Last reviewed: September 19, 2026
Last updated: September 19, 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
Lavender Sky Health separates medication cost from consult and membership fees. If you choose a brand medication—Wegovy pill, Zepbound, or Wegovy pen—you pay the medication price plus a $25/month plan fee. If you choose compounded semaglutide or tirzepatide, you pay no monthly plan fee but the medication is billed as a prepaid two-month supply. Both pathways require a $65 new consult and a $40 follow-up consult every six months. Over 12 months, the lowest advertised compounded semaglutide scenario (prepaid at a starting rate of $95/month) reaches an effective monthly cost of $107 including consults, while PlexusDx delivers month-to-month compounded semaglutide injection at $189/month flat with no consult fees, no membership fees, and no prepayment (all pricing captured September 4, 2026).
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| Provider |
Medication |
Medication Cost |
Plan/Membership |
Consult Fees (Year 1) |
12-Month Total |
| Lavender Sky Health |
Compounded semaglutide (injection) |
$95/mo (prepaid 2-mo starting rate, varies by pharmacy/dose) |
$0/mo |
$65 new + $80 follow-up |
$1,285 ($107/mo effective) |
| PlexusDx |
Compounded semaglutide (injection) |
$189/mo MTM |
$0 |
$0 |
$2,268 ($189/mo) |
| Lavender Sky Health |
Compounded tirzepatide (injection) |
$105/mo (prepaid 2-mo starting rate, varies by pharmacy/dose) |
$0/mo |
$65 new + $80 follow-up |
$1,405 ($117/mo effective) |
| PlexusDx |
Compounded tirzepatide (injection) |
$289/mo MTM |
$0 |
$0 |
$3,468 ($289/mo) |
| Lavender Sky Health |
Wegovy pill 1.5 mg (brand) |
$174/mo introductory medication rate, $199/mo ongoing (medication + plan fee) |
$25/mo |
$65 new + $80 follow-up |
$2,533 ($211/mo effective) |
All Lavender Sky Health pricing captured September 4, 2026. PlexusDx pricing current as of September 19, 2026. Twelve-month totals are our calculation.
How Lavender Sky Health's fee structure works
Lavender Sky Health splits its revenue into three line items: the medication itself, a monthly plan fee (for brand medications only), and periodic consultation fees. Understanding what each covers—and when each applies—is essential to budgeting your GLP-1 program.
Compounded medications: no plan fee, prepaid two-month supply
Compounded semaglutide and compounded tirzepatide injections carry no monthly membership or plan fee. Instead, you prepay a two-month supply upfront. The starting rates advertised on the Lavender Sky Health website are $95/month for compounded semaglutide ($190 upfront for two months) and $105/month for compounded tirzepatide ($210 upfront for two months). The platform notes that final pricing "depends on pharmacy, dose and supply length," so your actual per-month cost may differ as you titrate or switch pharmacies (all data captured September 4, 2026; lavenderskyhealth.com).
The advertised starting rates include medication and shipping. Consultation fees are separate (detailed below).
Brand medications: monthly plan fee applies
If you opt for an FDA-approved brand medication—Wegovy pill (oral semaglutide), Zepbound (tirzepatide injection), or Wegovy pen (semaglutide injection)—Lavender Sky Health adds a $25/month plan fee on top of the medication cost. For example, Wegovy pill 1.5 mg costs $174/month introductory medication rate plus $25/month plan fee, for a combined $199/month recurring charge. Higher doses carry higher medication prices: Wegovy pill 4 mg totals $224/month and Wegovy pill 9 mg totals $349/month. Zepbound doses range from $349/month (2.5 mg) to $499/month (7.5–15 mg). Wegovy pen is $524/month at all dose tiers ($499 medication plus $25 plan fee). All brand medications are billed monthly, not prepaid (data captured September 4, 2026; lavenderskyhealth.com).
Consultation fees: separate and recurring
Every Lavender Sky Health patient pays a $65 new-patient consult fee upfront. Follow-up consults cost $40 and are required every six months (or every 12 months once you reach maintenance). Over a typical year-one timeline, you pay the $65 initial consult plus two $40 follow-ups at month six and month twelve, adding $145 in consult fees to your annual medication spend (captured September 4, 2026; lavenderskyhealth.com).
These consult fees are in addition to medication and plan fees; they are not bundled.
Twelve-month cost comparison: compounded injections
Normalizing Lavender Sky Health's layered fee model to a 12-month effective monthly rate shows where prepayment and consult fees add up.
Lavender Sky Health compounded semaglutide (year one)
- Six two-month prepaid cycles at the advertised starting rate of $190 each: $1,140
- New consult: $65
- Follow-up consults (month 6, month 12): $80
- Year-one total: $1,285 (our calculation)
- Effective monthly: $107.08 (our calculation)
This calculation uses the lowest advertised starting rate; actual cost may vary by pharmacy, dose, and supply length.
Lavender Sky Health compounded tirzepatide (year one)
- Six two-month prepaid cycles at the advertised starting rate of $210 each: $1,260
- New consult: $65
- Follow-up consults (month 6, month 12): $80
- Year-one total: $1,405 (our calculation)
- Effective monthly: $117.08 (our calculation)
This calculation uses the lowest advertised starting rate; actual cost may vary by pharmacy, dose, and supply length.
PlexusDx compounded semaglutide injection (month-to-month)
- Month-to-month rate: $189/month
- Twelve months: $2,268 (our calculation)
- No membership fee, no consult fees, no prepayment required
- Effective monthly: $189
PlexusDx compounded tirzepatide injection (month-to-month)
- Month-to-month rate: $289/month
- Twelve months: $3,468 (our calculation)
- No membership fee, no consult fees, no prepayment required
- Effective monthly: $289
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Lavender Sky Health brand medications: higher cost, predictable billing
For patients who prefer FDA-approved brand medications or whose insurance covers part of the cost, Lavender Sky Health offers several tiered options. Each carries the $25/month plan fee in addition to the medication charge.
Wegovy pill (oral semaglutide)
- 1.5 mg: $174/month introductory medication rate + $25 plan fee = $199/month total
- 4 mg: $224/month total
- 9 mg: $349/month total
Over 12 months at the 1.5 mg tier, the medication and plan fees sum to $2,388. Adding the $65 new consult and two $40 follow-ups brings the year-one total to $2,533, or an effective $211/month (our calculation; data captured September 4, 2026).
Zepbound (tirzepatide injection)
- 2.5 mg: $324/month medication + $25 plan fee = $349/month total
- 5 mg: $424/month medication + $25 plan fee = $449/month total
- 7.5–15 mg: $474/month medication + $25 plan fee = $499/month total
Wegovy pen (semaglutide injection)
- All doses: $499/month medication + $25 plan fee = $524/month total
All brand-medication prices are billed monthly with no prepayment requirement. Consult fees remain the same: $65 upfront, $40 every six months (captured September 4, 2026; lavenderskyhealth.com).
PlexusDx pricing: no membership, no consult fees, same price at every dose
PlexusDx publishes a single flat rate per medication and route. The month-to-month rate for compounded semaglutide injection is $189/month; for compounded tirzepatide injection, $289/month. Both include the provider visit, prescription, medication, and shipping with no separate membership or consult charges. PlexusDx also holds the price constant across all dose tiers, so moving from 0.25 mg to 2.4 mg semaglutide carries the same $189/month rate. Patients who commit to three or six months receive lower per-month rates: semaglutide injection drops to $169/month at three months and $149/month at six months; tirzepatide injection drops to $269/month at three months and $249/month at six months (pricing current as of September 19, 2026).
PlexusDx works with licensed 503A compounding pharmacies and does not offer FDA-approved brand GLP-1 medications.
Key decision factors
Upfront cash vs. month-to-month flexibility
Lavender Sky Health's compounded medications require a two-month prepayment, which lowers the advertised per-month rate but commits $190–$210 upfront. PlexusDx bills month-to-month with no prepayment, preserving liquidity at a higher nominal monthly price. Over 12 months the effective cost gap narrows: Lavender Sky's compounded semaglutide averages $107/month effective (including consults) versus PlexusDx's flat $189/month, but the latter requires no upfront cycle and no recurring consult fees.
Dose titration and pharmacy variability
Lavender Sky Health notes that compounded medication pricing "depends on pharmacy, dose and supply length." If you switch pharmacies mid-program or titrate to a higher dose, your per-month cost may rise above the advertised starting rate. PlexusDx publishes one rate per medication regardless of dose, removing titration-driven price changes.
Brand medication access
Lavender Sky Health offers FDA-approved Wegovy pill, Zepbound, and Wegovy pen—an advantage for patients who prefer brand drugs, have insurance coverage, or want the regulatory assurance of an FDA-approved product. PlexusDx does not stock brand GLP-1 medications and serves only patients comfortable with compounded formulations prescribed by a licensed clinician.
Consult fee transparency
Lavender Sky Health's consult fees are published and predictable ($65 new, $40 every six months), but they sit outside the advertised medication price. PlexusDx includes the provider visit in its flat monthly rate, so the $189 or $289 figure is the total recurring cost with no surprise consult charges.
Choose Lavender Sky Health if…
- You can prepay two months of medication upfront and want the lowest advertised starting rate for compounded GLP-1s.
- You prefer or require an FDA-approved brand medication (Wegovy pill, Zepbound, or Wegovy pen).
- You value the option to choose among multiple pharmacy partners.
- You are comfortable budgeting separate line items for medication, plan fees, and consult visits.
Choose PlexusDx if…
- You want one flat monthly rate with no separate membership, consult, or visit fees.
- You prefer month-to-month billing with no upfront prepayment cycle.
- You expect to titrate doses and want pricing that stays constant across the titration schedule.
- You are pursuing compounded semaglutide or tirzepatide and do not need brand medication access.
Methodology and freshness
All Lavender Sky Health pricing—compounded medication rates, brand medication tiers, plan fees, and consult fees—was captured September 4, 2026, from the provider's public website (lavenderskyhealth.com). PlexusDx pricing is current as of September 19, 2026. Twelve-month totals and effective monthly rates are our calculation, derived by summing medication costs, plan fees, and consult fees over a typical year-one timeline (new consult at month zero, follow-ups at month six and month twelve). The calculation for Lavender Sky compounded medications uses the lowest advertised starting rate and assumes no mid-program pharmacy or dose changes; actual costs may vary. PlexusDx review data (4.3-star Trustpilot rating, 79% five-star, 83% four-star or higher) was captured September 9, 2026. No promotional codes or discounts are included. Readers should confirm all pricing at checkout, as rates and fee structures may change.
Frequently Asked Questions
Does Lavender Sky Health charge a membership fee for compounded medications?
No. Lavender Sky Health charges $0/month membership or plan fee for compounded semaglutide and compounded tirzepatide injections. You pay only the prepaid two-month medication supply and separate consult fees ($65 new, $40 every six months). Brand medications do carry a $25/month plan fee.
Why does Lavender Sky Health require a two-month prepayment for compounded GLP-1s?
The two-month prepaid billing cycle is how Lavender Sky Health structures its compounded medication supply. The advertised per-month rate ($95 for semaglutide, $105 for tirzepatide) reflects a two-month upfront payment ($190 and $210, respectively). This model lowers the nominal monthly rate but requires more cash upfront than month-to-month billing.
Do PlexusDx prices include provider visits and follow-ups?
Yes. PlexusDx's published rates ($189/month for semaglutide injection, $289/month for tirzepatide injection on a month-to-month plan) include the initial provider visit, prescription, medication, shipping, and any necessary follow-up consultations. There are no separate consult fees or membership charges.
Can I switch from Lavender Sky Health's compounded medication to a brand medication mid-program?
Lavender Sky Health offers both compounded and brand GLP-1 options, so switching is typically possible subject to clinical appropriateness and your provider's approval. Moving to a brand medication will trigger the $25/month plan fee and shift you from prepaid two-month billing to monthly billing. Confirm transition logistics and any overlap charges with Lavender Sky support before making the change.
How does Lavender Sky Health's effective monthly cost for compounded semaglutide compare to PlexusDx over one year?
Using the advertised starting rate and including consult fees, Lavender Sky Health's compounded semaglutide totals $1,285 over 12 months, or about $107/month effective (our calculation). PlexusDx compounded semaglutide injection costs $189/month month-to-month with no consult fees, totaling $2,268 over 12 months. Lavender Sky's lower effective rate requires two-month prepayment and may change if pharmacy or dose adjustments occur.
Sources
- Lavender Sky Health pricing, plan fees, and consult structure (captured September 4, 2026; lavenderskyhealth.com)
- PlexusDx pricing and program structure (current as of September 19, 2026; plexusdx.com)
- PlexusDx Trustpilot rating (captured September 9, 2026; trustpilot.com/review/plexusdx.com)
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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. PlexusDx works with licensed 503A compounding pharmacies. A licensed clinician determines whether a prescription is appropriate for an individual patient.
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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