Compounded NAD+, sermorelin and GLP-1 programs are sold like subscriptions, but the price you see is rarely the price you pay. Here is how to read one of these offers line by line — with real numbers read on September 18, 2026.
Some brands we cover are clients of our publisher. What we recommend is decided by our editors, and prices are read on the date noted in each article. Our standards.
The quick take
- There are two pricing models. All-in programs quote one monthly number that includes the prescription, the compounded medication and the clinician. Membership models quote a low care fee and bill the medication separately — sometimes at ten times the membership.
- Prepaying is where the discounts live. Every program we read today charges the most on a one-month plan and the least on a six- or twelve-month commitment, which means the cheapest number in the ad is usually a number you pay up front.
- Compounded drugs are not FDA-approved. The FDA does not review their safety, effectiveness or quality before they reach patients, and the agency says so plainly on its own compounding pages.
- Three questions before checkout: does the price include the medication, what happens when my dose increases, and which pharmacy is filling it.
Why these offers are so hard to compare
The fastest-growing corner of telehealth looks nothing like a video call that ends at your local pharmacy: a monthly plan, a brief online intake, a clinician you may never see on camera, a vial at your door. The medicine is often compounded — mixed for an individual patient by a pharmacy rather than manufactured and approved as a finished drug. Two programs can advertise similar monthly figures and mean entirely different things by them: one includes everything, the other means the privilege of being a patient there, with the drug billed on top. Neither is dishonest, but the footnotes carry the money.
The FDA’s own compounding questions and answers are the clearest starting point. Compounded drugs are not FDA-approved, the agency writes, so it “does not verify the safety, effectiveness or quality of compounded drugs before they are marketed” — and they are not generics, which must establish therapeutic equivalence under the approval process. The FDA’s position is that compounded drugs “should only be used in patients whose medical needs cannot be met by an FDA-approved drug.”
Editors’ note
This article explains how these programs are priced and structured. It is not medical advice, not a safety assessment, and not a recommendation to start any therapy. We did not test any medication, evaluate any outcome, or verify any health benefit a seller claims on its own pages. Whether any compounded prescription is appropriate for you is a conversation with a licensed clinician who knows your history. Prices and plan terms were read on the brands’ own live pages on September 18, 2026, and telehealth pricing changes often.
How we chose what to look at
We picked programs that publish prices where a shopper can find them without an intake form, then read each the same way: what is included, what is billed separately, one-month versus prepaid price, and what the company discloses about compounding. Programs that hide pricing behind a questionnaire were left out — not because they are worse, but because they cannot be compared. Nothing here was prescribed, dispensed or tried by us. More in how we choose and how we test.
- The all-in program: one number, dose included
- The membership model: cheap care, separate medication
- À la carte compounding: priced per vial
- Lab-led memberships: you pay for measurement
- The pharmacy question nobody puts in the ad
- The five-minute checkout checklist
1. The all-in program: one number, dose included
The simplest structure to read is a flat monthly fee bundling the clinician, the prescription and the medication. Transforma Wellness prices its NAD+ program this way: $219 a month for one month, $189 a month on three months (billed $567), or $169 a month on six (billed $1,014). Sermorelin runs $229 / $199 / $179 across the same plan lengths, glutathione $249 / $224 / $199, semaglutide $299 / $269 / $249 and tirzepatide $399 / $369 / $349. The page states what arrives: prescription and compounded medication if approved, syringes, needles and instructions if needed, physician support, and free shipping.
Two details there are worth the reading time. The line “all doses included — one flat price, even as your dose increases” addresses the single biggest variable in this category, because dose escalation is where bundled plans and per-vial pricing diverge sharply. And the tirzepatide listing also carries a per-dose table quoting $357 to $392 for a first month, figures that do not line up with the headline plan price above them. When a page shows two sets of numbers, treat that as a question to ask in writing before checkout, not a discount to assume.
The site is also explicit about things buyers often have to dig for: a free physician review with a full refund if you are not approved, a licensed 503A pharmacy, FSA/HSA eligibility, and a footer stating that compounded drug products are not FDA-approved and that the company provides administrative and technology services to affiliated medical practices rather than practicing medicine. That last disclosure is standard in telehealth and it matters: your clinical relationship is with the affiliated practice, not the brand on the box.
2. The membership model: cheap care, separate medication
The larger platforms mostly sell care and medication separately, and the introductory number in the headline is the care half. On Hims’ weight-loss page, membership is required at $39 for the first month and auto-renews at $149 a month, billed separately from medication; branded options on that page today run from $149 a month for the Wegovy pill and $199 for the Wegovy pen up to $1,899 a month for Mounjaro or Zepbound at list. Ro states its Body membership at $39 for the first month, “as low as $74/month” with annual prepayment and $149 a month if you stay monthly — and says outright that the cost of GLP-1 medication is not included.
LifeMD’s weight-management program is similar: a program fee starting at $75 a month, promoted as $39 for a first month and $149 thereafter, medication billed on top, with footnotes putting new-patient branded pricing at $199 for the Wegovy pen and $149 for the pill, or a $0–$25 average copay where insurance covers treatment. Found publishes a rate card that shows the prepay effect bluntly: cash plans from $169 a month and insurance plans from $99 a month “based on 12-month plans paid up-front,” versus $289 and $199 a month on monthly plans, billed in 28-day cycles, with brand-name medication quoted around $1,100 a month for Ozempic and from $650 for Wegovy or Zepbound.
A $39 first month followed by $149 plus an uncovered branded drug is a different financial decision from one flat figure that includes a compounded one. Neither model is automatically cheaper; it turns on whether insurance covers your medication.
3. À la carte compounding: priced per vial
A third group prices each preparation separately, usually with an intro month and a higher ongoing rate. Eden’s front page today advertises compounded semaglutide from $99 a month plus membership, sermorelin injections from $126 for a first month, and NAD+ injections starting at $119 for the first month and then $186 a month for a 500 mg vial, or $145 then $226 a month at 1,000 mg; its NAD+ nasal spray is quoted at $112 first month then $127 a month. The same page carries the disclosure that compounded medications are not approved by the FDA.
Per-vial pricing is the most transparent about strength and the least forgiving about escalation: a higher dose is simply a higher price. It is also where introductory rates do the most work, so compare the second-month number, not the first.
4. Lab-led memberships: you pay for measurement
Some programs sell the workup rather than the vial. Hone Health lists a $65 entry point for lab testing covering 50-plus biomarkers plus a telehealth consult, then two memberships — Basic at $25 a month with testing every six months and members-only medication pricing, Premium at $155 a month with retesting and follow-ups every 90 days — both quoted “plus cost of medication.”
The measurement side is not an upsell to dismiss: a program that never draws blood cannot tell you whether anything changed. Whether you buy testing from a platform or through your own physician is a separate question — skipping it entirely is the version we would not choose.
5. The pharmacy question nobody puts in the ad
Compounding is a two-lane system, and knowing which lane your vial came from is reasonable diligence. The FDA’s compounding laws and policies page explains that Congress passed the Drug Quality and Security Act in 2013 after contaminated compounded drugs from a Massachusetts pharmacy caused more than 750 infections and more than 60 deaths across 20 states in 2012. Section 503A covers traditional pharmacy compounding and requires preparations be made against valid patient-specific prescriptions; section 503B created voluntary registration for “outsourcing facilities,” which face federal good manufacturing practice requirements and are listed publicly by the FDA.
The practical move: ask which pharmacy fills your prescription and under which section it operates, then check that it is licensed in your state. The FDA’s page on the risks of compounded drugs is worth ten minutes before a first order, and a program that answers the pharmacy question in one sentence is telling you something good about itself.
6. The five-minute checkout checklist
- Does the price include medication? If the page says “plus cost of medication,” the advertised figure is a care fee, not your bill.
- What is month two? Intro pricing of $39 or $99 is common; the renewal rate is the real number.
- What happens when the dose goes up? Flat “all doses included” language and per-vial pricing behave very differently over six months.
- Am I prepaying? The lowest monthly rate almost always requires three, six or twelve months billed at once. Read the cancellation and refund policy before you take it.
- Who is the clinician, and who is the pharmacy? Most platforms provide administrative services to affiliated practices; get both names in writing.
- Is it compounded? If yes, understand that the FDA has not reviewed it for safety, effectiveness or quality, and discuss that with a clinician who knows your history.
What we would do
If insurance covers a branded GLP-1 for you, a membership plus a copay is usually the cheaper path; the platforms above quote copays in the $0–$30 range for covered patients. Paying cash, an all-in program with dose-inclusive pricing removes the variable that wrecks budgets — Transforma’s flat NAD+ and sermorelin plans are a clean example, and the $50-a-month spread between its one- and six-month plans is the prepay trade-off you will see everywhere. Exploring rather than committing? Buy the labs first and the vial second.
Either way the decision belongs to you and a clinician, not to a landing page. Prices were read on September 18, 2026; if one has moved, tell us and we will fix it under our corrections policy. More on commercial relationships in our affiliate disclosure.
