weeks, divided by three — and because a twelve-week cycle recurs about 4.35 times a year rather than four, that average sits roughly 8.7% below what the year actually costs.

**Shipping, labs, and add-ons.** Cold-chain shipping, required lab work, and supplies are sometimes bundled and sometimes extra. Extras that are "optional" until they are not still belong in the total.

Normalize before you compare

Here is the only fair comparison: total dollars per month, at your expected maintenance dose, after any introductory period ends, including membership and any mandatory add-ons. Run every provider through that same formula and the offers that looked cheapest on the landing page often are not. This normalization is exactly what the cost-value dimension of our WeighScore methodology does — it strips the marketing and compares the real number.

Why we do not publish a single price here

Because any number we printed would be wrong by the time you read it. Compounded GLP-1 pricing shifts with pharmacy sourcing, dose, promotions, and each provider's own strategy. Rather than quote a figure that ages badly, we grade providers on how honest and stable their pricing is — and we tell you how to verify the current number yourself. Treat any price you see anywhere, including in an ad, as something to confirm at checkout.

Cost is one dimension, not the whole decision

The cheapest normalized price is not automatically the best value. A slightly higher monthly cost that includes real clinical oversight, labs, and monitoring can be the better deal — and a rock-bottom price attached to a punishing contract is not a deal at all. Weigh price against the other five dimensions in our six-point checklist, and understand what you are buying with compounded vs. brand-name GLP-1 and is compounded semaglutide legit and safe? If you're weighing a compounded quote against the branded product it's substituting for, Ozempic vs. Wegovy is worth reading first — and if insurance might cover the branded option, run the numbers in does insurance cover GLP-1 weight-loss drugs? before assuming compounded is cheaper in practice.

Do the math, then compare

Pull two or three quotes, normalize each to true monthly cost at maintenance, and only then compare. We have already done the first sort for you: the cheapest GLP-1 ledger puts every provider in price order and prints its grade rank alongside, so the trade behind a low sticker is visible on the row — and every other ranking we publish, by molecule and by constraint, is indexed on the rankings page. To see how providers stack up across cost and the other dimensions, browse our reviews and side-by-side comparisons.

Frequently asked questions

How much does compounded GLP-1 cost per month?

There is no single answer, because pricing is set by each provider and pharmacy and shifts with dose, promotions, and sourcing. The honest approach is to normalize each quote to true dollars per month at your maintenance dose, after any intro rate ends, including membership fees.

Why is compounded GLP-1 priced differently than brand-name?

Compounded products are prepared by pharmacies rather than mass-produced under an FDA-approved application, so they sit outside the brand manufacturer's national list-price system. That is why compounded pricing varies so widely between providers.

Is the cheapest provider the best value?

Not necessarily. A low price attached to weak oversight, no monitoring, or a punishing contract can cost more in the end. Weigh normalized price against clinical oversight, monitoring, fulfillment, and contract terms.

References

  1. U.S. Food and Drug Administration (2024). Compounding and the FDA: Questions and Answers. FDA.gov — Human Drug Compounding. https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers

Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.