Getting access to semaglutide through telehealth has become easier than ever — but easier doesn't always mean better. Platforms vary significantly in clinical oversight, pricing transparency, pharmacy quality, and ongoing support.
This guide compares the platforms we've vetted based on their disclosures, pricing, and track record. We include affiliate links — meaning we may earn a commission if you sign up through our links, at no extra cost to you. This does not influence our assessments.
Important: Semaglutide is a prescription medication. Any legitimate provider requires a medical evaluation before prescribing. Never purchase from a source that doesn't require a prescription.
Side-by-Side
Provider Comparison at a Glance
All prices are approximate and subject to change. Verify current pricing directly with each provider.
| Provider | Sema Price/mo | Tirz Price/mo | Contract | Lab Work | Telehealth Visit |
|---|---|---|---|---|---|
| Sprout Health Lowest Price | $199 first, then $249 | $249 first, then $299 | None | Not required | Most states: async chat |
| bmiMD Best Clinical Support | $379/mo (all doses) | Available | None | Recommended | Same-day available |
| SHED (ShedRx) 10% Guarantee | ~$197–297 | ~$247–347 | None | Optional | Available |
| Embody New | Contact | Contact | None | Not required | Online |
| Pallas Health New | $139 first mo / $199 avg | Compounded + brand | None | Cash-pay | Online |
Detailed Reviews
Provider-by-Provider Breakdown
What each platform actually offers — and what to watch for.
Sprout Health is one of the most affordable GLP-1 telehealth platforms available in 2026. Founded in 2023 and available in 44 states, they offer compounded semaglutide and tirzepatide in both injection and tablet form with no contracts and no membership fees. Onboarding is fast — most patients get approved within 48 hours and receive medication within 5–7 days.
Pros
- Lowest pricing available
- No contract or commitment
- Injection or tablet options
- LegitScript certified
- Fast onboarding — 48hr approval
- FSA/HSA eligible
Consider
- No required lab work
- Async chat (not live video) in most states
- Lower clinical oversight model
- Not available in all 50 states
* Affiliate link — we may earn a commission at no cost to you
bmiMD takes a more clinical approach than most telehealth platforms — same-day provider consultations, board-certified physicians, and unlimited messaging throughout your program. Their flat-rate pricing covers all dose levels which is useful as you titrate up. FSA and HSA eligible. 100% money-back if your provider determines you're not a candidate.
Pros
- Same-day telehealth consult
- Board-certified physicians
- All doses at one flat rate
- Unlimited provider messaging
- FSA/HSA eligible
- 100% refund if not approved
Consider
- Higher monthly cost than others
- Not available in all states
* Affiliate link — we may earn a commission at no cost to you
SHED stands out for its 10% body weight loss money-back guarantee — one of the few platforms that backs its program with a performance promise. They offer the widest range of medication formats including injections, drops, lozenges, and tablets, and are available in all 50 states. Their 150,000+ member base reflects strong patient adoption.
Pros
- 10% body weight guarantee
- Most format options available
- All 50 states
- 150,000+ members
- No contract
Consider
- Some billing complaints in reviews
- Pricing increases at higher doses
- Verify guarantee terms carefully
* Affiliate link — we may earn a commission at no cost to you
Embody offers compounded GLP-1 medications through an online intake process. A growing telehealth platform for patients seeking personalized weight loss support.
✓ Pros
- Online intake — no in-person visit required
- GLP-1 weight loss focus
- Personalized program approach
✗ Cons
- Newer platform
- Pricing not publicly listed
* Affiliate link — we may earn a commission at no cost to you
Pallas stands out for offering both compounded semaglutide and cash-pay access to genuine FDA-approved brand-name options (Wegovy, Ozempic) through the same platform, when prescribed and clinically appropriate. Compounded semaglutide is $139 the first month, then $597 every 12 weeks (about $199/month) — with provider care, dose adjustments, and shipping included, and no separate membership fee. FDA-approved and compounded products are kept clearly separate.
Learn More About Pallas →* Affiliate link — we may earn a commission at no cost to you. Compounded medications are not FDA-approved.