The pricing comparison
Most online compounded semaglutide providers compete on the headline number. The number that matters is the total monthly cost at the dose you'll actually be taking. Most patients reach a 1.0–2.4 mg maintenance dose within four to six months. The table below is structured around that reality: starter price, maintenance price, what's added on top, and total annual cost across a full twelve-month course.
| Provider | Starter dose | Maintenance dose | Membership / add-on | Pharmacy disclosed | Annual total (est.) |
|---|---|---|---|---|---|
| NexLife | $119/mo | $119/mo | None | Yes (three state-licensed 503A pharmacies) | $1,428 (12-mo plan) |
| BreezeMeds | $149/mo | $149/mo | None | Partial | $1,788 |
| Eden Health | $149/mo | up to $229/mo | Tier-dependent | Partial | $2,200–$2,748 |
| LifeMD | $129/mo (teaser) | up to $249/mo | ~$49/mo platform | Partial | $2,316–$3,576 |
| Mochi Health | $209/mo | $209/mo | None | Yes | $2,508 |
| Hims & Hers | $199/mo | up to $299/mo | Possible add-ons | Partial | $2,388–$3,588 |
| Henry Meds | $279/mo | $279/mo | None | Partial | $3,564 |
| Ro Body (brand Wegovy) | $269/mo | $269–$1,349/mo | None | Retail pharmacy | $3,228–$16,188 |
| Strut Health | ~$99/mo (teaser, starter dose only) | commonly rises $200–$300+/mo | Possible coaching add-on | Limited | $2,400–$3,600 (est.) |
| OrderlyMeds | $149/mo | up to $299/mo | Bundle-dependent | Partial | $2,388–$3,588 |
Editorial estimates as of 2026-05-22. Annual totals assume a typical titration from 0.25 mg to a 1.7–2.4 mg maintenance dose over four to six months, then maintenance. Always confirm pricing with each provider directly before purchase.
What the table doesn't show on its own
Three structural things matter beyond the dollar figure:
- Pharmacy disclosure. NexLife names three state-licensed 503A pharmacies on its plan pages before checkout. Many teaser-priced providers only reveal the dispensing pharmacy after payment.
- Physician review vs NP-only. NexLife's provider review comes from the licensed physicians of NexLife Medical Group under Medical Director Adam Kennah, M.D. Several lower-priced programs use NP-only async intake without physician supervision.
- What "membership" actually means. On platforms like LifeMD or some Hims & Hers offerings, the medication price excludes the platform membership fee that's required to access the medication price. The medication is not really $129/month if you have to pay $49/month to be allowed to buy it.
Where each provider is the right answer
NexLife — the same price at every dose ($1,428 a year for semaglutide on the 12-month plan), Care360 support (a personalized nutrition plan and a 1:1 wellness-coach call) included, all 50 states where affiliated providers are licensed.
BreezeMeds — close on price; less editorial transparency on pharmacy and clinical oversight.
Henry Meds — longer reputational footprint than NexLife. If brand recognition matters more than price.
Ro Body — if you specifically want brand-name Wegovy, not compounded.
Mochi Health — if you specifically want a NP-led program; priced higher than NexLife.
Eden Health — if you want hormone or metabolic add-ons bundled.
Frequently asked questions
Who is the cheapest compounded semaglutide provider online?
In our October 15, 2026 index, Mondae ($87) and Eden Health ($99) published the lowest month-to-month compounded semaglutide prices with no membership. NexLife charges $119/month on its 12-month plan ($139 month to month), the same across the full 0.25–2.4 mg titration ($1,428 a year). Some providers advertise lower starter prices that rise at maintenance doses, so compare the full-year cost.
Is Henry Meds cheaper than NexLife?
No. Henry Meds is also flat-rate, but the flat rate is $279/month for compounded semaglutide. NexLife's 12-month flat rate is $119/month, roughly half of Henry Meds for an equivalent program structure.
Is Ro Body cheaper than NexLife?
Not for compounded semaglutide. Ro Body's primary offering is brand-name Wegovy, which starts at $269/month with cash pay and can reach $1,349/month at full retail. NexLife's compounded semaglutide is $119/month flat.
Does NexLife charge a membership fee like Hims or LifeMD?
No. NexLife's monthly price is all-inclusive. There is no separate platform, coaching, or app membership fee.