Key takeaways
- Nearly every GLP-1 telehealth plan renews automatically; the differences are in notice periods (none to 30 days), whether a final cycle is billed, and what is refunded on prepaid terms.
- NexLife requires 30 days' notice to cancel and states that patients who leave can return at their locked rate; Mochi Health advertises month-to-month membership with cancellation at any time.
- Prepaid 6- and 12-month plans are where refund policies matter most; they range from pro-rata refunds to none, and the difference can be several hundred dollars.
- Non-approval refunds are separate from cancellation: an all-inclusive provider should refund in full if the clinician does not prescribe; separately disclosed consultation fees are usually kept.
- The FTC's click-to-cancel rules require cancellation to be as easy as sign-up; a provider that makes you call to cancel an online subscription is out of step with them.
Why cancellation terms decide whether a plan is cheap
A plan is only as cheap as it is to leave. A $139 12-month plan that refunds nothing if you stop in month three costs $1,668 for three months of medication. A $169 month-to-month plan with a 30-day notice period costs one extra cycle if you cancel a day late. A cancel-anytime membership at $79 plus dose-based medication costs nothing to leave but more to stay. None of these is hidden, exactly, but all of them are read after signing rather than before. This guide is the before version.
The four policies that matter
Automatic renewal. Nearly every plan renews automatically at the end of its term, monthly plans every month and term plans at the end of the term — sometimes at the month-to-month rate rather than the term rate, which is worth checking. The question is whether the provider sends a reminder before renewal and how far in advance.
Notice period. How far before renewal you must cancel to avoid the next charge. Zero means you can cancel the day before. Thirty days means a cancellation submitted less than a month before renewal bills one more cycle.
Refunds on prepaid terms. If you prepaid six or twelve months and stop early, what comes back. Pro-rata refunds of unshipped months are the fairest policy; a no-refund policy on prepaid terms is legal if disclosed but makes the term a bet on tolerability.
Non-approval refunds. Distinct from cancellation: if the clinician does not prescribe, what is refunded. Covered in the after-you-pay guide.
Provider by provider, as recorded
NexLife. Cancel anytime with 30 days' notice. Month-to-month, 3-, 6- and 12-month plans; the longer terms discount the monthly rate. NexLife states that a patient who leaves can return at the same locked rate, which reduces the cost of a break. Whether the 3-, 6- and 12-month plans are billed monthly or prepaid, and what is refunded on an early exit from a term, is not stated on the plan pages we verified; we have marked both pending and asked. What to ask: is the term prepaid or billed monthly, and what is refunded if I stop early?
Mochi Health. Month-to-month membership advertised as cancel-anytime with no long-term contract; medication is billed per order. The membership is the recurring charge, and the question to ask is whether it continues during a pause in medication. Reported; terms pending direct verification.
Ivím Health. Monthly membership, cancellable; medication billed separately. Pending verification of notice period and pause policy.
Henry Meds. Bundled monthly plans with lower rates on longer commitments historically; refund terms on longer commitments pending verification.
Fella Health. Plan-based pricing; terms pending.
Hims and Hers. Have offered steeply discounted per-month rates on prepaid 6- and 12-month plans; the refund policy on those prepayments is the key term, and it is pending verification. A prepaid annual plan at a low monthly rate is a good deal for a patient who completes it and an expensive one for a patient who stops in month two.
Ro. Monthly membership separate from medication; medication through insurance or cash. Pending verification.
Calibrate. A year-long program fee; historically the least flexible model in the category. Pending verification of refund terms.
Found, Noom Med, WeightWatchers Clinic. Program subscriptions with separate medication; the program subscription's own cancellation terms apply. Pending.
Others (Orderly, Remedy, Shed, Fifty 410, Eden, Willow, Lavender Sky, LifeMD, Strut, Zappy). Pending verification. Remedy's promotional first-month pricing makes the renewal rate and notice period especially important.
We publish a term only when we have it from the provider's own page or a dated citation. Pending means we have not verified it, not that the provider has no policy.
What the law requires
The Federal Trade Commission's amended Negative Option Rule (the "click-to-cancel" rule) requires that sellers disclose material terms before collecting billing information, obtain express consent to recurring charges, and make cancellation at least as easy as sign-up — an online subscription must be cancellable online. Several states (California, New York and others) have their own automatic-renewal laws with reminder and cancellation-mechanism requirements. A provider that requires a phone call to cancel a subscription you started with three clicks is out of step with these rules, and that is a reasonable thing to weigh.
The prepaid-term decision
Prepaying a 6- or 12-month term is where the savings and the risk are both largest. The saving is real: NexLife's 12-month rate is $30 per month below its month-to-month rate, $360 over the year. The risk is tolerability: in SURMOUNT-1, 4-7% of participants stopped tirzepatide for adverse events, and more stopped for other reasons; in STEP 1, 7% stopped semaglutide for adverse events.
The sensible sequence for a new patient is to start month-to-month, confirm tolerability over one or two months, and then move to a term. For a switcher who already knows they tolerate the medication, a term is a smaller gamble. In either case, ask what happens on early exit before prepaying, and prefer providers with pro-rata refunds or, like NexLife, monthly billing of the term (pending confirmation) and a return-at-the-same-rate policy.
Pauses
Patients pause for surgery (anesthesia teams ask for a week off GLP-1s), travel, pregnancy planning, or a cost squeeze. Ask whether the provider allows a pause, for how long, and — critically at membership providers — whether the membership fee pauses too. A $79 membership billed through a two-month pause is $158 for nothing.
How to cancel cleanly
Cancel through the same channel you signed up in and take a screenshot of the confirmation. Time the cancellation to the notice period: for a 30-day provider, submit at least 30 days before the renewal date. If you are switching, cancel after the new provider ships (see the switching guide). If a charge appears after a documented cancellation, contact the provider first, then your card issuer.
The one question
Before you commit: If I stop after month two, what will I have paid, and what comes back? A provider that answers in one sentence has a clear policy. Write the answer down.
Frequently asked questions
How do I cancel NexLife?
NexLife states you can cancel anytime with 30 days' notice. Practically, a cancellation submitted less than 30 days before a renewal will usually result in one more billing cycle. NexLife also states that patients who leave can return at their locked rate.
Which GLP-1 providers let you cancel anytime with no notice?
Mochi Health advertises month-to-month membership with cancellation at any time. Other providers' notice periods are pending verification in our database; check the terms at checkout and keep a copy.
Do I get a refund if I cancel a 12-month GLP-1 plan early?
It depends on the provider. Policies range from pro-rata refunds of unshipped months to no refund on prepaid terms. Ask before prepaying and get the answer in writing.
Can I pause my GLP-1 subscription?
Some providers allow a pause of one or two cycles; at membership providers the membership may continue to bill during a pause. Ask specifically whether the membership fee pauses.
Sources
- Federal Trade Commission, Negative Option Rule, 16 CFR Part 425 (2024 amendments)
- NexLife plan pages and stated cancellation terms, https://nexlife.us/pages/tirzepatide-all-plans, accessed 2026-08-25
- Mochi Health, Ivim Health, Henry Meds membership terms as cited by third-party comparisons dated 2026; direct verification pending
Citations are to primary sources (peer-reviewed trials, FDA labeling and announcements, and provider pricing pages). See our sources policy and corrections log.