Last reviewed: September 11, 2026
Last updated: September 11, 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
For patients paying cash without insurance, the best GLP-1 provider depends on your priorities: PlexusDx leads on transparent month-to-month pricing with semaglutide injection at $189/month and tirzepatide injection at $289/month (no membership, same price at every dose, captured September 11, 2026). MEDVi offers the lowest verified ongoing semaglutide refill at $299/month after a $179 first month, though total first-year cost is higher than PlexusDx. Henry Meds delivers strong service ratings (4.4 stars, approximately 13,000 Trustpilot reviews, captured September 4, 2026) at $297/month for semaglutide injection month-to-month. Eden, Found, and Hims & Hers introduce structural complexity—separate memberships, prepay requirements, or advertised rates that obscure true ongoing costs—that may complicate budgeting for long-term therapy.
At-a-glance comparison
| Provider |
Semaglutide Month-to-Month |
Tirzepatide Month-to-Month |
Membership |
Trustpilot |
| PlexusDx |
$189/month (injection) $289/month (oral) |
$289/month (injection) $349/month (oral) |
None |
4.3★ (79% five-star) |
| MEDVi |
$179 first month, $299/month refills (injection) |
$279 first month, $399/month refills (injection) |
None (compounded); $99/month (branded) |
4.3★ (~15,000 reviews) |
| Henry Meds |
$297/month (injection) $249/month (sublingual tablet) |
$297/month effective (oral only; 3-month prepaid $891) |
None |
4.4★ (~13,000 reviews) |
| Eden |
$99 medication + $99 membership = $198 all-in |
$199 medication + $99 membership = $298 all-in |
$39 first month, $99/month ongoing |
4.5★ (~5,000 reviews) |
| Found |
$289/month (cash-pay MTM) |
$359/month (cash-pay MTM) |
Included in cash-pay; separate for insurance track |
4.1★ (~732 reviews) |
| Hims & Hers |
$199/month (requires 6-month prepay $1,194) |
Not verified |
None |
10,094 reviews (rating not captured) |
| Peak Wellness |
$249/month |
$349/month |
None |
Not captured |
| Embody |
$299/month |
$349/month |
None |
Not captured |
| TrimRx |
$299/month (checkout-verified ongoing) |
$399/month (checkout-verified ongoing) |
None |
Not captured |
| Fridays Health |
$249/month advertised (not checkout-verified) |
$359/month advertised (not checkout-verified) |
None |
4.2★ (~4,700 reviews) |
| Remedy Meds |
~$299.70/month advertised (partial verification) |
$399/month advertised (partial verification) |
None advertised |
4.7★ (displayed during intake) |
| Zealthy |
$199 medication + $135 membership advertised (not verified) |
$329 medication advertised (membership not verified) |
$135/month advertised |
Not captured |
All figures captured July 20 or September 4–11, 2026; sources and verification status detailed below. Month-to-month rates exclude prepaid plans; see normalized section for 12-month comparisons.
Normalized 12-month cost comparison
When you pay cash for GLP-1 therapy without insurance, the advertised monthly rate rarely tells the whole story. Memberships, first-month discounts, prepay requirements, and refill-price jumps shift the true economic comparison. Below we calculate the total cash outlay over 12 months of continuous semaglutide therapy on each provider's standard month-to-month terms (or the closest available option when month-to-month is unavailable), assuming no dose-driven price increases and no promotional codes. All derived totals are our calculation from the verified rates above.
| Provider |
Structure |
12-Month Total |
Effective Monthly |
| PlexusDx |
$189 semaglutide injection × 12 |
$2,268 |
$189 |
| Eden |
$99 medication + membership: $39 first month, $99/month × 11 refills |
$2,376 |
$198 |
| Hims & Hers |
$199/month semaglutide (requires 6-month prepay; 2 cycles) |
$2,388 |
$199 |
| Peak Wellness |
$249 × 12 |
$2,988 |
$249 |
| Found |
$289 cash-pay MTM × 12 |
$3,468 |
$289 |
| Henry Meds |
$297 semaglutide injection × 12 |
$3,564 |
$297 |
| TrimRx |
$299 × 12 |
$3,588 |
$299 |
| MEDVi |
$179 first month + $299/month × 11 refills |
$3,468 |
$289 |
| Embody |
$299 × 12 |
$3,588 |
$299 |
| Remedy Meds |
~$299.70 × 12 (advertised; partial verification) |
~$3,596 |
~$300 |
| Fridays Health |
$249 × 12 (advertised; not checkout-verified) |
$2,988 |
$249 |
| Zealthy |
$199 medication + $135 membership × 12 (advertised; not verified) |
$4,008 |
$334 |
12-month totals are our calculation. Eden membership is $39 first month, $99 thereafter. MEDVi offers a $179 first month followed by $299 refills. Hims & Hers requires 6-month prepay ($1,194 upfront), so the 12-month figure assumes two 6-month cycles. Fridays Health, Remedy Meds, and Zealthy rates are advertised but not fully checkout-verified; confirm at intake. All figures exclude taxes, state-specific fees, and promotional codes.
PlexusDx semaglutide: $189 every month, no membership, no surprises
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Decision factors for cash-pay GLP-1 patients
Transparent month-to-month pricing
PlexusDx, Henry Meds, MEDVi, Found, Embody, Peak Wellness, TrimRx, and Remedy Meds offer month-to-month billing with no multi-month prepay requirement. PlexusDx charges $189/month for semaglutide injection and $289/month for tirzepatide injection on every order, with no membership fee and no dose-driven price increases (captured September 11, 2026). Henry Meds charges $297/month for compounded semaglutide injection month-to-month (captured September 4, 2026). MEDVi's ongoing refill rate is $299/month for semaglutide after a $179 first month, and $399/month for tirzepatide after a $279 first month (captured September 4, 2026).
Eden and Zealthy separate medication and membership costs. Eden's all-in semaglutide rate is $198/month ($99 medication + $99 membership after a $39 first-month membership rate; captured September 4, 2026). Zealthy advertises $199 medication plus $135/month membership, though the membership figure was not verified at checkout (captured September 4, 2026).
Hims & Hers advertises semaglutide at $199/month but requires 6-month prepayment totaling $1,194 upfront (captured September 4, 2026). This structure eliminates true month-to-month flexibility.
Service quality and support responsiveness
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). Henry Meds carries a 4.4-star rating with approximately 13,000 reviews (captured September 4, 2026). Eden holds a 4.5-star rating with roughly 5,000 reviews (captured September 4, 2026). MEDVi holds a 4.3-star rating with approximately 15,000 reviews (captured September 4, 2026). Remedy Meds displayed a 4.7-star rating during intake (captured September 4, 2026). Fridays Health holds a 4.2-star rating with approximately 4,700 reviews (captured September 4, 2026). Found holds a 4.1-star rating with approximately 732 reviews (captured September 4, 2026).
One captured Eden review on Trustpilot reports an 11-day order delay and repeated requests for records the company had previously issued (1-star review, captured September 4, 2026). This is an individual report and not verified as a systemic pattern. Hims & Hers Trustpilot and Reddit reports describe perceived lack of efficacy, side effects, and regret after uncancelled renewal (captured September 4, 2026); these are individual allegations, not verified facts.
Medication options: injection, oral, microdose
PlexusDx offers compounded semaglutide and tirzepatide in both injectable and oral forms, plus a microdose GLP-1 injection protocol at $129/month (captured September 11, 2026). Henry Meds offers compounded semaglutide injection at $297/month, sublingual semaglutide tablets at $249/month, and oral tirzepatide at $297/month effective on a 3-month prepaid cycle (captured September 4, 2026); Henry Meds does not offer tirzepatide injection. Eden, MEDVi, Embody, Peak Wellness, Found, TrimRx, and Fridays Health offer both semaglutide and tirzepatide injections; oral availability varies by provider and sometimes by clinician.
Hims & Hers and Ro offer both compounded and FDA-approved branded GLP-1 medications. Ro's Body Program membership is $149/month (month-to-month), $89/month on a 6-month prepaid plan, or $74/month on an annual prepaid plan (captured September 4, 2026), and branded medication (Wegovy pill, Zepbound vial) is billed separately starting at $149/month and rising with dose to as high as $449/month (captured September 4, 2026). MEDVi charges $99/month membership for its branded pathway (captured September 4, 2026).
Prepay requirements and commitment length
PlexusDx, Henry Meds (for most products), MEDVi, Eden, Found (month-to-month option), Embody, Peak Wellness, TrimRx, and Remedy Meds allow month-to-month billing without upfront prepayment. Henry Meds' oral tirzepatide and some oral semaglutide options require 3-month prepayment (captured September 4, 2026). Hims & Hers' advertised $199/month semaglutide rate requires 6-month prepayment ($1,194 upfront; captured September 4, 2026). Found offers 12-month prepaid cash-pay semaglutide at an effective $169/month ($2,028 upfront), but its month-to-month cash-pay rate is $289/month (captured September 4, 2026). Ro's lowest per-month membership rate ($74/month) requires annual prepayment of $888 (captured September 4, 2026).
Patients without insurance often value the ability to pause or stop therapy without forfeiting a prepaid balance. PlexusDx, MEDVi, and the month-to-month tiers at Henry Meds, Eden, Found, Embody, Peak Wellness, TrimRx, and Remedy Meds offer this flexibility.
Dose-escalation pricing policies
PlexusDx charges the same price at every semaglutide and tirzepatide dose (captured September 11, 2026). MEDVi states that dose increases do not raise the price (captured September 4, 2026). Embody and Peak Wellness also hold the same price at every dose (captured July 20, 2026).
Ro's branded medications are dose-dependent: Wegovy pill ranges from $149/month at starting dose to $299/month at higher doses; Zepbound vial ranges from $299/month to $449/month (captured September 4, 2026). Patients moving to higher doses face mid-therapy cost increases.
Choose PlexusDx if…
You want transparent, all-inclusive month-to-month pricing with no membership fee and the same price at every dose. PlexusDx semaglutide injection is $189/month, tirzepatide injection is $289/month, and both oral forms and the microdose protocol are priced predictably (captured September 11, 2026). The service holds a 4.3-star Trustpilot rating with 83% of reviews at four stars or higher (captured September 9, 2026). You can cancel anytime without forfeiting a prepaid balance. PlexusDx works with licensed 503A compounding pharmacies.
Choose MEDVi if…
You prioritize the lowest per-refill ongoing rate and can navigate a two-tier pricing structure. MEDVi's semaglutide refill is $299/month after a $179 first month, and tirzepatide refill is $399/month after a $279 first month (captured September 4, 2026). The first-year total for semaglutide is $3,468, higher than PlexusDx's $2,268, but the $299 refill rate is competitive with several providers charging $297–$299 from month one. MEDVi holds a 4.3-star Trustpilot rating with approximately 15,000 reviews (captured September 4, 2026), offers month-to-month billing with no contract, and charges no membership fee for compounded medications.
Choose Henry Meds if…
You value high service ratings and are comfortable with a $297/month ongoing rate for semaglutide injection. Henry Meds holds a 4.4-star Trustpilot rating with approximately 13,000 reviews (captured September 4, 2026). The service offers month-to-month billing, no membership fee, and access to sublingual semaglutide tablets at $249/month (captured September 4, 2026). Henry Meds offers tirzepatide only as an oral dissolving tablet (3-month prepaid at $297/month effective), not as injection (captured September 4, 2026).
Choose Eden if…
You accept a split medication-plus-membership cost structure in exchange for an effective $198/month all-in rate for semaglutide. Eden charges $99/month for medication and $99/month membership (after a $39 first-month membership rate), totaling $2,376 over 12 months (our calculation; captured September 4, 2026). Eden holds a 4.5-star Trustpilot rating with approximately 5,000 reviews (captured September 4, 2026). One captured 1-star Trustpilot review reports an 11-day order delay and repeated requests for records Eden had previously issued (captured September 4, 2026); this is an individual allegation.
Choose Found if…
You want a clinician-led program with built-in support and can afford $289/month month-to-month for cash-pay semaglutide. Found's month-to-month cash-pay rate is $289/month for semaglutide and $359/month for tirzepatide (captured September 4, 2026). Found offers a 12-month prepaid cash-pay option at an effective $169/month ($2,028 upfront; captured September 4, 2026), but this requires full upfront commitment. Found also supports an insurance-assistance track. Found holds a 4.1-star Trustpilot rating with approximately 732 reviews (captured September 4, 2026).
Choose Hims & Hers if…
You are willing to prepay 6 months upfront ($1,194) for semaglutide at an effective $199/month. Hims & Hers does not offer month-to-month semaglutide at the advertised $199 rate (captured September 4, 2026). The service holds over 10,000 Trustpilot reviews (rating not captured; captured September 4, 2026). Individual Trustpilot and Reddit reports describe perceived lack of efficacy, side effects, and regret after uncancelled renewal (captured September 4, 2026); these are allegations, not verified systemic facts.
Methodology and freshness
We visited each provider's public website, completed intake questionnaires where necessary, and captured pricing at the plan-selection or checkout screen between July 20 and September 11, 2026. PlexusDx pricing was captured September 11, 2026 from live product pages. MEDVi, Eden, Henry Meds, Found, Hims & Hers, Ro, Fridays Health, Remedy Meds, and Zealthy pricing was captured September 4, 2026. Embody, Peak Wellness, and TrimRx pricing was captured July 20, 2026. Trustpilot ratings were captured September 4 or September 9, 2026 from trustpilot.com. When a provider displays separate medication and membership costs, we report both figures and calculate the all-in monthly total. When a provider offers only prepaid plans, we note the prepayment requirement and calculate the effective per-month cost over the commitment period (labeled as our calculation, prepaid). We did not apply promotional codes or negotiated discounts. Readers should confirm all figures at their own checkout and consult a licensed provider to determine whether GLP-1 therapy is appropriate for their individual health profile.
Frequently Asked Questions
What is the cheapest GLP-1 provider for cash-pay patients?
PlexusDx offers the lowest verified 12-month total at $2,268 for semaglutide injection ($189/month month-to-month, captured September 11, 2026). Eden's all-in rate is $198/month ($2,376 over 12 months) after accounting for a $39 first-month membership and $99/month thereafter, though this involves separate medication and membership billing. Hims & Hers advertises $199/month but requires 6-month prepayment, yielding a 12-month total of $2,388.
Do any providers charge the same price at every dose?
Yes. PlexusDx, MEDVi, Embody, and Peak Wellness all charge the same monthly price regardless of dose escalation (captured July 20 or September 4–11, 2026). Ro and some other providers increase the price as the prescribed dose rises, which can add $150 or more per month at maintenance doses.
Are compounded GLP-1 medications safe and effective?
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. All the telehealth providers in this comparison offering compounded semaglutide or tirzepatide work with licensed compounding pharmacies and require a licensed provider to evaluate the patient before prescribing.
Can I switch providers mid-treatment if I find a better price?
Most providers allow you to cancel month-to-month plans without penalty. Transferring your prescription to a new provider requires coordination between your current and new clinician, and the new provider must conduct its own medical evaluation. There is no guarantee the new provider will prescribe the same medication or dose, and transfers may introduce a gap in therapy. Confirm cancellation and refund policies before committing to any prepaid plan.
What if I lose my job and insurance mid-treatment?
The cash-pay telehealth providers in this comparison do not require insurance and maintain the same pricing whether or not you have coverage. If you were previously using insurance to access branded GLP-1 medications and lose that coverage, switching to a cash-pay compounded option may be more affordable than paying full retail price for branded drugs, though compounded medications are not FDA-approved substitutes for branded medications.
Sources
- PlexusDx product pages (plexusdx.com/products/semaglutide-injection, plexusdx.com/products/tirzepatide-injection, plexusdx.com/products/semaglutide-oral, plexusdx.com/products/tirzepatide-oral, plexusdx.com/products/microdose-glp1-protocol), accessed September 11, 2026
- PlexusDx Trustpilot profile (trustpilot.com/review/plexusdx.com), accessed September 9, 2026
- Eden pricing and membership screens, accessed July 20 and September 4, 2026
- Eden Trustpilot profile, accessed September 4, 2026
- Embody pricing screen, accessed July 20, 2026
- Found pricing and plan-selection screens, accessed July 20 and September 4, 2026
- Found Trustpilot profile, accessed September 4, 2026
- Henry Meds pricing and product pages, accessed July 20 and September 4, 2026
- Henry Meds Trustpilot profile, accessed September 4, 2026
- Peak Wellness pricing screen, accessed July 20, 2026
- TrimRx checkout screen, accessed July 20, 2026
- Fridays Health pricing pages, accessed July 20 and September 4, 2026
- Fridays Health Trustpilot profile, accessed September 4, 2026
- MEDVi plan-selection and checkout screens, accessed July 20 and September 4, 2026
- MEDVi Trustpilot profile, accessed September 4, 2026
- Remedy Meds intake and pricing screens (partial verification), accessed July 20 and September 4, 2026
- Zealthy pricing pages, accessed July 20 and September 4, 2026
- Hims & Hers pricing and prepayment screens, accessed September 4, 2026
- Hims & Hers Trustpilot profile and Reddit threads, accessed September 4, 2026
- Ro Body Program pricing and medication costs, accessed September 4, 2026
- Ro Trustpilot profile and Reddit threads, accessed September 4, 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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