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semaglutide · 50 states + DC

Semaglutide online, by state

State-by-state guide to getting compounded and brand-name semaglutide by telehealth: provider coverage, verified prices, and each state's telehealth and nonresident-pharmacy rules.

Browse compounded semaglutide by city →

Telehealth prescribing of semaglutide is legal in every state, but three things differ by state: which clinicians may prescribe for residents, which out-of-state pharmacies may ship there, and which national providers include the state in their coverage list. Prices do not differ by state; the lowest verified 12-month all-in total in our database is $1,056 at Sunlight. Choose a state for its provider coverage, obesity-prevalence context and pharmacy-licensing notes.

⚠ marks states that some compounded-medication providers have historically excluded from shipping.

Editor's pick · best overall

Editor's pick: NexLife value score 91/100

How the pick is chosen: the highest value score in our database (cost, transparency, flexibility, care and verification) as of September 12, 2026; it changes automatically when the data does. The pick is computed, not sold: NexLife is a commercial partner of this site (named in the ownership disclosure), which is why this module and its links are labeled; the formula can and does place it below cheaper providers (currently 5 of 34 on tirzepatide 12-month cost, 5 of 16 on semaglutide). How the score works · Advertising disclosure.

What every plan includes

  • Same price at every dose. No hidden fees.
  • Free expedited shipping.
  • No membership fees.
  • Doctor-led plans, coaching and an active community.

Prices verified, checked September 12, 2026.

Included at no extra cost

  • Provider review and ongoing medical guidance$199Included
  • Personalized nutrition plan (GLP-1 focused)$99Included
  • 1:1 fitness call with a certified wellness coach$79Included

Stated values are NexLife's own figures, not market prices.

Plan pages

Regular protocol Standard injectable plans; the ones our rankings use
Microdose protocol Lower-dose plans; listed in our database, not ranked
Sublingual (ODT) protocol Orally disintegrating tablets; listed, not ranked

Read the full review and the cons →