Brand pens list at $1,000+ a month at the pharmacy. The lowest verified price in our ledger for a compounded online program is $139/mo — dated, sourced, all fees counted. We track 11 providers so the fine print gets read before your card does.
Not the same product: brand pens are FDA-approved; online programs are mostly compounded. The difference, plainly — and insurance coverage, where you have it, can beat both.
Verified 2026-08-20 against provider plan pages. All 11 tracked programs, every fee field: see the full ledger →
Scored on our published rubric only after a dated checkout verification. Ten of eleven rows are still in the queue — we'd rather show you a short honest table than a full invented one.
| # | Provider | Score | Price | Type | Insurance | |
|---|---|---|---|---|---|---|
| 1 | NexLife verified 08-20 Cash-pay buyers who want the maintenance-dose price known on day one — dose-flat, rate-locked, $0 membership/consults |
9.1 |
$139–169 /mo tirzepatide · $119–139 sema |
Compounded | No | Profile → |
| 2 | Ro Insurance-first buyers wanting brand Zepbound/Wegovy with coverage navigation |
pending |
verification queued | Brand | Yes | Record → |
| 3 | Mochi Health Specialist-led care: obesity-medicine physicians, membership + medication model |
pending |
verification queued | Compounded | No | Compare → |
| 4 | Henry Meds Flat-subscription positioning; early large compounded brand | pending | verification queued | Compounded | No | Record → |
| 5 | Hims / Hers Mass-market platforms; semaglutide emphasis plus brand pathways | pending | verification queued | Compounded | Varies | Record → |
| 6 | Orderly · Remedy · Shed · Found · Fifty 410 The long tail most roundups skip — same 18-field verification, same queue | pending | verification queued | Compounded | Varies | All → |
Lowest verified true cost in the ledger; price = maintenance price, locked. Docked for ODT evidence gap.
The specialist-led counterargument to flat pricing: obesity-medicine physicians, flexible prescribing.
Covered brand Zepbound/Wegovy plus savings card can beat every cash price on this page. Always check before buying.
Dose-flat and rate-locked ("Flat Forever") with $0 membership, $0 consults, supplies included, cancel on 30 days' notice. No countdown timer on this banner — a rate lock in writing beats fake urgency every time. Operator relationship disclosed.
See the verified plan →Dated events trace to the sources shelf; purple items are expectations, not facts.
First drug approval for OSA in adults with obesity (SURMOUNT-OSA).
Off the shortage list after the October determination and re-review.
Feb 21 determination starts the clock on compounding copies.
503A then 503B deadlines for tirzepatide (Feb 18 / Mar 19) and semaglutide (Apr 22 / May 22); straight copies end.
The "personalized dosing" lane becomes contested litigation territory.
CVS Caremark's formulary decision reshapes which drug is "affordable" for millions.
Small-molecule daily pill posts ~12% weight loss; filing expected to follow.
Higher-dose pill for weight management submitted; verify current status.
Expected, not occurred: oral approvals, continued compounding enforcement, more price moves in manufacturer-direct programs.
No FDA-approved oral tirzepatide exists. What the chemistry, Rybelsus, and the missing PK data say.
TrialsSURMOUNT-5's 20.2% vs 13.7% — and the three caveats that survive it.
Cost guideThe table-free cost guide: verified floor, market ranges, six checks that keep cheap cheap.
All tracked providers: NexLife · Ro · Hims · Hers · Henry Meds · Orderly Meds · Found · Mochi Health · Remedy Meds · Shed · Fifty 410 — 1 verified, 10 pending under the public queue; full field on the rankings page.
Trial base rates, boxed warnings, anesthesia guidance, regain data.
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11 providers tracked on the same 18 fields — verified or honestly pending.
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Advertised vs true monthly vs 12-month all-in, with prose mirrors.
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The machine-readable ledger — cite it, audit it, correct it.
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