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 |
| Yuka Health Best for Beginners | Flexible pricing | Available | None | Optional | Wellness-focused |
| SHED (ShedRx) 10% Guarantee | ~$197–297 | ~$247–347 | None | Optional | Available |
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
Yuka Health takes a softer, lifestyle-first approach to GLP-1 medication. If you're still exploring your options or not ready to commit to a full clinical program, Yuka is designed for patients who want to ease into treatment with a more wellness-oriented experience. Good fit for people who are curious but cautious.
Pros
- Wellness-first approach
- Lower-pressure onboarding
- Good for early-stage explorers
- Flexible program structure
Consider
- Less clinical than other options
- Better for exploration than urgency
* 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
We are in the process of vetting additional platforms including additional platforms. We only include providers we've reviewed carefully. Check back for updates.
How to Choose
Which Provider Is Right for You?
The right platform depends on your priorities — here's a simple framework.
You're exploring but not fully committed yet
Yuka Health is designed for people who are curious about GLP-1 but want a softer, wellness-first entry point. Less clinical pressure, more flexibility — ideal if you want to ease in rather than dive straight into a full program.
→ Consider Yuka HealthCost is your primary concern
Sprout Health offers the lowest entry price at $199 for the first month with no contract. Tirzepatide is available for $249 first month. Good starting point if you're testing whether GLP-1 medication works for you.
→ Consider Sprout HealthYou want a results guarantee
SHED's 10% body weight money-back guarantee is unusual in this space. If you're committed to the program and want some financial protection, SHED is the only major platform offering this.
→ Consider SHEDYou want strong medical support
bmiMD's same-day physician consults and unlimited messaging make it the strongest option if you have complex medical history or want ongoing clinical guidance throughout your titration. Flat-rate pricing means no surprises as your dose increases.
→ Consider bmiMDYou're already on GLP-1 and need dosing help
If you're already prescribed semaglutide or tirzepatide and need help calculating your dose or managing your schedule, our free tools are designed exactly for this — no provider change needed.
→ Use Our Free CalculatorsAlready have semaglutide?
Use our free tools to calculate your exact dose, check reconstitution, and plan your injection schedule.
Dose Calculator → Reconstitution Guide