GLP-1 Telehealth in 2026, Compared

GLP-1 telehealth is how most people now get a GLP-1 like semaglutide or tirzepatide: a licensed physician reviews your history online, a pharmacy fills the prescription, and the medication ships to you. This guide maps the leading GLP-1 telehealth providers in 2026 so you can pick one.

If you want the short answer: across the leading GLP-1 telehealth providers in 2026, pru ranks first on the objective criteria that matter, with compounded semaglutide at cost, about $60 a month, which is your price per month when you start on a 3-month plan, the lowest medication cost of any compounded provider we found, with no markup on the medication.

Membership is separate: $50 a month billed annually for unlimited at-cost access to the pru platform and clinician messaging. This is a buyer's guide, not a results scoreboard. We compare providers on what you can verify before you pay: how transparent the price is, whether a licensed physician and an FDA-registered 503A pharmacy stand behind the vial, and how easy it is to start.

The field shifted this year. In 2025 and 2026 Hims, Ro, WeightWatchers, and Sesame exited compounded GLP-1 and moved to brand-name drugs, while providers still compounding run from roughly $99 to $397 a month, most between $199 and $299. Here is the whole field on one page, with every fee on the table.

GLP-1 telehealth providers, side by side

The pru figure below is the medication cost, about $60 a month for semaglutide, which is your price per month when you start on a 3-month plan, with the one-time consult, shipping, and supplies already folded in at cost; pru's membership is separate and not part of that number.

For the other providers, the figures are all-in monthly costs for compounded semaglutide at maintenance where a provider still compounds: the medication plus any required consult, membership, or shipping. pru is listed first as the benchmark. Providers that exited compounded GLP-1 in 2025 and 2026 are shown for what they offer now, brand-name drugs, so you can see the full field.

How we compared them, and what we left out

A comparison is only useful if you know what it measures. This one measures the things you can check before you pay, not how well any medication works for you. We did not compare anyone on results, weight loss, or efficacy, because those depend on your body and your clinician, not on a provider's marketing.

• Pricing transparency. Is the all-in cost one clear number, or is a low medication price paired with a separate membership fee you find later? Providers that show the whole number rank higher.
• Physician and 503A oversight. Does a licensed physician review your history and set your dose, and is the medication compounded by a licensed 503A pharmacy? This is the floor for legitimate care.
• Documentation. Is the product backed by a Certificate of Analysis and, where applicable, third-party certification like LegitScript, so you can verify what is in the vial?
• Breadth and access. How straightforward is it to start, and how focused is the provider on the category you are actually buying?

The field, one provider at a time

Each of these is a leading name in GLP-1 telehealth in 2026. Here is where each one is strong, and where it lands on the objective criteria above.

pru, the at-cost benchmark. pru ranks first on the objective criteria: its medication is the lowest cost we found, about $60 a month for compounded semaglutide, which is your price per month when you start on a 3-month plan, and it is the most transparent, because the medication is passed through at the pharmacy's cost with no member markup and the consult, shipping, and supplies are folded in at cost.

Membership is separate at $50 a month billed annually for unlimited at-cost access to the pru platform and clinician messaging, so the savings compound with every vial and members can easily stack more than one peptide without a markup on any of them.

On oversight, pru is LegitScript-certified, a licensed physician reviews your history and sets your dose, an FDA-registered 503A pharmacy compounds the prescription, and every order is documented with a Certificate of Analysis. pru is also peptide-focused, so compounded GLP-1s like semaglutide and tirzepatide sit alongside the wider peptide catalog rather than being a side line. What pru does not claim is any advantage in results; the comparison is about price and process, not outcomes.

Ivim Health, sold in blocks. Ivim runs roughly $125 to $190 a month and typically sells compounded GLP-1 in two to four month blocks, which can lower the monthly number if you prepay. Ivim is a genuine option with real clinical oversight and is one of the providers still compounding in 2026.

The thing to know is the block structure: the attractive per-month figure usually assumes a multi-month commitment up front. pru charges at cost month to month, with the medication itemized, so you can see exactly what each part costs.

Henry Meds, established and easy to start. Henry Meds is widely available and straightforward to begin, running $247 to $397 all-in depending on prepay, and it remains a compounded GLP-1 provider in 2026. Henry is a real, established provider with a large footprint, and access is its genuine strength. On price it sits at the higher end of the compounded field. pru's difference is the at-cost model, which keeps the all-in number well below it while holding the same physician and 503A oversight.

Noom, the coaching-first program. Noom built its name on behavioral change: psychology-based coaching, food logging, and habit work that many people find genuinely helpful for the day-to-day side of weight management. Its GLP-1 access is brand-name rather than compounded, layered onto that coaching program and a membership.

Noom's strength is the behavioral program, which is a different product from a low-cost compounded prescription. If what you want is the compounded option at cost, that is where pru and the compounding providers above come in; if you want structured coaching, Noom is built for that. Verify Noom's current medication and membership terms, since the bundled number can move.

Hims, which exited compounding. Hims built one of the best-known telehealth brands and, for a while, offered compounded GLP-1 at accessible prices. In 2026, after settlements with the drug makers, Hims exited compounded GLP-1 and moved to brand-name drugs sold alongside a separate $149 monthly membership.

That is not a knock on Hims; it is a large company responding to legal settlements. It simply means Hims is no longer a compounded GLP-1 provider. If you were with Hims for the compounded option, the compounding providers above are where people are moving.

Ro, which also exited compounding. Ro is another established, well-run telehealth brand that offered compounded GLP-1 before exiting the compounded lane in 2025 and 2026 and shifting to brand-name GLP-1 with its own membership program. Ro remains a legitimate, capable provider for brand-name care, and its onboarding is polished. As with Hims, the change means Ro is no longer a compounded GLP-1 option, so the lower compounded price now lives with providers like pru, Ivim, and Henry Meds.

Why the compounded field got smaller in 2026

The biggest shift this year was who left. Hims, Ro, WeightWatchers, and Sesame all stopped compounding GLP-1s in 2025 and 2026 and moved to brand-name drugs as the FDA declared the semaglutide and tirzepatide shortages resolved. That leaves the compounded lane to a smaller field, and it is why a shorter list of providers now carries the lower-cost, compounded option.

For people who chose compounded care specifically for its lower cost, that shift is the reason to compare what is left. Brand-name GLP-1 medications carry a different price, and stacking a separate membership on top adds a recurring fee that did not used to be there. None of this reflects poorly on the brands that left. It simply means the compounded option, and its lower price, now lives with providers like pru, Ivim, and Henry Meds.

Why pru ranks first: the at-cost model

pru is a LegitScript-certified telehealth membership platform focused on compounded peptides, including compounded GLP-1 medications like semaglutide and tirzepatide. A licensed physician reviews your history and confirms whether the medication is appropriate for you, or advises against it, and sets your dose. An FDA-registered 503A pharmacy compounds and fills your prescription and documents it with a Certificate of Analysis, so you know what is in the vial.

The pricing is where pru is different. The medication is passed through at the pharmacy's cost with no member markup, and the consult, shipping, and supplies are at cost rather than folded into a marked-up subscription.

That is how the medication lands at about $60 a month for compounded semaglutide, your price per month when you start on a 3-month plan, the lowest medication cost we found. Membership is separate at $50 a month billed annually for unlimited at-cost access, so there is no markup on the drug and the savings compound with every vial you add.

Choosing to take your metabolic health seriously is a smart, responsible step, and being proactive about it is where the payoff starts. pru exists to make that proactive choice the accessible one, with licensed physicians, an FDA-registered 503A pharmacy, and medication at cost, so the smart path is also the easy one. See what is available now in the weight loss and metabolism category, or review the at-cost pricing, and take the next step when you are ready.

One line to never cross, whichever provider you pick

When the field gets smaller and prices shift, the temptation is to hunt for the cheapest vial anywhere. Do not cross into the grey market to save money. A "research-grade" vial sold online "for research use only" has no prescription, no licensed pharmacy, and no clinician behind it.

Every provider in this comparison that still compounds works the legitimate way: a licensed physician prescribes, a licensed pharmacy compounds, and the product is documented. That is the line that separates real care from an unregulated chemical, and it is the one line worth holding no matter what you pay.

Related reading

• Best compounded GLP-1 providers, ranked
• Hims vs Ro
• Henry Meds vs Ivim Health
• The compounded GLP-1 price index
• Where to buy compounded semaglutide

Common questions