Last reviewed: September 12, 2026 Last updated: September 12, 2026

Written by: Jay Hastings, CEO of PlexusDx

Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.

Medically reviewed by: Jayden Lee, PharmD, EMBA

Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.

PlexusDx publishes this comparison and is one of the providers discussed. We use the same evidence rules for our own program and competing programs.

The short answer

Belle offers compounded semaglutide at $199/month or compounded tirzepatide at $249/month on month-to-month billing, with no separate membership fee. Prepaying for two or six months drops the effective monthly rate: semaglutide falls to $135/month (two-month prepaid) or $119/month (six-month prepaid), and tirzepatide falls to $175/month (two-month prepaid) or $199/month (six-month prepaid). All plans include clinician consultation, medication, supplies, and shipping. Over 12 months a Belle semaglutide subscriber on the six-month prepaid cycle pays $1,428 total; the same subscriber on month-to-month billing pays $2,388. PlexusDx charges $189/month for semaglutide month-to-month ($2,268 over 12 months) or $149/month on a six-month commitment ($1,788 over 12 months), also with no membership fee.

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Belle pricing at a glance

Medication Billing cycle Upfront charge Equivalent monthly rate 12-month total
Semaglutide Month-to-month $199 $199/month $2,388
Semaglutide 2-month prepaid $270 $135/month (prepaid) $1,620
Semaglutide 6-month prepaid $714 $119/month (prepaid) $1,428
Tirzepatide Month-to-month $249 $249/month $2,988
Tirzepatide 2-month prepaid ("starter") $350 $175/month (prepaid) $2,100
Tirzepatide 6-month prepaid $1,194 $199/month (prepaid) $2,388

Source: joinbelle.com, captured September 4, 2026. 12-month totals are our calculation. Equivalent monthly rates for prepaid plans are our calculation and require upfront payment.

What is included in Belle's price

Every Belle plan—month-to-month or prepaid—includes clinician consultation, compounded medication, injection supplies, and shipping. There is no separate membership fee, no onboarding charge, and no additional lab or visit fees documented in the published pricing structure (joinbelle.com, captured September 4, 2026). The price you see is the total recurring cost for that billing cycle.

Belle offers compounded semaglutide and compounded tirzepatide injections. Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. PlexusDx works with licensed 503A compounding pharmacies.

Belle month-to-month vs. prepaid plans: the true economics

Belle's pricing structure rewards upfront commitment. A subscriber who selects the six-month prepaid semaglutide plan pays $714 every six months, which works out to $119 per month equivalent (our calculation). The same subscriber on month-to-month billing pays $199 every month. Over 12 months the prepaid subscriber pays $1,428 total versus $2,388 for the month-to-month subscriber—a difference of $960.

For tirzepatide the spread is narrower but still material. The six-month prepaid tirzepatide plan costs $1,194 upfront ($199/month equivalent, our calculation), renewing every six months for a 12-month total of $2,388. Month-to-month tirzepatide billing is $249 per month, totaling $2,988 over 12 months—a $600 difference.

The two-month prepaid plans sit in the middle. Semaglutide costs $270 every two months ($135/month equivalent, our calculation; $1,620 over 12 months), and tirzepatide costs $350 every two months ($175/month equivalent, our calculation; $2,100 over 12 months).

Belle's evidence classification is mixed-primary-secondary, and the pricing grid is corroborated by third-party aggregator AllyRx (both captured September 4, 2026). We advise confirming exact billing timing and renewal mechanics at checkout, particularly for multi-month plans.

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Belle vs. PlexusDx: like-for-like comparison

PlexusDx charges $189/month for compounded semaglutide injection on month-to-month billing ($2,268 over 12 months, our calculation) and $289/month for compounded tirzepatide injection ($3,468 over 12 months, our calculation). On a six-month commitment PlexusDx semaglutide drops to $149/month ($1,788 over 12 months, our calculation) and tirzepatide drops to $249/month ($2,988 over 12 months, our calculation). PlexusDx six-month plans bill monthly at the lower rate with no upfront lump sum required.

Provider Medication Plan type Monthly rate 12-month total
Belle Semaglutide Month-to-month $199 $2,388
PlexusDx Semaglutide Month-to-month $189 $2,268
Belle Semaglutide 6-month prepaid $119 (prepaid) $1,428
PlexusDx Semaglutide 6-month commitment $149 $1,788
Belle Tirzepatide Month-to-month $249 $2,988
PlexusDx Tirzepatide Month-to-month $289 $3,468
Belle Tirzepatide 6-month prepaid $199 (prepaid) $2,388
PlexusDx Tirzepatide 6-month commitment $249 $2,988

Belle pricing captured September 4, 2026; PlexusDx pricing captured September 12, 2026. 12-month totals are our calculation. Belle prepaid equivalents require upfront payment; PlexusDx six-month plans bill monthly at the lower rate.

Semaglutide: month-to-month comparison

PlexusDx charges $189/month month-to-month for semaglutide versus Belle's $199/month—a $10 monthly difference that compounds to $120 over 12 months. Both prices are all-inclusive (clinician, medication, supplies, shipping), and neither program charges a membership fee.

Semaglutide: six-month comparison

Belle's six-month prepaid semaglutide plan costs $714 upfront every six months ($119/month equivalent, our calculation; $1,428 over 12 months). PlexusDx's six-month semaglutide commitment costs $149/month billed monthly with no upfront lump sum ($1,788 over 12 months, our calculation). Belle's prepaid structure delivers a $360 annual savings over PlexusDx in exchange for paying $714 every six months rather than $149 each month. The decision hinges on cash-flow preference: lower total cost (Belle) versus smaller recurring charge (PlexusDx).

Tirzepatide: month-to-month comparison

Belle charges $249/month month-to-month for tirzepatide; PlexusDx charges $289/month—a $40 monthly difference favoring Belle ($480 over 12 months, our calculation).

Tirzepatide: six-month comparison

Belle's six-month prepaid tirzepatide plan costs $1,194 upfront every six months ($199/month equivalent, our calculation; $2,388 over 12 months). PlexusDx's six-month tirzepatide commitment costs $249/month billed monthly ($2,988 over 12 months, our calculation). Belle's prepaid plan saves $600 annually compared to PlexusDx's six-month commitment, again in exchange for a larger upfront payment every six months.

Decision factors

Belle's strengths

  • Lower 12-month total cost on prepaid plans: Belle's six-month prepaid semaglutide ($1,428/year) and tirzepatide ($2,388/year) undercut PlexusDx's six-month commitments by $360 and $600 respectively.
  • Competitive month-to-month tirzepatide pricing: At $249/month Belle beats PlexusDx's $289/month month-to-month tirzepatide rate by $40 per month.
  • No membership fee: All costs are bundled into the medication charge.
  • Two-month prepaid option: A middle tier ($135/month semaglutide, $175/month tirzepatide) for subscribers who want a discount without a six-month lock-in.

Considerations and evidence gaps

  • Upfront cash requirement: Belle's six-month prepaid plans require $714 (semaglutide) or $1,194 (tirzepatide) every six months. Month-to-month and two-month plans lower the upfront commitment but raise the effective monthly rate.
  • Evidence classification: Belle's pricing is classified as mixed-primary-secondary and corroborated by third-party aggregator AllyRx (both captured September 4, 2026). We recommend confirming exact billing timing and renewal mechanics at checkout.
  • Limited review evidence: Belle maintains a Trustpilot profile (trustpilot.com/review/joinbelle.com, verified September 4, 2026), but rating and volume were not captured in the indexed evidence pass. No negative review themes were coded in the research packet.
  • No oral formulations documented: Belle's published offerings are limited to compounded semaglutide and tirzepatide injections; oral capsule formulations are not mentioned in the captured evidence.

Choose Belle if…

  • You want the lowest possible 12-month GLP-1 cost and can pay $714 (semaglutide) or $1,194 (tirzepatide) upfront every six months.
  • You prefer month-to-month tirzepatide billing and want to save $40/month versus PlexusDx's month-to-month rate.
  • You value a middle-tier prepaid option (two months) that discounts the monthly rate without requiring a full six-month commitment.
  • You are comfortable with mixed-primary-secondary evidence classification and will confirm billing mechanics at checkout.

Where PlexusDx fits

PlexusDx charges $189/month for compounded semaglutide injection month-to-month and $149/month on a six-month commitment (billed monthly with no upfront lump sum). Compounded tirzepatide injection is $289/month month-to-month and $249/month on a six-month commitment. Every plan includes clinician consultation, medication, supplies, and shipping. There is no membership fee, no onboarding charge, and no surprise billing at higher doses—the published price is the full recurring cost. PlexusDx holds a 4.3-star rating on Trustpilot, with 79% of reviews at five stars and 83% at four stars or higher (captured September 9, 2026; trustpilot.com/review/plexusdx.com).

PlexusDx fits when you want month-to-month semaglutide at $189 (versus Belle's $199) with no prepayment, or when you prefer a six-month commitment that bills monthly rather than in six-month lump sums. PlexusDx's six-month semaglutide commitment ($1,788/year) costs $360 more annually than Belle's six-month prepaid plan ($1,428/year), but spreads the cost across twelve $149 charges instead of two $714 payments. For tirzepatide subscribers who prioritize month-to-month flexibility and can absorb the $40/month premium over Belle, PlexusDx offers the same no-upfront-commitment structure.

Methodology and freshness

Belle pricing, plan structure, and inclusions were captured from joinbelle.com on September 4, 2026. The pricing grid was corroborated by third-party aggregator AllyRx on the same date. PlexusDx pricing was captured September 12, 2026. All 12-month totals and per-month equivalents for prepaid plans are our calculation. Belle's evidence is classified as mixed-primary-secondary; we recommend confirming billing timing and renewal mechanics at checkout. Review evidence was gathered from Trustpilot (Belle profile verified September 4, 2026; PlexusDx 4.3-star rating captured September 9, 2026). No promotional codes or discount arithmetic were used. Every price figure carries its source and capture date. This article was written September 12, 2026.

Frequently Asked Questions

Does Belle charge a membership fee in addition to medication cost?

No. Belle does not charge a separate membership fee. The published medication price—$199/month for semaglutide or $249/month for tirzepatide on month-to-month billing, or the prepaid equivalents—includes clinician consultation, medication, supplies, and shipping.

How much do I actually pay upfront with Belle's six-month prepaid plan?

Belle's six-month prepaid semaglutide plan requires $714 upfront, renewing every six months. The six-month prepaid tirzepatide plan requires $1,194 upfront, also renewing every six months. These upfront amounts work out to $119/month and $199/month equivalent respectively (our calculation).

Can I switch from Belle's month-to-month plan to a prepaid plan later?

The captured evidence does not document mid-course plan changes or switching mechanics. We recommend confirming plan-change policies with Belle at intake or before your first renewal if you anticipate wanting to switch billing cycles.

Are Belle's compounded GLP-1 medications FDA-approved?

No. Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. Belle works with compounding pharmacies to supply semaglutide and tirzepatide injections.

How does Belle's month-to-month semaglutide price compare to PlexusDx?

Belle charges $199/month for semaglutide month-to-month; PlexusDx charges $189/month—a $10 monthly difference. Over 12 months Belle's month-to-month semaglutide totals $2,388 versus PlexusDx's $2,268 (our calculation). Both prices include clinician, medication, supplies, and shipping with no membership fee.

Sources

  • Belle pricing and plan structure: joinbelle.com, captured September 4, 2026
  • Belle pricing corroboration: AllyRx aggregator, captured September 4, 2026
  • PlexusDx pricing: plexusdx.com, captured September 12, 2026
  • Belle Trustpilot profile verification: trustpilot.com/review/joinbelle.com, verified September 4, 2026
  • PlexusDx Trustpilot rating: trustpilot.com/review/plexusdx.com, captured September 9, 2026

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Compounded medication disclosure: Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. PlexusDx works with licensed 503A compounding pharmacies.

Medical and Editorial Standards

Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.

Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. References are included at the end of the article when scientific, medical, or health-related claims are discussed.

Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.

Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.

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