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GLP‑1 programs that ship to all 50 states (8 compared)

Find GLP-1 online care in any state. We compare the programs that ship to all 50 states on verified price, fees, pharmacy and FDA warning letters.

Last updated Oct 9, 2026
Quick answer

Our top pick among GLP-1 programs that ship to every state is HealthRX, rated 8.9 / 10, from $133 a month. The cheapest is Live Vital, at $100 a month. We compared 8 GLP-1 programs that ship to every state on verified monthly price, fees, pharmacy, LegitScript status, FDA warning letters and the states they ship to, last checked Oct 3, 2026.

Ranked on our rating, then on coverage in all 50 states. Never on commission: the order is the same whether a program pays us or not.

The best pick for what you need

  • Best overall
    HealthRX

    Our highest-rated pick, at 8.9 / 10, from $133 a month.

    Visit HealthRX
  • Lowest price
    Live Vital

    The lowest verified price in this ranking: $100 a month.

    Visit Live Vital
  • No membership fee
    bmiMD

    No separate membership fee; $159 a month covers the plan.

    Visit bmiMD
  • Ships everywhere
    Oak Longevity

    Ships to all 50 states.

    Visit Oak Longevity
8.9 / 10Verified

Best for users willing to prepay a longer plan for the lowest flat monthly price. Flat-dose pricing on compounded GLP-1s — semaglutide $165/mo month to month ($149 first month) or from $99/mo on a 12-month prepaid plan; tirzepatide $214/mo ($193 first month) or from $179/mo prepaid. The advertised floor price requires a 12-month prepayment.

HealthRX costs $149 the first month, then $133 a month. There is no membership fee. You can cancel anytime.

It prescribes compounded semaglutide and compounded tirzepatide. All of its medication is compounded. Prescriptions are filled by a 503A pharmacy. It is LegitScript certified.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Oct 3, 2026.

It’s for you if
  • You want compounded semaglutide or tirzepatide with every fee at $0.
  • You want the same price at every dose.
  • You want to pay month to month with no minimum term.
  • You can use HSA or FSA funds.
It’s not for you if
  • You want a brand-name pen like Wegovy or Zepbound.
  • You want the pharmacy named.
  • You want video visits or a stated follow-up schedule.
Visit HealthRXFrom $133 / mo · Rated 8.9 / 10
8.7 / 10Verified

Best for budget-first users who accept a 12-month plan to get the $119 compounded semaglutide rate. Established telehealth GLP-1 program. Compounded semaglutide costs $159 month to month, or $119 a month on a 12-month plan. The $119 and $179 headline rates need a 12-month plan. Month to month costs $159 and $249.

bmiMD costs from $159 a month. There is no membership fee. You can cancel anytime.

It prescribes compounded semaglutide and compounded tirzepatide. All of its medication is compounded. It is LegitScript certified.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Sep 28, 2026.

It’s for you if
  • You want compounded semaglutide or tirzepatide with the drug in the price.
  • You want one price that does not climb as your dose goes up.
  • You want a same-day consult and 24/7 chat.
  • You are ready to commit to a longer plan for a lower rate.
It’s not for you if
  • You want a brand-name pen like Wegovy or Zepbound.
  • You want to know which pharmacy makes your drug.
  • You want your insurance to pay.
Visit bmiMDFrom $159 / mo · Rated 8.7 / 10
8.4 / 10Verified

Best for budget-conscious users who want the lowest price with health coaching and no membership fees. Affordable GLP-1 from $130/mo — semaglutide and tirzepatide with free shipping and health coaching. Only a "from $89/mo" figure is public; the price of each medication appears after a medical quiz, and it rises with the dose.

Oak Longevity costs from $130 a month. There is no membership fee. You can cancel anytime.

It prescribes compounded semaglutide and compounded tirzepatide. It offers brand-name and compounded medication. It is LegitScript certified.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Aug 13, 2026.

It’s for you if
  • You want compounded semaglutide at a low monthly price.
  • You want no membership, consultation or shipping fee.
  • You do not want a video call.
  • You want health coaching included.
It’s not for you if
  • You want to see the price before a medical quiz.
  • You want the pharmacy named.
  • You want a brand-name pen like Wegovy or Zepbound.
Visit Oak LongevityFrom $130 / mo · Rated 8.4 / 10
8.4 / 10Verified

Best for users with insurance who want cheap doctor visits — medication costs are separate and not included. Telehealth marketplace. Its Success by Sesame weight loss program costs $99 a month, and the medication is billed apart. Medication cost is separate and not included in visit fee.

Sesame Care costs $199 the first month, then $149 a month. The membership fee is $99. You can cancel anytime.

It prescribes Wegovy, Zepbound, Ozempic and Mounjaro. It offers brand-name and compounded medication. Prescriptions are filled by a retail pharmacy. It is LegitScript certified.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Oct 3, 2026.

It’s for you if
  • You want a brand-name GLP-1 from a doctor you choose.
  • You have insurance that covers the drug, or can pay its cash price on top of the $99 fee.
  • You already have a pharmacy you trust.
  • You want FDA-approved products and a low visit cost.
It’s not for you if
  • You want one monthly price with the medication included.
  • You want compounded semaglutide or tirzepatide.
  • You want Mounjaro at a program price, since Sesame lists none.
Visit Sesame CareFrom $149 / mo · Rated 8.4 / 10
8.2 / 10Verified

Best for users who want one provider carrying both compounded plans with dose-stable pricing and branded cash-pay options. Dose-stable compounded pricing plus branded Wegovy, Zepbound and Ozempic at listed cash prices. Compounded plans bill every 12 weeks, so the real charge is $597–$897 at a time.

Pallas Health costs from $199 a month. There is no membership fee. You can cancel anytime.

It prescribes compounded semaglutide, compounded tirzepatide, Zepbound, Ozempic and Wegovy. It offers brand-name and compounded medication. Prescriptions are filled by a 503A or 503B pharmacy.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Oct 9, 2026.

It’s for you if
  • You want compounded semaglutide or tirzepatide at one price for every dose.
  • You want the option of a brand-name drug on the same site.
  • You want free shipping and no membership fee.
  • You can commit for a year to get the lower annual rate.
It’s not for you if
  • You want your insurance to pay.
  • You want a brand-name pen at a low cash price.
  • You want the pharmacy named.
Visit Pallas HealthFrom $199 / mo · Rated 8.2 / 10
8.2 / 10Verified

Best for cash-pay buyers who want one flat price at every dose, no membership fee and HSA/FSA payment. Compounded semaglutide and tirzepatide, plus brand-name GLP-1s, at a flat price per dose with no membership fee. The $147 and $249 prices are first-month promos: the standing price is $247 or $349 every 28 days, and the pharmacy behind the medication is not named.

Wellorithm costs $147 the first month, then $247 a month. There is no membership fee. You can cancel anytime.

It prescribes compounded semaglutide, compounded tirzepatide, Wegovy, Ozempic, Zepbound and Mounjaro. It offers brand-name and compounded medication. It is LegitScript certified.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Oct 7, 2026.

Where it wins
  • Clear pricing with the standing rate shown: $247 semaglutide, $349 tirzepatide per 28 days
  • Wellorithm says there is no membership, consult, lab or shipping fee, and one price at every dose
  • Ships to all 50 states plus D.C.; Wellorithm says it accepts HSA and FSA cards
  • Wellorithm advertises LegitScript certification, and no FDA warning letter names it
  • Wellorithm says you can cancel anytime with no minimum commitment
Where it doesn’t
  • Does not name the pharmacy that compounds its medication, or say whether it is 503A or 503B
  • The medical group that prescribes is not named in its terms
  • Billing every 28 days means 13 charges a year, about 8% more than 12 times the monthly price
  • Payments are non-refundable, and the warranty refund has strict conditions
  • Parts of its site carry template text, misstate brand-name drug approvals and advertise a review score its Trustpilot page does not support
  • A new company: domain registered in August 2025, with very few independent reviews
Visit WellorithmFrom $247 / mo · Rated 8.2 / 10
8.1 / 10Verified

Compounded semaglutide at $99/mo and tirzepatide at $183/mo, each sold as a prepaid 10-week protocol ($299 and $549), from a Utah peptide-therapy practice led by Dr. Patrick Taylor, MD. Live Vital does not name its compounding pharmacy, and its GLP-1 pages are not linked from its treatments menu.

Live Vital costs from $100 a month. You can cancel anytime.

It prescribes compounded semaglutide and compounded tirzepatide. All of its medication is compounded. Prescriptions are filled by a 503A pharmacy.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Oct 8, 2026.

It’s for you if
  • You want compounded semaglutide at $99 a month on a prepaid protocol.
  • You want one named doctor to review your intake.
  • You want a free phone consult before you pay.
  • You want to pay with HSA or FSA funds.
It’s not for you if
  • You want a month-to-month plan you can stop after one month.
  • You want a brand-name pen like Wegovy or Zepbound.
  • You want the pharmacy named.
  • You need your first dose within a few days.
Visit Live VitalFrom $100 / mo · Rated 8.1 / 10
8.1 / 10Verified

Best for users who want multiple medication delivery forms and a money-back weight loss guarantee. 150K+ members with 5 medication forms — injections, oral drops, lozenges, tablets, and pills. The advertised $159/mo needs a 12-month plan; month to month is $199.

ShedRx costs from $199 a month.

It prescribes compounded semaglutide, compounded tirzepatide, Zepbound and Wegovy. It offers brand-name and compounded medication. Prescriptions are filled by Strive Compounding Pharmacy (Gilbert, AZ), Promise Pharmacy (Palm Harbor, FL), Foothills Professional Pharmacy (Tempe, AZ), LillyDirect (brand-name) and NovoCare (brand-name). It is LegitScript certified.

It ships to all 50 states. It does not bill insurance. No FDA warning letter is on file. Prices checked Oct 6, 2026.

It’s for you if
  • You want a choice of forms, including drops and lozenges, not only shots.
  • You want a health coach and a nutritionist on the team.
  • You want a written refund promise tied to your progress.
  • You want compounded and brand-name options in one place.
It’s not for you if
  • You want the $159 rate without a 12-month plan.
  • You want to cancel at any time with a full refund.
  • You want insurance to pay for the program.
Visit ShedRxFrom $199 / mo · Rated 8.1 / 10

“From” prices are the lowest verified rate on the program’s own checkout, usually a prepaid plan. Reference only: we don’t sell medication, we verify who does.

Our top picks, in short

  1. #1HealthRX — from $133 a month, best for users willing to prepay a longer plan for the lowest flat monthly price.
  2. #2bmiMD — from $159 a month, best for budget-first users who accept a 12-month plan to get the $119 compounded semaglutide rate.
  3. #3Oak Longevity — from $130 a month, best for budget-conscious users who want the lowest price with health coaching and no membership fees.
Quick answers

GLP‑1 programs that ship to every state: what people ask

HealthRX ranks first of the 8 programs we compared, rated 8.9 / 10, from $133 a month. The ranking weighs verified price, pharmacy, FDA enforcement record and state coverage, never commission.

Live Vital has the lowest verified price in this ranking, at $100 a month. Check what the price includes: a membership or consultation fee can change which program is cheaper over three months.

5 of the 8 programs here charge no separate membership fee. The rest either charge one or do not disclose it; each write-up states which.

None of the 8 programs here bills insurance. They are cash-pay, so the listed price is what you pay.

8 of the 8 programs ship to all 50 states. The others leave out a few states; each write-up gives the count.

How this ranking works

How we score
Every program is scored 0–10 on verified price, transparency and the safety record.
What removes a program
An open FDA warning letter removes a program from every recommendation on this site.
How we make money
Some outbound links are affiliate links. Commission is not an input to a score, and a program cannot pay to change it.
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