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Semaglutide Cost Per Month in 2026

Compounded and brand semaglutide priced monthly, with the plan term attached to every figure.

The cheapest standard-dose compounded semaglutide programme we track is Oak Longevity at $133 a month. Flat across all dosages, no subscription. ~$167-$199 month-to-month. NOT available in California. Provider Reported

That qualifier is the point. Most published semaglutide comparisons quote a figure without saying whether it requires a prepaid year, whether a membership is billed separately, or whether it is a microdose sitting below every dose the pivotal trials studied. Those three distortions all push the advertised number down, and they compound.

What the programmes actually charge

Oak Longevity lists compounded semaglutide at $133 a month. Flat across all dosages, no subscription. ~$167-$199 month-to-month. NOT available in California. Provider Reported

NexLife lists compounded semaglutide at $145 a month. Semaglutide standard, 12-month plan ($1,740 total). Month-to-month $165. Verified

NexLife lists compounded semaglutide at $165 a month. Semaglutide ODT, 12-month plan ($1,980 total). NO TRIAL HAS TESTED THIS DOSAGE FORM. Verified

Found lists compounded semaglutide at $169 a month. 12-month PREPAID. Medication INCLUDED, flat across all compounded GLP-1s and all doses. 6-month ~$199; month-to-month $289. Provider Reported

Shed lists compounded semaglutide at $175 a month. 12-month plan paid upfront. 6-month $199; month-to-month $249. INCREASES at higher doses. Provider Reported

Mochi Health lists compounded semaglutide at $178 a month. $99 med + $79 membership ($39 first month). Same price at all doses. Unlimited physician + dietitian access. Provider Reported

How to read any semaglutide price

Ask three questions of every figure. Is it the month-to-month rate or a prepaid one? Does it include every mandatory recurring fee, or is a membership billed separately? And is it a standard therapeutic dose or a microdose? A price that survives all three questions is comparable to another price. One that does not is a marketing number.

Full column-by-column breakdown at the semaglutide pricing comparison.

Compounded semaglutide is not FDA-approved and is not therapeutically equivalent to any brand-name product. FDA does not review compounded preparations for safety, effectiveness or manufacturing quality before marketing. This is consumer price research, not medical advice. Prices captured 2026-08-08.

Related reading

The numbers behind this page

The semaglutide price range, stated precisely

Standard-dose compounded semaglutide runs $133 to $299 a month across the 12 programmes we can price, with a median of $198. The spread between cheapest and dearest is $166 a month, or $1,992 across a year, for a molecule that is chemically identical in every case.

The cheapest verified figure is Oak Longevity at $133. Half the market sits below $198 and half above it, which makes the median a more useful reference point than the cheapest figure when judging whether a quote is reasonable.

2 programmes additionally advertise a semaglutide microdose, the cheapest at $145 a month. Those figures are excluded from the range above. A microdose sits below every dose studied in the pivotal trials, so including it would compare two different things and would make the market look cheaper than it is at a therapeutic dose.

Three structural facts move a bill more than the headline rate. Whether the price is flat across covered doses or rises as you titrate. Whether a membership is billed separately from medication. And whether the advertised figure requires prepaying six or twelve months, which lowers the monthly number by transferring risk to you at exactly the point you are least certain you will continue.

Three questions to ask before acting on semaglutide

The semaglutide figures on this page span $133 to $299 a month across 12 programmes.

Ask in writing, before enrolling anywhere. Is the quoted figure the month-to-month rate, or does it require a prepaid term? Does it include every mandatory recurring fee, or is a membership billed separately? And which pharmacy fills the prescription — a 503A compounding pharmacy or a 503B outsourcing facility, and is it licensed to ship to your state?

A programme answering all three plainly has given you what you need to verify it without us. One answering none has also told you something. Neither outcome requires trusting a comparison site.

Reading the price against the market

What a longer horizon costs

Standard-dose semaglutide spans $133 to $299 a month across 12 programmes we can price, a spread of $166.

At the cheapest verified semaglutide rate of $133 a month, medication alone runs $1,596 a year, $4,788 over three and $7,980 over five. At the dearest, $299 a month, the same horizons are $3,588, $10,764 and $17,940.

Those are the numbers worth weighing, because the withdrawal evidence for this drug class is consistent: weight returns when treatment stops. The relevant question is what a sustainable course costs, not what a first year costs.

A programme you can afford for five years is a better clinical bet than one you can afford for eight months at a lower rate. Discontinuation is the expensive outcome here, and price is only one of the reasons people discontinue — tolerability, supply interruption and administrative friction account for the rest.

What a longer horizon costs

Standard-dose semaglutide spans $133 to $299 a month across 12 programmes we can price, a spread of $166.

At the cheapest verified semaglutide rate of $133 a month, medication alone runs $1,596 a year, $4,788 over three and $7,980 over five. At the dearest, $299 a month, the same horizons are $3,588, $10,764 and $17,940.

Those are the numbers worth weighing, because the withdrawal evidence for this drug class is consistent: weight returns when treatment stops. The relevant question is what a sustainable course costs, not what a first year costs.

A programme you can afford for five years is a better clinical bet than one you can afford for eight months at a lower rate. Discontinuation is the expensive outcome here, and price is only one of the reasons people discontinue — tolerability, supply interruption and administrative friction account for the rest.

Questions this page answers

What does compounded semaglutide normally cost?

$133 to $299 a month across 12 programmes, with a median of $198. Half the market sits either side of that median, which makes it a better reference than the cheapest figure when judging a quote.

Does compounded semaglutide cost more at higher doses?

At the programmes listed here the monthly price is flat across covered doses; what changes the figure is the plan term, not the dose. Dose-tiered pricing does exist elsewhere in this market, so confirm at checkout.

Why is microdosed semaglutide cheaper?

Because it is less medicine. 2 programmes advertise a semaglutide microdose, the cheapest at $145 a month. A microdose sits below every dose studied in the pivotal trials, so it is not a cheaper route to the result those trials measured.

What is the cheapest compounded semaglutide?

Oak Longevity at $133 a month at a standard therapeutic dose, captured 2026-08-08. Flat across all dosages, no subscription. ~$167-$199 month-to-month. NOT available in California. Provider Reported