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Independent comparison · Updated September 2026

Online GLP-1 programs, compared honestly.

We lined up five popular telehealth programs and compared what matters: who reviews your case, which medications you can get, what you'll really pay each month, and how easy it is to leave.

See the top 5 Find my fit in 3 questions

Editorial disclosure

We research programs independently. If you sign up through our links we may earn a commission at no cost to you. Brands can't pay to change our scores.

About our rankings

Scores combine clinical care (30%), medication access (25%), price transparency (25%) and ongoing support (20%). Methodology.

How to use this page

1
Look over the top 5. Each card shows what's good, what to watch for, and the real starting price.
2
Answer 3 quick questions. Our Find your fit tool suggests a good place to start.
3
Talk with a clinician. Every program starts with a medical review. They decide if a GLP-1 is right for you.

Confused by a term like "compounded" or "HSA"? See our plain-English guide.

The top 5 at a glance

1Pallas HealthBest overall value9.5/10 2WeightWatchers Med+Best for nutrition coaching9.4/10 3RoBest for insurance help9.1/10 4PlushCareBest for doctor visits8.8/10 5Hims & HersBest for medication choice8.7/10

Before you compare: GLP-1 medications require a prescription and a medical evaluation, and they aren't right for everyone, including people with a personal or family history of medullary thyroid carcinoma or MEN 2. Common side effects include nausea, vomiting and diarrhea. Results vary. We're not endorsed by any brand here; trademarks belong to their owners. Medical disclaimer

Our top pick · Best overall value

Pallas Health

All-in GLP-1 pricing with no membership fee, the same price at every dose, and both compounded and FDA-approved brand-name options.

overall

Why it stands out

No membership fee: clinician visits, follow-ups and messaging are included in the price
Compounded plans cost the same at every dose, including step-ups
Full refund if a clinician decides treatment isn't right for you
Offers both compounded GLP-1s and FDA-approved brand-name medications
LegitScript certified; medication ships free from US-licensed pharmacies
HSA/FSA eligible, and you can cancel or pause anytime with no fees

Things to consider

Compounded medications are not FDA-approved
Brand-name medications are cash-pay only and expensive (Wegovy $1,349/mo)
Launched in 2026, so there's little independent customer feedback yet
Doesn't accept insurance

Clinical care9.2
Medication access9.7
Price transparency9.7
Ongoing support9.3

Best for nutrition coaching

WeightWatchers Med+

Obesity medicine specialists, one-on-one dietitian support and a full nutrition and activity app, with brand-name GLP-1s for people who qualify.

overall

Why it stands out

Care from obesity medicine specialists
One-on-one registered dietitian and a GLP-1 member community
App includes meal tracking, recipes, sleep tracking and strength-training videos
Accepts HSA/FSA
Brand-name, FDA-approved medications only

Things to consider

Cancelling a 12-month plan early still bills the remaining months
Medication pricing is harder to find on the website

Clinical care9.7
Medication access9.5
Price transparency8.6
Ongoing support9.8

Best for insurance help

Ro

Brand-name GLP-1s only, unlimited messaging with a provider, and an insurance concierge that checks your coverage for you.

overall

Why it stands out

Insurance concierge checks your GLP-1 coverage
Unlimited messaging with your provider
Cancel up to 48 hours before renewal, with no long-term contract
Brand-name, FDA-approved medications only

Things to consider

Wegovy pill, Foundayo and the Zepbound KwikPen are cash-pay only
Care is mostly by chat rather than video
Doesn't accept HSA/FSA

Clinical care9.0
Medication access9.5
Price transparency9.1
Ongoing support8.8

Best for doctor visits

PlushCare

Video visits with board-certified physicians licensed in all 50 states, with an optional low-cost membership and prescriptions sent to your pharmacy.

overall

Why it stands out

Board-certified physicians licensed in all 50 states
Real video appointments, not just a questionnaire
Membership is optional and low cost
Offers non-GLP-1 weight-loss medications too

Things to consider

Each visit costs $129 before insurance
Prescriptions go to a pharmacy instead of shipping to your home
Less built-in coaching than dedicated weight-loss programs

Clinical care9.5
Medication access8.6
Price transparency8.8
Ongoing support8.2

Best for medication choice

Hims & Hers

A familiar wellness brand offering several brand-name oral and injectable GLP-1s, with unlimited provider messaging and lifestyle guidance.

overall

Why it stands out

Wide choice of brand-name oral and injectable GLP-1s
Unlimited messaging with a provider
Membership includes exercise, nutrition and meditation guidance

Things to consider

GLP-1s aren't available in a few states
Some users report trouble cancelling recurring shipments
In July 2026 the FTC sued the company over billing and data-sharing practices; the company denies the claims

Clinical care8.6
Medication access9.4
Price transparency8.2
Ongoing support8.5

Find your fit

Not sure which one? Answer three questions.

Every program above suits a different kind of person. Tell us what matters to you and we'll point you to a good place to start. This isn't medical advice; a clinician makes the final call.

1. Do you plan to use health insurance? Yes No, I'll pay myself Not sure

2. Which medications are you open to? FDA-approved brand-name only Open to compounded Not sure yet

3. What matters most to you? Lowest, predictable price Nutrition coaching A video visit with a doctor

How we scored them

Every program is scored on the same four criteria. We don't take medications ourselves or publish personal weight-loss results; we compare programs as services, using public pricing and each program's own sign-up flow.

30%Clinical care

25%Medication access

25%Price transparency

20%Ongoing support

Clinical care. Clinician credentials, depth of review, labs and how fast you can reach someone about side effects.

Medication access. Which FDA-approved GLP-1s are available, and whether compounded options are clearly labeled.

Price transparency. Total monthly cost shown up front, price changes with dose, and cancellation terms.

Ongoing support. Coaching, nutrition help, check-ins and app quality.

Why Pallas Health is our #1 pick

Out of the programs we compared, Pallas Health came out on top for overall value. It was the only program in our top five with no membership fee at all, a single price that doesn't rise as your dose goes up, and a choice between compounded and FDA-approved brand-name medications.

Simple, all-in pricing

Most programs charge a monthly membership and then bill medication separately, and the medication price usually climbs with each dose increase. With Pallas Health, clinician visits, follow-ups, messaging and shipping are included, and compounded plans stay the same price at every dose.

Low risk to start

Nothing is charged at checkout. You're billed only once a clinician prescribes, and refunded in full if they decide treatment isn't right for you. You can cancel or pause anytime with no cancellation fees.

Medical care

Intake, clinician review, check-ins and refills all happen online, and review is often same-day. Prescriptions are written by US-licensed clinicians through an affiliated medical group, and the medical team is led by a physician board-certified in obesity medicine. Most states need no video visit; 7 states plus Washington, D.C. require one to start.

Medication choice

Clinicians can prescribe compounded semaglutide or tirzepatide, prepared by US-licensed compounding pharmacies, or brand-name Wegovy, Zepbound, Ozempic or Mounjaro. Compounded medications are not FDA-approved and are not generic versions of brand-name drugs. The brand-name options are cash-pay and cost considerably more.

Things to weigh

Pallas Health launched in 2026, so there's little independent customer feedback yet, and it doesn't accept insurance. It is LegitScript certified, which means its pharmacy and prescribing practices have been independently reviewed.

A licensed clinician decides whether a GLP-1 medication is right for you. If you're paying out of pocket and want one predictable price, this is the program we'd start with.

Plain-English guide

The words you'll see on this page and on provider websites, explained simply.

GLP-1 medication: A prescription medicine, usually a weekly shot or a daily pill, that helps control appetite and blood sugar. Examples are Wegovy, Zepbound, Ozempic and Mounjaro.
FDA-approved: The U.S. Food and Drug Administration has reviewed the medicine for safety, effectiveness and quality.
Compounded medication: A version mixed by a specialty pharmacy. It is not FDA-approved and is not a generic copy of the brand-name drug. It usually costs less.
Telehealth: Seeing a licensed clinician online, by questionnaire, message or video, instead of in an office.
Membership fee: A monthly charge some programs add on top of the medication price. Pallas Health has none.
HSA / FSA: Health Savings Account or Flexible Spending Account. Tax-free money you can use for eligible health costs.
Prior authorization: Paperwork your insurance may require before it agrees to pay for a medication.
LegitScript certified: An independent check that an online health company follows pharmacy and prescribing laws.

Questions people ask

What are GLP-1 medications?

GLP-1 receptor agonists are prescription medications that mimic a hormone involved in appetite and blood sugar regulation. Some are FDA-approved for chronic weight management in adults who meet specific criteria, and others are approved for type 2 diabetes. Only a licensed clinician can decide whether one is appropriate for you.

Do these programs guarantee a prescription?

No. Every provider on this list requires a medical evaluation, and a clinician may decide a GLP-1 medication is not right for you. Reputable programs will tell you that up front.

What side effects should I know about?

Commonly reported side effects include nausea, vomiting, diarrhea and constipation. Serious risks can include pancreatitis, gallbladder problems and, in animal studies, thyroid C-cell tumors. Review the full prescribing information and discuss your health history with a clinician.

Are compounded versions the same as brand-name medications?

No. Compounded drugs are not FDA-approved, and the FDA has restricted routine compounding of semaglutide and tirzepatide now that the brand-name versions are no longer in shortage. Ask any provider exactly what medication and pharmacy they use.

I'm over 40, or over 65. Can I still use these programs?

Yes. These programs serve adults of all ages, and a clinician reviews your health history before prescribing. Tell them about every medication you take and any heart, kidney, gallbladder or thyroid conditions. Because some weight lost on GLP-1s can be muscle, clinicians often recommend eating enough protein and doing strength exercises. Insurance and Medicare coverage for weight-loss medication has been changing, so check with your plan; several programs here are cash-pay only.

Will insurance cover a GLP-1 medication?

Coverage varies widely by plan and diagnosis. Some programs help check your benefits or file prior authorization requests, but approval is never guaranteed.

Author
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Written by

[Author Name], Health & Consumer Products Editor

[Real, verifiable bio: years covering health, relevant education, where their work has appeared.]

Medically reviewed by [Reviewer Name, MD], [specialty]. Prices checked September 2026.