GLP-1 Medication Without Insurance in 2026
Without insurance, compounded GLP-1s are the cheapest route: semaglutide from $79/month (Embody) and tirzepatide from $129/month (Embody) on flexible plans. Brand-name cash-pay options now start around $149/month for the brand-name oral semaglutide, usually plus a membership fee.
Your three cash-pay options
- Compounded semaglutide or tirzepatide through telehealth — the lowest prices, usually all-inclusive (visit, medication, shipping). Compounded drugs are not FDA-approved finished products.
- Brand-name cash-pay programs — FDA-approved brand-name semaglutide, brand-name tirzepatide and the brand-name oral semaglutide at discounted cash prices through platforms like Hims & Hers and Ro, usually plus a membership.
- Retail pharmacy at list price — roughly $1,000–$1,350/month for brand-name injections without insurance.
Cheapest compounded options (first year, flexible plan)
| # | Provider | Most flexible plan | First year | Lowest rate (commitment) | Membership | |
|---|---|---|---|---|---|---|
| 1 | Embody | $79/mo | $948 | $69/mo 12-month | None | Visit |
| 2 | Eden Health | $99/mo | $1,188 | $99/mo monthly subscription, no long-term plan required | Not published | Visit |
| 3 | Strut Health | $129/mo | $1,548 | $129/mo monthly (auto-refill) | None | Visit |
| 4 | Elevate Health | $139/mo | $1,668 | $99/mo 3-month plan (labeled most popular) | Not published | Visit |
| 5 | Yucca Health | $146/mo | $1,752 | $125/mo 6-month plan | None | Visit |
| 6 | Sprout Health | $149/mo | $1,788 | $149/mo monthly | Not published | Visit |
| 7 | bmiMD | $159/mo | $1,908 | $119/mo 12-month | None | Visit |
| 8 | MyDrHank | $178/mo not stated | $2,136 | $171/mo not stated | Not published | Visit |
First year = the most flexible plan for 12 months, including any intro month and membership fee. "Lowest rate" usually requires prepaying or committing to several months.
Full semaglutide ranking → · Full tirzepatide ranking →
Brand-name cash prices
| Provider | Medication | Price | Membership |
|---|---|---|---|
| Hims & Hers | brand-name oral semaglutide, incl. microdosing plan | from $149/mo | $149/mo |
| Hims & Hers | brand-name oral semaglutide | from $149/mo | $149/mo |
| Hims & Hers | brand-name semaglutide injection | from $199/mo | $149/mo |
| Hims & Hers | brand-name semaglutide | from $199/mo | $149/mo |
| Hims & Hers | brand-name tirzepatide / KwikPen (branded tirzepatide) | from $299/mo | $149/mo |
| Hims & Hers | brand-name tirzepatide | from $1,899/mo | $149/mo |
| Ro | brand-name oral semaglutide | from $149/mo | $149/mo |
| Ro | brand-name semaglutide injection | from $199/mo | $149/mo |
| Ro | brand-name tirzepatide | from $299/mo | $149/mo |
Brand-name prices are usually for the starting dose and rise at higher doses.
Can insurance or Medicaid help?
Coverage for weight loss is limited and changing: several state Medicaid programs dropped GLP-1 coverage for obesity in 2026. Check your state on our providers by state pages, which list Medicaid coverage with sources. Employer plans vary — ask your insurer whether brand-name semaglutide or brand-name tirzepatide is covered for weight management and whether prior authorization is required.
FAQ
How much do GLP-1s cost without insurance?
Compounded semaglutide starts around $79/month and tirzepatide around $129/month on flexible plans; brand-name cash programs start around $149/month plus membership; retail list price is roughly $1,000–$1,350/month.
Do I need insurance to use a GLP-1 telehealth provider?
No. Most compounded GLP-1 providers are cash-pay only; some accept HSA/FSA cards.
Is compounded cheaper because it is lower quality?
Compounded medications are made by state-licensed pharmacies but are not FDA-approved finished products, so they have not been reviewed by FDA for safety, effectiveness or quality. Check that the provider names a licensed pharmacy.
Prices change often; always confirm the current price and terms with the provider. Compounded medications are not FDA-approved finished drug products. This page is not medical advice.