Prices checked Aug 10, 2026
Cheapest cash options in Virginia
Cash telehealth prices are set nationally. A Virginia resident pays the same price as a patient anywhere else in the US. The programs below all serve Virginiaand represent the cheapest all-in monthly price at maintenance dose, as verified against each program's published pricing.
| Program | All-in / mo | What the price covers |
|---|---|---|
| Strut Health | $149/mo | Compounded injectable and oral semaglutide from $149/mo published price. |
| Shed | $159/mo | Compounded semaglutide with a weight-loss guarantee. |
| Found | $169/mo | Widest drug catalog, but the best price needs a 12-month plan. |
| Ivim Health | $175/mo | Cash 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 Virginia
27 of the programs we track are licensed and available to Virginia residents. Every major GLP-1 telehealth program serves Virginia.
The remaining 27 programs all operate via telehealth and can onboard Virginia 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 Virginia Medicaid covers
Virginia Medicaid covers Wegovy and Zepbound for obesity under limited criteria at BMI 37+. Prior authorization is required. The diabetes path (Ozempic, Mounjaro) is covered with PA and a documented A1c above threshold. PA denials are common; first-submission approval is not guaranteed.
For the full prior-authorization criteria, MCO list, and step-therapy requirements, see the dedicated Virginia Medicaid GLP-1 coverage page. That page also covers appeal options if you are denied on first submission.
The complete cost picture for Virginia residents
A Virginia resident has three realistic paths to a GLP-1 in 2026:
| Path | Cost / mo | Who qualifies |
|---|---|---|
| Cash-pay telehealth | $149 and up | Anyone. No insurance required. 27 programs serve Virginia. |
| Commercial insurance (employer or marketplace plan) | $25 to $100 copay | Depends on your plan. Prior authorization required, BMI and comorbidity criteria vary by payer. |
| Virginia Medicaid | Covered with strict PA (BMI 37+) | BMI 37+ required. PA denials are common on first submission. |
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.
Related resources
- Homepage comparison chart with all programs ranked by score and price
- GLP-1 coupons and savings programs including manufacturer patient-assistance routes
- Virginia Medicaid coverage in full with PA criteria, MCO list, and appeal templates
- How much does a GLP-1 cost in 2026? with every path and per-year totals
Virginia GLP-1 cost FAQ
What is the cheapest GLP-1 program available in Virginia?
Does Virginia Medicaid cover Wegovy or Zepbound for weight loss?
Does Virginia Medicaid cover Ozempic or Mounjaro for diabetes?
