Ro Compounded Semaglutide in 2026: Where to Get It Now
Ro stopped offering compounded semaglutide in 2026 and moved to brand-name drugs plus a separate membership. If you came to Ro for compounded semaglutide, here is where to get it now, compared on access, cost, and oversight.
If you came to Ro for compounded semaglutide in 2026, the short answer is that Ro no longer offers it, and pru is the closest fit for people who want that compounded GLP-1 care done the legitimate way, at cost.
Ro exited compounded GLP-1 this year and moved to brand-name medications sold alongside a separate membership fee, so anyone who joined Ro for the compounded lane now needs a new home for it. pru runs an at-cost model: compounded semaglutide is about $60 a month, your price per month when you start on a 3-month plan, and that is the lowest medication price we found, every prescription written by a licensed physician and filled by an FDA-registered 503A pharmacy with a Certificate of Analysis.
Membership is separate at $50 a month billed annually for unlimited at-cost access. Below, pru sits next to two other real providers still compounding, compared plainly so you can pick what fits.
The best Ro alternative, at a glance
Here is the fast version. Ro no longer offers compounded GLP-1, so the question for most people leaving is: who still compounds, and who does it transparently. pru is the lowest medication cost we found and the most transparent, because it prices the medication at cost with no member markup, with membership billed separately.
Mochi Health, Found, and Eden are other real providers still in the compounded lane, each with genuine strengths of their own, and Ro's new brand-name model remains a strong fit for anyone whose plan helps cover the branded drug.
| Provider | All-in per month | What that includes |
|---|---|---|
| pru | about $60 | semaglutide at cost on a 3-month starter plan, incl. one consult, shipping, supplies; membership separate |
| Mochi Health | from $99 | compounded GLP-1 with a coaching-led program, verify membership terms |
| Found | $199 to $299 | all-in with behavior-change coaching, lower on annual prepay |
| Eden | about $198 | $99 medication plus a separate $99 monthly membership |
| Ro | brand-name only | exited compounding in 2026; brand-name GLP-1 plus a separate membership |
Why people are looking for a Ro alternative in 2026
The main reason is simple and recent. In 2026, Ro exited compounded GLP-1 entirely and moved to brand-name medications as the FDA declared the semaglutide and tirzepatide shortages resolved. Ro was not alone: Hims, WeightWatchers, and Sesame made the same move in 2025 and 2026. If you were with Ro specifically for the compounded route, that option is no longer on the table there, which is why so many people are shopping for an alternative right now.
What Ro offers now is brand-name GLP-1 medication paired with a separate membership. Brand-name drugs are FDA-approved and a good fit for many people, especially anyone whose plan helps cover them. The trade-off is cost and structure: the branded medication carries a list price far above the compounded route, and the membership sits as its own line on top. For people who chose the compounded lane on purpose, that is a real change worth planning around.
WHAT CHANGED AT RORo remains an established, well-run telehealth company with broad services. What changed in 2026 is that it stopped offering compounded GLP-1 and shifted to brand-name drugs plus a separate membership. This page is for people who specifically want the compounded route Ro no longer provides.
What the alternatives really cost, all-in
Among providers still compounding, most of the field sits between $199 and $299 a month all-in, and the full range runs from about $99 to $397. pru's compounded semaglutide medication is about $60 a month when you start on a 3-month plan, the lowest medication price we found, with membership billed separately. When you compare, look at the medication price and any separate membership as their own lines, because that is what leaves your account each month.
ADD UP EVERY LINEWhen you compare, total the medication price and any separate membership together, because that is what leaves your account each month.
Eden, for example, is clear that its $99 medication price sits alongside a $99 monthly membership, so the all-in is about $198 with ongoing provider access included in that second fee. pru prices the medication itself at cost, with the consult, shipping, and supplies shown as their own line items and no markup on any vial. pru's membership is one flat $50 a month billed annually for unlimited access, so the more you use it the more the at-cost pricing pays off.
Three other real alternatives, compared plainly
pru is not the only provider still compounding, and the right choice depends on what you want. Here are three other real options, with their genuine strengths noted.
- Mochi Health. A coaching-led weight program with compounded GLP-1 from around $99. Its strength is the structured, program-first experience, with registered-dietitian nutrition support and behavior coaching built around the medication. If you want a guided program with a care team, rather than a lean medication service, Mochi is a strong fit. Confirm the current membership terms, since the all-in depends on them.
- Found. A behavior-change platform that pairs compounded GLP-1 with coaching, running roughly $199 to $299 all-in and lower on annual prepay. Its strength is real depth: a well-built app, science-informed habit and nutrition coaching, and accountability for people who want lasting change alongside the medication. If that structured, high-touch program is what you want, Found delivers it.
- Eden. A telehealth service with compounded GLP-1 at a clear $99 medication price plus a $99 monthly membership, about $198 all-in. Its strength is transparent, easy-to-read pricing and a membership that includes ongoing provider access and a broad treatment menu. If you want a defined medication price with clinical support and other options in one place, Eden is a sensible pick.
All three are legitimate, prescription-based services with real upsides. The difference from pru is the model: they bundle a coaching program or membership into a set price, while pru offers the medication at cost and keeps every line transparent. If you want that structure and support, they are worth a serious look. If you want the lowest transparent cost for the medication itself, that is where pru is built to win.
Why pru is the closest fit for people leaving Ro
pru is a LegitScript-certified telehealth membership built around one thing: peptides, including the GLP-1 peptides semaglutide and tirzepatide. The path is prescription-first. pru's content helps you choose the peptide that fits your goal, a licensed physician confirms it is appropriate for you (or advises against it) and sets your dose, and an FDA-registered 503A pharmacy compounds it for you by name and provides a Certificate of Analysis. That is pharmacy-grade care: prescribed, individualized, and documented.
The part that sets pru apart on cost is the at-cost model. Membership is $50 a month billed annually for unlimited access to the platform and clinician messaging, and the medication is passed through at the pharmacy's price with no member markup.
Because the medication is always at cost, the savings compound with every vial, and members can easily stack more than one peptide without a markup on any of them. Your GLP-1 is itemized so you can see the pharmacy fill, supplies, shipping, and consult as their own lines. You can check the math on the pricing page.
One note that matters for anyone comparing: compounded semaglutide and tirzepatide are distinct, non-FDA-approved, individualized medications, not the branded drugs. Compare providers on access, cost, transparency, and oversight, never on being the same as Ozempic, Wegovy, Mounjaro, or Zepbound. Taking your metabolic health seriously is a smart, responsible move, and pru exists to make that proactive choice the accessible one, with licensed physicians, pharmacy-grade medication, and at-cost pricing on a single path. When you are ready, start with semaglutide or tirzepatide, or browse weight loss and metabolism.
Whichever you pick, watch the grey-market line
As you shop for a Ro alternative, the single most important question is not the price. It is where the vial comes from. A pharmacy-grade GLP-1 means a licensed physician prescribed it, a 503A pharmacy compounded it for you by name, and a batch-specific Certificate of Analysis documents what is inside. A grey-market vial sold online "for research use only" has no prescription, no licensed pharmacy, and no clinician behind it. Any real alternative, pru included, keeps you on the prescribed, pharmacy-grade side of that line.
THE REAL DIVIDEThe same peptide can reach you two ways: as an unregulated research chemical with a disclaimer, or as a prescribed, 503A pharmacy-made medicine with a Certificate of Analysis. Every provider on this page does the second. If a site sells a GLP-1 vial with no prescription, close the tab.
Related reading
- Best Compounded Semaglutide Providers in 2026
- The Compounded GLP-1 Price Index
- Best Online GLP-1 Providers in 2026
- Are Compounded Peptides Legit?
Common questions
Sources & further reading
- Provider websites and recent public pricing reviews, July 2026.
- U.S. Food and Drug Administration. FDA Clarifies Policies for Compounders as National GLP-1 Supply Begins to Stabilize. fda.gov, 2025.
- U.S. Food and Drug Administration. Compounding and the FDA: Questions and Answers (Sections 503A and 503B). fda.gov.
- pru catalog, category, and pricing pages. joinpru.com. Accessed July 2026.
- Compiled by pru; compounded GLP-1 figures pending legal and pharmacy sign-off before publication.