GLP-1 programs that include medication in the monthly price: 2026 complete list

21 of the programs we track roll the medication into one monthly price. It runs from $149 a month at Strut Health to $448 at LifeMD, and every one uses compounded semaglutide or tirzepatide. No program bundles brand Wegovy or Zepbound into a flat fee. The label matters less than the math: a $178 all-in and a $45 membership plus a $133 cash copay cost the same.

Bundled or separate

Bundled programs charge one fee covering the visit, the prescription and the medication. Shed's $199 is the same at every dose it publishes. Unbundled programs charge a membership, then the drug on top through insurance, a pharmacy, or a program like NovoCare or LillyDirect. Noom Med's $69 membership covers the clinical program while Wegovy or Zepbound bills separately. Neither is automatically cheaper.

The details the table can't hold

• Tirzepatide costs more everywhere. The cheapest is Strut Health at $149, with auto-refill, and the cheapest flat rate is Henry Meds at $299.
• Intro rates expire. Medvi is $179 the first month then $299 ongoing. Eden's first month on the 3-month plan is $149. Use the ongoing number.
• Found and Hims run two tracks. Found's compounded plan is $169 cash on 12 months ($99 insured), but month-to-month is $289 cash ($199 insured), and its branded route is a $49-to-$99 membership plus the drug. Hims bundles its oral semaglutide pill at $39 then $99 on a 5-month plan, separate from the $149 membership, and is winding down compounded semaglutide. Verify availability before you enroll.

Why they all use compounded

The economics force it. Brand Wegovy lists at $1,349 a month, which no flat fee can absorb. Compounded semaglutide from a 503B facility costs roughly $40 to $100 a month to make, which makes bundling possible. The FDA declared the semaglutide shortage resolved in early 2025 and moved to end the commercial compounding exemption, so verify a program's compounding status first. See our 2026 FDA compounding update.

The unbundled programs and the insurance math

Sixteen other programs on our chart charge the membership and the medication separately (checked May 2026): PlushCare $19.99, Noom Med $69, Ro Body $39 (Zepbound via LillyDirect at $299), Form Health $299, Calibrate $199, each plus the drug. What you pay turns on your coverage. Aetna PPO with a $50 Wegovy copay puts PlushCare near $120 a month all-in. No coverage puts it near $370, the membership plus $349 NovoCare Wegovy at maintenance. Same program, different math. Run your own numbers.

Compare total cost fairly

• Use the ongoing price, not the intro. Medvi's $179 first month is not its $299 rate.
• Add the real drug cost to any unbundled membership. Your copay, or cash NovoCare ($349 standard, $399 at the 7.2 mg dose), or LillyDirect Zepbound ($299 to $449).
• Count the hidden costs. Lab work, shipping, dose-change fees and cancellation terms all move the real number.

Bundled compounded plans win for cash payers with no coverage. Unbundled plans win when insurance covers the brand at a low copay.

Want one predictable number? See Shed's review page for its flat all-in price and score, or line every program up on the comparison chart.