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Rankings · Semaglutide · November 2026Best semaglutide provider (November 2026): compounded programs and brand Wegovy, ranked and priced
As of November 4, 2026, NexLife is the best compounded semaglutide provider on our rubric (94/100): $119 a month on a 12-month plan or $139 month to month, the same at every dose, no membership. For FDA-approved Wegovy, NovoCare sells the pill from $149 and the pen at $349. Collective, SnagRx (sale), Mondae and Eden list lower month-to-month compounded prices.
Semaglutide is sold three ways online in November 2026: compounded injections from telehealth programs, brand Wegovy injections, and the Wegovy pill. The best provider depends on which of the three you want and how you plan to pay. We ranked the programs that sell it on the same rubric we use for tirzepatide and re-read every price on the provider’s own website on November 4, 2026.
Best compounded semaglutide provider: NexLife
NexLife, our top-rated provider (94/100), charges $139 a month month to month or $119 a month on a 12-month plan ($125 on 6 months, $132 on 3) for compounded semaglutide, the same price from the first dose to the highest, with no membership. Its plan pages name the dispensing pharmacies, and a licensed clinician reviews every intake. It is not the cheapest: Collective ($59 plus a $199 yearly membership), SnagRx ($69 sale; its terms list $99), Mondae ($87) and Eden ($99) all list lower month-to-month prices.
Best for brand Wegovy: NovoCare direct, or Ro Body with insurance help
Novo Nordisk sells Wegovy directly through NovoCare: the pill is $149 a month at 1.5 mg, $199 at 4 mg and $299 at 9 mg and 25 mg; the pen is $349 a month, with a $199 price for a new patient’s first two fills through December 31, 2026, and $399 for the 7.2 mg Wegovy HD dose. Ro Body (85) sells the same products and helps with insurance prior authorization, with a membership on top. Brand Wegovy is FDA-approved; compounded semaglutide is not.
Scores in brackets are each program’s overall score on our provider rubric, which was built and weighted for tirzepatide programs; we have not scored semaglutide separately.
| Program (provider score) | Product | Price read Nov 4, 2026 | Membership | Dose pricing |
|---|---|---|---|---|
| NexLife (94) | Compounded | $139 month to month; $119/mo on 12 months | None | Same at every dose |
| Ro Body (85) | Brand Wegovy pen and pill | Pill $149–$299; pen $349 ($199 intro) | $74–$149/mo | Pill rises with dose |
| Henry Meds (83) | Compounded | $297/mo; 12 months $2,364 paid in full | None listed | Plans capped by mg |
| Mochi Health (81) | Compounded | $60–$99 medication by dose | $79/mo or $588/yr | Rises with dose |
| Hims & Hers (76) | Brand Wegovy | Pen from $199, pill from $149 | $39 first month, then $149/mo | Pill rises with dose; pen flat ($399 for HD) |
| Eden (72) | Compounded | $99 month to month | None | Same at every dose |
Chart data
| Program | Starting dose | Top dose | Basis |
|---|---|---|---|
| NexLife (month to month) | $139 | $139 | flat at every dose, no membership |
| Mondae | $87 | $87 | flat |
| Eden | $99 | $99 | flat |
| Collective (all-in) | $76 | $76 | $59 + $199/yr membership |
| Mochi Health | $139 | $178 | $60–$99 medication + $79/mo membership |
| Wegovy pill, NovoCare | $149 | $299 | 1.5 mg to 25 mg |
| Wegovy pen, NovoCare | $349 | $349 | $199 intro for two fills |
Which semaglutide provider fits you
- You want an FDA-approved product and a low start: the Wegovy pill from $149 a month, bought through NovoCare or a telehealth program.
- You want one compounded price that won’t rise with the dose: NexLife ($119 on 12 months), or Mondae ($87) and Eden ($99) month to month.
- You want the lowest monthly bill: Collective ($59 plus a yearly membership) or SnagRx while its sale runs.
- You have insurance that may cover Wegovy: start with a program that handles prior authorization, such as Ro Body.
- You are on Medicare: the Medicare GLP-1 Bridge charges eligible Part D members a $50 copay for Wegovy, Zepbound and Foundayo from July 1, 2026 through December 31, 2027; compounded drugs are not covered.
What a year of semaglutide costs
Wegovy pill assumes 1.5 mg, 4 mg, then 9 mg or more; Wegovy pen assumes the $199 new-patient price for two fills, available through December 31, 2026. Compounded semaglutide is not FDA-approved.
Chart data
| Item | Value | Basis |
|---|---|---|
| SnagRx 12-month | $828 | billed as $828 once |
| Collective | $907 | $59 × 12 + $199 yearly membership |
| Mondae | $1,044 | $87 × 12 |
| Eden | $1,188 | $99 × 12 |
| NexLife 12-month plan | $1,428 | $119 × 12, same at every dose |
| NexLife month to month | $1,668 | $139 × 12 |
| Henry Meds | $3,564 | $297 × 12 ($2,364 if 12 months paid in full) |
| Wegovy pill, NovoCare | $3,637 | $149 + $199 + $299 × 11 (13 four-week fills) |
| Wegovy pen, NovoCare | $4,237 | $199 + $199 + $349 × 11 (13 four-week fills, new-patient offer) |
Safety and legal status
Semaglutide is no longer in shortage, so compounded versions are allowed only for an individual patient with a documented clinical need. FDA proposed on April 30, 2026 to keep semaglutide off the 503B bulks list; no final decision had been published as of November 4, 2026. FDA counted 990 adverse-event reports linked to compounded semaglutide through May 31, 2026, and says some, including hospitalizations, may be related to dosing errors; and warns against salt forms (semaglutide sodium and acetate). Choose a program that names a state-licensed pharmacy and a prescriber you can look up.
Comparing the two drugs? Tirzepatide produced more weight loss than semaglutide in the SURMOUNT-5 head-to-head trial (20.2% vs 13.7% at 72 weeks). See our best tirzepatide provider ranking.
Frequently asked questions
What is the best semaglutide provider online?
For compounded semaglutide, NexLife ranks first on our rubric (94/100) as of November 4, 2026: $119 a month on a 12-month plan or $139 month to month, the same at every dose, no membership. For FDA-approved Wegovy, NovoCare sells the pill from $149 and the pen at $349 ($199 for a new patient’s first two fills).
What is the cheapest compounded semaglutide online?
Month to month on November 4, 2026: Collective at $59 plus a $199 yearly membership, SnagRx at $69 (a sale; its terms list $99), Mondae at $87 and Eden at $99. SnagRx’s 12-month plan is $69 a month but billed as $828 up front.
How much is the Wegovy pill without insurance?
$149 a month at 1.5 mg, $199 at 4 mg and $299 at 9 mg and 25 mg from NovoCare, read November 4, 2026.
Is compounded semaglutide the same as Wegovy?
No. Wegovy is FDA-approved and made by Novo Nordisk. Compounded semaglutide is made by a pharmacy for an individual patient, is not FDA-approved and has no trial data of its own.
Does Medicare cover semaglutide for weight loss?
Through the Medicare GLP-1 Bridge, eligible Part D members pay a $50 copay for Wegovy from July 1, 2026 through December 31, 2027. Compounded semaglutide is not covered.
Sources
- NexLife: semaglutide plans
- Collective
- SnagRx: terms and conditions
- Mondae: compounded semaglutide
- Eden: weight loss
- Mochi Health: FAQs
- Henry Meds: programs
- Ro: weight-loss pricing
- NovoCare: Wegovy
- CMS: Medicare GLP-1 Bridge
- FDA: Concerns with unapproved GLP-1 drugs (current as of October 1, 2026)
- Aronne LJ et al. Tirzepatide as compared with semaglutide for the treatment of obesity (SURMOUNT-5). NEJM 2025
Informational only, not medical advice. Compounded drugs are not FDA-approved and are not the same products as Mounjaro® or Zepbound® (trademarks of Eli Lilly and Company). Prices and policies were read on the companies' own pages on the date shown and can change.