Noom Med holds the top overall score alone this month at 8.0. The score is recomputed from the same rubric every month; nothing editorial moved it.
Compounded semaglutide runs about $76 to $348 a month across these programs, a real spread before any intro pricing. Branded Wegovy and Zepbound run past $1,000 in cash.
The ranking, August 2026
Scores are equal-weighted across five dimensions. How we score
| Rank | Program | Score | This month |
|---|---|---|---|
| 1 | Noom MedBehavioral program built around the medication, billed quarterly. | 8 | up 2 |
| 2 | Sesame CareSubscription care with medication sold near wholesale. | 7.8 | up 3 |
| 3 | LifeMDBrand-name supply direct from Novo Nordisk and Eli Lilly. | 7.6 | down 1 |
| 4 | Costco / Success by SesameDiscounted member care plus brand-name medication at Costco. | 7.6 | up 4 |
| 5 | Ro BodyPolished app with brand-name supply from the makers. | 7.5 | up 4 |
| 6 | CVS MinuteClinicA $29 online visit, filled the same day at the CVS counter. | 7.4 | new |
| 7 | Strut HealthCompounded semaglutide as a shot or a lozenge. No membership. | 7.4 | up 6 |
| 8 | Yucca HealthCompounded semaglutide for $89 a month, the same at every dose. | 7.4 | new |
| 9 | 9amHealthBuilt for diabetes and heart-risk patients, not weight loss alone. | 7.3 | up 3 |
| 10 | CollectiveCompounded semaglutide for $59 a month, plus a yearly membership. | 7.3 | new |
| 11 | Sprout HealthCompounded semaglutide for $149 every 4 weeks, the same at every dose. | 7.3 | new |
| 12 | Lemonaid HealthOne platform if you already manage other meds here. | 7.2 | up 2 |
| 13 | Walgreens Weight ManagementBrand-name prices shown upfront, pick up at the counter. | 7.2 | up 2 |
| 14 | bmiMDCompounded semaglutide for $159 a month, the same at every dose. | 7.2 | new |
| 15 | GoodRx for Weight LossLow-cost telehealth subscription with medication prices shown upfront. | 7.1 | down 4 |
| 16 | ShedCompounded semaglutide, with care and shipping in one price. | 7.1 | up 6 |
| 17 | SnagRxCompounded semaglutide for $99 a month, the same at every dose. | 7.1 | new |
| 18 | MedviOne refill price after the first month, with no membership. | 7 | down 12 |
| 19 | Hone HealthMen's hormone program that pairs GLP-1 with TRT. | 6.9 | down 2 |
| 20 | KnownwellPrimary care plus obesity medicine in one insured practice. | 6.9 | down 2 |
| 21 | FoundWidest drug catalog, but the best price needs a 12-month plan. | 6.8 | down 2 |
| 22 | OakGLP-1 treatment from $119 a month, with no insurance needed. | 6.8 | new |
| 23 | Direct MedsOne monthly price for compounded semaglutide or tirzepatide, with no membership. | 6.8 | new |
| 24 | yourEraCompounded semaglutide for $99 a month, month to month, the same at every dose. | 6.8 | new |
| 25 | Amazon PharmacyUpfront cash prices with fast nationwide delivery. | 6.4 | down 2 |
| 26 | CalibrateCoaching-heavy reset for insured patients who want structure. | 6.2 | down 2 |
| 27 | GoodLife HealthA $299 membership with lab panels, plus brand-name GLP-1s at pharmacy cost. | 6.2 | new |
| 28 | MEDGmCompounded semaglutide for $299 a month, labs included, the same at every dose. | 6.2 | new |
| 29 | Sam's Club Member HealthLilly's self-pay Zepbound prices at the club pharmacy. | 6 | down 4 |
| 30 | Hims & HersFast async signup, brand-name only, no compounded route. | 6 | down 14 |
| 31 | WeightWatchers ClinicBehavioral framework attached, but canceling means calling support. | 5.8 | down 5 |
How prices got here: the compounding cliff
- 2024A stable cash band. Compounded semaglutide settles around $199 to $279 a month across the early telehealth programs.
- Feb 2025Shortage declared over. The FDA says the semaglutide shortage is resolved. That starts the clock on compounding limits.
- Apr to May 2025Compounding winds down. 503A pharmacy compounding restrictions take effect in April, 503B in May. The cheap compounded supply starts to narrow.
- Feb 2026A brief price floor. One program lists a $99 oral compounded pill. It is withdrawn within days under manufacturer legal pressure. It was never a stable market price.
- Jun 2026Where it landed. Surviving compounded programs settle around $178 to $209 a month, while branded Wegovy and Zepbound run past $1,000 in cash.
How we rank
Every program earns a 0 to 10 score across five equal-weighted pillars: pricing, cancellation terms, onboarding speed, medication options, and member feedback. The ranking is that score, sorted. We verify prices against each program's published page every Monday. See the full methodology.
This page sorts by score alone. The chart's Featured view puts programs that pay us first. Affiliate disclosure.
Frequently asked questions
How are GLP-1 programs scored?
Each program gets a published 1-to-10 GLP Chart score across five dimensions: how clear the price is, how easy it is to cancel, how fast you start, what drugs you can get and what members say. Scores currently run 5.8 to 8.0. Rankings are the score sorted, re-scored monthly, and a commission never changes a score.
What is the price spread across ranked programs?
Compounded semaglutide starts at $76 a month at the cheapest cash-pay program and runs to $348 a month at a maintenance dose. Yucca Health holds one flat price at every dose with no lock-in, at $89 a month. The highest headline price on the chart is $598 a month at GoodLife Health. Every headline is a program's cheapest all-in route, so a dearer drug at the same program can cost more. Prices are verified every Monday.
How often does the ranking change?
The full re-score runs monthly; the current edition is the August 2026 ranking. Prices are checked every Monday in between, and a price change large enough to move a score is applied at the next monthly re-score with the change noted on the program page.
For picks by situation rather than by score, see best GLP-1 programs by use case.