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Cheapest GLP-1 in Texas (2026)

Texas Medicaid follows the federal restriction on weight-loss drugs, so Wegovy and Zepbound have no route here. Ozempic and Mounjaro are covered at an A1c of 7.5 percent or higher, with a documented metformin trial and prior authorization. The STAR plans apply those same criteria. 24 telehealth programs serve Texas. The cheapest cash-pay option is Strut Health at $149/mo.

Prices checked Aug 17, 2026

Cheapest cash options in Texas

Cash telehealth prices are set nationally. A Texas resident pays the same price as a patient anywhere else in the US. The programs below all serve Texas and represent the cheapest all-in monthly price at maintenance dose, as verified against each program's published pricing.

ProgramAll-in / moWhat the price covers
Strut Health$149/moCompounded injectable and oral semaglutide from $149/mo published price.
Shed$159/moCompounded semaglutide with a weight-loss guarantee.
Found$169/moWidest drug catalog, but the best price needs a 12-month plan.
Ivim Health$175/moCash for compounded, insurance route for brand-name.

Prices are checked every Monday against each program's published pricing. We do not create accounts or make purchases to verify them. See the full ranked list at the comparison chart.

Programs available in Texas

24 of the programs we track are licensed and available to Texas residents. Every major GLP-1 telehealth program serves Texas.

The remaining 24 programs all operate via telehealth and can onboard Texas patients remotely. You do not need to visit a clinic in person for the initial assessment or follow-up care. See the programs guide for the full breakdown by onboarding time and lock-in terms.

What Texas Medicaid covers

PA denials are common.

For the full prior-authorization criteria, MCO list, and step-therapy requirements, see the dedicated Texas Medicaid GLP-1 coverage page. That page also covers appeal options if you are denied on first submission.

The complete cost picture for Texas residents

A Texas resident has three realistic paths to a GLP-1 in 2026:

PathCost / moWho qualifies
Cash-pay telehealth$149 and upAnyone. No insurance required. 24 programs serve Texas.
Commercial insurance (employer or marketplace plan)$25 to $100 copayDepends on your plan. Prior authorization required, BMI and comorbidity criteria vary by payer.
Texas MedicaidNot covered for weight lossWeight-loss indication not covered. Diabetes path (Ozempic, Mounjaro) available with PA.

For the full insurance picture, including how to file a prior-authorization request and what to do if denied, see the GLP-1 insurance guide. For a side-by-side of every cash program ranked by price, see programs ranked by price.

Texas GLP-1 cost FAQ

What is the cheapest GLP-1 program available in Texas?
The cheapest cash-pay GLP-1 available to Texas residents starts at $149 a month. Cash telehealth prices are national. Any licensed program that serves Texas charges the same price it charges everywhere. 24 of the programs we track serve Texas.
Does Texas Medicaid cover Wegovy or Zepbound for weight loss?
No. Texas Medicaid does not cover Wegovy or Zepbound for weight loss as of the most recent PDL review. Cash-pay telehealth or the diabetes path (if you have T2D) are the practical options.
Does Texas Medicaid cover Ozempic or Mounjaro for diabetes?
Yes. Texas Medicaid covers Ozempic and Mounjaro for type 2 diabetes with prior authorization, usually after a documented metformin trial.
John Samaras, editor of GLP Chart
John Samaras, Founder and EditorI started GLP Chart after overpaying for a GLP-1 myself. Based in Austin, Texas.
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Why you can trust GLP Chart. Same scoring framework applied to every program. No paid placements. We never remove unfavorable information at an advertiser's request. Pricing is pulled from each program's public-facing page every Monday.