The short version
GLP-1 maintenance is structurally different from initiation. You don't need fast onboarding, you already know your tolerated dose and you're optimizing for cost predictability over 5-10 years of continuous treatment. The program that got you to goal weight is often not the right program for maintenance. Switching at goal-weight is common and clinically straightforward.
What we considered
- Cost predictability at maintenance dose (typically 1.0-2.4 mg semaglutide or 7.5-15 mg tirzepatide)
- Willingness to step down dose if you're maintaining well at sub-maximum
- Long-term cancellation flexibility (no annual lock-in)
- Stable supply: compounded programs should disclose pharmacy partners
Top pick: Mochi Health
Mochi Health$178/mo flat for compounded semaglutide. Same price at every dose.
Starts From
$178/moincl. medicationLock-In
Month-to-monthScore
7.6
Mochi's flat $178/mo at every dose is the most cost-predictable maintenance path in the chart. You pay the same in year five as in month two, which matters when you're projecting 10 years of treatment cost.
Read the full Mochi Health review →
Other strong picks
Henry MedsHenry Meds at $199 flat is the next-cheapest predictable maintenance path. Slightly more expensive than Mochi but with a different compounded pharmacy partner.
Starts From
$179/moincl. medicationLock-In
Month-to-monthScore
7.8
Ro BodyRo Body's brand Zepbound at $299/mo cash-pay is the predictable maintenance route if you specifically want brand and not compounded. Higher cost but lower regulatory exposure.
Starts From
$39/mo+ med separateLock-In
Month-to-monthScore
7.4
Form HealthForm Health is the strongest pick for maintenance if you have insurance, because they'll renew the PA annually with the weight-loss data attached, getting you on a stable $25-$50 copay long-term.
Starts From
$299/mo+ med separateLock-In
Month-to-monthScore
7.6
Related
Why you can trust GLP ChartSame scoring framework applied to every program. No paid placements. No removal of unfavorable information at advertiser request. Pricing is pulled from each program's public-facing page weekly.