Five options. The care, the costs,
and a clearer next step.
Online care, with medication and support together
Compounded semaglutide
As low as$114/month*
Compounded tirzepatide
As low as$177/month*
Promotional price · 364-day plan
Use VIP20 for 20% off your first plan payment.
*Rounded 28-day equivalent, as advertised. Plan details
For ongoing clinician access and home delivery
Medication + care
Compounded semaglutide
$179/first 4 weeks
Introductory price · 4-week supply
Then $299 per 4-week supply.
Compounded tirzepatide
$279/first 4 weeks
Introductory price · 4-week supply
Then $399 per 4-week supply.
Remedy Meds combines compounded semaglutide and tirzepatide with clinician access and home delivery. It may suit someone who wants ongoing check-ins and a short recurring supply.
Why consider it: Clinician access by video and chat, with medication and delivery in the plan.
The published offer is $179 for the first four-week supply of compounded semaglutide, then $299 per supply. It includes medication, clinician access and shipping. The page describes check-ins every 28 days. This is the published short-plan offer, not an annual-plan equivalent; an annual offer was not shown on the reviewed page. Compounded tirzepatide is $279 for the first four-week supply, then $399, with medication, clinician access and shipping included.
Remedy Meds compounded semaglutide and tirzepatide product pages, checked September 7, 2026.
For a bundled medication subscription
Medication + care
Compounded semaglutide
$197/month
12-month plan · $2,364 total
Effective monthly price on the paid-in-full plan.
Tirzepatide injection
Pricing not published
Injectable program
Confirm current options with provider.
Henry Meds offers a subscription that bundles compounded medication with provider access and fulfillment. Its injectable and oral programs have different pricing.
Why consider it: Medication, applicable supplies and shipping within the subscription.
Published terms list compounded injectable semaglutide at $2,364 paid in full for 12 months, equivalent to $197/month. The plan includes medication, provider access, applicable supplies and shipping; supply and dose depend on the program. Current injectable tirzepatide pricing is not listed in the published program terms; confirm available options directly.
Henry Meds Programs terms, checked September 7, 2026.
For choosing a provider for brand-name care
Medication + care
Wegovy® (semaglutide)
$383/month
12-month care plan + medication
Average includes the two-month medication offer.
Zepbound® (tirzepatide)
$358/month
2.5 mg starter + annual care
Higher doses cost more. Care and medication billed separately.
Sesame offers provider choice and ongoing telehealth care. Medication is billed separately, so the displayed example adds both charges.
Why consider it: Provider choice, visits and messaging; insurance assistance for medication.
First-year example: annual care at $59/month equivalent ($708), plus eligible Wegovy pen starter pricing of $199 for two months and $349 for ten months. The first-year average is $383/month. Ongoing equivalent is $408/month at these prices. Medication and care are billed separately. Other medications and insurance can change costs. Zepbound (tirzepatide) at the 2.5 mg starter dose is $358/month including the annual care equivalent. Higher doses cost more; this is a starter-dose example, not a year-long treatment quote.
Sesame weight-loss program and offer terms, checked September 7, 2026.
For brand-name care and insurance assistance
Medication + care
Wegovy® (semaglutide)
$398/month
12-month care plan + medication
Average includes the two-month medication offer.
Zepbound® (tirzepatide)
$373/month
2.5 mg starter + annual care
Higher doses cost more. Care and medication billed separately.
Ro combines brand-name treatment access with insurance assistance. Its program can appeal to people who want help checking coverage.
Why consider it: Provider messaging and a dedicated insurance concierge.
Selected first-year example: annual care at $74/month equivalent ($888), plus eligible Wegovy pen starter pricing of $199 for two months and $349 for ten months. The first-year average is $398/month. Ongoing equivalent is $423/month at these prices. Medication is billed separately; multi-month medication discounts may reduce this example further. The $39 introductory membership offer is not applied to this annual-plan calculation. Zepbound (tirzepatide) at the 2.5 mg starter dose is $373/month including the annual care equivalent. Higher doses cost more; this is a starter-dose example, not a year-long treatment quote.
Ro pricing page, checked September 7, 2026.
Medication included in every price example. Brand-name and compounded medications are different products. Plan and offer details appear with each program.
Our top pick
Online assessment, clinician review and medication delivery in one program.
Answer four quick questions to see how our top pick fits your priorities.
Our best fit for your priorities
This guide explains shopping preferences, not medical eligibility. A clinician decides whether treatment is appropriate.
What each program offers, who it may suit, and the details that matter.
Our top pick for online direct-pay care
SurpassMD brings online assessment, independent clinician review and medication fulfillment into one direct-pay program. That makes it a strong starting point if you want to explore care without navigating insurance coverage.
The appeal is the whole program: medication and clinician review in the displayed plan, a clear route to pharmacy fulfillment, and a choice of compounded semaglutide or tirzepatide with different plan durations. Choose the plan that suits you; a clinician determines the appropriate treatment.
Compounded semaglutide from $114/month*. Compounded tirzepatide from $177/month*.
*Promotional 364-day plan, quoted as rounded 28-day equivalents. Semaglutide: $1,488 first plan, then $1,860 at renewal. Tirzepatide: $2,304 first plan, then $2,880 at renewal.
Shorter plans are also available. VIP20 applies to the first payment only; pricing depends on the selected plan.
| Program | Semaglutide + care | Tirzepatide + care | Included | Plan choice | Care |
|---|---|---|---|---|---|
| SurpassMD | $114 /month*Compounded semaglutide · medication + care. Promotional price · 364-day plan. *Rounded 28-day equivalent; see pricing & offer details. | $177 /month*Compounded tirzepatide. Promotional 364-day plan; rounded 28-day equivalent. | Medication + clinician review | Multiple plan durations available | Online assessment and independent clinician review |
| Remedy Meds | $179 /first 4 weeksCompounded semaglutide · medication + care. Introductory price · 4-week supply. | $279 /first 4 weeksCompounded tirzepatide. Then $399 per 4-week supply; medication and care included. | Medication, clinician access and shipping | 4-week subscription shown | Clinician video/chat access and check-ins |
| Henry Meds | $197 /monthCompounded semaglutide · medication + care. 12-month plan · $2,364 total. | Ask providerTirzepatide injection. Current injectable pricing is not listed in the published program terms. Ask about available options. | Medication, provider access, supplies and shipping | 12-month plan shown; shorter plans available | Online provider access and fulfillment |
| Sesame | $383 /monthWegovy® pen + care · first-year example. 12-month care plan + medication. | $358 /monthZepbound® (tirzepatide). 2.5 mg starter medication ($299) + annual care ($59/month equivalent). Higher doses cost more. | Care membership + medication, separately billed | Annual care plan; medication billed separately | Provider choice, telehealth visits and messaging |
| Ro | $398 /monthWegovy® pen + care · first-year example. 12-month care plan + medication. | $373 /monthZepbound® (tirzepatide). 2.5 mg starter medication ($299) + annual care ($74/month equivalent). Higher doses cost more. | Care membership + medication, separately billed | Annual care plan; medication billed separately | Provider messaging and insurance concierge |
The questions that matter when choosing a program.
You’ll continue to SurpassMD. A licensed clinician reviews your information before any treatment decision. Clicking here does not enroll you or charge you.
Every example here includes medication and care. For Sesame and Ro, we added the separate care membership and the specified Wegovy pen cash price. The others show bundled compounded semaglutide plans. These examples do not represent every treatment, promotion or insurance scenario.
No. SurpassMD is a direct-pay program. If you want to explore insurance coverage for brand-name medication, Ro and Sesame also offer assistance; your actual costs depend on your coverage.
An independent licensed clinician reviews your health information and determines whether treatment is appropriate. A prescription is not guaranteed. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness or quality; they are not the same products as branded Wegovy.
Begin your online assessment.
Start assessmentWe compared published care options, medication inclusion, plan choices and pricing. Rankings reflect editorial decisions and commercial relationships. The list covers five selected programs; it is not a clinical-quality assessment.
SurpassMD: SurpassMD website, checked September 7, 2026; plan charges verified in the August 30 billing audit. VIP20 confirmed by the program owner.
Remedy Meds: Remedy Meds compounded semaglutide and tirzepatide product pages, checked September 7, 2026.
Henry Meds: Henry Meds Programs terms, checked September 7, 2026.
Sesame: Sesame weight-loss program and offer terms, checked September 7, 2026.
Ro: Ro pricing page, checked September 7, 2026.
Source locations: surpassmd.com; remedymeds.com/medication/comp-sema-inj and /comp-tirz-inj; henrymeds.com/legal/programs; henrymeds.com/landing/weight-management; sesamecare.com/service/online-weight-loss-program; sesamecare.com/medication/semaglutide; ro.co/weight-loss/pricing. Prices and availability can change. Published offers were checked September 7, 2026. Long-plan examples use the stated duration; branded medication examples combine annual care with eligible introductory and ongoing medication prices.