Compounded GLP-1 by medication.

Compounded GLP-1 starts at $149 a month, checked August 24, 2026. These are the same active ingredients as Wegovy, Ozempic and Zepbound, at a fraction of the branded list price. The programs below are indexed by formulation, compounded semaglutide or compounded tirzepatide, and the full cross-program price comparison is in the GLP-1 price index.

A note on safety. Compounded GLP-1 medications are prescribed under medical necessity. The compounding pharmacy chain matters: every program below uses 503A or 503B facilities under US state pharmacy-board licensure. Per-program pharmacy chain details are at in the lab.

As of 2026, compounded GLP-1 prescribing has narrowed. The FDA removed semaglutide from its drug-shortage list in February 2025 and tirzepatide in October 2024, and many programs that once offered compounded have exited. The programs below are the ones that remain active. For the legal and safety picture, see whether compounded semaglutide is legit and safe.

Cash-pay prices run from roughly $149 to $397 a month for compounded semaglutide (Strut Health at $99 is an oral lozenge, not an injection) and $278 to $524 for compounded tirzepatide. For pricing context across the full market, see the GLP-1 cost guide and the best compounded GLP-1 programs ranked list.

Compounded semaglutide

8 programs in our chart prescribes this.