Lavender Sky Health Hidden Fees: What Visits, Labs, and Refills Cost

Last reviewed: September 22, 2026 Last updated: September 22, 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.

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.

The short answer

Lavender Sky Health's advertised compounded semaglutide rate—a two-month prepaid equivalent of $95/month—excludes a $65 new-patient consultation fee, a $40 follow-up visit at six months, and reflects only the starting tier of a pricing structure that varies by pharmacy, dose, and supply length. Compounded tirzepatide begins at a two-month prepaid equivalent of $105/month under the same conditions. Brand medications carry a mandatory $25/month plan fee on top of the medication cost. When you account for consultations, the effective first-year monthly cost for compounded semaglutide at the advertised starting rate ranges from $103.75 to $107.08, depending on the number of follow-up visits (our calculation, September 2026). PlexusDx charges $189/month for semaglutide injection and $289/month for tirzepatide injection, month-to-month, with provider access, shipping, and all follow-up care included—no consultation fees, no membership, no dose surcharges.

At-a-glance: Lavender Sky Health fee structure vs PlexusDx

Lavender Sky Health pricing captured September 4, 2026; PlexusDx pricing recorded July 17–23, 2026.

Breaking down Lavender Sky Health's compounded medication costs

Lavender Sky Health's website prominently displays a two-month prepaid equivalent of $95/month for compounded semaglutide and $105/month for compounded tirzepatide. Those figures mean you pay $190 or $210 upfront for a two-month supply at the starting dose tier. The medication price includes shipping but excludes the consultation fees charged separately.

A new-patient consultation costs $65. Follow-up consultations run $40 every six months for the first twelve months; after that, a maintenance schedule applies, though the specific cadence is not detailed on the pricing page. Lavender Sky Health states that medication pricing varies by pharmacy choice, dose level, and supply length, but no higher-tier figures are published—so you will see the final refill cost only after your provider prescribes a specific dose and you select a pharmacy partner at checkout.

Over twelve months, if you purchase six consecutive two-month supplies at the advertised starting rate and add one new consultation ($65) plus one six-month follow-up ($40), compounded semaglutide totals $1,245, or an effective $103.75/month (our calculation). If a second follow-up occurs at twelve months, the total rises to $1,285, or $107.08/month. Compounded tirzepatide under the same model totals $1,365 (one follow-up) or $1,405 (two follow-ups), equating to $113.75 or $117.08/month effective cost.

These calculations assume the starting rate holds across all refills and that dose never increases. In practice, most patients titrate upward over the first months of therapy, and Lavender Sky Health's pricing disclosure makes clear that higher doses cost more—though by how much remains undocumented in public-facing materials.

Brand medication pricing and the $25/month plan fee

Lavender Sky Health also offers FDA-approved brand medications, each subject to a mandatory $25/month plan fee. Wegovy oral pills range from an advertised first-month rate of $174/month for 1.5 mg; the refill rate is $199/month (including plan fee) for that dose. The 9 mg Wegovy dose carries a $349/month total cost. Zepbound (tirzepatide) vials and pens start at $349/month total for 2.5 mg and climb to $499/month total for 7.5–15 mg doses. Wegovy pens cost $524/month total at all doses ($499 medication plus $25 plan fee). All brand plans bill monthly.

For a patient on Wegovy 1.5 mg pills for twelve months, the total outlay is $2,088 medication, $300 plan fees, $65 new consult, and $80 in follow-ups (at six and twelve months), summing to $2,533, or an effective $211.08/month (our calculation). Shipping is included.

PlexusDx pricing: one monthly rate, every dose, every visit

PlexusDx charges $189/month for compounded semaglutide injection (month-to-month) and $289/month for compounded tirzepatide injection, with three- and six-month prepaid options lowering the per-month rate. Every plan includes the provider visit, prescription, medication at any dose the provider prescribes, shipping, and unlimited asynchronous messaging with your care team—no separate consultation fees, no per-visit charges, no membership tier.

A twelve-month course of semaglutide at the month-to-month rate totals $2,268 ($189 × 12). Tirzepatide totals $3,468 ($289 × 12). Those sums include all follow-up care and dose adjustments. Prepaying three or six months lowers the effective rate: semaglutide drops to $169/month (three-month) or $149/month (six-month); tirzepatide to $269 or $249.

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).

What "price varies by pharmacy, dose, and supply length" means in practice

Lavender Sky Health partners with multiple compounding pharmacies and publishes only the floor rate for a two-month starter supply. When your provider writes a prescription at a higher milligram dose—as most titration protocols require—the per-month equivalent will rise. Similarly, selecting a different pharmacy or a longer supply window may shift the unit cost. The platform does not publish a rate card for each dose tier, so you learn your refill price after the provider visit and pharmacy selection, not before.

This structure offers flexibility but makes upfront budgeting harder. A shopper comparing the advertised $95/month semaglutide rate to a competitor's flat $189/month may assume Lavender Sky saves $94 monthly—until the consultation fees, dose increases, and undisclosed refill tiers enter the picture.

First-year cost comparison: compounded semaglutide

All figures our calculation, September 2026. Lavender Sky calculations assume no dose increases and starting-rate medication throughout; actual refill costs may differ.

Lavender Sky's advertised starting rate produces a lower effective monthly cost than PlexusDx's month-to-month plan if—and only if—you remain at the initial dose tier for the full year and incur just one or two follow-up visits. PlexusDx's six-month prepaid rate ($149/month effective) exceeds Lavender Sky's theoretical floor by roughly $41–$45/month but holds constant regardless of dose and includes unlimited follow-up messaging. Once Lavender Sky's dose-dependent pricing takes effect, the gap narrows or reverses, though we cannot model the crossover point without published refill tiers.

First-year cost comparison: compounded tirzepatide

All figures our calculation, September 2026. Lavender Sky calculations assume no dose increases and starting-rate medication throughout; actual refill costs may differ.

The tirzepatide comparison mirrors semaglutide: Lavender Sky's starting-tier effective monthly rate is lower than PlexusDx's, but the margin shrinks when you include consultation fees and narrows further if refill pricing rises with dose. PlexusDx's flat $289 (or $249 prepaid) eliminates dose-increase surprises and consultation charges.

Strengths of Lavender Sky Health's pricing model

• Low advertised entry point: The two-month prepaid equivalent of $95 (semaglutide) or $105 (tirzepatide) is among the lowest starting rates in the telehealth GLP-1 market, making the first order accessible.
• No membership fee for compounded plans: Unlike some competitors and Lavender Sky's own brand plans, compounded medication carries no monthly subscription charge.
• Multiple pharmacy partners: Choice among compounding pharmacies may offer flexibility in sourcing and fulfillment speed.
• Brand medication availability: Patients who prefer or require FDA-approved Wegovy or Zepbound can access those products through the same platform, with transparent per-dose pricing published.
• Shipping included: Both compounded and brand medication prices include delivery.

Gaps and uncertainties in Lavender Sky Health's fee structure

• Undisclosed refill pricing: The site states that medication cost varies by pharmacy, dose, and supply length but publishes only the starting tier, leaving shoppers unable to project costs through a full titration schedule.
• Consultation fees add up: A $65 new visit and $40 follow-ups every six months are small individually but add $105–$185 to the first year, eroding the advertised price advantage over all-in competitors.
• Maintenance visit cadence unclear: The pricing page notes follow-ups "every 6 months (12 months maintenance)" but does not specify the frequency or cost of visits beyond twelve months.
• Dose-increase cost uncertainty: Most GLP-1 protocols require dose escalation over weeks or months. Without a published rate card, patients cannot budget for the higher tiers they will likely need.
• Brand plan fee is perpetual: The $25/month charge for brand medications continues as long as you remain on the plan, adding $300 annually on top of already-high medication costs.

Choose Lavender Sky Health if…

• You want the lowest possible initial out-of-pocket outlay and are comfortable discovering refill costs after your provider visit.
• You prefer selecting among multiple compounding pharmacies rather than a single fulfillment partner.
• You are confident you will remain at a low starting dose for an extended period, maximizing the value of the advertised rate.
• You want access to both compounded and FDA-approved brand GLP-1 medications under one account.
• You are comfortable with scheduled follow-up consultations billed separately and can plan those costs into your annual budget.

Choose PlexusDx if…

• You want to know your exact monthly cost before the first order, with certainty that the rate will not change when your provider increases your dose.
• You prefer unlimited asynchronous messaging and follow-up care included in one flat subscription, with no per-visit charges.
• You value budget predictability over the lowest possible entry price, especially if you expect to titrate through multiple dose levels.
• You want the option to prepay three or six months and lock in a lower effective rate ($149/month semaglutide, $249/month tirzepatide on the six-month plan).
• You prefer a single care team and pharmacy partner rather than choosing among multiple fulfillment options at each refill.

Methodology and freshness

Lavender Sky Health pricing and fee data were captured from the company's public-facing website on September 4, 2026, by a PlexusDx researcher using standardized screen-capture and timestamping protocols. All advertised rates, consultation fees, brand medication costs, and plan fees reflect the published figures on that date. PlexusDx pricing was recorded July 17–23, 2026, from live product pages.

Twelve-month cost calculations are our own, derived by multiplying documented per-supply or per-month rates by the number of units required to cover twelve months, then adding documented consultation and membership fees where applicable. Lavender Sky Health calculations assume continuous availability of the advertised starting rate and do not model dose increases, because higher-tier pricing is not published. Actual costs will differ for patients who titrate upward or select different pharmacies or supply lengths. All effective monthly figures are total twelve-month cost divided by twelve.

We model only scenarios for which we have verified price evidence. Where Lavender Sky Health states "price varies," we note the variability and do not estimate the range. Readers should confirm all figures, consultation schedules, and pharmacy pricing at checkout and during the intake process.

Frequently Asked Questions

Does Lavender Sky Health charge a membership fee for compounded GLP-1 medications?

No. Compounded semaglutide and tirzepatide plans carry no monthly membership or subscription fee. Only the brand medication plans (Wegovy, Zepbound) require a $25/month plan fee on top of the medication cost, billed every month you remain enrolled.

What is Lavender Sky Health's total upfront cost for a new patient starting compounded semaglutide?

A new patient pays $190 for the first two-month supply of compounded semaglutide (advertised starting rate) plus a $65 new-patient consultation, totaling $255 upfront. Shipping is included. Follow-up visits are billed separately at $40 each, typically every six months for the first year.

How much does Lavender Sky Health's pricing increase when my dose goes up?

Lavender Sky Health states that medication pricing varies by pharmacy, dose, and supply length but does not publish a rate card for higher doses. You will see the refill cost after your provider prescribes a specific milligram dose and you select a pharmacy partner at checkout.

Does PlexusDx charge separately for provider visits or dose adjustments?

No. PlexusDx's monthly rate includes the initial provider consultation, prescription, medication at any dose the provider prescribes, shipping, and unlimited asynchronous messaging with your care team. There are no per-visit fees, no consultation charges, and no price increase when your dose changes.

Which provider offers a lower first-year cost for compounded semaglutide?

If you remain at Lavender Sky Health's advertised starting dose for twelve months with one or two follow-up visits, the effective monthly cost ranges from $103.75 to $107.08 (our calculation), lower than PlexusDx's $189 month-to-month or $149 six-month prepaid rate. However, most patients titrate to higher doses, and Lavender Sky's refill pricing at those tiers is not published, so the crossover point depends on your dose trajectory and pharmacy choice.

Sources

• PlexusDx product pages (semaglutide injection, tirzepatide injection, pricing structure), accessed and recorded July 17–23, 2026; plexusdx.com
• Lavender Sky Health pricing page, medication options, consultation fees, and brand plan details, captured September 4, 2026, 13:49:55 UTC
• Lavender Sky Health compounded semaglutide and tirzepatide starting rates, two-month prepaid structure, captured September 4, 2026, 13:49:55 UTC
• PlexusDx Trustpilot profile (4.3-star rating, 79% five-star reviews, 83% four stars or higher), captured September 9, 2026; trustpilot.com/review/plexusdx.com

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.