Compare licensed telehealth providers offering semaglutide and tirzepatide. Skip the waiting room — get a prescription from a board-certified physician, filled by an FDA-registered pharmacy, delivered to your door.
Affiliate Disclosure: We may earn a commission when you sign up through our links. This helps support independent research and keeps this resource free. Our rankings are based on independent evaluation of pharmacy certifications, FDA enforcement history, pricing transparency, and patient outcomes — not commission rates. Compounded medications are not FDA-approved. Learn more.
How It Works
From online intake to your doorstep.
Three steps. No waiting rooms. Most patients start medication within 7–10 days of their first assessment.
i.
Complete the online assessment
Answer questions about your medical history, current medications, and weight-loss goals. Takes about 5–10 minutes. Upload a recent photo and ID for verification.
ii.
A physician reviews and prescribes
A licensed US physician reviews your intake, messages you if they need anything else, and — if clinically appropriate — writes a prescription tailored to your starting dose.
iii.
Medication ships to your door
An FDA-registered or LegitScript-certified pharmacy fills the prescription. Cold-chain shipping in discreet packaging. Ongoing dose adjustments as you progress.
Pharmacy Standards
503a vs. 503b: the difference that matters.
Not all compounding pharmacies are regulated the same way. Here's what to look for.
503b Outsourcing Facility
FDA-registered & inspected
FDA oversightDirect federal registration and inspection.
cGMP manufacturingSame standards as drug manufacturers.
Batch testingMandatory potency and sterility per batch.
No patient-specific Rx requiredCan compound for office stock.
Recommended for maximum safety assurance.
503a Traditional Compounding
State-board regulated
State oversightRegulated by state boards of pharmacy, not FDA directly.
Patient-specificRequires individual prescriptions per patient.
USP <797> standardsFor sterile compounding.
Quality variesLegitScript certification is the minimum bar.
Safe when LegitScript certified with transparent COAs.
The Journal
185+ articles on GLP-1s, research-backed.
Independent reporting on semaglutide, tirzepatide, compounding, side effects, and everything in between.
GLP-1 receptor agonists (semaglutide, tirzepatide) were originally developed to treat type 2 diabetes and have since demonstrated significant weight-loss benefits. They mimic a hormone that regulates appetite and blood sugar — helping you feel full longer and reducing food cravings.
Do I need insurance?
No. Every provider listed here offers cash-pay options without insurance — often more affordable than brand-name prices with insurance. Many providers also accept HSA and FSA payments.
What's the difference between compounded and brand-name?
Brand-name medications (Ozempic®, Wegovy®, Mounjaro®, Zepbound®) are FDA-approved and manufactured by pharmaceutical companies. Compounded versions contain the same active ingredient but are prepared by specialty pharmacies. Compounded medications are not FDA-approved but can be legally prescribed — and typically cost 60–80% less than brand-name.
Who qualifies for a GLP-1 prescription?
Generally: a BMI of 30+ (obesity) or BMI of 27+ with weight-related conditions like hypertension, type 2 diabetes, or high cholesterol. A licensed physician reviews your full medical history to determine appropriateness and safety.
What are the common side effects?
Most common are gastrointestinal: nausea, vomiting, diarrhea, constipation. These typically appear when starting or increasing doses and often improve over time. Your prescribing physician will guide dose titration to minimize side effects.
How much weight can I expect to lose?
Results vary. In clinical trials, semaglutide (Wegovy) patients lost an average of ~15% of body weight over 68 weeks; tirzepatide (Zepbound) patients lost ~16–22%. Combined with diet and activity changes, outcomes can be significant. Your prescribing physician will help set realistic expectations.
Is this legal?
Yes. Telehealth prescribing of GLP-1s is legal in all 50 states through licensed physicians. Compounded versions are legal when prepared by properly regulated pharmacies and prescribed for a legitimate medical reason. We only list providers meeting these standards.
Compare providers, then pick the one that fits.
26 vetted telehealth providers. Transparent pricing. No insurance required.