Telehealth companies charge in four main ways: an annual membership plus a monthly medication price (Collective: $199/year plus $59/mo compounded semaglutide), a month-to-month subscription (SHED, HealthRX, MEDGm), a prepaid multi-month plan (Embody, whose payments are non-refundable except for medical disqualification), or pay-per-visit. Which is cheapest depends mostly on how long you stay on treatment and whether you can get a refund if you stop.
Plans of 4, 12, 24 or 52 weeks. The lowest rates ($69/mo semaglutide, $119/mo tirzepatide) require a longer plan; payments are non-refundable except a provider-initiated medical disqualification. No separate membership fee.
Monthly pricing (semaglutide from $97/mo, tirzepatide from $177/mo). You buy the plan first, then complete the intake; full refund if a provider doesn't approve you.
Compounded GLP-1s at one price with medication included (injections from $169, tablets from $239). Brand-name Zepbound or Wegovy: $99 membership + medication; Ozempic: $171 membership + medication.
$199/year membership (billed annually, after a 21-day free trial) plus $59/mo compounded semaglutide or $69/mo compounded tirzepatide, same price at any dose. Checked on collective.org Oct 16, 2026.
Annual membership
Annual membership + monthly medication
You pay a yearly membership fee (like a warehouse club), then a separate, usually lower, monthly price for the medication.
Who it suits: People who expect to stay on treatment for most of a year and want the lowest monthly medication price.
Tradeoffs:
The membership fee is charged up front, usually after a trial, so you pay it even if you stop early.
A free trial can turn into the annual charge if you forget to cancel.
The savings depend on staying long enough to spread the fee out.
You pay for each clinician visit or consult, and medication is bought separately (often at a pharmacy or with insurance).
Who it suits: People using insurance for medication, or who only need an occasional prescription renewal.
Tradeoffs:
Medication cost is separate and can vary widely.
Ongoing messaging or follow-ups may cost extra.
Total cost is harder to predict up front.
Companies: None of the companies we've broken down publishes this model.
Not published
Pricing model not published
These companies don't publish prices or billing terms on their homepages, so we can't say which model they use yet. Get the monthly price, renewal price and refund terms in writing before paying.
It depends on how long you stay. With an annual membership the fee is spread across the months you use it. For example, Collective's $199/year membership adds about $16.58 a month if you stay 12 months, which puts compounded semaglutide at about $75.58 a month all-in for the first year ($907). If you stop after a few months, the fee is a bigger share of what you paid. Collective's 21-day free trial lets you cancel before the $199 charge.
What's the cheapest way to pay for compounded semaglutide?
Among the 9 companies we've broken down, the lowest listed monthly medication price is Collective's $59/mo, plus its $199/year membership (about $907 for the first 12 months). Embody lists $69/mo on longer prepaid plans ($79 for one month), with no membership fee, but those payments are non-refundable except for medical disqualification, and we don't have its exact plan totals, so we haven't calculated a first-year figure. HealthRX lists semaglutide from $97/mo. Prices were checked Oct 16, 2026 and can change; confirm the renewal price at checkout.
What is a prepaid multi-month plan?
You pay for several months at once for a lower effective monthly rate. Embody offers 4-, 12-, 24- and 52-week plans; its lowest rates need a longer plan, and payments are non-refundable except for a provider-initiated medical disqualification (then only the unused portion, minus consultation or intake costs).
Which companies offer pay-per-visit pricing?
None of the 9 companies we've broken down publishes pay-per-visit pricing on the pages we reviewed. Four (Strut Health, DudeMeds, Happy Head and RxSpan MD) don't publish prices or billing terms on their homepages.
