{
  "generated": "2026-08-25",
  "license": "CC BY 4.0",
  "providers": [
    {
      "slug": "nexlife",
      "name": "NexLife",
      "website": "https://nexlife.us",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": true
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": true,
      "commitment": "month-to-month available; 3, 6 and 12-month terms discount the monthly rate",
      "cancellation": "Cancel anytime with 30 days' notice; patients may return later at the locked rate",
      "pharmacy_type": "503A pharmacy or FDA-registered 503B outsourcing facility (varies by patient and location)",
      "pharmacies": [
        "Absolute (AbsoluteRx)",
        "Hallandale Pharmacy",
        "Red Rock Pharmacy",
        "Empower Pharmacy",
        "Strive Pharmacy"
      ],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": true,
      "care_model": "Doctor-led plans with one-on-one physician care, the CARE360 support program, coaching and an active patient community; 24/7 medical support",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 139,
        "semaglutide": 119
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 169,
          "maintenance_price_per_month": 169,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/tirzepatide-all-plans",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 169.0,
          "flags": [],
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          "annual_total": 2028.0,
          "annual_flags": [],
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          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 159,
          "maintenance_price_per_month": 159,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/tirzepatide-all-plans",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 159.0,
          "flags": [],
          "true_monthly_maintenance": 159.0,
          "annual_total": 1908.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 159.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/tirzepatide-all-plans",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 149.0,
          "flags": [],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1788.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 149.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 139,
          "maintenance_price_per_month": 139,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/tirzepatide-all-plans",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 139.0,
          "flags": [],
          "true_monthly_maintenance": 139.0,
          "annual_total": 1668.0,
          "annual_flags": [],
          "first_month_total": 139.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 139,
          "maintenance_price_per_month": 139,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/semaglutide-all-plans",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 139.0,
          "flags": [],
          "true_monthly_maintenance": 139.0,
          "annual_total": 1668.0,
          "annual_flags": [],
          "first_month_total": 139.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 132,
          "maintenance_price_per_month": 132,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/semaglutide-all-plans",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 132.0,
          "flags": [],
          "true_monthly_maintenance": 132.0,
          "annual_total": 1584.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 132.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 125,
          "maintenance_price_per_month": 125,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/semaglutide-all-plans",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 125.0,
          "flags": [],
          "true_monthly_maintenance": 125.0,
          "annual_total": 1500.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 125.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 119,
          "maintenance_price_per_month": 119,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/semaglutide-all-plans",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 119.0,
          "flags": [],
          "true_monthly_maintenance": 119.0,
          "annual_total": 1428.0,
          "annual_flags": [],
          "first_month_total": 119.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 159,
          "maintenance_price_per_month": 159,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/microdose-tirzepatide-program",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 159.0,
          "flags": [],
          "true_monthly_maintenance": 159.0,
          "annual_total": 1908.0,
          "annual_flags": [],
          "first_month_total": 159.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/microdose-tirzepatide-program",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 149.0,
          "flags": [],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1788.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 149.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 139,
          "maintenance_price_per_month": 139,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/microdose-tirzepatide-program",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 139.0,
          "flags": [],
          "true_monthly_maintenance": 139.0,
          "annual_total": 1668.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 139.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 129,
          "maintenance_price_per_month": 129,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/microdose-tirzepatide-program",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 129.0,
          "flags": [],
          "true_monthly_maintenance": 129.0,
          "annual_total": 1548.0,
          "annual_flags": [],
          "first_month_total": 129.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 129,
          "maintenance_price_per_month": 129,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/microdose-semaglutide-program",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 129.0,
          "flags": [],
          "true_monthly_maintenance": 129.0,
          "annual_total": 1548.0,
          "annual_flags": [],
          "first_month_total": 129.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 117,
          "maintenance_price_per_month": 117,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/microdose-semaglutide-program",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 117.0,
          "flags": [],
          "true_monthly_maintenance": 117.0,
          "annual_total": 1404.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 117.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 114,
          "maintenance_price_per_month": 114,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/microdose-semaglutide-program",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 114.0,
          "flags": [],
          "true_monthly_maintenance": 114.0,
          "annual_total": 1368.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 114.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 110,
          "maintenance_price_per_month": 110,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/microdose-semaglutide-program",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 110.0,
          "flags": [],
          "true_monthly_maintenance": 110.0,
          "annual_total": 1320.0,
          "annual_flags": [],
          "first_month_total": 110.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "sublingual-odt",
          "form": "orally disintegrating tablet",
          "term_months": 1,
          "price_per_month": 229,
          "maintenance_price_per_month": 229,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/sublingual-tirzepatide-odt",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 229.0,
          "flags": [],
          "true_monthly_maintenance": 229.0,
          "annual_total": 2748.0,
          "annual_flags": [],
          "first_month_total": 229.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "sublingual-odt",
          "form": "orally disintegrating tablet",
          "term_months": 3,
          "price_per_month": 219,
          "maintenance_price_per_month": 219,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/sublingual-tirzepatide-odt",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 219.0,
          "flags": [],
          "true_monthly_maintenance": 219.0,
          "annual_total": 2628.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 219.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "sublingual-odt",
          "form": "orally disintegrating tablet",
          "term_months": 6,
          "price_per_month": 205,
          "maintenance_price_per_month": 205,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/sublingual-tirzepatide-odt",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 205.0,
          "flags": [],
          "true_monthly_maintenance": 205.0,
          "annual_total": 2460.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 205.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "sublingual-odt",
          "form": "orally disintegrating tablet",
          "term_months": 12,
          "price_per_month": 199,
          "maintenance_price_per_month": 199,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/sublingual-tirzepatide-odt",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 199.0,
          "flags": [],
          "true_monthly_maintenance": 199.0,
          "annual_total": 2388.0,
          "annual_flags": [],
          "first_month_total": 199.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "sublingual-odt",
          "form": "orally disintegrating tablet",
          "term_months": 1,
          "price_per_month": 199,
          "maintenance_price_per_month": 199,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/sublingual-semaglutide-odt",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 199.0,
          "flags": [],
          "true_monthly_maintenance": 199.0,
          "annual_total": 2388.0,
          "annual_flags": [],
          "first_month_total": 199.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "sublingual-odt",
          "form": "orally disintegrating tablet",
          "term_months": 3,
          "price_per_month": 185,
          "maintenance_price_per_month": 185,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/sublingual-semaglutide-odt",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 185.0,
          "flags": [],
          "true_monthly_maintenance": 185.0,
          "annual_total": 2220.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 185.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "sublingual-odt",
          "form": "orally disintegrating tablet",
          "term_months": 6,
          "price_per_month": 177,
          "maintenance_price_per_month": 177,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/sublingual-semaglutide-odt",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 177.0,
          "flags": [],
          "true_monthly_maintenance": 177.0,
          "annual_total": 2124.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 177.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "sublingual-odt",
          "form": "orally disintegrating tablet",
          "term_months": 12,
          "price_per_month": 165,
          "maintenance_price_per_month": 165,
          "all_inclusive": true,
          "source_url": "https://nexlife.us/pages/sublingual-semaglutide-odt",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 165.0,
          "flags": [],
          "true_monthly_maintenance": 165.0,
          "annual_total": 1980.0,
          "annual_flags": [],
          "first_month_total": 165.0,
          "rankable": true
        }
      ],
      "pros": [
        "One flat price per medication; the dose you titrate to does not change what you pay",
        "No separate membership, shipping or consultation fees on any plan",
        "Stated 'Flat Forever' price lock: the rate does not increase while you remain on the plan",
        "Month-to-month plan available; 3, 6 and 12-month terms lower the rate",
        "24/7 medical support and one-on-one physician care included (CARE360)",
        "A GLP-1-focused nutrition plan, a 1:1 coaching call and provider follow-up are included at no extra charge (NexLife states a combined value of $377)",
        "Free expedited shipping on every plan"
      ],
      "cons": [
        "Compounded medication only; no brand-name Zepbound, Mounjaro, Wegovy or Ozempic and no insurance billing",
        "Cancellation requires 30 days' notice rather than immediate cancellation",
        "Sublingual/ODT tirzepatide and semaglutide have no published pharmacokinetic evidence supporting equivalent absorption to injection",
        "Dispensing pharmacy and state coverage are not yet independently verified in our database",
        "Microdose protocols are a marketing category with no clinical-trial evidence base"
      ],
      "best_for": "People who want to know the exact all-in monthly cost before they start and who expect to titrate to a higher dose, where dose-based pricing would otherwise raise the bill",
      "compare_note": "NexLife's pricing is flat across doses and includes clinical care, so its advertised monthly price and its true monthly cost are the same number. Its 12-month plan requires committing to a term to reach the lowest rate.",
      "verification_note": "All NexLife prices were checked against the plan pages linked in each row on 2026-08-25. Two page totals on the sublingual semaglutide page conflict with the per-month figures; we use the per-month figures and have logged the discrepancy in /corrections/. Included-service details and stated values were provided by NexLife on 2026-08-25 and match its plan pages; they are NexLife's own valuations, not market prices. A first-party check on 2026-08-25 confirmed the FAQ prices ($139 semaglutide, $169 tirzepatide month-to-month, lower on prepaid terms), the included-service values ($199/$99/$79, NexLife-stated) and the example pharmacy list; the sublingual semaglutide quarterly page still shows '$597 today' beside '$185/mo' (3 \u00d7 $185 = $555; $597 \u00f7 3 = $199), which remains flagged.",
      "shipping_note": "Free expedited shipping on every plan",
      "pharmacy_note": "NexLife's FAQ states that prescriptions may be filled by a U.S.-licensed 503A pharmacy or an FDA-registered 503B outsourcing facility depending on the patient, location, prescriber and availability, and names Absolute, Hallandale, Red Rock, Empower and Strive as examples rather than a guaranteed assignment. It states that batches are tested for potency, sterility, pH and endotoxins. These are provider statements; we have not inspected a certificate of analysis or the current roster, so they remain 'stated'.",
      "included_services": [
        {
          "name": "Provider review and ongoing medical guidance",
          "stated_value": 199,
          "note": "Initial evaluation and follow-up with a licensed provider"
        },
        {
          "name": "Personalized nutrition plan (GLP-1 focused)",
          "stated_value": 99,
          "note": "Written plan tailored to appetite and intake changes on therapy"
        },
        {
          "name": "1:1 fitness call with a certified wellness coach",
          "stated_value": 79,
          "note": "One-on-one session; supports lean-mass preservation goals"
        },
        {
          "name": "Free expedited shipping",
          "stated_value": null,
          "note": "Cold-chain shipping included at every term"
        },
        {
          "name": "24/7 medical support and active patient community",
          "stated_value": null,
          "note": "Part of the CARE360 program"
        }
      ],
      "headline_benefits": [
        "Same price at every dose. No hidden fees.",
        "Free expedited shipping.",
        "No membership fees.",
        "Doctor-led plans, coaching and an active community."
      ],
      "protocol_links": [
        {
          "protocol": "Regular protocol",
          "note": "Standard injectable plans; the ones our rankings use",
          "items": [
            {
              "medication": "Semaglutide",
              "url": "https://nexlife.us/pages/semaglutide-all-plans"
            },
            {
              "medication": "Tirzepatide",
              "url": "https://nexlife.us/pages/tirzepatide-all-plans"
            }
          ]
        },
        {
          "protocol": "Microdose protocol",
          "note": "Lower-dose plans; listed in our database, not ranked",
          "items": [
            {
              "medication": "Tirzepatide",
              "url": "https://nexlife.us/pages/microdose-tirzepatide-program"
            },
            {
              "medication": "Semaglutide",
              "url": "https://nexlife.us/pages/microdose-semaglutide-program"
            }
          ]
        },
        {
          "protocol": "Sublingual (ODT) protocol",
          "note": "Orally disintegrating tablets; listed, not ranked",
          "items": [
            {
              "medication": "Tirzepatide",
              "url": "https://nexlife.us/pages/sublingual-tirzepatide-odt"
            },
            {
              "medication": "Semaglutide",
              "url": "https://nexlife.us/pages/sublingual-semaglutide-odt"
            }
          ]
        }
      ],
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 169.0,
          "m2m_maint": 169.0,
          "lowest_start_true": 139.0,
          "lowest_first_month": 139.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 139,
            "maintenance_price_per_month": 139,
            "all_inclusive": true,
            "source_url": "https://nexlife.us/pages/tirzepatide-all-plans",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 139.0,
            "flags": [],
            "true_monthly_maintenance": 139.0,
            "annual_total": 1668.0,
            "annual_flags": [],
            "first_month_total": 139.0,
            "rankable": true
          },
          "best_annual": 1668.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 139,
            "maintenance_price_per_month": 139,
            "all_inclusive": true,
            "source_url": "https://nexlife.us/pages/tirzepatide-all-plans",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 139.0,
            "flags": [],
            "true_monthly_maintenance": 139.0,
            "annual_total": 1668.0,
            "annual_flags": [],
            "first_month_total": 139.0,
            "rankable": true
          },
          "best_annual_monthly": 139.0,
          "advertised": 139,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "assumes renewal at the same 6-month rate"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 139.0,
          "m2m_maint": 139.0,
          "lowest_start_true": 119.0,
          "lowest_first_month": 119.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 119,
            "maintenance_price_per_month": 119,
            "all_inclusive": true,
            "source_url": "https://nexlife.us/pages/semaglutide-all-plans",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 119.0,
            "flags": [],
            "true_monthly_maintenance": 119.0,
            "annual_total": 1428.0,
            "annual_flags": [],
            "first_month_total": 119.0,
            "rankable": true
          },
          "best_annual": 1428.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 119,
            "maintenance_price_per_month": 119,
            "all_inclusive": true,
            "source_url": "https://nexlife.us/pages/semaglutide-all-plans",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 119.0,
            "flags": [],
            "true_monthly_maintenance": 119.0,
            "annual_total": 1428.0,
            "annual_flags": [],
            "first_month_total": 119.0,
            "rankable": true
          },
          "best_annual_monthly": 119.0,
          "advertised": 119,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "assumes renewal at the same 6-month rate"
          ]
        }
      },
      "url": "/providers/nexlife/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 92,
        "cost": 40.5,
        "transparency": 20,
        "flexibility": 15,
        "care": 7,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "mochi-health",
      "name": "Mochi Health",
      "website": "https://joinmochi.com",
      "category": "telehealth",
      "audience": "all",
      "model": "membership-plus-medication",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": 79,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month membership",
      "cancellation": "Cancel membership anytime through the patient portal",
      "pharmacy_type": "503A",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Board-certified obesity-medicine providers; monthly video visits; registered dietitian access",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 90,
        "semaglutide": 60
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 199,
          "maintenance_price_per_month": 199,
          "all_inclusive": false,
          "dose_note": "Medication only: $90 for the first month, then $199 per month at renewal, at every dose. Membership of $39 for the first month and $79 per month thereafter is billed separately: true first-month total $129, true ongoing total $278.",
          "source_url": "https://joinmochi.com/weight-loss",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 90,
          "intro_months": 1,
          "true_monthly": 278.0,
          "flags": [],
          "true_monthly_maintenance": 278.0,
          "annual_total": 3187.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 129.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 99,
          "maintenance_price_per_month": 99,
          "all_inclusive": false,
          "dose_note": "Medication only: $60 for the first month, then $99 per month at renewal. With the $39/$79 membership: $99 the first month, $178 ongoing.",
          "source_url": "https://joinmochi.com/weight-loss",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 60,
          "intro_months": 1,
          "true_monthly": 178.0,
          "flags": [],
          "true_monthly_maintenance": 178.0,
          "annual_total": 2057.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 99.0,
          "rankable": true
        }
      ],
      "pros": [
        "Lowest reported medication-only price at the starting dose among providers in our database",
        "Obesity-medicine-trained clinicians and dietitian access included in membership",
        "Month-to-month membership with no long-term contract",
        "Offers pathways to brand-name medication when appropriate"
      ],
      "cons": [
        "$79 monthly membership is billed on top of the medication, so the all-in cost is never the advertised medication price",
        "Monthly video visits are required to maintain the prescription, which some patients find burdensome",
        "Named in Eli Lilly's 2025 litigation over compounded tirzepatide marketing",
        "Advertised medication prices are first-month rates; the renewal medication price is more than double, and the $79 membership is billed on top"
      ],
      "best_for": "Patients who value frequent clinician contact and dietitian support and who expect to stay on lower doses, where Mochi's starting price is most competitive",
      "compare_note": "Mochi's headline medication price is low, but the true monthly cost is medication plus the $79 membership, and the medication price rises with dose.",
      "verification_note": "Mochi's FAQ and weight-loss page publish a required membership of $39 for the first month and $79 per month thereafter, with medication priced separately: compounded tirzepatide $90 the first month then $199, compounded semaglutide $60 then $99. The August 2026 answer-engine description of 'dose-based' $90-to-$199 pricing was an intro-versus-renewal structure, not a dose ladder. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "membership_intro_fee_monthly": 39,
      "membership_intro_months": 1,
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 278.0,
          "m2m_maint": 278.0,
          "lowest_start_true": 278.0,
          "lowest_first_month": 129.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 199,
            "maintenance_price_per_month": 199,
            "all_inclusive": false,
            "dose_note": "Medication only: $90 for the first month, then $199 per month at renewal, at every dose. Membership of $39 for the first month and $79 per month thereafter is billed separately: true first-month total $129, true ongoing total $278.",
            "source_url": "https://joinmochi.com/weight-loss",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 90,
            "intro_months": 1,
            "true_monthly": 278.0,
            "flags": [],
            "true_monthly_maintenance": 278.0,
            "annual_total": 3187.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 129.0,
            "rankable": true
          },
          "best_annual": 3187.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 199,
            "maintenance_price_per_month": 199,
            "all_inclusive": false,
            "dose_note": "Medication only: $90 for the first month, then $199 per month at renewal, at every dose. Membership of $39 for the first month and $79 per month thereafter is billed separately: true first-month total $129, true ongoing total $278.",
            "source_url": "https://joinmochi.com/weight-loss",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 90,
            "intro_months": 1,
            "true_monthly": 278.0,
            "flags": [],
            "true_monthly_maintenance": 278.0,
            "annual_total": 3187.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 129.0,
            "rankable": true
          },
          "best_annual_monthly": 265.58,
          "advertised": 90,
          "status": "verified",
          "flags": [
            "introductory price for the first 1 month"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 178.0,
          "m2m_maint": 178.0,
          "lowest_start_true": 178.0,
          "lowest_first_month": 99.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 99,
            "maintenance_price_per_month": 99,
            "all_inclusive": false,
            "dose_note": "Medication only: $60 for the first month, then $99 per month at renewal. With the $39/$79 membership: $99 the first month, $178 ongoing.",
            "source_url": "https://joinmochi.com/weight-loss",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 60,
            "intro_months": 1,
            "true_monthly": 178.0,
            "flags": [],
            "true_monthly_maintenance": 178.0,
            "annual_total": 2057.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 99.0,
            "rankable": true
          },
          "best_annual": 2057.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 99,
            "maintenance_price_per_month": 99,
            "all_inclusive": false,
            "dose_note": "Medication only: $60 for the first month, then $99 per month at renewal. With the $39/$79 membership: $99 the first month, $178 ongoing.",
            "source_url": "https://joinmochi.com/weight-loss",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 60,
            "intro_months": 1,
            "true_monthly": 178.0,
            "flags": [],
            "true_monthly_maintenance": 178.0,
            "annual_total": 2057.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 99.0,
            "rankable": true
          },
          "best_annual_monthly": 171.42,
          "advertised": 60,
          "status": "verified",
          "flags": [
            "introductory price for the first 1 month"
          ]
        }
      },
      "url": "/providers/mochi-health/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 71,
        "cost": 23.1,
        "transparency": 17,
        "flexibility": 15,
        "care": 6,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "ivim-health",
      "name": "Iv\u00edm Health",
      "website": "https://www.ivimhealth.com",
      "category": "telehealth",
      "audience": "all",
      "model": "membership-plus-medication",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": 75,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "month-to-month membership",
      "cancellation": "Cancel anytime; membership renews monthly",
      "pharmacy_type": "Independent licensed compounding pharmacies (503A/503B discussed; roster not published)",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": true,
      "support_247": false,
      "care_model": "Provider visits, coaching and app-based tracking included in membership",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 133,
        "semaglutide": 100
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 183.33,
          "maintenance_price_per_month": 183.33,
          "all_inclusive": false,
          "dose_note": "Prepaid six-month bundle: $1,100 for six months ($183.33 per month equivalent) plus the $75 monthly membership. The \"starting at $133\" language on the site is a promotional equivalent, not a recurring price.",
          "source_url": "https://www.ivimhealth.com/glp1-pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "upfront_total": 1100,
          "true_monthly": 258.33,
          "flags": [],
          "true_monthly_maintenance": 258.33,
          "annual_total": 3099.96,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 258.33,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 4,
          "price_per_month": 225,
          "maintenance_price_per_month": 225,
          "all_inclusive": false,
          "dose_note": "Prepaid four-month bundle: $900 ($225 per month equivalent) plus membership.",
          "source_url": "https://www.ivimhealth.com/glp1-pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "upfront_total": 900,
          "true_monthly": 300.0,
          "flags": [],
          "true_monthly_maintenance": 300.0,
          "annual_total": 3600.0,
          "annual_flags": [
            "assumes renewal at the same 4-month rate"
          ],
          "first_month_total": 300.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 100,
          "maintenance_price_per_month": 100,
          "all_inclusive": false,
          "dose_note": "Prepaid six-month bundle: $600 ($100 per month equivalent) plus the $75 monthly membership.",
          "source_url": "https://www.ivimhealth.com/glp1-pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "upfront_total": 600,
          "true_monthly": 175.0,
          "flags": [],
          "true_monthly_maintenance": 175.0,
          "annual_total": 2100.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 175.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 4,
          "price_per_month": 124.75,
          "maintenance_price_per_month": 124.75,
          "all_inclusive": false,
          "dose_note": "Prepaid four-month bundle: $499 ($124.75 per month equivalent) plus membership.",
          "source_url": "https://www.ivimhealth.com/glp1-pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "upfront_total": 499,
          "true_monthly": 199.75,
          "flags": [],
          "true_monthly_maintenance": 199.75,
          "annual_total": 2397.0,
          "annual_flags": [
            "assumes renewal at the same 4-month rate"
          ],
          "first_month_total": 199.75,
          "rankable": true
        }
      ],
      "pros": [
        "Competitive medication price for compounded tirzepatide",
        "Coaching and app-based tracking bundled with membership",
        "Supports brand-name medication and insurance pathways"
      ],
      "cons": [
        "$74.99 monthly membership roughly adds 56% to the reported medication price",
        "Dose-based increases not yet confirmed either way",
        "Pharmacy and state coverage not yet verified"
      ],
      "best_for": "Patients who want coaching and app tracking bundled with a moderately priced compounded tirzepatide plan",
      "compare_note": "Iv\u00edm's reported all-in tirzepatide cost is about $208 per month once the membership is added.",
      "verification_note": "Iv\u00edm's GLP-1 pricing page publishes prepaid four- and six-month medication bundles and a $75 monthly membership (with a first-month promotion); there is no flat month-to-month medication price. State availability varies and is not published in full; Iv\u00edm says it uses independent licensed compounding pharmacies without naming a current roster. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 258.33,
          "lowest_first_month": 258.33,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 6,
            "price_per_month": 183.33,
            "maintenance_price_per_month": 183.33,
            "all_inclusive": false,
            "dose_note": "Prepaid six-month bundle: $1,100 for six months ($183.33 per month equivalent) plus the $75 monthly membership. The \"starting at $133\" language on the site is a promotional equivalent, not a recurring price.",
            "source_url": "https://www.ivimhealth.com/glp1-pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "upfront_total": 1100,
            "true_monthly": 258.33,
            "flags": [],
            "true_monthly_maintenance": 258.33,
            "annual_total": 3099.96,
            "annual_flags": [
              "assumes renewal at the same 6-month rate"
            ],
            "first_month_total": 258.33,
            "rankable": true
          },
          "best_annual": 3099.96,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 6,
            "price_per_month": 183.33,
            "maintenance_price_per_month": 183.33,
            "all_inclusive": false,
            "dose_note": "Prepaid six-month bundle: $1,100 for six months ($183.33 per month equivalent) plus the $75 monthly membership. The \"starting at $133\" language on the site is a promotional equivalent, not a recurring price.",
            "source_url": "https://www.ivimhealth.com/glp1-pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "upfront_total": 1100,
            "true_monthly": 258.33,
            "flags": [],
            "true_monthly_maintenance": 258.33,
            "annual_total": 3099.96,
            "annual_flags": [
              "assumes renewal at the same 6-month rate"
            ],
            "first_month_total": 258.33,
            "rankable": true
          },
          "best_annual_monthly": 258.33,
          "advertised": 133,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 4-month rate",
            "assumes renewal at the same 6-month rate"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 175.0,
          "lowest_first_month": 175.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 6,
            "price_per_month": 100,
            "maintenance_price_per_month": 100,
            "all_inclusive": false,
            "dose_note": "Prepaid six-month bundle: $600 ($100 per month equivalent) plus the $75 monthly membership.",
            "source_url": "https://www.ivimhealth.com/glp1-pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "upfront_total": 600,
            "true_monthly": 175.0,
            "flags": [],
            "true_monthly_maintenance": 175.0,
            "annual_total": 2100.0,
            "annual_flags": [
              "assumes renewal at the same 6-month rate"
            ],
            "first_month_total": 175.0,
            "rankable": true
          },
          "best_annual": 2100.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 6,
            "price_per_month": 100,
            "maintenance_price_per_month": 100,
            "all_inclusive": false,
            "dose_note": "Prepaid six-month bundle: $600 ($100 per month equivalent) plus the $75 monthly membership.",
            "source_url": "https://www.ivimhealth.com/glp1-pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "upfront_total": 600,
            "true_monthly": 175.0,
            "flags": [],
            "true_monthly_maintenance": 175.0,
            "annual_total": 2100.0,
            "annual_flags": [
              "assumes renewal at the same 6-month rate"
            ],
            "first_month_total": 175.0,
            "rankable": true
          },
          "best_annual_monthly": 175.0,
          "advertised": 100,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 4-month rate",
            "assumes renewal at the same 6-month rate"
          ]
        }
      },
      "url": "/providers/ivim-health/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 66,
        "cost": 22.6,
        "transparency": 12,
        "flexibility": 15,
        "care": 6,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "henry-meds",
      "name": "Henry Meds",
      "website": "https://henrymeds.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": true
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "Cancel anytime before the next billing date",
      "pharmacy_type": "503A",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Asynchronous and video consultations with licensed providers; medication shipped monthly",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": 297
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 297,
          "maintenance_price_per_month": 297,
          "all_inclusive": true,
          "dose_note": "Weekly injectable semaglutide $297 per month; six months $1,782 ($1,482 prepaid, $247 per month equivalent); twelve months $3,564 ($2,364 prepaid, $197 per month equivalent). From Henry's Program Offerings and Pricing page, last updated December 3, 2025.",
          "source_url": "https://henrymeds.com/legal/programs",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 297.0,
          "flags": [],
          "true_monthly_maintenance": 297.0,
          "annual_total": 3564.0,
          "annual_flags": [],
          "first_month_total": 297.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 247,
          "maintenance_price_per_month": 247,
          "all_inclusive": true,
          "dose_note": "Six months prepaid: $1,482 ($247 per month equivalent).",
          "source_url": "https://henrymeds.com/legal/programs",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "upfront_total": 1482,
          "true_monthly": 247.0,
          "flags": [],
          "true_monthly_maintenance": 247.0,
          "annual_total": 2964.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 247.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 197,
          "maintenance_price_per_month": 197,
          "all_inclusive": true,
          "dose_note": "Twelve months prepaid: $2,364 ($197 per month equivalent).",
          "source_url": "https://henrymeds.com/legal/programs",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "upfront_total": 2364,
          "true_monthly": 197.0,
          "flags": [],
          "true_monthly_maintenance": 197.0,
          "annual_total": 2364.0,
          "annual_flags": [],
          "first_month_total": 197.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "sublingual-odt",
          "form": "sublingual",
          "term_months": 1,
          "price_per_month": 249,
          "maintenance_price_per_month": 249,
          "all_inclusive": true,
          "dose_note": "Sublingual semaglutide $249 per month; a separate premium sublingual program is $179 per month. Listed, not ranked.",
          "source_url": "https://henrymeds.com/legal/programs",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 249.0,
          "flags": [],
          "true_monthly_maintenance": 249.0,
          "annual_total": 2988.0,
          "annual_flags": [],
          "first_month_total": 249.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "oral",
          "form": "oral",
          "term_months": 3,
          "price_per_month": 349,
          "maintenance_price_per_month": 349,
          "all_inclusive": true,
          "dose_note": "Oral tirzepatide: $1,047 for three months ($349 per month), or $891 prepaid ($297 per month). Listed, not ranked.",
          "source_url": "https://henrymeds.com/legal/programs",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "quarterly",
          "upfront_total": 1047,
          "true_monthly": 349.0,
          "flags": [],
          "true_monthly_maintenance": 349.0,
          "annual_total": 4188.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 349.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Injectable compounded tirzepatide is not listed on Henry's current Program Offerings and Pricing page. The $179 figure circulating in 2026 comparisons belongs to a premium sublingual semaglutide program, and the $449 figure predates the current page; neither is a current injectable tirzepatide price.",
          "source_url": "https://henrymeds.com/legal/programs",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "All-in monthly pricing with no separate membership fee",
        "No long-term commitment required",
        "One of the earliest large-scale compounded GLP-1 telehealth providers, with an established fulfillment operation"
      ],
      "cons": [
        "Month-to-month rate is higher than the lowest term rates in our database",
        "No stated price lock; Henry has changed prices several times since 2023",
        "Named in Eli Lilly's 2025 litigation over compounded tirzepatide marketing",
        "No injectable compounded tirzepatide on the current program page; the tirzepatide offer is an oral form with no absorption evidence",
        "Injectable semaglutide at $297 month-to-month is among the higher semaglutide prices in our database"
      ],
      "best_for": "Patients who want a simple all-in monthly price with no membership and no commitment, and who may switch providers as prices move",
      "compare_note": "Henry's all-in price is close to NexLife's month-to-month rate but above NexLife's term rates.",
      "verification_note": "Henry's controlling first-party source is its Program Offerings and Pricing page (updated December 3, 2025): injectable semaglutide $297 per month with prepaid six- and twelve-month discounts, sublingual semaglutide $249, a premium sublingual program at $179, and oral tirzepatide at $349 per month ($297 prepaid). No injectable tirzepatide price is listed, which resolves the earlier $179-versus-$449 conflict: both figures referred to other products. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 297.0,
          "m2m_maint": 297.0,
          "lowest_start_true": 197.0,
          "lowest_first_month": 197.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 197,
            "maintenance_price_per_month": 197,
            "all_inclusive": true,
            "dose_note": "Twelve months prepaid: $2,364 ($197 per month equivalent).",
            "source_url": "https://henrymeds.com/legal/programs",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "upfront_total": 2364,
            "true_monthly": 197.0,
            "flags": [],
            "true_monthly_maintenance": 197.0,
            "annual_total": 2364.0,
            "annual_flags": [],
            "first_month_total": 197.0,
            "rankable": true
          },
          "best_annual": 2364.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 197,
            "maintenance_price_per_month": 197,
            "all_inclusive": true,
            "dose_note": "Twelve months prepaid: $2,364 ($197 per month equivalent).",
            "source_url": "https://henrymeds.com/legal/programs",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "upfront_total": 2364,
            "true_monthly": 197.0,
            "flags": [],
            "true_monthly_maintenance": 197.0,
            "annual_total": 2364.0,
            "annual_flags": [],
            "first_month_total": 197.0,
            "rankable": true
          },
          "best_annual_monthly": 197.0,
          "advertised": 297,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 6-month rate"
          ]
        }
      },
      "url": "/providers/henry-meds/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 65,
        "cost": 20.1,
        "transparency": 17,
        "flexibility": 15,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "fella-health",
      "name": "Fella Health",
      "website": "https://www.fellahealth.com",
      "category": "telehealth",
      "audience": "men",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Men-focused program with health coaching and provider messaging",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 199,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 199,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Compounded tirzepatide \"starting at $199 per month when paid annually\"; the price at higher doses is not published, so the total assumes $199 holds.",
          "source_url": "https://www.fellahealth.com/fajfl",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "true_monthly": 199.0,
          "flags": [],
          "true_monthly_maintenance": 199.0,
          "annual_total": 2388.0,
          "annual_flags": [
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ],
          "first_month_total": 199.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "brand-access",
          "form": "pen",
          "term_months": 1,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": true,
          "dose_note": "$149 per month month-to-month service that helps obtain brand-name Zepbound through LillyDirect; medication is explicitly excluded and billed at Lilly's prices.",
          "source_url": "https://www.fellahealth.com/fajfl",
          "last_verified": "2026-08-25",
          "status": "verified",
          "medication_included": false,
          "true_monthly": 149.0,
          "flags": [],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1788.0,
          "annual_flags": [],
          "first_month_total": 149.0,
          "rankable": false
        }
      ],
      "pros": [
        "Competitive all-in pricing at lower doses",
        "Program designed around men's health and coaching",
        "No membership fee billed separately"
      ],
      "cons": [
        "Men only; women are directed to a sister program",
        "Named in Eli Lilly's 2025 litigation over compounded tirzepatide marketing",
        "The compounded price is an annual-payment starting price; the higher-dose price is not published",
        "The $149 plan buys access to Zepbound, not medication"
      ],
      "best_for": "Men who want a coaching-led program and a moderate all-in price at lower doses",
      "compare_note": "Fella is competitive at the starting dose but its reported $199 upper tier is well above flat-rate providers at maintenance doses.",
      "verification_note": "Fella's program page shows compounded tirzepatide starting at $199 per month when paid annually, and a separate $149 per month month-to-month service for obtaining Zepbound through LillyDirect that excludes medication. The earlier $149-to-$199 'dose-based' representation combined two different products and has been corrected. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 199.0,
          "lowest_first_month": 199.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 199,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide \"starting at $199 per month when paid annually\"; the price at higher doses is not published, so the total assumes $199 holds.",
            "source_url": "https://www.fellahealth.com/fajfl",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 199.0,
            "flags": [],
            "true_monthly_maintenance": 199.0,
            "annual_total": 2388.0,
            "annual_flags": [
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual": 2388.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 199,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide \"starting at $199 per month when paid annually\"; the price at higher doses is not published, so the total assumes $199 holds.",
            "source_url": "https://www.fellahealth.com/fajfl",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 199.0,
            "flags": [],
            "true_monthly_maintenance": 199.0,
            "annual_total": 2388.0,
            "annual_flags": [
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual_monthly": 199.0,
          "advertised": 199,
          "status": "verified",
          "flags": [
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/fella-health/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 68,
        "cost": 28.3,
        "transparency": 12,
        "flexibility": 15,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "ro",
      "name": "Ro",
      "website": "https://ro.co",
      "category": "telehealth",
      "audience": "all",
      "model": "insurance-first",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": true
      },
      "membership_fee_monthly": null,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": null,
      "dose_based_pricing": true,
      "price_lock": false,
      "commitment": "month-to-month membership",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "brand",
      "pharmacies": [
        "LillyDirect (Zepbound vials)",
        "NovoCare Pharmacy (Wegovy)"
      ],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": true,
      "support_247": false,
      "care_model": "Licensed providers, insurance-coverage navigation, brand-name medication fulfillment, with compounded options where clinically appropriate",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 299,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "brand",
          "form": "pen",
          "term_months": 1,
          "price_per_month": 299,
          "maintenance_price_per_month": 449,
          "all_inclusive": false,
          "dose_note": "Brand-name Zepbound at Lilly's conditional Self Pay Journey prices: $299 at 2.5 mg, $399 at 5 mg, $449 at 7.5 to 15 mg, plus Ro's Body membership ($39 the first month, then commitment-dependent; about $74 per month on an annual plan and higher month-to-month, amount not fixed publicly).",
          "source_url": "https://ro.co/weight-loss/injections-cost/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "offer_conditions": "Lilly Self Pay Journey refill-window and eligibility rules; $499 and $699 regular prices if conditions are missed",
          "true_monthly": 299.0,
          "flags": [
            "membership fee amount unknown"
          ],
          "true_monthly_maintenance": 449.0,
          "annual_total": 4977.0,
          "annual_flags": [
            "membership fee amount unknown",
            "3 + 9 titration model",
            "offer conditions: Lilly Self Pay Journey refill-window and eligibility rules; $499 and $699 regular prices if conditions are missed"
          ],
          "first_month_total": 338.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "brand",
          "form": "pen",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "Brand Wegovy: promotional low-dose pricing may apply to initial fills; ongoing self-pay pricing is dose and offer dependent and is billed separately from the membership.",
          "source_url": "https://ro.co/weight-loss/injections-cost/",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Strongest insurance-navigation service among the providers we track",
        "FDA-approved brand-name medication (Wegovy, Zepbound) as the default pathway",
        "Large, well-capitalized telehealth operator with 50-state coverage"
      ],
      "cons": [
        "Program fee is billed separately from medication, and brand-name self-pay prices are far above compounded prices",
        "Compounded pricing has changed repeatedly since the shortages ended",
        "Requires more steps (insurance checks, prior authorization) than compounded-only providers"
      ],
      "best_for": "Patients with insurance that may cover Wegovy or Zepbound, or who specifically want FDA-approved brand medication",
      "compare_note": "Ro is the reference point for brand-name and insurance pathways rather than for lowest cash price.",
      "verification_note": "Ro's Body membership starts at $39 for the first month and varies by commitment thereafter (about $74 per month on an annual plan per a third-party review; the month-to-month rate is at the high end of Ro's stated range). Medication is billed separately at dose-tiered cash prices (Zepbound $299/$399/$449) or through insurance. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "membership_intro_fee_monthly": 39,
      "membership_intro_months": 1,
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 299.0,
          "m2m_maint": 449.0,
          "lowest_start_true": 299.0,
          "lowest_first_month": 338.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "brand",
            "form": "pen",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 449,
            "all_inclusive": false,
            "dose_note": "Brand-name Zepbound at Lilly's conditional Self Pay Journey prices: $299 at 2.5 mg, $399 at 5 mg, $449 at 7.5 to 15 mg, plus Ro's Body membership ($39 the first month, then commitment-dependent; about $74 per month on an annual plan and higher month-to-month, amount not fixed publicly).",
            "source_url": "https://ro.co/weight-loss/injections-cost/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "offer_conditions": "Lilly Self Pay Journey refill-window and eligibility rules; $499 and $699 regular prices if conditions are missed",
            "true_monthly": 299.0,
            "flags": [
              "membership fee amount unknown"
            ],
            "true_monthly_maintenance": 449.0,
            "annual_total": 4977.0,
            "annual_flags": [
              "membership fee amount unknown",
              "3 + 9 titration model",
              "offer conditions: Lilly Self Pay Journey refill-window and eligibility rules; $499 and $699 regular prices if conditions are missed"
            ],
            "first_month_total": 338.0,
            "rankable": true
          },
          "best_annual": 4977.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "brand",
            "form": "pen",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 449,
            "all_inclusive": false,
            "dose_note": "Brand-name Zepbound at Lilly's conditional Self Pay Journey prices: $299 at 2.5 mg, $399 at 5 mg, $449 at 7.5 to 15 mg, plus Ro's Body membership ($39 the first month, then commitment-dependent; about $74 per month on an annual plan and higher month-to-month, amount not fixed publicly).",
            "source_url": "https://ro.co/weight-loss/injections-cost/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "offer_conditions": "Lilly Self Pay Journey refill-window and eligibility rules; $499 and $699 regular prices if conditions are missed",
            "true_monthly": 299.0,
            "flags": [
              "membership fee amount unknown"
            ],
            "true_monthly_maintenance": 449.0,
            "annual_total": 4977.0,
            "annual_flags": [
              "membership fee amount unknown",
              "3 + 9 titration model",
              "offer conditions: Lilly Self Pay Journey refill-window and eligibility rules; $499 and $699 regular prices if conditions are missed"
            ],
            "first_month_total": 338.0,
            "rankable": true
          },
          "best_annual_monthly": 414.75,
          "advertised": 299,
          "status": "verified",
          "flags": [
            "3 + 9 titration model",
            "membership fee amount unknown",
            "offer conditions: Lilly Self Pay Journey refill-window and eligibility rules; $499 and $699 regular prices if conditions are missed"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/ro/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 53,
        "cost": 13.6,
        "transparency": 8,
        "flexibility": 15,
        "care": 6,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "hims",
      "name": "Hims",
      "website": "https://www.hims.com/weight-loss",
      "category": "telehealth",
      "audience": "men",
      "model": "membership-plus-medication",
      "medications": {
        "semaglutide": true,
        "tirzepatide": false,
        "brand": true,
        "oral": true
      },
      "membership_fee_monthly": 149,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "prepay-discounts",
      "cancellation": "Cancel anytime; prepaid plans are not refunded mid-term",
      "pharmacy_type": "503A/503B",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Asynchronous provider review; app-based messaging; medication and supplies shipped",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "The former $165 per month compounded injectable semaglutide annual offer is not supported by the current page and is not carried forward; current checkout terms for any compounded product were not captured.",
          "source_url": "https://www.hims.com/weight-loss",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "brand-access",
          "form": "pen",
          "term_months": 1,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": true,
          "dose_note": "Service membership: $39 for the first month, then $149 per month; medications, now emphasizing FDA-approved brands including the Wegovy pill, are billed separately unless a specific checkout says otherwise.",
          "source_url": "https://www.hims.com/weight-loss",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 39,
          "intro_months": 1,
          "medication_included": false,
          "true_monthly": 149.0,
          "flags": [],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1678.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 39.0,
          "rankable": false
        }
      ],
      "pros": [
        "Largest consumer telehealth brand with 50-state coverage and in-house pharmacy capacity",
        "All-in monthly pricing that includes provider access and shipping",
        "Offers oral compounded GLP-1 options"
      ],
      "cons": [
        "Lowest advertised rate typically requires paying 12 months up front",
        "Did not offer compounded tirzepatide as of our last check",
        "Its 2025 brand-name Wegovy partnership with Novo Nordisk ended within months",
        "$149 monthly membership excludes medication; the all-in cost depends on which product is prescribed and at what price"
      ],
      "best_for": "Men comfortable prepaying a year for compounded semaglutide from a large, well-known telehealth brand",
      "compare_note": "Hims competes on brand recognition and prepaid semaglutide pricing rather than on tirzepatide.",
      "verification_note": "Hims's current weight-loss page uses a service-membership model ($39 the first month, then $149 per month) with medication billed separately and a product mix emphasizing FDA-approved brands including the Wegovy pill. The legacy $165 compounded annual offer is not on the current page and has been withdrawn from our rankings. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "membership_intro_fee_monthly": 39,
      "membership_intro_months": 1,
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/hims/",
      "has_tirz": false,
      "has_sema": true,
      "value_score": {
        "total": 43,
        "cost": 0.0,
        "transparency": 12,
        "flexibility": 15,
        "care": 6,
        "verification": 10,
        "provisional": true
      }
    },
    {
      "slug": "hers",
      "name": "Hers",
      "website": "https://www.forhers.com/weight-loss",
      "category": "telehealth",
      "audience": "women",
      "model": "membership-plus-medication",
      "medications": {
        "semaglutide": true,
        "tirzepatide": false,
        "brand": true,
        "oral": true
      },
      "membership_fee_monthly": 149,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "prepay-discounts",
      "cancellation": "Cancel anytime; prepaid plans are not refunded mid-term",
      "pharmacy_type": "503A/503B",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Asynchronous provider review; app-based messaging; medication and supplies shipped",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "The former $165 per month compounded injectable semaglutide annual offer is not supported by the current page and is not carried forward; current checkout terms for any compounded product were not captured.",
          "source_url": "https://www.forhers.com/weight-loss",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "brand-access",
          "form": "pen",
          "term_months": 1,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": true,
          "dose_note": "Service membership: $39 for the first month, then $149 per month; medications, now emphasizing FDA-approved brands including the Wegovy pill, are billed separately unless a specific checkout says otherwise.",
          "source_url": "https://www.forhers.com/weight-loss",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 39,
          "intro_months": 1,
          "medication_included": false,
          "true_monthly": 149.0,
          "flags": [],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1678.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 39.0,
          "rankable": false
        }
      ],
      "pros": [
        "Women-focused counterpart to Hims with the same 50-state infrastructure",
        "All-in monthly pricing",
        "Oral compounded GLP-1 options"
      ],
      "cons": [
        "Lowest rate requires a 12-month prepayment",
        "No compounded tirzepatide as of our last check",
        "Price changes have been frequent",
        "$149 monthly membership excludes medication; the all-in cost depends on which product is prescribed and at what price"
      ],
      "best_for": "Women who want a large, established brand and are comfortable prepaying for compounded semaglutide",
      "compare_note": "Hers mirrors Hims pricing and is a semaglutide-first program.",
      "verification_note": "Hers's current weight-loss page uses a service-membership model ($39 the first month, then $149 per month) with medication billed separately and a product mix emphasizing FDA-approved brands including the Wegovy pill. The legacy $165 compounded annual offer is not on the current page and has been withdrawn from our rankings. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "membership_intro_fee_monthly": 39,
      "membership_intro_months": 1,
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/hers/",
      "has_tirz": false,
      "has_sema": true,
      "value_score": {
        "total": 43,
        "cost": 0.0,
        "transparency": 12,
        "flexibility": 15,
        "care": 6,
        "verification": 10,
        "provisional": true
      }
    },
    {
      "slug": "orderly-meds",
      "name": "Orderly Meds",
      "website": "https://orderlymeds.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": true
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month; prepay discounts offered",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A (provider-stated for all named pharmacies; a separate page refers to 503A or 503B)",
      "pharmacies": [
        "PerfectRx / PerfectionRx",
        "ProRx",
        "Casa",
        "Pharmacy Hub",
        "SmartPharmaRx"
      ],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Licensed provider consultation, ongoing messaging, monthly shipments",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 149,
        "semaglutide": 149
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": true,
          "dose_note": "Compounded semaglutide $149 per month.",
          "source_url": "https://orderlymeds.com/pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 149.0,
          "flags": [],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1788.0,
          "annual_flags": [],
          "first_month_total": 149.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 299,
          "maintenance_price_per_month": 299,
          "all_inclusive": true,
          "dose_note": "Compounded tirzepatide $299 per month; a starter promotion can make the first two months appear as $149 per month, which is not the recurring price.",
          "source_url": "https://orderlymeds.com/pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 149,
          "intro_months": 2,
          "true_monthly": 299.0,
          "flags": [],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3288.0,
          "annual_flags": [
            "introductory price for the first 2 months"
          ],
          "first_month_total": 149.0,
          "rankable": true
        }
      ],
      "pros": [
        "Offers both compounded semaglutide and tirzepatide, including oral forms",
        "All-in pricing without a separate membership",
        "Prepay discounts available"
      ],
      "cons": [
        "Pricing pending verification and has changed since the shortages ended",
        "Pharmacy partners and state coverage not yet verified"
      ],
      "best_for": "Patients comparing all-in compounded plans who want oral and injectable options from one provider",
      "compare_note": "Orderly is an all-in compounded provider whose current rates we are re-verifying.",
      "verification_note": "Orderly's pricing page publishes compounded semaglutide at $149 and tirzepatide at $299 per month, with a two-month tirzepatide starter promotion at $149. Its treatment page states that providers prescribe in all 50 states, and its FAQ names PerfectRx/PerfectionRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx as 503A pharmacies (a separate page refers generically to 503A or 503B). Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 299.0,
          "m2m_maint": 299.0,
          "lowest_start_true": 299.0,
          "lowest_first_month": 149.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide $299 per month; a starter promotion can make the first two months appear as $149 per month, which is not the recurring price.",
            "source_url": "https://orderlymeds.com/pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 149,
            "intro_months": 2,
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3288.0,
            "annual_flags": [
              "introductory price for the first 2 months"
            ],
            "first_month_total": 149.0,
            "rankable": true
          },
          "best_annual": 3288.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide $299 per month; a starter promotion can make the first two months appear as $149 per month, which is not the recurring price.",
            "source_url": "https://orderlymeds.com/pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 149,
            "intro_months": 2,
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3288.0,
            "annual_flags": [
              "introductory price for the first 2 months"
            ],
            "first_month_total": 149.0,
            "rankable": true
          },
          "best_annual_monthly": 274.0,
          "advertised": 149,
          "status": "verified",
          "flags": [
            "introductory price for the first 2 months"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 149.0,
          "m2m_maint": 149.0,
          "lowest_start_true": 149.0,
          "lowest_first_month": 149.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 149,
            "maintenance_price_per_month": 149,
            "all_inclusive": true,
            "dose_note": "Compounded semaglutide $149 per month.",
            "source_url": "https://orderlymeds.com/pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 149.0,
            "flags": [],
            "true_monthly_maintenance": 149.0,
            "annual_total": 1788.0,
            "annual_flags": [],
            "first_month_total": 149.0,
            "rankable": true
          },
          "best_annual": 1788.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 149,
            "maintenance_price_per_month": 149,
            "all_inclusive": true,
            "dose_note": "Compounded semaglutide $149 per month.",
            "source_url": "https://orderlymeds.com/pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 149.0,
            "flags": [],
            "true_monthly_maintenance": 149.0,
            "annual_total": 1788.0,
            "annual_flags": [],
            "first_month_total": 149.0,
            "rankable": true
          },
          "best_annual_monthly": 149.0,
          "advertised": 149,
          "status": "verified",
          "flags": []
        }
      },
      "url": "/providers/orderly-meds/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 72,
        "cost": 26.6,
        "transparency": 17,
        "flexibility": 15,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "remedy-meds",
      "name": "Remedy Meds",
      "website": "https://remedymeds.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month; prepay discounts offered",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A (provider-stated; pharmacy not named)",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Licensed provider consultation with monthly shipments",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 279,
        "semaglutide": 179
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 299,
          "maintenance_price_per_month": 299,
          "all_inclusive": true,
          "dose_note": "$179 for the first month, then $299 per month; dose changes do not change the rate.",
          "source_url": "https://remedymeds.com/medication/comp-sema-inj",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 179,
          "intro_months": 1,
          "true_monthly": 299.0,
          "flags": [],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3468.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 179.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 399,
          "maintenance_price_per_month": 399,
          "all_inclusive": true,
          "dose_note": "$279 for the first month, then $399 per month; dose changes do not change the rate.",
          "source_url": "https://remedymeds.com/medication/comp-tirz-inj",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 279,
          "intro_months": 1,
          "true_monthly": 399.0,
          "flags": [],
          "true_monthly_maintenance": 399.0,
          "annual_total": 4668.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 279.0,
          "rankable": true
        }
      ],
      "pros": [
        "Heavily advertised introductory pricing",
        "All-in plans without a separate membership"
      ],
      "cons": [
        "Introductory prices typically step up after the first month; the recurring rate is what we rank",
        "Pharmacy and coverage pending verification"
      ],
      "best_for": "Patients who want a low first-month price and are prepared for a higher recurring rate",
      "compare_note": "Remedy markets on introductory price; the recurring price is what matters for a 12-month total.",
      "verification_note": "Remedy's product pages publish semaglutide at $179 the first month then $299, and tirzepatide at $279 then $399, flat across doses; its terms state availability in all 50 states and DC and that a licensed 503A pharmacy is used (not named). Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 399.0,
          "m2m_maint": 399.0,
          "lowest_start_true": 399.0,
          "lowest_first_month": 279.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 399,
            "maintenance_price_per_month": 399,
            "all_inclusive": true,
            "dose_note": "$279 for the first month, then $399 per month; dose changes do not change the rate.",
            "source_url": "https://remedymeds.com/medication/comp-tirz-inj",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 279,
            "intro_months": 1,
            "true_monthly": 399.0,
            "flags": [],
            "true_monthly_maintenance": 399.0,
            "annual_total": 4668.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 279.0,
            "rankable": true
          },
          "best_annual": 4668.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 399,
            "maintenance_price_per_month": 399,
            "all_inclusive": true,
            "dose_note": "$279 for the first month, then $399 per month; dose changes do not change the rate.",
            "source_url": "https://remedymeds.com/medication/comp-tirz-inj",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 279,
            "intro_months": 1,
            "true_monthly": 399.0,
            "flags": [],
            "true_monthly_maintenance": 399.0,
            "annual_total": 4668.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 279.0,
            "rankable": true
          },
          "best_annual_monthly": 389.0,
          "advertised": 279,
          "status": "verified",
          "flags": [
            "introductory price for the first 1 month"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 299.0,
          "m2m_maint": 299.0,
          "lowest_start_true": 299.0,
          "lowest_first_month": 179.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "$179 for the first month, then $299 per month; dose changes do not change the rate.",
            "source_url": "https://remedymeds.com/medication/comp-sema-inj",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 179,
            "intro_months": 1,
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3468.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 179.0,
            "rankable": true
          },
          "best_annual": 3468.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "$179 for the first month, then $299 per month; dose changes do not change the rate.",
            "source_url": "https://remedymeds.com/medication/comp-sema-inj",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 179,
            "intro_months": 1,
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3468.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 179.0,
            "rankable": true
          },
          "best_annual_monthly": 289.0,
          "advertised": 179,
          "status": "verified",
          "flags": [
            "introductory price for the first 1 month"
          ]
        }
      },
      "url": "/providers/remedy-meds/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 59,
        "cost": 14.5,
        "transparency": 17,
        "flexibility": 15,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "shed",
      "name": "Shed (ShedRx)",
      "website": "https://www.shedrx.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Provider consultation and messaging; monthly shipments",
      "verification_status": "unverified",
      "last_verified": null,
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Public pages conflict: the product page shows about $249 while the terms disclose standard renewal amounts of about $199 and $299 after a minimum term. Unranked until a live checkout resolves the terms.",
          "source_url": "https://www.shedrx.com/semaglutide/",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "A third-party review reports $299 per month at low doses rising to $399 at higher doses; Shed's own pages conflict on renewal terms. Unranked pending verification.",
          "source_url": "https://www.shedrx.com/",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Compounded semaglutide and tirzepatide with all-in monthly pricing",
        "No long-term commitment"
      ],
      "cons": [
        "Pricing pending verification",
        "Pharmacy and coverage pending verification"
      ],
      "best_for": "Patients comparing month-to-month compounded plans",
      "compare_note": "Shed is a month-to-month compounded provider whose current rates we are re-verifying.",
      "verification_note": "Shed's public pages conflict (about $249 on the semaglutide product page versus about $199 and $299 renewal amounts in its terms); a third-party review reports dose-based tirzepatide pricing of $299 to $399. Unranked until a live checkout or order agreement resolves the terms. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/shed/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 30,
        "cost": 0.0,
        "transparency": 12,
        "flexibility": 15,
        "care": 3,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "found",
      "name": "Found",
      "website": "https://joinfound.com",
      "category": "telehealth",
      "audience": "all",
      "model": "membership-plus-medication",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": true
      },
      "membership_fee_monthly": 49,
      "shipping": "paid",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month membership",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A (provider-stated; pharmacy not named)",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": true,
      "support_247": false,
      "care_model": "Program membership with clinician visits, health coaching and app; medication billed separately through insurance or cash",
      "verification_status": "reported",
      "last_verified": "2026-08-02",
      "advertised_price": {
        "tirzepatide": 149,
        "semaglutide": 99
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "\"From $99\" compounded GLP-1 treatment plus membership/program options from $49; not a standard recurring all-in price.",
          "source_url": "https://joinfound.com/",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 359,
          "maintenance_price_per_month": 359,
          "all_inclusive": false,
          "dose_note": "$149 for the first month is supported by Found's store page; the $359 renewal figure comes from a third-party directory (checked August 2, 2026) and was not found on an authoritative checkout page. Membership from $49 per month is billed separately.",
          "source_url": "https://joinfound.com/store/compounded-tirzepatide",
          "last_verified": "2026-08-02",
          "status": "reported",
          "intro_price_per_month": 149,
          "intro_months": 1,
          "true_monthly": 408.0,
          "flags": [
            "shipping billed separately (amount not modeled)"
          ],
          "true_monthly_maintenance": 408.0,
          "annual_total": 4686.0,
          "annual_flags": [
            "shipping billed separately (amount not modeled)",
            "introductory price for the first 1 month"
          ],
          "first_month_total": 198.0,
          "rankable": true
        }
      ],
      "pros": [
        "Broad medication menu including brand-name and non-GLP-1 options",
        "Coaching and behavior-change program included",
        "Insurance support for brand medication"
      ],
      "cons": [
        "Membership is separate from medication, so the advertised price understates the monthly total",
        "Medication pricing pending verification"
      ],
      "best_for": "Patients who want a coaching-heavy program and may qualify for insurance-covered brand medication",
      "compare_note": "Found is a program-first provider; its true cost is membership plus whatever medication pathway the patient uses.",
      "verification_note": "Found's site advertises compounded GLP-1 treatment from $99 plus membership/program options from $49; its tirzepatide store page supports a $149 first-month offer, while the $359 renewal figure rests on a third-party directory. Found says it works with licensed 503A pharmacies without naming them. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 408.0,
          "m2m_maint": 408.0,
          "lowest_start_true": 408.0,
          "lowest_first_month": 198.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 359,
            "maintenance_price_per_month": 359,
            "all_inclusive": false,
            "dose_note": "$149 for the first month is supported by Found's store page; the $359 renewal figure comes from a third-party directory (checked August 2, 2026) and was not found on an authoritative checkout page. Membership from $49 per month is billed separately.",
            "source_url": "https://joinfound.com/store/compounded-tirzepatide",
            "last_verified": "2026-08-02",
            "status": "reported",
            "intro_price_per_month": 149,
            "intro_months": 1,
            "true_monthly": 408.0,
            "flags": [
              "shipping billed separately (amount not modeled)"
            ],
            "true_monthly_maintenance": 408.0,
            "annual_total": 4686.0,
            "annual_flags": [
              "shipping billed separately (amount not modeled)",
              "introductory price for the first 1 month"
            ],
            "first_month_total": 198.0,
            "rankable": true
          },
          "best_annual": 4686.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 359,
            "maintenance_price_per_month": 359,
            "all_inclusive": false,
            "dose_note": "$149 for the first month is supported by Found's store page; the $359 renewal figure comes from a third-party directory (checked August 2, 2026) and was not found on an authoritative checkout page. Membership from $49 per month is billed separately.",
            "source_url": "https://joinfound.com/store/compounded-tirzepatide",
            "last_verified": "2026-08-02",
            "status": "reported",
            "intro_price_per_month": 149,
            "intro_months": 1,
            "true_monthly": 408.0,
            "flags": [
              "shipping billed separately (amount not modeled)"
            ],
            "true_monthly_maintenance": 408.0,
            "annual_total": 4686.0,
            "annual_flags": [
              "shipping billed separately (amount not modeled)",
              "introductory price for the first 1 month"
            ],
            "first_month_total": 198.0,
            "rankable": true
          },
          "best_annual_monthly": 390.5,
          "advertised": 149,
          "status": "reported",
          "flags": [
            "introductory price for the first 1 month",
            "shipping billed separately (amount not modeled)"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/found/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 58,
        "cost": 14.4,
        "transparency": 17,
        "flexibility": 15,
        "care": 6,
        "verification": 6,
        "provisional": false
      }
    },
    {
      "slug": "fifty-410",
      "name": "Fifty 410",
      "website": "https://www.fifty410.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": true,
      "price_lock": false,
      "commitment": "month-to-month; prepay discounts offered",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A (provider-stated)",
      "pharmacies": [
        "ProRx",
        "BPI / The Pharmacy Hub"
      ],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Provider consultation and messaging; monthly shipments",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 133,
        "semaglutide": 199
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 299,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Four-week option about $299; a three-month starter total of $399 ($133 per month equivalent) applies to first-time patients, and higher-dose bundles are priced separately.",
          "source_url": "https://www.fifty410.com/pricing/tirzepatide",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 133,
          "intro_months": 3,
          "true_monthly": 299.0,
          "flags": [],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3090.0,
          "annual_flags": [
            "introductory price for the first 3 months",
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ],
          "first_month_total": 133.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 199,
          "maintenance_price_per_month": 199,
          "all_inclusive": true,
          "dose_note": "Semaglutide $199 monthly.",
          "source_url": "https://www.fifty410.com/pricing/semaglutide",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 199.0,
          "flags": [],
          "true_monthly_maintenance": 199.0,
          "annual_total": 2388.0,
          "annual_flags": [],
          "first_month_total": 199.0,
          "rankable": true
        }
      ],
      "pros": [
        "Frequently cited among low-cost compounded providers",
        "All-in monthly pricing"
      ],
      "cons": [
        "Pricing pending verification",
        "Limited public information about clinical model and pharmacies"
      ],
      "best_for": "Price-focused patients comparing low-cost compounded plans",
      "compare_note": "Fifty 410 competes on price; we rank it once its current rates are verified.",
      "verification_note": "Fifty 410's pricing pages show a three-month tirzepatide starter of $399 ($133 per month equivalent) with higher-dose bundles priced separately and a four-week option of about $299, and semaglutide at $199 monthly; help content names ProRx and BPI/The Pharmacy Hub as 503A partners. State coverage not published in full. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 299.0,
          "m2m_maint": 299.0,
          "lowest_start_true": 299.0,
          "lowest_first_month": 133.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Four-week option about $299; a three-month starter total of $399 ($133 per month equivalent) applies to first-time patients, and higher-dose bundles are priced separately.",
            "source_url": "https://www.fifty410.com/pricing/tirzepatide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 133,
            "intro_months": 3,
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3090.0,
            "annual_flags": [
              "introductory price for the first 3 months",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 133.0,
            "rankable": true
          },
          "best_annual": 3090.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Four-week option about $299; a three-month starter total of $399 ($133 per month equivalent) applies to first-time patients, and higher-dose bundles are priced separately.",
            "source_url": "https://www.fifty410.com/pricing/tirzepatide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 133,
            "intro_months": 3,
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3090.0,
            "annual_flags": [
              "introductory price for the first 3 months",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 133.0,
            "rankable": true
          },
          "best_annual_monthly": 257.5,
          "advertised": 133,
          "status": "verified",
          "flags": [
            "introductory price for the first 3 months",
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 199.0,
          "m2m_maint": 199.0,
          "lowest_start_true": 199.0,
          "lowest_first_month": 199.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 199,
            "maintenance_price_per_month": 199,
            "all_inclusive": true,
            "dose_note": "Semaglutide $199 monthly.",
            "source_url": "https://www.fifty410.com/pricing/semaglutide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 199.0,
            "flags": [],
            "true_monthly_maintenance": 199.0,
            "annual_total": 2388.0,
            "annual_flags": [],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual": 2388.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 199,
            "maintenance_price_per_month": 199,
            "all_inclusive": true,
            "dose_note": "Semaglutide $199 monthly.",
            "source_url": "https://www.fifty410.com/pricing/semaglutide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 199.0,
            "flags": [],
            "true_monthly_maintenance": 199.0,
            "annual_total": 2388.0,
            "annual_flags": [],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual_monthly": 199.0,
          "advertised": 199,
          "status": "verified",
          "flags": []
        }
      },
      "url": "/providers/fifty-410/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 62,
        "cost": 21.8,
        "transparency": 12,
        "flexibility": 15,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "noom-med",
      "name": "Noom Med",
      "website": "https://www.noom.com/med/pricing/",
      "category": "telehealth",
      "audience": "all",
      "model": "membership-plus-medication",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month membership; Noom program subscription required",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A (Tailor Made Compounding, acquired by Noom; operates in 46 states per Noom)",
      "pharmacies": [
        "Tailor Made Compounding"
      ],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": true,
      "support_247": false,
      "care_model": "Clinician visits layered on the Noom behavior-change app",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 149,
        "semaglutide": 129
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 249,
          "maintenance_price_per_month": 249,
          "all_inclusive": true,
          "dose_note": "GLP-1 Rx program: $129 for the first four weeks, then $249 per month billed quarterly.",
          "source_url": "https://www.noom.com/med/pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 129,
          "intro_months": 1,
          "billing": "quarterly",
          "true_monthly": 249.0,
          "flags": [],
          "true_monthly_maintenance": 249.0,
          "annual_total": 2868.0,
          "annual_flags": [
            "introductory price for the first 1 month",
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 129.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 299,
          "maintenance_price_per_month": 299,
          "all_inclusive": true,
          "dose_note": "GLP-1 Rx Plus program (tirzepatide class): $149 for the first four weeks, then $299 per month billed quarterly ($897 per 12 weeks).",
          "source_url": "https://www.noom.com/med/pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 149,
          "intro_months": 1,
          "billing": "quarterly",
          "upfront_total": 897,
          "true_monthly": 299.0,
          "flags": [],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3438.0,
          "annual_flags": [
            "introductory price for the first 1 month",
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 149.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "brand-access",
          "form": "pen",
          "term_months": 1,
          "price_per_month": 99,
          "maintenance_price_per_month": 99,
          "all_inclusive": true,
          "dose_note": "Brand-medication telehealth: $39 the first month, then $99 per month; medication excluded.",
          "source_url": "https://www.noom.com/med/pricing/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 39,
          "intro_months": 1,
          "medication_included": false,
          "true_monthly": 99.0,
          "flags": [],
          "true_monthly_maintenance": 99.0,
          "annual_total": 1128.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 39.0,
          "rankable": false
        }
      ],
      "pros": [
        "Strong behavior-change program",
        "Insurance support for brand medication"
      ],
      "cons": [
        "Three separate charges (app, Med fee, medication) make the true cost hard to see",
        "No compounded tirzepatide as of our last check"
      ],
      "best_for": "Patients who already use Noom and want medication added to a behavioral program",
      "compare_note": "Noom Med stacks a program fee and an app subscription on top of medication.",
      "verification_note": "Noom Med's pricing page publishes GLP-1 Rx (semaglutide class) at $129 for the first four weeks then $249 per month billed quarterly, GLP-1 Rx Plus (tirzepatide class) at $149 then $299 per month quarterly, and a brand-medication telehealth plan at $39 then $99 per month excluding medication. Noom states the offer is not available in every state. Its acquisition announcement identifies Tailor Made Compounding as a 503A pharmacy operating in 46 states; that does not mean every prescription is filled there. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 299.0,
          "lowest_first_month": 149.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 3,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "GLP-1 Rx Plus program (tirzepatide class): $149 for the first four weeks, then $299 per month billed quarterly ($897 per 12 weeks).",
            "source_url": "https://www.noom.com/med/pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 149,
            "intro_months": 1,
            "billing": "quarterly",
            "upfront_total": 897,
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3438.0,
            "annual_flags": [
              "introductory price for the first 1 month",
              "assumes renewal at the same 3-month rate"
            ],
            "first_month_total": 149.0,
            "rankable": true
          },
          "best_annual": 3438.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 3,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "GLP-1 Rx Plus program (tirzepatide class): $149 for the first four weeks, then $299 per month billed quarterly ($897 per 12 weeks).",
            "source_url": "https://www.noom.com/med/pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 149,
            "intro_months": 1,
            "billing": "quarterly",
            "upfront_total": 897,
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3438.0,
            "annual_flags": [
              "introductory price for the first 1 month",
              "assumes renewal at the same 3-month rate"
            ],
            "first_month_total": 149.0,
            "rankable": true
          },
          "best_annual_monthly": 286.5,
          "advertised": 149,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "introductory price for the first 1 month"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 249.0,
          "lowest_first_month": 129.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 3,
            "price_per_month": 249,
            "maintenance_price_per_month": 249,
            "all_inclusive": true,
            "dose_note": "GLP-1 Rx program: $129 for the first four weeks, then $249 per month billed quarterly.",
            "source_url": "https://www.noom.com/med/pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 129,
            "intro_months": 1,
            "billing": "quarterly",
            "true_monthly": 249.0,
            "flags": [],
            "true_monthly_maintenance": 249.0,
            "annual_total": 2868.0,
            "annual_flags": [
              "introductory price for the first 1 month",
              "assumes renewal at the same 3-month rate"
            ],
            "first_month_total": 129.0,
            "rankable": true
          },
          "best_annual": 2868.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 3,
            "price_per_month": 249,
            "maintenance_price_per_month": 249,
            "all_inclusive": true,
            "dose_note": "GLP-1 Rx program: $129 for the first four weeks, then $249 per month billed quarterly.",
            "source_url": "https://www.noom.com/med/pricing/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 129,
            "intro_months": 1,
            "billing": "quarterly",
            "true_monthly": 249.0,
            "flags": [],
            "true_monthly_maintenance": 249.0,
            "annual_total": 2868.0,
            "annual_flags": [
              "introductory price for the first 1 month",
              "assumes renewal at the same 3-month rate"
            ],
            "first_month_total": 129.0,
            "rankable": true
          },
          "best_annual_monthly": 239.0,
          "advertised": 129,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "introductory price for the first 1 month"
          ]
        }
      },
      "url": "/providers/noom-med/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 68,
        "cost": 19.6,
        "transparency": 17,
        "flexibility": 15,
        "care": 6,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "weightwatchers-clinic",
      "name": "WeightWatchers Clinic",
      "website": "https://www.weightwatchers.com/us/weight-loss-medication/semaglutide",
      "category": "telehealth",
      "audience": "all",
      "model": "membership-plus-medication",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "month-to-month membership",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "Not applicable (FDA-approved brand medication; dispensing pharmacy not fixed)",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": true,
      "support_247": false,
      "care_model": "Clinician-led program (formerly Sequence) with WeightWatchers behavioral support",
      "verification_status": "unverified",
      "last_verified": null,
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "brand-access",
          "form": "pen",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "Not a compounded offer: WeightWatchers Clinic is a brand-medication program with a WW Med+ membership (intro payment, then commitment-dependent monthly rates) and brand self-pay medication advertised from about $199, subject to product and offer terms.",
          "source_url": "https://www.weightwatchers.com/us/weight-loss-medication/semaglutide",
          "last_verified": null,
          "status": "unverified",
          "medication_included": false,
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Established behavioral program with clinician oversight",
        "Insurance support for brand medication"
      ],
      "cons": [
        "Membership plus medication structure",
        "Parent company restructured in 2025; program terms have changed"
      ],
      "best_for": "Patients who want clinician-prescribed medication inside a structured behavioral program",
      "compare_note": "WW Clinic is program-first; its total depends on the medication pathway.",
      "verification_note": "WeightWatchers' semaglutide page is a brand-medication program: medication is separate from the WW Med+ membership, whose public terms show an introductory payment and then commitment-dependent monthly rates; brand self-pay medication is advertised from about $199. No compounded standard-semaglutide price exists to record. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/weightwatchers-clinic/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 29,
        "cost": 0.0,
        "transparency": 8,
        "flexibility": 15,
        "care": 6,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "calibrate",
      "name": "Calibrate",
      "website": "https://www.joincalibrate.com",
      "category": "telehealth",
      "audience": "all",
      "model": "insurance-first",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": 199,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "multi-month program",
      "cancellation": "Program terms apply",
      "pharmacy_type": "brand",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": true,
      "support_247": false,
      "care_model": "Year-long metabolic program with coaching; brand medication through insurance",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "brand-access",
          "form": "pen",
          "term_months": 1,
          "price_per_month": 199,
          "maintenance_price_per_month": 199,
          "all_inclusive": false,
          "dose_note": "Program fee from about $199 per month; medication and labs are not included. Calibrate focuses on FDA-approved brand GLP-1s and insurance navigation, so the medication cost depends on the prescribed brand, coverage and savings eligibility.",
          "source_url": "https://www.joincalibrate.com/faqs",
          "last_verified": "2026-08-25",
          "status": "verified",
          "medication_included": false,
          "true_monthly": 398.0,
          "flags": [],
          "true_monthly_maintenance": 398.0,
          "annual_total": 4776.0,
          "annual_flags": [],
          "first_month_total": 398.0,
          "rankable": false
        }
      ],
      "pros": [
        "Structured, coaching-intensive program",
        "Brand-name medication only"
      ],
      "cons": [
        "Requires insurance coverage to be affordable",
        "Program commitment rather than month-to-month"
      ],
      "best_for": "Insured patients who want an intensive, coach-led program with brand medication",
      "compare_note": "Calibrate is an insurance-first program and not a cash-price competitor.",
      "verification_note": "Calibrate's FAQ states the program is available in all 50 states and DC; program pricing begins around $199 per month with medication and labs excluded. The brand-medication price is variable and not recorded as a fixed figure. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/calibrate/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 36,
        "cost": 0.0,
        "transparency": 12,
        "flexibility": 8,
        "care": 6,
        "verification": 10,
        "provisional": true
      }
    },
    {
      "slug": "eden",
      "name": "Eden",
      "website": "https://www.tryeden.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": true
      },
      "membership_fee_monthly": 99,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A (Eden-owned Contigo Compounding, acquired August 19, 2025, plus named network partners)",
      "pharmacies": [
        "Contigo Compounding (Eden-owned)"
      ],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Provider consultation and messaging; monthly shipments",
      "verification_status": "reported",
      "last_verified": "2026-06-16",
      "advertised_price": {
        "tirzepatide": 249,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "Eden's public pricing is internally inconsistent: a January 2026 article says $149 the first month then $249 per month, while current product callouts advertise $99 per month medication plus a membership of $39 the first month and $99 thereafter. Unranked until checkout terms resolve it.",
          "source_url": "https://www.tryeden.com/post/eden-semaglutide-program-how-it-works",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 329,
          "maintenance_price_per_month": 329,
          "all_inclusive": true,
          "dose_note": "Reported by a June 16, 2026 comparison: about $249 for the first month, then $329 to $349 per month; a current authoritative checkout did not substantiate it.",
          "source_url": "https://www.tryeden.com",
          "last_verified": "2026-06-16",
          "status": "reported",
          "intro_price_per_month": 249,
          "intro_months": 1,
          "true_monthly": 329.0,
          "flags": [],
          "true_monthly_maintenance": 329.0,
          "annual_total": 3868.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 249.0,
          "rankable": true
        }
      ],
      "pros": [
        "Broad menu including brand, compounded and oral options",
        "All-in pricing without a membership"
      ],
      "cons": [
        "Pricing pending verification",
        "Marketing-heavy site makes the recurring price hard to locate"
      ],
      "best_for": "Patients who want one provider with many medication forms",
      "compare_note": "Eden is a multi-form compounded provider whose rates we are re-verifying.",
      "verification_note": "Eden's about page says it serves all 50 states and DC, and its August 19, 2025 announcement says it acquired Contigo Compounding, a licensed 503A pharmacy (ownership of a pharmacy does not mean every prescription is filled there; Eden also names other partners). Its semaglutide pricing is internally inconsistent ($149/$249 versus $99 plus a $39/$99 membership) and its tirzepatide price rests on a third-party report. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "membership_intro_fee_monthly": 39,
      "membership_intro_months": 1,
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 329.0,
          "m2m_maint": 329.0,
          "lowest_start_true": 329.0,
          "lowest_first_month": 249.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 329,
            "maintenance_price_per_month": 329,
            "all_inclusive": true,
            "dose_note": "Reported by a June 16, 2026 comparison: about $249 for the first month, then $329 to $349 per month; a current authoritative checkout did not substantiate it.",
            "source_url": "https://www.tryeden.com",
            "last_verified": "2026-06-16",
            "status": "reported",
            "intro_price_per_month": 249,
            "intro_months": 1,
            "true_monthly": 329.0,
            "flags": [],
            "true_monthly_maintenance": 329.0,
            "annual_total": 3868.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 249.0,
            "rankable": true
          },
          "best_annual": 3868.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 329,
            "maintenance_price_per_month": 329,
            "all_inclusive": true,
            "dose_note": "Reported by a June 16, 2026 comparison: about $249 for the first month, then $329 to $349 per month; a current authoritative checkout did not substantiate it.",
            "source_url": "https://www.tryeden.com",
            "last_verified": "2026-06-16",
            "status": "reported",
            "intro_price_per_month": 249,
            "intro_months": 1,
            "true_monthly": 329.0,
            "flags": [],
            "true_monthly_maintenance": 329.0,
            "annual_total": 3868.0,
            "annual_flags": [
              "introductory price for the first 1 month"
            ],
            "first_month_total": 249.0,
            "rankable": true
          },
          "best_annual_monthly": 322.33,
          "advertised": 249,
          "status": "reported",
          "flags": [
            "introductory price for the first 1 month"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/eden/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 61,
        "cost": 17.5,
        "transparency": 17,
        "flexibility": 15,
        "care": 6,
        "verification": 6,
        "provisional": false
      }
    },
    {
      "slug": "willow",
      "name": "Willow",
      "website": "https://www.startwillow.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A patient-specific (reported)",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Provider consultation and messaging; monthly shipments",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 399,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 399,
          "maintenance_price_per_month": 399,
          "all_inclusive": true,
          "dose_note": "Compounded tirzepatide $399 per month including shipping; flat at every dose.",
          "source_url": "https://www.startwillow.com/compound-tirzepatide",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 399.0,
          "flags": [],
          "true_monthly_maintenance": 399.0,
          "annual_total": 4788.0,
          "annual_flags": [],
          "first_month_total": 399.0,
          "rankable": true
        }
      ],
      "pros": [
        "All-in compounded pricing"
      ],
      "cons": [
        "Named in Eli Lilly's 2025 litigation over compounded tirzepatide marketing",
        "Pricing pending verification"
      ],
      "best_for": "Price-focused patients comparing compounded tirzepatide plans",
      "compare_note": "Willow is a compounded-only provider; rates pending verification.",
      "verification_note": "Willow's active public page (startwillow.com, not the former willow.health domain) publishes compounded tirzepatide at $399 per month including shipping. A current state list was not found. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 399.0,
          "m2m_maint": 399.0,
          "lowest_start_true": 399.0,
          "lowest_first_month": 399.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 399,
            "maintenance_price_per_month": 399,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide $399 per month including shipping; flat at every dose.",
            "source_url": "https://www.startwillow.com/compound-tirzepatide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 399.0,
            "flags": [],
            "true_monthly_maintenance": 399.0,
            "annual_total": 4788.0,
            "annual_flags": [],
            "first_month_total": 399.0,
            "rankable": true
          },
          "best_annual": 4788.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 399,
            "maintenance_price_per_month": 399,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide $399 per month including shipping; flat at every dose.",
            "source_url": "https://www.startwillow.com/compound-tirzepatide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 399.0,
            "flags": [],
            "true_monthly_maintenance": 399.0,
            "annual_total": 4788.0,
            "annual_flags": [],
            "first_month_total": 399.0,
            "rankable": true
          },
          "best_annual_monthly": 399.0,
          "advertised": 399,
          "status": "verified",
          "flags": []
        },
        "semaglutide": null
      },
      "url": "/providers/willow/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 59,
        "cost": 14.1,
        "transparency": 17,
        "flexibility": 15,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "lavender-sky-health",
      "name": "Lavender Sky Health",
      "website": "https://lavenderskyhealth.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "paid",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "Network of 13 named partner pharmacies (503A/503B designation not stated per pharmacy); patient chooses the pharmacy and formulation",
      "pharmacies": [
        "AbsoluteRx / Nova",
        "Alchemist",
        "Apothecary / New Life Rx",
        "Boudreaux",
        "Empower",
        "Hallandale",
        "OptioRx",
        "Red Rock",
        "ReviveRx",
        "Southend",
        "South Lake",
        "Strive",
        "Vios"
      ],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Provider consultation; monthly shipments",
      "verification_status": "unverified",
      "last_verified": null,
      "advertised_price": {
        "tirzepatide": 105,
        "semaglutide": 95
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Advertised from about $95 per month as a dose- and pharmacy-dependent equivalent on multi-month supplies; not a standard month-to-month price. The pricing page lists many dose, quantity, pharmacy and beyond-use-date tiers.",
          "source_url": "https://lavenderskyhealth.com/treatment-plan-pricing/",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Advertised from about $105 per month as a dose- and pharmacy-dependent equivalent on multi-month supplies; not a standard month-to-month price.",
          "source_url": "https://lavenderskyhealth.com/treatment-plan-pricing/",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Names every partner pharmacy and the formulation each one supplies (base tirzepatide, or tirzepatide with B6, B12, glycine, levocarnitine or niacinamide), which is rare transparency",
        "Offers brand-name Zepbound (vials, pens, KwikPens), Mounjaro, Wegovy, Ozempic, oral Wegovy and oral orforglipron (listed as Foundayo) on a $25 per month plan plus the medication cost",
        "Publishes a decision aid comparing medications, pharmacies, additives, prices and supply lengths"
      ],
      "cons": [
        "Compounded plan prices are shown per pharmacy on the site and are not yet captured in our database",
        "Consultation fee is billed separately and is not included in the medication prices shown",
        "Additive formulations (B6, B12, glycine, levocarnitine, niacinamide) have no evidence of benefit when combined with a GLP-1"
      ],
      "best_for": "Price-focused patients",
      "compare_note": "Lavender Sky is a low-cost compounded provider; rates pending verification.",
      "verification_note": "Lavender Sky's pharmacy-state coverage page states it serves all 50 states and DC and publishes pharmacy-by-state availability; its pricing page lists many dose, quantity, pharmacy and beyond-use-date tiers with equivalents from about $95 (semaglutide) and $105 (tirzepatide) per month. The roster is provider-verified; 503A/503B status must be checked per pharmacy. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/lavender-sky-health/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 27,
        "cost": 0.0,
        "transparency": 12,
        "flexibility": 15,
        "care": 0,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "lifemd",
      "name": "LifeMD",
      "website": "https://lifemd.com/weight-management/",
      "category": "telehealth",
      "audience": "all",
      "model": "membership-plus-medication",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": 149,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "month-to-month membership",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "Not applicable (brand-only fulfillment; dispensing pharmacy not fixed)",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": true,
      "support_247": false,
      "care_model": "Affiliated medical group with lab work and insurance navigation; medication via insurance or cash",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "Routine compounded semaglutide access was phased out after the shortage ended; no compounded standard price is currently applicable.",
          "source_url": "https://lifemd.com/weight-management/",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "brand-access",
          "form": "pen",
          "term_months": 1,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": true,
          "dose_note": "Service program: $39 for the first month, then $149 per month, medication excluded; FDA-approved brand pathways emphasized.",
          "source_url": "https://lifemd.com/weight-management/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 39,
          "intro_months": 1,
          "medication_included": false,
          "true_monthly": 149.0,
          "flags": [],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1678.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 39.0,
          "rankable": false
        }
      ],
      "pros": [
        "Publicly traded telehealth company with an affiliated medical group and lab services",
        "Insurance navigation for brand medication"
      ],
      "cons": [
        "Membership separate from medication",
        "Cash compounded pricing pending verification"
      ],
      "best_for": "Patients who want lab work and insurance navigation from a larger telehealth organization",
      "compare_note": "LifeMD is a membership-first provider with insurance emphasis.",
      "verification_note": "LifeMD's weight-management page shows a service program of about $39 the first month then $149 per month with medication excluded, and it has published that routine compounded semaglutide access was phased out after the shortage changes. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "membership_intro_fee_monthly": 39,
      "membership_intro_months": 1,
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/lifemd/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 43,
        "cost": 0.0,
        "transparency": 12,
        "flexibility": 15,
        "care": 6,
        "verification": 10,
        "provisional": true
      }
    },
    {
      "slug": "strut-health",
      "name": "Strut Health",
      "website": "https://struthealth.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": true
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": null,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Asynchronous provider review; in-house compounding pharmacy",
      "verification_status": "unverified",
      "last_verified": null,
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Pending direct verification",
          "source_url": "https://struthealth.com",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Operates its own compounding pharmacy, which shortens the supply chain",
        "All-in pricing"
      ],
      "cons": [
        "Pricing pending verification",
        "Smaller clinical support footprint than program-based providers"
      ],
      "best_for": "Patients who prefer a provider that dispenses from its own pharmacy",
      "compare_note": "Strut is a pharmacy-integrated compounded provider; rates pending verification.",
      "verification_note": "Strut's site says compounded GLP-1 injections may be offered, but no exact current semaglutide monthly price, state list or named dispensing pharmacy was publicly exposed. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/strut-health/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 30,
        "cost": 0.0,
        "transparency": 12,
        "flexibility": 15,
        "care": 3,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "zappy-health",
      "name": "Zappy Health",
      "website": "https://zappyhealth.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "Cancel anytime",
      "pharmacy_type": "503A (The Pharmacy Hub, provider-stated)",
      "pharmacies": [
        "The Pharmacy Hub"
      ],
      "states_served": "all-50",
      "states_excluded": [
        "HI"
      ],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Provider consultation; monthly shipments",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 349,
        "semaglutide": 249
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 249,
          "maintenance_price_per_month": 249,
          "all_inclusive": true,
          "dose_note": "Compounded semaglutide $249 month-to-month, with lower monthly equivalents on three-, six- and nine-month commitments.",
          "source_url": "https://zappyhealth.com/compounded-semaglutide/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 249.0,
          "flags": [],
          "true_monthly_maintenance": 249.0,
          "annual_total": 2988.0,
          "annual_flags": [],
          "first_month_total": 249.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 349,
          "maintenance_price_per_month": 349,
          "all_inclusive": true,
          "dose_note": "Compounded tirzepatide $349 month-to-month, with lower prepaid equivalents.",
          "source_url": "https://zappyhealth.com/compounded-tirzepatide/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 349.0,
          "flags": [],
          "true_monthly_maintenance": 349.0,
          "annual_total": 4188.0,
          "annual_flags": [],
          "first_month_total": 349.0,
          "rankable": true
        }
      ],
      "pros": [
        "Frequently cited among low-cost compounded providers"
      ],
      "cons": [
        "Pricing pending verification",
        "Limited public information about clinical model"
      ],
      "best_for": "Price-focused patients",
      "compare_note": "Zappy is a low-cost compounded provider; rates pending verification.",
      "verification_note": "Zappy's product pages publish semaglutide at $249 and tirzepatide at $349 month-to-month with lower prepaid equivalents, state availability in all U.S. states except Hawaii, and dispensing by The Pharmacy Hub, a licensed 503A pharmacy. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 349.0,
          "m2m_maint": 349.0,
          "lowest_start_true": 349.0,
          "lowest_first_month": 349.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 349,
            "maintenance_price_per_month": 349,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide $349 month-to-month, with lower prepaid equivalents.",
            "source_url": "https://zappyhealth.com/compounded-tirzepatide/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 349.0,
            "flags": [],
            "true_monthly_maintenance": 349.0,
            "annual_total": 4188.0,
            "annual_flags": [],
            "first_month_total": 349.0,
            "rankable": true
          },
          "best_annual": 4188.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 349,
            "maintenance_price_per_month": 349,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide $349 month-to-month, with lower prepaid equivalents.",
            "source_url": "https://zappyhealth.com/compounded-tirzepatide/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 349.0,
            "flags": [],
            "true_monthly_maintenance": 349.0,
            "annual_total": 4188.0,
            "annual_flags": [],
            "first_month_total": 349.0,
            "rankable": true
          },
          "best_annual_monthly": 349.0,
          "advertised": 349,
          "status": "verified",
          "flags": []
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 249.0,
          "m2m_maint": 249.0,
          "lowest_start_true": 249.0,
          "lowest_first_month": 249.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 249,
            "maintenance_price_per_month": 249,
            "all_inclusive": true,
            "dose_note": "Compounded semaglutide $249 month-to-month, with lower monthly equivalents on three-, six- and nine-month commitments.",
            "source_url": "https://zappyhealth.com/compounded-semaglutide/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 249.0,
            "flags": [],
            "true_monthly_maintenance": 249.0,
            "annual_total": 2988.0,
            "annual_flags": [],
            "first_month_total": 249.0,
            "rankable": true
          },
          "best_annual": 2988.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 249,
            "maintenance_price_per_month": 249,
            "all_inclusive": true,
            "dose_note": "Compounded semaglutide $249 month-to-month, with lower monthly equivalents on three-, six- and nine-month commitments.",
            "source_url": "https://zappyhealth.com/compounded-semaglutide/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 249.0,
            "flags": [],
            "true_monthly_maintenance": 249.0,
            "annual_total": 2988.0,
            "annual_flags": [],
            "first_month_total": 249.0,
            "rankable": true
          },
          "best_annual_monthly": 249.0,
          "advertised": 249,
          "status": "verified",
          "flags": []
        }
      },
      "url": "/providers/zappy-health/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 61,
        "cost": 16.1,
        "transparency": 17,
        "flexibility": 15,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "lillydirect",
      "name": "LillyDirect (Zepbound vials)",
      "website": "https://lillydirect.lilly.com",
      "category": "brand-direct",
      "audience": "all",
      "model": "brand-direct",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "paid",
      "consultation_fee": null,
      "dose_based_pricing": true,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "No subscription; order per fill",
      "pharmacy_type": "brand",
      "pharmacies": [
        "Lilly-contracted mail-order pharmacy"
      ],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Requires a prescription from your own clinician or a LillyDirect-affiliated telehealth partner",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 299,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "brand",
          "form": "vial",
          "term_months": 1,
          "price_per_month": 299,
          "maintenance_price_per_month": 449,
          "all_inclusive": true,
          "dose_note": "Self-pay Zepbound vials: $299 at 2.5 mg (initiation dose), $399 at 5 mg, $449 at 7.5 to 15 mg under the Self Pay Journey offer when refill-timing requirements are met; regular prices if conditions are missed are $499 at 7.5 mg and $699 at 10, 12.5 and 15 mg. Card terms stated through December 31, 2026.",
          "source_url": "https://zepbound.lilly.com/hcp/coverage-savings",
          "last_verified": "2026-08-25",
          "status": "verified",
          "offer_conditions": "Self Pay Journey: refill within the required window; $499/$699 regular prices otherwise",
          "offer_expiry": "2026-12-31",
          "true_monthly": 299.0,
          "flags": [
            "consultation fee not modeled"
          ],
          "true_monthly_maintenance": 449.0,
          "annual_total": 4938.0,
          "annual_flags": [
            "consultation fee not modeled",
            "3 + 9 titration model",
            "offer conditions: Self Pay Journey: refill within the required window; $499/$699 regular prices otherwise",
            "offer terms stated through December 31, 2026"
          ],
          "first_month_total": 299.0,
          "rankable": true
        }
      ],
      "pros": [
        "FDA-approved tirzepatide with manufacturer quality control",
        "No membership; pay per fill",
        "Manufacturer prices fell substantially in late 2025"
      ],
      "cons": [
        "Self-pay prices remain two to three times compounded prices at maintenance doses",
        "Vials require drawing up doses with a syringe rather than using a pen",
        "Prescription and clinical care must be arranged separately"
      ],
      "best_for": "Patients who want FDA-approved tirzepatide and can afford manufacturer self-pay pricing",
      "compare_note": "LillyDirect is the brand-name price benchmark against which compounded plans are measured.",
      "verification_note": "Lilly's coverage and savings page verifies the self-pay vial tiers ($299 at 2.5 mg, $399 at 5 mg, $449 at 7.5\u201315 mg under conditions, with $499/$699 regular prices) and states the program terms through December 31, 2026. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 299.0,
          "m2m_maint": 449.0,
          "lowest_start_true": 299.0,
          "lowest_first_month": 299.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "brand",
            "form": "vial",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 449,
            "all_inclusive": true,
            "dose_note": "Self-pay Zepbound vials: $299 at 2.5 mg (initiation dose), $399 at 5 mg, $449 at 7.5 to 15 mg under the Self Pay Journey offer when refill-timing requirements are met; regular prices if conditions are missed are $499 at 7.5 mg and $699 at 10, 12.5 and 15 mg. Card terms stated through December 31, 2026.",
            "source_url": "https://zepbound.lilly.com/hcp/coverage-savings",
            "last_verified": "2026-08-25",
            "status": "verified",
            "offer_conditions": "Self Pay Journey: refill within the required window; $499/$699 regular prices otherwise",
            "offer_expiry": "2026-12-31",
            "true_monthly": 299.0,
            "flags": [
              "consultation fee not modeled"
            ],
            "true_monthly_maintenance": 449.0,
            "annual_total": 4938.0,
            "annual_flags": [
              "consultation fee not modeled",
              "3 + 9 titration model",
              "offer conditions: Self Pay Journey: refill within the required window; $499/$699 regular prices otherwise",
              "offer terms stated through December 31, 2026"
            ],
            "first_month_total": 299.0,
            "rankable": true
          },
          "best_annual": 4938.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "brand",
            "form": "vial",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 449,
            "all_inclusive": true,
            "dose_note": "Self-pay Zepbound vials: $299 at 2.5 mg (initiation dose), $399 at 5 mg, $449 at 7.5 to 15 mg under the Self Pay Journey offer when refill-timing requirements are met; regular prices if conditions are missed are $499 at 7.5 mg and $699 at 10, 12.5 and 15 mg. Card terms stated through December 31, 2026.",
            "source_url": "https://zepbound.lilly.com/hcp/coverage-savings",
            "last_verified": "2026-08-25",
            "status": "verified",
            "offer_conditions": "Self Pay Journey: refill within the required window; $499/$699 regular prices otherwise",
            "offer_expiry": "2026-12-31",
            "true_monthly": 299.0,
            "flags": [
              "consultation fee not modeled"
            ],
            "true_monthly_maintenance": 449.0,
            "annual_total": 4938.0,
            "annual_flags": [
              "consultation fee not modeled",
              "3 + 9 titration model",
              "offer conditions: Self Pay Journey: refill within the required window; $499/$699 regular prices otherwise",
              "offer terms stated through December 31, 2026"
            ],
            "first_month_total": 299.0,
            "rankable": true
          },
          "best_annual_monthly": 411.5,
          "advertised": 299,
          "status": "verified",
          "flags": [
            "3 + 9 titration model",
            "consultation fee not modeled",
            "offer conditions: Self Pay Journey: refill within the required window; $499/$699 regular prices otherwise",
            "offer terms stated through December 31, 2026"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/lillydirect/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 47,
        "cost": 13.7,
        "transparency": 12,
        "flexibility": 8,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "novocare",
      "name": "NovoCare Pharmacy (Wegovy)",
      "website": "https://www.novocare.com",
      "category": "brand-direct",
      "audience": "all",
      "model": "brand-direct",
      "medications": {
        "semaglutide": true,
        "tirzepatide": false,
        "brand": true,
        "oral": true
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "paid",
      "consultation_fee": null,
      "dose_based_pricing": true,
      "price_lock": false,
      "commitment": "month-to-month",
      "cancellation": "No subscription; order per fill",
      "pharmacy_type": "brand",
      "pharmacies": [
        "Novo Nordisk-contracted mail-order pharmacy"
      ],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": false,
      "care_model": "Requires a prescription from your own clinician or a partner telehealth service",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": 199
      },
      "plans": [
        {
          "medication": "semaglutide",
          "protocol": "brand",
          "form": "pen",
          "term_months": 1,
          "price_per_month": 349,
          "maintenance_price_per_month": 349,
          "all_inclusive": true,
          "dose_note": "Wegovy injection self-pay: $199 per month for qualifying new-patient initial fills, then $349 per month ongoing.",
          "source_url": "https://www.novocare.com/patient/medicines/wegovy.html",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 199,
          "intro_months": 1,
          "offer_conditions": "new-patient initial-fill offer; eligibility rules apply",
          "true_monthly": 349.0,
          "flags": [
            "consultation fee not modeled"
          ],
          "true_monthly_maintenance": 349.0,
          "annual_total": 4038.0,
          "annual_flags": [
            "consultation fee not modeled",
            "introductory price for the first 1 month",
            "offer conditions: new-patient initial-fill offer; eligibility rules apply"
          ],
          "first_month_total": 199.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "oral",
          "form": "oral",
          "term_months": 1,
          "price_per_month": 149,
          "maintenance_price_per_month": 299,
          "all_inclusive": true,
          "dose_note": "Oral Wegovy self-pay: $149 per month at 1.5 mg; $149 at 4 mg through August 31, 2026 then $199; $299 at 9 mg and 25 mg.",
          "source_url": "https://www.novocare.com/patient/medicines/wegovy.html",
          "last_verified": "2026-08-25",
          "status": "verified",
          "offer_conditions": "4 mg promotional price through August 31, 2026",
          "offer_expiry": "2026-08-31",
          "true_monthly": 149.0,
          "flags": [
            "consultation fee not modeled"
          ],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3138.0,
          "annual_flags": [
            "consultation fee not modeled",
            "3 + 9 titration model",
            "offer conditions: 4 mg promotional price through August 31, 2026",
            "offer terms stated through August 31, 2026"
          ],
          "first_month_total": 149.0,
          "rankable": true
        }
      ],
      "pros": [
        "FDA-approved semaglutide in a pre-filled pen",
        "Flat self-pay price across doses",
        "First FDA-approved oral GLP-1 for weight management available through the same channel"
      ],
      "cons": [
        "Self-pay price is well above compounded semaglutide plans",
        "Prescription and clinical care must be arranged separately"
      ],
      "best_for": "Patients who want FDA-approved semaglutide and can afford manufacturer self-pay pricing",
      "compare_note": "NovoCare is the brand-name semaglutide price benchmark.",
      "verification_note": "NovoCare's pharmacy and Wegovy pages distinguish the injection ($199 for qualifying initial fills, then $349 ongoing) from the oral tablet ($149 at 1.5 mg and at 4 mg through August 31, 2026, then $199; $299 at 9 and 25 mg). Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 349.0,
          "m2m_maint": 349.0,
          "lowest_start_true": 349.0,
          "lowest_first_month": 199.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "brand",
            "form": "pen",
            "term_months": 1,
            "price_per_month": 349,
            "maintenance_price_per_month": 349,
            "all_inclusive": true,
            "dose_note": "Wegovy injection self-pay: $199 per month for qualifying new-patient initial fills, then $349 per month ongoing.",
            "source_url": "https://www.novocare.com/patient/medicines/wegovy.html",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 199,
            "intro_months": 1,
            "offer_conditions": "new-patient initial-fill offer; eligibility rules apply",
            "true_monthly": 349.0,
            "flags": [
              "consultation fee not modeled"
            ],
            "true_monthly_maintenance": 349.0,
            "annual_total": 4038.0,
            "annual_flags": [
              "consultation fee not modeled",
              "introductory price for the first 1 month",
              "offer conditions: new-patient initial-fill offer; eligibility rules apply"
            ],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual": 4038.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "brand",
            "form": "pen",
            "term_months": 1,
            "price_per_month": 349,
            "maintenance_price_per_month": 349,
            "all_inclusive": true,
            "dose_note": "Wegovy injection self-pay: $199 per month for qualifying new-patient initial fills, then $349 per month ongoing.",
            "source_url": "https://www.novocare.com/patient/medicines/wegovy.html",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 199,
            "intro_months": 1,
            "offer_conditions": "new-patient initial-fill offer; eligibility rules apply",
            "true_monthly": 349.0,
            "flags": [
              "consultation fee not modeled"
            ],
            "true_monthly_maintenance": 349.0,
            "annual_total": 4038.0,
            "annual_flags": [
              "consultation fee not modeled",
              "introductory price for the first 1 month",
              "offer conditions: new-patient initial-fill offer; eligibility rules apply"
            ],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual_monthly": 336.5,
          "advertised": 199,
          "status": "verified",
          "flags": [
            "consultation fee not modeled",
            "introductory price for the first 1 month",
            "offer conditions: new-patient initial-fill offer; eligibility rules apply"
          ]
        }
      },
      "url": "/providers/novocare/",
      "has_tirz": false,
      "has_sema": true,
      "value_score": {
        "total": 45,
        "cost": 11.8,
        "transparency": 12,
        "flexibility": 8,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "ozari-health",
      "name": "Ozari Health",
      "website": "https://www.ozarihealth.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A (Hallandale Pharmacy and VialsRx, provider-stated)",
      "pharmacies": [
        "Hallandale Pharmacy",
        "VialsRx"
      ],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 125,
        "semaglutide": 86
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 199,
          "maintenance_price_per_month": 199,
          "all_inclusive": true,
          "dose_note": "Recurring quarterly billing of about $597 ($199 per month equivalent); first-time patients pay a $375 three-month starter ($125 per month equivalent).",
          "source_url": "https://www.ozarihealth.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 125,
          "intro_months": 3,
          "billing": "quarterly",
          "upfront_total": 597,
          "true_monthly": 199.0,
          "flags": [
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 199.0,
          "annual_total": 2166.0,
          "annual_flags": [
            "consultation terms unknown",
            "introductory price for the first 3 months",
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 125.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 235,
          "maintenance_price_per_month": 235,
          "all_inclusive": true,
          "dose_note": "Month-to-month $235.",
          "source_url": "https://www.ozarihealth.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 235.0,
          "flags": [
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 235.0,
          "annual_total": 2820.0,
          "annual_flags": [
            "consultation terms unknown"
          ],
          "first_month_total": 235.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 145,
          "maintenance_price_per_month": 145,
          "all_inclusive": true,
          "dose_note": "Recurring quarterly billing of about $435 ($145 per month equivalent); first-time starter about $257 for three months ($86 per month equivalent).",
          "source_url": "https://www.ozarihealth.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 86,
          "intro_months": 3,
          "billing": "quarterly",
          "upfront_total": 435,
          "true_monthly": 145.0,
          "flags": [
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 145.0,
          "annual_total": 1563.0,
          "annual_flags": [
            "consultation terms unknown",
            "introductory price for the first 3 months",
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 86.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 175,
          "maintenance_price_per_month": 175,
          "all_inclusive": true,
          "dose_note": "Month-to-month $175.",
          "source_url": "https://www.ozarihealth.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 175.0,
          "flags": [
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 175.0,
          "annual_total": 2100.0,
          "annual_flags": [
            "consultation terms unknown"
          ],
          "first_month_total": 175.0,
          "rankable": true
        }
      ],
      "pros": [
        "Advertised price includes shipping with no membership fee",
        "Extensive state and city coverage pages suggest broad shipping, pending confirmation"
      ],
      "cons": [
        "The $125 headline is a three-month starter; the recurring price is $199 per month on quarterly billing or $235 month-to-month",
        "State coverage list not exported from the live selector"
      ],
      "best_for": "Patients comparing starter offers who will confirm the continuing price before enrolling",
      "compare_note": "",
      "verification_note": "Ozari's site and state pages publish a $375 three-month tirzepatide starter ($125 per month equivalent) for first-time patients, then about $597 quarterly ($199 per month) or $235 month-to-month, and semaglutide at about $257 for the first three months then $435 quarterly ($145) or $175 month-to-month; they name Hallandale Pharmacy and VialsRx as 503A pharmacies. State coverage should be exported from the live selector. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 235.0,
          "m2m_maint": 235.0,
          "lowest_start_true": 199.0,
          "lowest_first_month": 125.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 3,
            "price_per_month": 199,
            "maintenance_price_per_month": 199,
            "all_inclusive": true,
            "dose_note": "Recurring quarterly billing of about $597 ($199 per month equivalent); first-time patients pay a $375 three-month starter ($125 per month equivalent).",
            "source_url": "https://www.ozarihealth.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 125,
            "intro_months": 3,
            "billing": "quarterly",
            "upfront_total": 597,
            "true_monthly": 199.0,
            "flags": [
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 199.0,
            "annual_total": 2166.0,
            "annual_flags": [
              "consultation terms unknown",
              "introductory price for the first 3 months",
              "assumes renewal at the same 3-month rate"
            ],
            "first_month_total": 125.0,
            "rankable": true
          },
          "best_annual": 2166.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 3,
            "price_per_month": 199,
            "maintenance_price_per_month": 199,
            "all_inclusive": true,
            "dose_note": "Recurring quarterly billing of about $597 ($199 per month equivalent); first-time patients pay a $375 three-month starter ($125 per month equivalent).",
            "source_url": "https://www.ozarihealth.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 125,
            "intro_months": 3,
            "billing": "quarterly",
            "upfront_total": 597,
            "true_monthly": 199.0,
            "flags": [
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 199.0,
            "annual_total": 2166.0,
            "annual_flags": [
              "consultation terms unknown",
              "introductory price for the first 3 months",
              "assumes renewal at the same 3-month rate"
            ],
            "first_month_total": 125.0,
            "rankable": true
          },
          "best_annual_monthly": 180.5,
          "advertised": 125,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "consultation terms unknown",
            "introductory price for the first 3 months"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 175.0,
          "m2m_maint": 175.0,
          "lowest_start_true": 145.0,
          "lowest_first_month": 86.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 3,
            "price_per_month": 145,
            "maintenance_price_per_month": 145,
            "all_inclusive": true,
            "dose_note": "Recurring quarterly billing of about $435 ($145 per month equivalent); first-time starter about $257 for three months ($86 per month equivalent).",
            "source_url": "https://www.ozarihealth.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 86,
            "intro_months": 3,
            "billing": "quarterly",
            "upfront_total": 435,
            "true_monthly": 145.0,
            "flags": [
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 145.0,
            "annual_total": 1563.0,
            "annual_flags": [
              "consultation terms unknown",
              "introductory price for the first 3 months",
              "assumes renewal at the same 3-month rate"
            ],
            "first_month_total": 86.0,
            "rankable": true
          },
          "best_annual": 1563.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 3,
            "price_per_month": 145,
            "maintenance_price_per_month": 145,
            "all_inclusive": true,
            "dose_note": "Recurring quarterly billing of about $435 ($145 per month equivalent); first-time starter about $257 for three months ($86 per month equivalent).",
            "source_url": "https://www.ozarihealth.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 86,
            "intro_months": 3,
            "billing": "quarterly",
            "upfront_total": 435,
            "true_monthly": 145.0,
            "flags": [
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 145.0,
            "annual_total": 1563.0,
            "annual_flags": [
              "consultation terms unknown",
              "introductory price for the first 3 months",
              "assumes renewal at the same 3-month rate"
            ],
            "first_month_total": 86.0,
            "rankable": true
          },
          "best_annual_monthly": 130.25,
          "advertised": 86,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "consultation terms unknown",
            "introductory price for the first 3 months"
          ]
        }
      },
      "url": "/providers/ozari-health/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 57,
        "cost": 31.2,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "coreage-rx",
      "name": "CoreAge Rx",
      "website": "https://www.coreagerx.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "annual payment reported",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 149,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": false,
          "dose_note": "Tirzepatide from $149 per month with no dose-based increase; the $149 figure is tied to the long/prepaid plan, so it is recorded as a 12-month commitment.",
          "source_url": "https://www.coreagerx.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 149.0,
          "flags": [
            "membership fee amount unknown",
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1788.0,
          "annual_flags": [
            "membership fee amount unknown",
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 149.0,
          "rankable": true
        }
      ],
      "pros": [
        "Reported flat price across doses",
        "Annual pricing near the low end of the market"
      ],
      "cons": [
        "Annual payment required for the reported rate",
        "Membership, shipping and consultation terms not captured; website not recorded"
      ],
      "best_for": "Patients willing to prepay a year for a flat rate, after confirming what the price includes",
      "compare_note": "",
      "verification_note": "CoreAge's site publishes tirzepatide from $149 per month with no dose-based increase, associated with its long/prepaid plan; state coverage and the assigned pharmacy are not published. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 149.0,
          "lowest_first_month": 149.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 149,
            "maintenance_price_per_month": 149,
            "all_inclusive": false,
            "dose_note": "Tirzepatide from $149 per month with no dose-based increase; the $149 figure is tied to the long/prepaid plan, so it is recorded as a 12-month commitment.",
            "source_url": "https://www.coreagerx.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 149.0,
            "flags": [
              "membership fee amount unknown",
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 149.0,
            "annual_total": 1788.0,
            "annual_flags": [
              "membership fee amount unknown",
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 149.0,
            "rankable": true
          },
          "best_annual": 1788.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 149,
            "maintenance_price_per_month": 149,
            "all_inclusive": false,
            "dose_note": "Tirzepatide from $149 per month with no dose-based increase; the $149 figure is tied to the long/prepaid plan, so it is recorded as a 12-month commitment.",
            "source_url": "https://www.coreagerx.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 149.0,
            "flags": [
              "membership fee amount unknown",
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 149.0,
            "annual_total": 1788.0,
            "annual_flags": [
              "membership fee amount unknown",
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 149.0,
            "rankable": true
          },
          "best_annual_monthly": 149.0,
          "advertised": 149,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "membership fee amount unknown",
            "shipping terms unknown"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/coreage-rx/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 61,
        "cost": 37.8,
        "transparency": 13,
        "flexibility": 0,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "curex",
      "name": "Curex",
      "website": "https://getcurex.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A (reported)",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 199,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 199,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Compounded tirzepatide \"from $199\" with medication, prescribing and support included and no membership; not guaranteed as the recurring price at every dose, so the total assumes $199 holds.",
          "source_url": "https://getcurex.com/glp1",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 199.0,
          "flags": [],
          "true_monthly_maintenance": 199.0,
          "annual_total": 2388.0,
          "annual_flags": [
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ],
          "first_month_total": 199.0,
          "rankable": true
        }
      ],
      "pros": [
        "Reported all-in price with no membership fee",
        "503A patient-specific compounding reported"
      ],
      "cons": [
        "\"From $199\" is a starting price; the price at higher doses is not published",
        "State coverage and pharmacy not published"
      ],
      "best_for": "Patients who obtain the full dose-price ladder in writing before enrolling",
      "compare_note": "",
      "verification_note": "Curex's GLP-1 page advertises compounded tirzepatide from $199 with medication, prescribing and support included and no separate membership; it does not guarantee $199 at all doses, and no state list was found. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 199.0,
          "m2m_maint": 199.0,
          "lowest_start_true": 199.0,
          "lowest_first_month": 199.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 199,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide \"from $199\" with medication, prescribing and support included and no membership; not guaranteed as the recurring price at every dose, so the total assumes $199 holds.",
            "source_url": "https://getcurex.com/glp1",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 199.0,
            "flags": [],
            "true_monthly_maintenance": 199.0,
            "annual_total": 2388.0,
            "annual_flags": [
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual": 2388.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 199,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Compounded tirzepatide \"from $199\" with medication, prescribing and support included and no membership; not guaranteed as the recurring price at every dose, so the total assumes $199 holds.",
            "source_url": "https://getcurex.com/glp1",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 199.0,
            "flags": [],
            "true_monthly_maintenance": 199.0,
            "annual_total": 2388.0,
            "annual_flags": [
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual_monthly": 199.0,
          "advertised": 199,
          "status": "verified",
          "flags": [
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/curex/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 61,
        "cost": 28.3,
        "transparency": 12,
        "flexibility": 8,
        "care": 3,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "peak-wellness",
      "name": "Peak Wellness",
      "website": "https://go.trypeak.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A partners (provider-stated)",
      "pharmacies": [
        "Emerald Compounding",
        "Epiq Scripts",
        "Southend",
        "AbsoluteRx"
      ],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 232,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 349,
          "maintenance_price_per_month": 349,
          "all_inclusive": true,
          "dose_note": "Monthly plan: $279 the first month, then $349 per month.",
          "source_url": "https://go.trypeak.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 279,
          "intro_months": 1,
          "true_monthly": 349.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 349.0,
          "annual_total": 4118.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "introductory price for the first 1 month"
          ],
          "first_month_total": 279.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 279,
          "maintenance_price_per_month": 279,
          "all_inclusive": true,
          "dose_note": "Three months prepaid: $837 ($279 per month equivalent).",
          "source_url": "https://go.trypeak.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "upfront_total": 837,
          "true_monthly": 279.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 279.0,
          "annual_total": 3348.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 279.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 232,
          "maintenance_price_per_month": 232,
          "all_inclusive": true,
          "dose_note": "Six months prepaid: $1,392 ($232 per month equivalent). The earlier \"$229 twelve-month\" figure is not a current plan.",
          "source_url": "https://go.trypeak.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "upfront_total": 1392,
          "true_monthly": 232.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 232.0,
          "annual_total": 2784.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 232.0,
          "rankable": true
        }
      ],
      "pros": [
        "Flat rate across doses with no membership fee reported",
        "Annual plan rate well below the monthly rate"
      ],
      "cons": [
        "Monthly rate of about $349 is among the higher flat rates in the market",
        "Shipping, consultation and cancellation terms not captured"
      ],
      "best_for": "Patients committing to a year who want a flat rate without membership billing",
      "compare_note": "",
      "verification_note": "Peak's plan page publishes tirzepatide at $279 the first month then $349 monthly, $837 for three months and $1,392 for six months; its public material says it operates in all 50 states and names Emerald Compounding, Epiq Scripts, Southend and AbsoluteRx as 503A partners with patient assignment varying. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 349.0,
          "m2m_maint": 349.0,
          "lowest_start_true": 232.0,
          "lowest_first_month": 232.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 6,
            "price_per_month": 232,
            "maintenance_price_per_month": 232,
            "all_inclusive": true,
            "dose_note": "Six months prepaid: $1,392 ($232 per month equivalent). The earlier \"$229 twelve-month\" figure is not a current plan.",
            "source_url": "https://go.trypeak.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "upfront_total": 1392,
            "true_monthly": 232.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 232.0,
            "annual_total": 2784.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "assumes renewal at the same 6-month rate"
            ],
            "first_month_total": 232.0,
            "rankable": true
          },
          "best_annual": 2784.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 6,
            "price_per_month": 232,
            "maintenance_price_per_month": 232,
            "all_inclusive": true,
            "dose_note": "Six months prepaid: $1,392 ($232 per month equivalent). The earlier \"$229 twelve-month\" figure is not a current plan.",
            "source_url": "https://go.trypeak.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "upfront_total": 1392,
            "true_monthly": 232.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 232.0,
            "annual_total": 2784.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "assumes renewal at the same 6-month rate"
            ],
            "first_month_total": 232.0,
            "rankable": true
          },
          "best_annual_monthly": 232.0,
          "advertised": 232,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "assumes renewal at the same 6-month rate",
            "consultation terms unknown",
            "introductory price for the first 1 month",
            "shipping terms unknown"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/peak-wellness/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 55,
        "cost": 24.2,
        "transparency": 13,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "fridays",
      "name": "Fridays",
      "website": "https://www.joinfridays.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A (reported)",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Bundles coaching, a dietitian and app access into the plan price (reported)",
      "verification_status": "unverified",
      "last_verified": "2026-06-16",
      "advertised_price": {
        "tirzepatide": 299,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 389,
          "maintenance_price_per_month": 389,
          "all_inclusive": true,
          "dose_note": "Fridays' pricing page is internally inconsistent and promotional: month-to-month is stated as $359 in copy and $389 in other markup; unranked until checkout terms are captured.",
          "source_url": "",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": 389.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 389.0,
          "annual_total": 4668.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 389.0,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 299,
          "maintenance_price_per_month": 299,
          "all_inclusive": true,
          "dose_note": "Annual plan shown as \"as low as\" $198 with a promotion code and as $240 elsewhere on the same page; unranked until checkout terms are captured.",
          "source_url": "",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": 299.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3588.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 299.0,
          "rankable": false
        },
        {
          "medication": "tirzepatide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 198,
          "maintenance_price_per_month": 198,
          "all_inclusive": true,
          "dose_note": "Reported microdose track at about $198 per month; listed, not ranked.",
          "source_url": "",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": 198.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 198.0,
          "annual_total": 2376.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 198.0,
          "rankable": false
        }
      ],
      "pros": [
        "Coaching, a dietitian and an app are bundled into the price rather than billed as a membership",
        "12-month plan reduces the monthly rate substantially"
      ],
      "cons": [
        "Among the higher all-in prices in our database",
        "Whether the price is flat across doses is not confirmed"
      ],
      "best_for": "Patients who want structured coaching and dietitian access bundled rather than billed separately",
      "compare_note": "",
      "verification_note": "Fridays' pricing page displays tirzepatide 'as low as' $198 with an annual-plan promotion code, $240 as another annual starting value, and $359 or $389 for month-to-month depending on where on the page one reads. None of the figures can be reconciled without the order agreement, so all are unranked. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/fridays/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 16,
        "cost": 0.0,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "telos-rx",
      "name": "Telos RX",
      "website": "https://telosrx.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A (provider-stated; some language mentions 503B; not named)",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 139,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 139,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Long-plan lower-bound price of about $139 per month for injectable tirzepatide; the $99 figure in a third-party directory was an introductory/promotional claim, not an ongoing price. Month-to-month price not published.",
          "source_url": "https://telosrx.com/pages/tirzepatide",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "true_monthly": 139.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 139.0,
          "annual_total": 1668.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ],
          "first_month_total": 139.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "microdose",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 116,
          "maintenance_price_per_month": 116,
          "all_inclusive": true,
          "dose_note": "Microdose tirzepatide long-plan lower bound about $116 per month (the $69 figure was promotional). Listed, not ranked.",
          "source_url": "https://telosrx.com/pages/tirzepatide",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 116.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 116.0,
          "annual_total": 1392.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 116.0,
          "rankable": true
        }
      ],
      "pros": [
        "Long-plan floor of about $139 per month is among the lowest published for injectable tirzepatide",
        "All 50 states reported"
      ],
      "cons": [
        "The $139 is a long-plan lower bound; the month-to-month price and the price at higher doses are not published",
        "Pharmacy not named; 503A/503B language inconsistent"
      ],
      "best_for": "Price-first patients who confirm the all-in cost, the pharmacy and the formulation before paying",
      "compare_note": "",
      "verification_note": "Telos's tirzepatide page and first-party pricing content advertise long-plan lower-bound prices of about $139 for injectable tirzepatide and $116 for the microdose track; the $99 and $69 figures reported by a directory were introductory claims and are not ongoing prices. Fulfilment is described as licensed U.S. 503A pharmacies (some language mentions 503B); no dispenser is named. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 139.0,
          "lowest_first_month": 139.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 139,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Long-plan lower-bound price of about $139 per month for injectable tirzepatide; the $99 figure in a third-party directory was an introductory/promotional claim, not an ongoing price. Month-to-month price not published.",
            "source_url": "https://telosrx.com/pages/tirzepatide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 139.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 139.0,
            "annual_total": 1668.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 139.0,
            "rankable": true
          },
          "best_annual": 1668.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 139,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Long-plan lower-bound price of about $139 per month for injectable tirzepatide; the $99 figure in a third-party directory was an introductory/promotional claim, not an ongoing price. Month-to-month price not published.",
            "source_url": "https://telosrx.com/pages/tirzepatide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 139.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 139.0,
            "annual_total": 1668.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 139.0,
            "rankable": true
          },
          "best_annual_monthly": 139.0,
          "advertised": 139,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "maintenance-dose price not published; assumes the starting-dose price holds",
            "shipping terms unknown"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/telos-rx/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 66,
        "cost": 40.5,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "ageless",
      "name": "Ageless",
      "website": "https://tryageless.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A (provider-stated, Try Ageless)",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "unverified",
      "last_verified": "2026-07-20",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "Provider identity ambiguous: Try Ageless (tryageless.com) publishes a broad GLP-1 cost range and does not substantiate a flat $169 tirzepatide price; AgelessRx is a different business with separate microdose offerings. Unranked until the identity and price are fixed.",
          "source_url": "",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Continuing price at the low end of the market",
        "All 50 states reported"
      ],
      "cons": [
        "Fees beyond the medication price not captured"
      ],
      "best_for": "Patients comparing flat continuing prices",
      "compare_note": "",
      "verification_note": "The name is ambiguous: Try Ageless and AgelessRx are different businesses. Try Ageless publishes a broad GLP-1 cost range and says it uses state-licensed 503A pharmacies, but does not substantiate the directory's $169 flat price. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/ageless/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 16,
        "cost": 0.0,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "healthrx",
      "name": "HealthRX",
      "website": "https://healthrx.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A (provider-stated; not named)",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 179,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 179,
          "maintenance_price_per_month": 179,
          "all_inclusive": true,
          "dose_note": "About $179 per month equivalent on a twelve-month plan.",
          "source_url": "https://healthrx.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "true_monthly": 179.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 179.0,
          "annual_total": 2148.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 179.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 209,
          "maintenance_price_per_month": 209,
          "all_inclusive": true,
          "dose_note": "About $209 per month equivalent on a three-month plan. Month-to-month price not published.",
          "source_url": "https://healthrx.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "true_monthly": 209.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 209.0,
          "annual_total": 2508.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 209.0,
          "rankable": true
        }
      ],
      "pros": [
        "Continuing price near the low end of the market",
        "All 50 states reported"
      ],
      "cons": [
        "Fees beyond the medication price not captured"
      ],
      "best_for": "Patients comparing flat continuing prices",
      "compare_note": "",
      "verification_note": "HealthRX's site publishes tirzepatide at about $209 per month equivalent on a three-month plan and $179 on a twelve-month plan; the $179 figure is a commitment price, not month-to-month. Medication is filled by a 503A pharmacy that is not named. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 179.0,
          "lowest_first_month": 179.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 179,
            "maintenance_price_per_month": 179,
            "all_inclusive": true,
            "dose_note": "About $179 per month equivalent on a twelve-month plan.",
            "source_url": "https://healthrx.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 179.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 179.0,
            "annual_total": 2148.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 179.0,
            "rankable": true
          },
          "best_annual": 2148.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 179,
            "maintenance_price_per_month": 179,
            "all_inclusive": true,
            "dose_note": "About $179 per month equivalent on a twelve-month plan.",
            "source_url": "https://healthrx.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 179.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 179.0,
            "annual_total": 2148.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 179.0,
            "rankable": true
          },
          "best_annual_monthly": 179.0,
          "advertised": 179,
          "status": "verified",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "consultation terms unknown",
            "shipping terms unknown"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/healthrx/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 57,
        "cost": 31.4,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "oak-longevity",
      "name": "Oak (oaklovesyou.com)",
      "website": "https://www.oaklovesyou.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "reported",
      "last_verified": "2026-08-02",
      "advertised_price": {
        "tirzepatide": 250,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 250,
          "maintenance_price_per_month": 250,
          "all_inclusive": true,
          "dose_note": "Checkout observed at about $250 per month for the dual GIP/GLP-1 program on August 25, 2026; the directory's $185 is outdated. Product, dose and renewal terms should be confirmed in checkout before relying on the figure.",
          "source_url": "https://checkout.oaklovesyou.com/",
          "last_verified": "2026-08-25",
          "status": "reported",
          "true_monthly": 250.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 250.0,
          "annual_total": 3000.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 250.0,
          "rankable": true
        }
      ],
      "pros": [
        "Continuing price in the lower third of the market",
        "All 50 states reported"
      ],
      "cons": [
        "Fees beyond the medication price not captured"
      ],
      "best_for": "Patients comparing flat continuing prices",
      "compare_note": "",
      "verification_note": "The record refers to Oak at oaklovesyou.com (not the similarly named Oak Longevity Institute). Its checkout shows about $250 per month for the dual GIP/GLP-1 program; older offers used lower figures. Pharmacy name and 503A/503B assignment are not published. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 250.0,
          "m2m_maint": 250.0,
          "lowest_start_true": 250.0,
          "lowest_first_month": 250.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 250,
            "maintenance_price_per_month": 250,
            "all_inclusive": true,
            "dose_note": "Checkout observed at about $250 per month for the dual GIP/GLP-1 program on August 25, 2026; the directory's $185 is outdated. Product, dose and renewal terms should be confirmed in checkout before relying on the figure.",
            "source_url": "https://checkout.oaklovesyou.com/",
            "last_verified": "2026-08-25",
            "status": "reported",
            "true_monthly": 250.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 250.0,
            "annual_total": 3000.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 250.0,
            "rankable": true
          },
          "best_annual": 3000.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 250,
            "maintenance_price_per_month": 250,
            "all_inclusive": true,
            "dose_note": "Checkout observed at about $250 per month for the dual GIP/GLP-1 program on August 25, 2026; the directory's $185 is outdated. Product, dose and renewal terms should be confirmed in checkout before relying on the figure.",
            "source_url": "https://checkout.oaklovesyou.com/",
            "last_verified": "2026-08-25",
            "status": "reported",
            "true_monthly": 250.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 250.0,
            "annual_total": 3000.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 250.0,
            "rankable": true
          },
          "best_annual_monthly": 250.0,
          "advertised": 250,
          "status": "reported",
          "flags": [
            "consultation terms unknown",
            "shipping terms unknown"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/oak-longevity/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 44,
        "cost": 22.5,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 6,
        "provisional": false
      }
    },
    {
      "slug": "sprout-health",
      "name": "Sprout Health",
      "website": "https://joinsprouthealth.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "Licensed U.S. pharmacies (Foothills Pharmacy and Promise Pharmacy identified in legal material; category to recheck)",
      "pharmacies": [
        "Foothills Pharmacy",
        "Promise Pharmacy"
      ],
      "states_served": "all-50",
      "states_excluded": [
        "AL",
        "AR",
        "LA",
        "MS",
        "ND"
      ],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "reported",
      "last_verified": "2026-08-02",
      "advertised_price": {
        "tirzepatide": 199,
        "semaglutide": 199
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 349,
          "maintenance_price_per_month": 349,
          "all_inclusive": true,
          "dose_note": "\"Starting at $199\" is an introductory figure; current campaign terms indicate about $249 for the first month, then $349 per month for standard tirzepatide. Confirm on the live offer page before relying on it.",
          "source_url": "https://joinsprouthealth.com/",
          "last_verified": "2026-08-25",
          "status": "reported",
          "intro_price_per_month": 249,
          "intro_months": 1,
          "true_monthly": 349.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 349.0,
          "annual_total": 4088.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "introductory price for the first 1 month"
          ],
          "first_month_total": 249.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 299,
          "maintenance_price_per_month": 299,
          "all_inclusive": true,
          "dose_note": "About $199 for the first month, then $299 per month for standard semaglutide, per current campaign terms.",
          "source_url": "https://joinsprouthealth.com/",
          "last_verified": "2026-08-25",
          "status": "reported",
          "intro_price_per_month": 199,
          "intro_months": 1,
          "true_monthly": 299.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3488.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "introductory price for the first 1 month"
          ],
          "first_month_total": 199.0,
          "rankable": true
        }
      ],
      "pros": [
        "Continuing price published"
      ],
      "cons": [
        "Not available in Alabama, Arkansas, Louisiana, Mississippi or North Dakota per the source",
        "Fees beyond the medication price not captured"
      ],
      "best_for": "Patients outside the five excluded states comparing mid-market prices",
      "compare_note": "",
      "verification_note": "Sprout advertises tirzepatide 'starting at $199,' but its campaign terms distinguish about $249 for the first month then $349 per month (tirzepatide) and about $199 then $299 (semaglutide). Legal material has identified Foothills Pharmacy and Promise Pharmacy; the current assignment and 503A/503B category should be rechecked. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 349.0,
          "m2m_maint": 349.0,
          "lowest_start_true": 349.0,
          "lowest_first_month": 249.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 349,
            "maintenance_price_per_month": 349,
            "all_inclusive": true,
            "dose_note": "\"Starting at $199\" is an introductory figure; current campaign terms indicate about $249 for the first month, then $349 per month for standard tirzepatide. Confirm on the live offer page before relying on it.",
            "source_url": "https://joinsprouthealth.com/",
            "last_verified": "2026-08-25",
            "status": "reported",
            "intro_price_per_month": 249,
            "intro_months": 1,
            "true_monthly": 349.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 349.0,
            "annual_total": 4088.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "introductory price for the first 1 month"
            ],
            "first_month_total": 249.0,
            "rankable": true
          },
          "best_annual": 4088.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 349,
            "maintenance_price_per_month": 349,
            "all_inclusive": true,
            "dose_note": "\"Starting at $199\" is an introductory figure; current campaign terms indicate about $249 for the first month, then $349 per month for standard tirzepatide. Confirm on the live offer page before relying on it.",
            "source_url": "https://joinsprouthealth.com/",
            "last_verified": "2026-08-25",
            "status": "reported",
            "intro_price_per_month": 249,
            "intro_months": 1,
            "true_monthly": 349.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 349.0,
            "annual_total": 4088.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "introductory price for the first 1 month"
            ],
            "first_month_total": 249.0,
            "rankable": true
          },
          "best_annual_monthly": 340.67,
          "advertised": 199,
          "status": "reported",
          "flags": [
            "consultation terms unknown",
            "introductory price for the first 1 month",
            "shipping terms unknown"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 299.0,
          "m2m_maint": 299.0,
          "lowest_start_true": 299.0,
          "lowest_first_month": 199.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "About $199 for the first month, then $299 per month for standard semaglutide, per current campaign terms.",
            "source_url": "https://joinsprouthealth.com/",
            "last_verified": "2026-08-25",
            "status": "reported",
            "intro_price_per_month": 199,
            "intro_months": 1,
            "true_monthly": 299.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3488.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "introductory price for the first 1 month"
            ],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual": 3488.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "About $199 for the first month, then $299 per month for standard semaglutide, per current campaign terms.",
            "source_url": "https://joinsprouthealth.com/",
            "last_verified": "2026-08-25",
            "status": "reported",
            "intro_price_per_month": 199,
            "intro_months": 1,
            "true_monthly": 299.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3488.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "introductory price for the first 1 month"
            ],
            "first_month_total": 199.0,
            "rankable": true
          },
          "best_annual_monthly": 290.67,
          "advertised": 199,
          "status": "reported",
          "flags": [
            "consultation terms unknown",
            "introductory price for the first 1 month",
            "shipping terms unknown"
          ]
        }
      },
      "url": "/providers/sprout-health/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 39,
        "cost": 16.5,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 6,
        "provisional": false
      }
    },
    {
      "slug": "trimi",
      "name": "Trimi",
      "website": "https://trytrimi.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A (VialsRx and GreenwichRx, provider-stated)",
      "pharmacies": [
        "VialsRx",
        "GreenwichRx"
      ],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 125,
        "semaglutide": 99
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 125,
          "maintenance_price_per_month": 125,
          "all_inclusive": true,
          "dose_note": "Tirzepatide from $125 per month on an annual plan with dose-inclusive pricing. The $235 month-to-month figure from a directory is not supported by the current offer.",
          "source_url": "https://trytrimi.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "true_monthly": 125.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 125.0,
          "annual_total": 1500.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 125.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 99,
          "maintenance_price_per_month": 99,
          "all_inclusive": true,
          "dose_note": "Semaglutide from $99 per month on an annual plan.",
          "source_url": "https://trytrimi.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "billing": "prepaid",
          "true_monthly": 99.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 99.0,
          "annual_total": 1188.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 99.0,
          "rankable": true
        }
      ],
      "pros": [
        "Annual plan at $125 per month with dose-inclusive pricing is among the lowest published for injectable tirzepatide",
        "Names its 503A pharmacies"
      ],
      "cons": [
        "Annual commitment required for the published rate; refund terms on the prepayment not captured",
        "Month-to-month pricing not published"
      ],
      "best_for": "Patients able to prepay a year who have confirmed the refund terms",
      "compare_note": "",
      "verification_note": "Trimi's site publishes semaglutide from $99 and tirzepatide from $125 per month on an annual plan with dose-inclusive pricing, and identifies VialsRx and GreenwichRx as 503A pharmacies. The directory's $235 month-to-month figure appears outdated. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 125.0,
          "lowest_first_month": 125.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 125,
            "maintenance_price_per_month": 125,
            "all_inclusive": true,
            "dose_note": "Tirzepatide from $125 per month on an annual plan with dose-inclusive pricing. The $235 month-to-month figure from a directory is not supported by the current offer.",
            "source_url": "https://trytrimi.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 125.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 125.0,
            "annual_total": 1500.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 125.0,
            "rankable": true
          },
          "best_annual": 1500.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 125,
            "maintenance_price_per_month": 125,
            "all_inclusive": true,
            "dose_note": "Tirzepatide from $125 per month on an annual plan with dose-inclusive pricing. The $235 month-to-month figure from a directory is not supported by the current offer.",
            "source_url": "https://trytrimi.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 125.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 125.0,
            "annual_total": 1500.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 125.0,
            "rankable": true
          },
          "best_annual_monthly": 125.0,
          "advertised": 125,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "shipping terms unknown"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": null,
          "m2m_maint": null,
          "lowest_start_true": 99.0,
          "lowest_first_month": 99.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 99,
            "maintenance_price_per_month": 99,
            "all_inclusive": true,
            "dose_note": "Semaglutide from $99 per month on an annual plan.",
            "source_url": "https://trytrimi.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 99.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 99.0,
            "annual_total": 1188.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 99.0,
            "rankable": true
          },
          "best_annual": 1188.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 99,
            "maintenance_price_per_month": 99,
            "all_inclusive": true,
            "dose_note": "Semaglutide from $99 per month on an annual plan.",
            "source_url": "https://trytrimi.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "billing": "prepaid",
            "true_monthly": 99.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 99.0,
            "annual_total": 1188.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 99.0,
            "rankable": true
          },
          "best_annual_monthly": 99.0,
          "advertised": 99,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "shipping terms unknown"
          ]
        }
      },
      "url": "/providers/trimi/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 76,
        "cost": 45.0,
        "transparency": 13,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "sunlight",
      "name": "Sunlight",
      "website": "https://www.sunlight.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 157,
        "semaglutide": 88
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 157,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Flat monthly pricing \"starting at\" $157 for tirzepatide including prescription and ongoing support; the directory's $239 is outdated. Whether $157 holds at every dose is not stated.",
          "source_url": "https://www.sunlight.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 157.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 157.0,
          "annual_total": 1884.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ],
          "first_month_total": 157.0,
          "rankable": true
        },
        {
          "medication": "semaglutide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 88,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Flat monthly pricing \"starting at\" $88 for semaglutide including prescription and support.",
          "source_url": "https://www.sunlight.com/",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 88.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 88.0,
          "annual_total": 1056.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ],
          "first_month_total": 88.0,
          "rankable": true
        }
      ],
      "pros": [
        "Advertised starting prices are among the lowest published for both drugs",
        "Prescription and ongoing support included"
      ],
      "cons": [
        "\"Starting at\" language; the price at higher doses and any plan-length conditions are not published",
        "Pharmacy not named"
      ],
      "best_for": "Patients comparing mid-to-upper market flat prices",
      "compare_note": "",
      "verification_note": "Sunlight's site advertises flat monthly pricing starting at $88 for semaglutide and $157 for tirzepatide, including prescription and ongoing support; the directory's $239 is outdated. No named dispenser or unambiguous 503A/503B assignment is published. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 157.0,
          "m2m_maint": 157.0,
          "lowest_start_true": 157.0,
          "lowest_first_month": 157.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 157,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Flat monthly pricing \"starting at\" $157 for tirzepatide including prescription and ongoing support; the directory's $239 is outdated. Whether $157 holds at every dose is not stated.",
            "source_url": "https://www.sunlight.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 157.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 157.0,
            "annual_total": 1884.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 157.0,
            "rankable": true
          },
          "best_annual": 1884.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 157,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Flat monthly pricing \"starting at\" $157 for tirzepatide including prescription and ongoing support; the directory's $239 is outdated. Whether $157 holds at every dose is not stated.",
            "source_url": "https://www.sunlight.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 157.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 157.0,
            "annual_total": 1884.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 157.0,
            "rankable": true
          },
          "best_annual_monthly": 157.0,
          "advertised": 157,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "maintenance-dose price not published; assumes the starting-dose price holds",
            "shipping terms unknown"
          ]
        },
        "semaglutide": {
          "medication": "semaglutide",
          "m2m_start": 88.0,
          "m2m_maint": 88.0,
          "lowest_start_true": 88.0,
          "lowest_first_month": 88.0,
          "lowest_start_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 88,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Flat monthly pricing \"starting at\" $88 for semaglutide including prescription and support.",
            "source_url": "https://www.sunlight.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 88.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 88.0,
            "annual_total": 1056.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 88.0,
            "rankable": true
          },
          "best_annual": 1056.0,
          "best_annual_plan": {
            "medication": "semaglutide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 88,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Flat monthly pricing \"starting at\" $88 for semaglutide including prescription and support.",
            "source_url": "https://www.sunlight.com/",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 88.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 88.0,
            "annual_total": 1056.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 88.0,
            "rankable": true
          },
          "best_annual_monthly": 88.0,
          "advertised": 88,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "maintenance-dose price not published; assumes the starting-dose price holds",
            "shipping terms unknown"
          ]
        }
      },
      "url": "/providers/sunlight/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 71,
        "cost": 45.0,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "telepep",
      "name": "TelePep",
      "website": "https://telepeptide.org",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [
        "AK",
        "MS"
      ],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 249,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 249,
          "maintenance_price_per_month": 249,
          "all_inclusive": false,
          "dose_note": "Compounded injectable tirzepatide $249 per month, no commitment.",
          "source_url": "https://telepeptide.org/pricing",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 249.0,
          "flags": [
            "membership fee amount unknown",
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 249.0,
          "annual_total": 2988.0,
          "annual_flags": [
            "membership fee amount unknown",
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "first_month_total": 249.0,
          "rankable": true
        }
      ],
      "pros": [
        "Recent price check (August 15, 2026)"
      ],
      "cons": [
        "Not available in Alaska or Mississippi per the source",
        "Continuing price in the upper half of the market"
      ],
      "best_for": "Patients comparing recently checked prices",
      "compare_note": "",
      "verification_note": "The provider's active domain is telepeptide.org; its pricing page lists compounded injectable tirzepatide at $249 per month with no commitment. Dispensing pharmacy and 503A/503B category not disclosed on the pricing page. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 249.0,
          "m2m_maint": 249.0,
          "lowest_start_true": 249.0,
          "lowest_first_month": 249.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 249,
            "maintenance_price_per_month": 249,
            "all_inclusive": false,
            "dose_note": "Compounded injectable tirzepatide $249 per month, no commitment.",
            "source_url": "https://telepeptide.org/pricing",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 249.0,
            "flags": [
              "membership fee amount unknown",
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 249.0,
            "annual_total": 2988.0,
            "annual_flags": [
              "membership fee amount unknown",
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 249.0,
            "rankable": true
          },
          "best_annual": 2988.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 249,
            "maintenance_price_per_month": 249,
            "all_inclusive": false,
            "dose_note": "Compounded injectable tirzepatide $249 per month, no commitment.",
            "source_url": "https://telepeptide.org/pricing",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 249.0,
            "flags": [
              "membership fee amount unknown",
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 249.0,
            "annual_total": 2988.0,
            "annual_flags": [
              "membership fee amount unknown",
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "first_month_total": 249.0,
            "rankable": true
          },
          "best_annual_monthly": 249.0,
          "advertised": 249,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "membership fee amount unknown",
            "shipping terms unknown"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/telepep/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 49,
        "cost": 22.6,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "gobymeds",
      "name": "GobyMeds",
      "website": "https://www.gobymeds.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": true,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "503A or 503B partners (provider-stated; not named)",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 133,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 299,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Single month, any dose: $299. First-time starter: $399 for three months ($133 per month equivalent). Other twelve-week bundles are $499 or $599 depending on dose/tier, so higher doses can cost more on bundles.",
          "source_url": "https://www.gobymeds.com/getting-started/pricing",
          "last_verified": "2026-08-25",
          "status": "verified",
          "intro_price_per_month": 133,
          "intro_months": 3,
          "true_monthly": 299.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3090.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "introductory price for the first 3 months",
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ],
          "first_month_total": 133.0,
          "rankable": true
        }
      ],
      "pros": [
        "Single-month price of $299 at any dose",
        "Three-month starter at $133 per month equivalent for first-time patients"
      ],
      "cons": [
        "Twelve-week bundles rise to $499 or $599 by dose/tier after the starter",
        "Pharmacy not named"
      ],
      "best_for": "Patients who want a discounted trial period and accept the continuing rate afterward",
      "compare_note": "",
      "verification_note": "GobyMeds' pricing page publishes a single-month tirzepatide price of $299 at any dose, a first-time three-month starter of $399 ($133 per month equivalent), and other twelve-week bundles at $499 or $599 by dose/tier. The directory's $349 month-to-month figure is outdated. Pharmacy partners (503A or 503B) are not named. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 299.0,
          "m2m_maint": 299.0,
          "lowest_start_true": 299.0,
          "lowest_first_month": 133.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Single month, any dose: $299. First-time starter: $399 for three months ($133 per month equivalent). Other twelve-week bundles are $499 or $599 depending on dose/tier, so higher doses can cost more on bundles.",
            "source_url": "https://www.gobymeds.com/getting-started/pricing",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 133,
            "intro_months": 3,
            "true_monthly": 299.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3090.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "introductory price for the first 3 months",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 133.0,
            "rankable": true
          },
          "best_annual": 3090.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Single month, any dose: $299. First-time starter: $399 for three months ($133 per month equivalent). Other twelve-week bundles are $499 or $599 depending on dose/tier, so higher doses can cost more on bundles.",
            "source_url": "https://www.gobymeds.com/getting-started/pricing",
            "last_verified": "2026-08-25",
            "status": "verified",
            "intro_price_per_month": 133,
            "intro_months": 3,
            "true_monthly": 299.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3090.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "introductory price for the first 3 months",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 133.0,
            "rankable": true
          },
          "best_annual_monthly": 257.5,
          "advertised": 133,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "introductory price for the first 3 months",
            "maintenance-dose price not published; assumes the starting-dose price holds",
            "shipping terms unknown"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/gobymeds/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 48,
        "cost": 21.8,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "mademed",
      "name": "MadeMed",
      "website": "https://mademed.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "verified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": 369,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 369,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Injectable tirzepatide \"from $369 per month\"; whether it stays flat at every dose and renewal is not established on the page.",
          "source_url": "https://mademed.com/rx/injectable-tirzepatide",
          "last_verified": "2026-08-25",
          "status": "verified",
          "true_monthly": 369.0,
          "flags": [
            "shipping terms unknown",
            "consultation terms unknown"
          ],
          "true_monthly_maintenance": 369.0,
          "annual_total": 4428.0,
          "annual_flags": [
            "shipping terms unknown",
            "consultation terms unknown",
            "maintenance-dose price not published; assumes the starting-dose price holds"
          ],
          "first_month_total": 369.0,
          "rankable": true
        }
      ],
      "pros": [
        "All 50 states reported"
      ],
      "cons": [
        "Highest continuing compounded tirzepatide price reported in our sources"
      ],
      "best_for": "Patients who prefer this provider for reasons other than price",
      "compare_note": "",
      "verification_note": "MadeMed's injectable tirzepatide page advertises from $369 per month; it says fulfilment is LegitScript-certified/U.S.-licensed but does not name the pharmacy or its 503A/503B category. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 369.0,
          "m2m_maint": 369.0,
          "lowest_start_true": 369.0,
          "lowest_first_month": 369.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 369,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Injectable tirzepatide \"from $369 per month\"; whether it stays flat at every dose and renewal is not established on the page.",
            "source_url": "https://mademed.com/rx/injectable-tirzepatide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 369.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 369.0,
            "annual_total": 4428.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 369.0,
            "rankable": true
          },
          "best_annual": 4428.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 369,
            "maintenance_price_per_month": null,
            "all_inclusive": true,
            "dose_note": "Injectable tirzepatide \"from $369 per month\"; whether it stays flat at every dose and renewal is not established on the page.",
            "source_url": "https://mademed.com/rx/injectable-tirzepatide",
            "last_verified": "2026-08-25",
            "status": "verified",
            "true_monthly": 369.0,
            "flags": [
              "shipping terms unknown",
              "consultation terms unknown"
            ],
            "true_monthly_maintenance": 369.0,
            "annual_total": 4428.0,
            "annual_flags": [
              "shipping terms unknown",
              "consultation terms unknown",
              "maintenance-dose price not published; assumes the starting-dose price holds"
            ],
            "first_month_total": 369.0,
            "rankable": true
          },
          "best_annual_monthly": 369.0,
          "advertised": 369,
          "status": "verified",
          "flags": [
            "consultation terms unknown",
            "maintenance-dose price not published; assumes the starting-dose price holds",
            "shipping terms unknown"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/mademed/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 41,
        "cost": 15.2,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 10,
        "provisional": false
      }
    },
    {
      "slug": "wellorithm",
      "name": "Wellorithm",
      "website": "",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "month-to-month reported",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "all-50",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Not captured; telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "unverified",
      "last_verified": "2026-08-25",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "No price published; quoted after intake per a third-party directory.",
          "source_url": "",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "All 50 states reported"
      ],
      "cons": [
        "No published price; quoted after intake, which prevents comparison before disclosure of personal information"
      ],
      "best_for": "Not recommended for price comparison until a price is published",
      "compare_note": "",
      "verification_note": "No first-party page exposing exact prices or a named pharmacy was found; secondary listings cite about $147 for semaglutide and $249 for tirzepatide, which is insufficient for verification. Unranked. Verified against the provider's own pages on 2026-08-25 (first-party verification pass).",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/wellorithm/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 16,
        "cost": 0.0,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "raeliva",
      "name": "Raeliva (formerly onlinesemaglutide.org)",
      "website": "https://onlinesemaglutide.org",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": true
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "month-to-month available; longer terms discount the rate",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "reported",
      "last_verified": "2026-08-19",
      "advertised_price": {
        "tirzepatide": 242,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 349,
          "maintenance_price_per_month": 349,
          "all_inclusive": true,
          "dose_note": "Monthly plan $349; all doses the same price; consultations, medication, supplies, shipping and support included; $50 off the first month with a promotion code.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "true_monthly": 349.0,
          "flags": [],
          "true_monthly_maintenance": 349.0,
          "annual_total": 4188.0,
          "annual_flags": [],
          "first_month_total": 349.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 267,
          "maintenance_price_per_month": 267,
          "all_inclusive": true,
          "dose_note": "Three-month plan $800 total ($267 per month).",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "billing": "prepaid",
          "upfront_total": 800,
          "true_monthly": 267.0,
          "flags": [],
          "true_monthly_maintenance": 267.0,
          "annual_total": 3204.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 267.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 242,
          "maintenance_price_per_month": 242,
          "all_inclusive": true,
          "dose_note": "Six-month plan $1,450 total ($242 per month).",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "billing": "prepaid",
          "upfront_total": 1450,
          "true_monthly": 242.0,
          "flags": [],
          "true_monthly_maintenance": 242.0,
          "annual_total": 2904.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 242.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "sublingual-odt",
          "form": "drops",
          "term_months": 1,
          "price_per_month": 339,
          "maintenance_price_per_month": 339,
          "all_inclusive": true,
          "dose_note": "Oral tirzepatide drops $339 per month. Listed, not ranked.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "true_monthly": 339.0,
          "flags": [],
          "true_monthly_maintenance": 339.0,
          "annual_total": 4068.0,
          "annual_flags": [],
          "first_month_total": 339.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "oral",
          "form": "oral",
          "term_months": 1,
          "price_per_month": 359,
          "maintenance_price_per_month": 359,
          "all_inclusive": true,
          "dose_note": "Oral tirzepatide pills $359 monthly, $850 for three months, $1,600 for six months. Listed, not ranked.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "true_monthly": 359.0,
          "flags": [],
          "true_monthly_maintenance": 359.0,
          "annual_total": 4308.0,
          "annual_flags": [],
          "first_month_total": 359.0,
          "rankable": true
        }
      ],
      "pros": [
        "Same price at every dose with consultation, supplies and shipping included and no membership",
        "Six-month plan brings the rate to $242 per month"
      ],
      "cons": [
        "Month-to-month at $349 is in the upper half of the market",
        "Support described as primarily digital; limited lifestyle coaching",
        "Rebranded from onlinesemaglutide.org in August 2026; confirm the current domain"
      ],
      "best_for": "Patients who will commit to six months for a flat, all-in rate",
      "compare_note": "",
      "verification_note": "Raeliva (onlinesemaglutide.org, rebranded August 12, 2026 per the source) publishes tirzepatide injections at $349 monthly, $800 for three months and $1,450 for six months, plus oral drops ($339) and pills ($359), with consultations, supplies and shipping included and no membership. Reported from Policy Lab's 'Best Online Tirzepatide Compounding Providers Compared For 2026' (updated August 19, 2026); direct first-party verification pending.",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 349.0,
          "m2m_maint": 349.0,
          "lowest_start_true": 242.0,
          "lowest_first_month": 242.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 6,
            "price_per_month": 242,
            "maintenance_price_per_month": 242,
            "all_inclusive": true,
            "dose_note": "Six-month plan $1,450 total ($242 per month).",
            "source_url": "",
            "last_verified": "2026-08-19",
            "status": "reported",
            "billing": "prepaid",
            "upfront_total": 1450,
            "true_monthly": 242.0,
            "flags": [],
            "true_monthly_maintenance": 242.0,
            "annual_total": 2904.0,
            "annual_flags": [
              "assumes renewal at the same 6-month rate"
            ],
            "first_month_total": 242.0,
            "rankable": true
          },
          "best_annual": 2904.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 6,
            "price_per_month": 242,
            "maintenance_price_per_month": 242,
            "all_inclusive": true,
            "dose_note": "Six-month plan $1,450 total ($242 per month).",
            "source_url": "",
            "last_verified": "2026-08-19",
            "status": "reported",
            "billing": "prepaid",
            "upfront_total": 1450,
            "true_monthly": 242.0,
            "flags": [],
            "true_monthly_maintenance": 242.0,
            "annual_total": 2904.0,
            "annual_flags": [
              "assumes renewal at the same 6-month rate"
            ],
            "first_month_total": 242.0,
            "rankable": true
          },
          "best_annual_monthly": 242.0,
          "advertised": 242,
          "status": "reported",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "assumes renewal at the same 6-month rate"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/raeliva/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 57,
        "cost": 23.2,
        "transparency": 17,
        "flexibility": 8,
        "care": 3,
        "verification": 6,
        "provisional": false
      }
    },
    {
      "slug": "bmi-md",
      "name": "BMI MD",
      "website": "https://bmimd.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "month-to-month available; longer terms discount the rate",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "reported",
      "last_verified": "2026-08-19",
      "advertised_price": {
        "tirzepatide": 139,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 179,
          "maintenance_price_per_month": 179,
          "all_inclusive": true,
          "dose_note": "One-month plan $179; every plan includes medication, an online visit with a licensed clinician and free expedited shipping; no membership or consultation fee.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "true_monthly": 179.0,
          "flags": [],
          "true_monthly_maintenance": 179.0,
          "annual_total": 2148.0,
          "annual_flags": [],
          "first_month_total": 179.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 159,
          "maintenance_price_per_month": 159,
          "all_inclusive": true,
          "dose_note": "Three-month plan $159 per month ($477 total).",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "billing": "prepaid",
          "upfront_total": 477,
          "true_monthly": 159.0,
          "flags": [],
          "true_monthly_maintenance": 159.0,
          "annual_total": 1908.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 159.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 149,
          "maintenance_price_per_month": 149,
          "all_inclusive": true,
          "dose_note": "Six-month plan $149 per month.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "billing": "prepaid",
          "true_monthly": 149.0,
          "flags": [],
          "true_monthly_maintenance": 149.0,
          "annual_total": 1788.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 149.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 139,
          "maintenance_price_per_month": 139,
          "all_inclusive": true,
          "dose_note": "Twelve-month plan $139 per month ($1,668 total).",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "billing": "prepaid",
          "upfront_total": 1668,
          "true_monthly": 139.0,
          "flags": [],
          "true_monthly_maintenance": 139.0,
          "annual_total": 1668.0,
          "annual_flags": [],
          "first_month_total": 139.0,
          "rankable": true
        }
      ],
      "pros": [
        "Published plan-length pricing with no membership or consultation fee; free expedited shipping bundled",
        "FSA/HSA eligible; 100% refund if found ineligible at medical review (per the source)",
        "LegitScript verification and a claimed Trustpilot profile (4.4, 867 reviews per the source)"
      ],
      "cons": [
        "Plans are commitment-based; the 12-month total of $1,668 is paid on the plan's terms",
        "Medical groups and 503A pharmacies are not named on the site; no leadership page"
      ],
      "best_for": "Patients who want a low, published, all-in rate and are comfortable with a plan-length commitment",
      "compare_note": "",
      "verification_note": "Operated by Medccm Inc. per its terms; publishes tirzepatide at $179 (1 month), $159 (3 months), $149 (6 months) and $139 (12 months) with medication, telehealth visit and expedited shipping included and no membership. Pharmacies and medical groups not named. Reported from Policy Lab's 'Best Online Tirzepatide Compounding Providers Compared For 2026' (updated August 19, 2026); direct first-party verification pending.",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 179.0,
          "m2m_maint": 179.0,
          "lowest_start_true": 139.0,
          "lowest_first_month": 139.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 139,
            "maintenance_price_per_month": 139,
            "all_inclusive": true,
            "dose_note": "Twelve-month plan $139 per month ($1,668 total).",
            "source_url": "",
            "last_verified": "2026-08-19",
            "status": "reported",
            "billing": "prepaid",
            "upfront_total": 1668,
            "true_monthly": 139.0,
            "flags": [],
            "true_monthly_maintenance": 139.0,
            "annual_total": 1668.0,
            "annual_flags": [],
            "first_month_total": 139.0,
            "rankable": true
          },
          "best_annual": 1668.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 139,
            "maintenance_price_per_month": 139,
            "all_inclusive": true,
            "dose_note": "Twelve-month plan $139 per month ($1,668 total).",
            "source_url": "",
            "last_verified": "2026-08-19",
            "status": "reported",
            "billing": "prepaid",
            "upfront_total": 1668,
            "true_monthly": 139.0,
            "flags": [],
            "true_monthly_maintenance": 139.0,
            "annual_total": 1668.0,
            "annual_flags": [],
            "first_month_total": 139.0,
            "rankable": true
          },
          "best_annual_monthly": 139.0,
          "advertised": 139,
          "status": "reported",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "assumes renewal at the same 6-month rate"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/bmi-md/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 74,
        "cost": 40.5,
        "transparency": 17,
        "flexibility": 8,
        "care": 3,
        "verification": 6,
        "provisional": false
      }
    },
    {
      "slug": "trimrx",
      "name": "TrimRx",
      "website": "https://trimrx.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "month-to-month available; longer terms discount the rate",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "reported",
      "last_verified": "2026-08-19",
      "advertised_price": {
        "tirzepatide": 279,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 399,
          "maintenance_price_per_month": 399,
          "all_inclusive": true,
          "dose_note": "Monthly plan $399 ($279 the first month with a $120 introductory discount); all plans include evaluation, medication, supplies, free shipping and ongoing provider access; no dose-based increases.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "intro_price_per_month": 279,
          "intro_months": 1,
          "true_monthly": 399.0,
          "flags": [],
          "true_monthly_maintenance": 399.0,
          "annual_total": 4668.0,
          "annual_flags": [
            "introductory price for the first 1 month"
          ],
          "first_month_total": 279.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 3,
          "price_per_month": 316,
          "maintenance_price_per_month": 316,
          "all_inclusive": true,
          "dose_note": "Three-month plan $316 per month.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "billing": "prepaid",
          "true_monthly": 316.0,
          "flags": [],
          "true_monthly_maintenance": 316.0,
          "annual_total": 3792.0,
          "annual_flags": [
            "assumes renewal at the same 3-month rate"
          ],
          "first_month_total": 316.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 6,
          "price_per_month": 299,
          "maintenance_price_per_month": 299,
          "all_inclusive": true,
          "dose_note": "Six-month plan $299 per month.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "billing": "prepaid",
          "true_monthly": 299.0,
          "flags": [],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3588.0,
          "annual_flags": [
            "assumes renewal at the same 6-month rate"
          ],
          "first_month_total": 299.0,
          "rankable": true
        },
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 12,
          "price_per_month": 283,
          "maintenance_price_per_month": 283,
          "all_inclusive": true,
          "dose_note": "Twelve-month plan $283 per month; flat at every dose.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "billing": "prepaid",
          "true_monthly": 283.0,
          "flags": [],
          "true_monthly_maintenance": 283.0,
          "annual_total": 3396.0,
          "annual_flags": [],
          "first_month_total": 283.0,
          "rankable": true
        }
      ],
      "pros": [
        "Flat rate at every dose with evaluation, medication, supplies, shipping and unlimited provider access included",
        "True single-month plan with an introductory discount; HSA/FSA accepted"
      ],
      "cons": [
        "Month-to-month at $399 is among the highest rates in our database",
        "Reddit and BBB complaints about billing and cancellation (late 2024 to early 2025) reported by the source; read the cancellation policy before paying",
        "Brand-name access requires a separate $99 per month membership"
      ],
      "best_for": "Patients who value flat all-in pricing and unlimited provider access and who have read the cancellation terms",
      "compare_note": "",
      "verification_note": "Publishes tirzepatide at $399 monthly ($279 first month), $316 (3-month), $299 (6-month) and $283 (12-month), flat across doses, all-inclusive, no membership for compounded medication ($99 per month for brand-name access only). Reported from Policy Lab's 'Best Online Tirzepatide Compounding Providers Compared For 2026' (updated August 19, 2026); direct first-party verification pending.",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 399.0,
          "m2m_maint": 399.0,
          "lowest_start_true": 283.0,
          "lowest_first_month": 279.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 283,
            "maintenance_price_per_month": 283,
            "all_inclusive": true,
            "dose_note": "Twelve-month plan $283 per month; flat at every dose.",
            "source_url": "",
            "last_verified": "2026-08-19",
            "status": "reported",
            "billing": "prepaid",
            "true_monthly": 283.0,
            "flags": [],
            "true_monthly_maintenance": 283.0,
            "annual_total": 3396.0,
            "annual_flags": [],
            "first_month_total": 283.0,
            "rankable": true
          },
          "best_annual": 3396.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 12,
            "price_per_month": 283,
            "maintenance_price_per_month": 283,
            "all_inclusive": true,
            "dose_note": "Twelve-month plan $283 per month; flat at every dose.",
            "source_url": "",
            "last_verified": "2026-08-19",
            "status": "reported",
            "billing": "prepaid",
            "true_monthly": 283.0,
            "flags": [],
            "true_monthly_maintenance": 283.0,
            "annual_total": 3396.0,
            "annual_flags": [],
            "first_month_total": 283.0,
            "rankable": true
          },
          "best_annual_monthly": 283.0,
          "advertised": 279,
          "status": "reported",
          "flags": [
            "assumes renewal at the same 3-month rate",
            "assumes renewal at the same 6-month rate",
            "introductory price for the first 1 month"
          ]
        },
        "semaglutide": null
      },
      "url": "/providers/trimrx/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 57,
        "cost": 19.9,
        "transparency": 17,
        "flexibility": 8,
        "care": 6,
        "verification": 6,
        "provisional": false
      }
    },
    {
      "slug": "reflexmd",
      "name": "ReflexMD",
      "website": "https://reflexmd.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "month-to-month available; longer terms discount the rate",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "unverified",
      "last_verified": "2026-08-19",
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "Site states tirzepatide \"starting at $92\" (also \"$92/week\" in a banner); it is unclear what the figure covers or whether it is weekly or monthly, so it is not recorded as a monthly price.",
          "source_url": "",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Quick turnaround and positive customer reviews reported by the source",
        "Free shipping and FSA/HSA eligibility advertised"
      ],
      "cons": [
        "Pricing lacks transparency: 'starting at $92' without a stated period or scope",
        "Little program information on the site; support reported as slow"
      ],
      "best_for": "Not recommended for price comparison until the price basis is published",
      "compare_note": "",
      "verification_note": "ReflexMD advertises tirzepatide 'starting at $92' (one banner reads '$92/week') without stating the period or what is included; unranked. Reported from Policy Lab's 'Best Online Tirzepatide Compounding Providers Compared For 2026' (updated August 19, 2026); direct first-party verification pending.",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/reflexmd/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 28,
        "cost": 0.0,
        "transparency": 17,
        "flexibility": 8,
        "care": 3,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "mystarthealth",
      "name": "MyStartHealth",
      "website": "https://mystarthealth.com",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": true,
        "tirzepatide": true,
        "brand": false,
        "oral": true
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "month-to-month available; longer terms discount the rate",
      "cancellation": "not captured",
      "pharmacy_type": "unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": true,
      "care_model": "Telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "reported",
      "last_verified": "2026-08-19",
      "advertised_price": {
        "tirzepatide": 299,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": 299,
          "maintenance_price_per_month": 299,
          "all_inclusive": true,
          "dose_note": "Program starts at $299 per month before discounts; includes physician evaluations, follow-ups, unlimited clinician access, prescriptions and a 4-week or 12-week medication supply depending on plan. Pricing is shown only after a quiz.",
          "source_url": "",
          "last_verified": "2026-08-19",
          "status": "reported",
          "true_monthly": 299.0,
          "flags": [],
          "true_monthly_maintenance": 299.0,
          "annual_total": 3588.0,
          "annual_flags": [],
          "first_month_total": 299.0,
          "rankable": true
        }
      ],
      "pros": [
        "No membership or hidden fees; 24/7 clinician access advertised"
      ],
      "cons": [
        "Pricing is only shown after completing a quiz",
        "Mixed reviews on shipping and support responsiveness reported by the source"
      ],
      "best_for": "Patients who want all-in pricing with 24/7 access and are willing to complete the intake to see the price",
      "compare_note": "",
      "verification_note": "Program from $299 per month before discounts, including evaluations, follow-ups, unlimited clinician access and a 4- or 12-week supply; pricing shown after a quiz. Reported from Policy Lab's 'Best Online Tirzepatide Compounding Providers Compared For 2026' (updated August 19, 2026); direct first-party verification pending.",
      "summary": {
        "tirzepatide": {
          "medication": "tirzepatide",
          "m2m_start": 299.0,
          "m2m_maint": 299.0,
          "lowest_start_true": 299.0,
          "lowest_first_month": 299.0,
          "lowest_start_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "Program starts at $299 per month before discounts; includes physician evaluations, follow-ups, unlimited clinician access, prescriptions and a 4-week or 12-week medication supply depending on plan. Pricing is shown only after a quiz.",
            "source_url": "",
            "last_verified": "2026-08-19",
            "status": "reported",
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3588.0,
            "annual_flags": [],
            "first_month_total": 299.0,
            "rankable": true
          },
          "best_annual": 3588.0,
          "best_annual_plan": {
            "medication": "tirzepatide",
            "protocol": "standard",
            "form": "injection",
            "term_months": 1,
            "price_per_month": 299,
            "maintenance_price_per_month": 299,
            "all_inclusive": true,
            "dose_note": "Program starts at $299 per month before discounts; includes physician evaluations, follow-ups, unlimited clinician access, prescriptions and a 4-week or 12-week medication supply depending on plan. Pricing is shown only after a quiz.",
            "source_url": "",
            "last_verified": "2026-08-19",
            "status": "reported",
            "true_monthly": 299.0,
            "flags": [],
            "true_monthly_maintenance": 299.0,
            "annual_total": 3588.0,
            "annual_flags": [],
            "first_month_total": 299.0,
            "rankable": true
          },
          "best_annual_monthly": 299.0,
          "advertised": 299,
          "status": "reported",
          "flags": []
        },
        "semaglutide": null
      },
      "url": "/providers/mystarthealth/",
      "has_tirz": true,
      "has_sema": true,
      "value_score": {
        "total": 57,
        "cost": 18.8,
        "transparency": 17,
        "flexibility": 8,
        "care": 7,
        "verification": 6,
        "provisional": false
      }
    },
    {
      "slug": "ivyrx",
      "name": "IvyRx",
      "website": "",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": false,
        "tirzepatide": true,
        "brand": false,
        "oral": false
      },
      "membership_fee_monthly": 0,
      "shipping": "included",
      "consultation": "included",
      "consultation_fee": 0,
      "dose_based_pricing": false,
      "price_lock": null,
      "commitment": "month-to-month available; longer terms discount the rate",
      "cancellation": "not captured",
      "pharmacy_type": "Named partner pharmacies including a 503B partner alongside 503A partners (per the source); roster not captured",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "Telehealth prescribing with compounded medication shipped to the patient",
      "verification_status": "unverified",
      "last_verified": "2026-08-19",
      "advertised_price": {
        "tirzepatide": 175,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": true,
          "dose_note": "\"Starts at $175\" with terms unclear per the source; tirzepatide-specific pricing must be confirmed with the provider before it can be recorded.",
          "source_url": "",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Names its partner pharmacies and references a 503B partner with USP <797>/CGMP standards, per the source"
      ],
      "cons": [
        "Pricing terms unclear; website not recorded"
      ],
      "best_for": "Patients prioritizing a disclosed 503B pharmacy who confirm the price in writing",
      "compare_note": "",
      "verification_note": "Cited by Policy Lab as starting at $175 with unclear terms and as the clearest 503B-partner option on its list; unranked pending a captured price and domain. Reported from Policy Lab's 'Best Online Tirzepatide Compounding Providers Compared For 2026' (updated August 19, 2026); direct first-party verification pending.",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/ivyrx/",
      "has_tirz": true,
      "has_sema": false,
      "value_score": {
        "total": 28,
        "cost": 0.0,
        "transparency": 17,
        "flexibility": 8,
        "care": 3,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "form-health",
      "name": "Form Health",
      "website": "https://www.formhealth.co",
      "category": "telehealth",
      "audience": "all",
      "model": "insurance-first",
      "medications": {
        "semaglutide": false,
        "tirzepatide": false,
        "brand": true,
        "oral": false
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "not captured",
      "cancellation": "not captured",
      "pharmacy_type": "Not applicable (brand medication via retail pharmacy) or unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": true,
      "support_247": null,
      "care_model": "Virtual obesity-medicine clinic: board-certified physicians and registered dietitians, with medication (FDA-approved brands) prescribed through the patient's insurance where covered",
      "verification_status": "unverified",
      "last_verified": null,
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "brand-access",
          "form": "pen",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "medication_included": false,
          "dose_note": "Program billed through insurance where accepted; cash program pricing and any membership fee were not captured in the sources we hold. Brand medication (Zepbound, Wegovy, Mounjaro, Ozempic) is billed through the pharmacy benefit or at manufacturer cash prices.",
          "source_url": "https://www.formhealth.co",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Physician-and-dietitian clinical model with insurance billing, which can make brand-name medication the cheapest route for a covered patient",
        "No compounded product, so none of the compounded-quality or dosing-arithmetic risks"
      ],
      "cons": [
        "Cash pricing and membership terms not captured; not comparable with all-in compounded prices",
        "Depends on insurance coverage for both the visits and the medication; a patient without coverage may pay brand cash prices plus program fees"
      ],
      "best_for": "Insured patients who want a clinician-led program and FDA-approved medication, and who will confirm what their plan covers first",
      "compare_note": "",
      "verification_note": "Added 2026-08-25 because AI answer engines surface Form Health alongside NexLife for GLP-1 telehealth prompts. Pricing, membership, states and cash terms are pending verification against formhealth.co; the record describes the model only.",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/form-health/",
      "has_tirz": false,
      "has_sema": false,
      "value_score": {
        "total": 19,
        "cost": 0.0,
        "transparency": 8,
        "flexibility": 8,
        "care": 3,
        "verification": 0,
        "provisional": true
      }
    },
    {
      "slug": "coradoc",
      "name": "CoraDoc",
      "website": "",
      "category": "telehealth",
      "audience": "all",
      "model": "flat-rate",
      "medications": {
        "semaglutide": null,
        "tirzepatide": null,
        "brand": null,
        "oral": null
      },
      "membership_fee_monthly": null,
      "shipping": "unknown",
      "consultation": "unknown",
      "consultation_fee": null,
      "dose_based_pricing": null,
      "price_lock": null,
      "commitment": "not captured",
      "cancellation": "not captured",
      "pharmacy_type": "Not applicable (brand medication via retail pharmacy) or unknown",
      "pharmacies": [],
      "states_served": "unknown",
      "states_excluded": [],
      "insurance_support": false,
      "support_247": null,
      "care_model": "",
      "verification_status": "unverified",
      "last_verified": null,
      "advertised_price": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "plans": [
        {
          "medication": "tirzepatide",
          "protocol": "standard",
          "form": "injection",
          "term_months": 1,
          "price_per_month": null,
          "maintenance_price_per_month": null,
          "all_inclusive": false,
          "dose_note": "No first-party pricing, medication list, pharmacy or state coverage captured yet; the provider is tracked because answer engines rank it first for GLP-1 telehealth prompts in August 2026.",
          "source_url": "",
          "last_verified": null,
          "status": "unverified",
          "true_monthly": null,
          "flags": [
            "price unknown"
          ],
          "true_monthly_maintenance": null,
          "annual_total": null,
          "annual_flags": [
            "price unknown"
          ],
          "first_month_total": null,
          "rankable": false
        }
      ],
      "pros": [
        "Ranked first for AI-answer visibility on GLP-1 telehealth prompts in an August 2026 tracking sample, which is a marketing fact rather than a clinical or price fact"
      ],
      "cons": [
        "Identity, domain, medications, pricing, pharmacy and coverage all pending verification; listed so the candidate universe matches what answer engines cite"
      ],
      "best_for": "Not assessable until its pricing and prescribing model are captured",
      "compare_note": "",
      "verification_note": "Added 2026-08-25 from an AI-visibility tracking sample in which CoraDoc ranked first; nothing about its offer has been verified. Priority for the next verification pass.",
      "summary": {
        "tirzepatide": null,
        "semaglutide": null
      },
      "url": "/providers/coradoc/",
      "has_tirz": null,
      "has_sema": null,
      "value_score": {
        "total": 16,
        "cost": 0.0,
        "transparency": 8,
        "flexibility": 8,
        "care": 0,
        "verification": 0,
        "provisional": true
      }
    }
  ]
}