Cora Health offers four billing options for compounded semaglutide and tirzepatide, with prepaid annual plans delivering the lowest per-month rate but requiring full upfront payment. We break down the 12-month math for each option and show where PlexusDx fits.

Noom Med's microdose program offers a first-month rate and ongoing refill rate that average less per month over 12 months than most competitors.

IVIM Health charges a $75 monthly membership fee on top of prepaid medication bundles. Semaglutide costs $600 for six months, tirzepatide $1,100, both paid upfront, with membership billed separately.

Lavender Sky Health advertises compounded semaglutide at $95/month and tirzepatide at $105/month. Those figures are prepaid 2-month starting rates before consult fees; actual long-term costs depend on dose progression and recurring visits.

Pomegranate Health advertises $119/month for compounded semaglutide and $149/month for tirzepatide, but dose-tier pricing and checkout variables make long-term cost projections uncertain. We compare the advertised rates to PlexusDx's flat-at-every-dose structure and show the 12-month math.

Pomegranate Health advertises compounded tirzepatide at $149/month with no stated membership fee. The price structure, dose tiers, and potential upfront consult costs require checkout confirmation.

BrightMeds charges $149/month month-to-month for compounded tirzepatide injection, with a prepaid promotional plan at $119/month effective when paid quarterly. No membership, lab, or prescribing fees; same price at every dose.

Lavender Sky Health offers compounded tirzepatide starting at a prepaid two-month supply and branded Zepbound at recurring monthly rates. We compare pricing structure, consultation fees, and true 12-month costs against like plans.

Emerge Weight Loss offers compounded tirzepatide injection from $224/month and oral dissolving tablets from $149/month. No semaglutide offering documented; all-inclusive pricing with no membership fees.

Henry Meds publishes monthly rates for microdose semaglutide ($179) and standard injectable semaglutide ($297), but does not state whether the price changes when a provider escalates your dose from one tier to another.

Big Easy Weight Loss advertises a $399 promotional rate for compounded semaglutide, but conflicting figures and undocumented refill pricing create uncertainty for budgeting beyond week twelve.

Rift does not publish pricing on its website. As of September 2026, medication costs, membership fees, and billing structure require direct verification through intake.

Noom Med charges $129/month for its Core Med program after the first month, billed quarterly—but medication is priced separately. The microdose program has an introductory rate followed by a higher ongoing subscription cost.

Mochi Health starts at $129/month, but the per-dose model means costs rise with your dose. BrightMeds and AltRx advertise prepaid rates below $130/month, while PlexusDx holds $249/month on six-month injectable plans.

OrderlyMeds charges $149/month for compounded semaglutide and $299/month for compounded tirzepatide after a two-month prepaid starter period. No membership fee. We break down the real recurring costs, compare like-for-like plans, and examine the service record.

Lavender Sky Health lists compounded semaglutide at $95/month equivalent with a 2-month prepayment, plus consultation fees. We break down medication cost, visit charges, branded options, and 12-month totals against flat-rate alternatives.

Big Easy Weight Loss advertises 12-week prepaid packages at $399 for semaglutide and $499 for tirzepatide, but conflicting list prices and missing refill rates make total ongoing costs difficult to verify.

PlexusDx charges $289/month with no commitment; SlimDownRx offers prepaid bundles that lower the per-month rate but require multi-thousand-dollar upfront payments. Both programs serve high-dose tirzepatide users.

Tirzepatide prices range from a $90 per-dose start to $399 refills. Hidden membership fees, prepay terms, and dose tiers alter the real recurring cost. This head-to-head analysis normalizes every plan to show 12-month totals and identifies the cheapest all-in option at each commitment level.

AltRx is running a promotional tirzepatide campaign through September 5, 2026, with rates from $149 per month on a month-to-month basis down to $125 per month prepaid annually. We compare the promotional structure against standard plans and examine what happens when the promotion ends.