These lists are not one ranking. The best GLP-1 program depends entirely on what you are optimizing for, so we built a separate shortlist for each situation and scored each one on the criteria that matter for that situation, not on a generic average.
If you only care about price, start with the cash-pay and cheapest shortlists. The floor for the actual medication is about $178 a month for compounded semaglutide, and the gap between the cheapest program and the most expensive one is wider than most people expect for the same drug class.
If you have commercial insurance, the insurance shortlist surfaces programs most patients never find: the ones that will run a prior authorization for you instead of pushing you straight to cash. If you want to avoid a contract, the no-lock-in list filters for month-to-month billing. If you want to start fast, the speed list ranks programs by how quickly you can get a first prescription.
Every pick is scored, dated, and checked, and we take no payment for placement. Pick the list that matches your situation below, or find your program in four quick questions if you would rather be pointed straight to the one that fits.
