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The split-fee model hides real cost. These providers charge one number — or nothing at all beyond the medication.
The most common way GLP-1 telehealth pricing misleads people is the split fee. A platform advertises "$99 medication" and separately charges a "$99 monthly membership," so the real cost is $198 — but the number you remember is $99. Search for "cheapest GLP-1" and most of the top results are quoting one half of a two-part price.
A smaller group of providers charge no membership or platform fee at all. Some bundle everything into one all-in monthly figure. Others are pharmacies that simply sell you a fill, with no recurring relationship whatsoever. A third group charges per visit, so you pay only when you actually see a clinician.
This page covers all three, with the real numbers. It also flags the providers whose "no membership fee" claim comes with a catch.
All-in providers bundle medication, prescription and shipping into one monthly figure (Curex, TrimRx, Willow). Manufacturer pharmacies sell you a fill with no ongoing relationship at all (LillyDirect, NovoCare Pharmacy). Per-visit providers charge only when you see a clinician (Walgreens at $49, Call-On-Doc from $39, Amazon One Medical at $29). Each suits a different situation.
Ranked on total real cost and how genuinely fee-free the model is.
Best all-in compounded pricing
Curex's central claim is "no membership fees, ever," and its published pricing backs it up: $149 a month for compounded semaglutide and $199 for tirzepatide, both including medication and prescription. Its own comparison material contrasts this with competitors reaching $300 to $400 a month once membership fees are added. Injectable and oral formulations, shipping in one to two business days, and a published phone line.
Watch out for: Compounded medication is not FDA-approved. The introductory $49 first month is promotional — budget the ongoing rate.
No subscription of any kind, FDA-approved medication
A pharmacy, not a subscription. You buy fills: Foundayo from $149 a month, Zepbound from $299 to $449. Nothing recurs, nothing auto-renews, and there is nothing to cancel. If you already have a prescriber this is the cleanest possible arrangement. If you do not, LillyDirect connects to independent telehealth at $29 a visit.
Watch out for: Prices are dose-tiered so they rise as you titrate. Lilly products only — no semaglutide.
Manufacturer-direct semaglutide, no fees at all
Novo Nordisk's direct channel charges per fill with no subscription or platform fee. Wegovy tablets at $149 a month for the 1.5 mg and 4 mg strengths, $299 for higher oral strengths, the injection from $399, and free home delivery on every dose. Commercially insured patients can reach as little as $25 a month through Novo's savings offer.
Watch out for: You need a prescription already. The 4 mg promotional price ends August 31, 2026 and rises to $199.
Best per-visit model
Explicitly built around no subscription: $49 per visit, whether initial video, follow-up chat or additional video. Once you are stable on a dose you pay nothing between visits, which over a year beats any monthly membership. Brand-name medication from $149 a month, and same-day pickup at thousands of retail pharmacies.
Watch out for: Each follow-up is another $49, so titration gets expensive. Ages 18 to 64 only, and Medicare patients are not currently supported.
Best if insurance covers your medication
A per-visit marketplace with no subscription at all. Klarity estimates $50 to $60 per provider visit and $5 to $80 for medication depending on your insurance and pharmacy — the lowest total on this page if you have coverage. Prescriptions go to your own pharmacy, so discount programs still apply.
Watch out for: Without insurance, Klarity publishes brand-name list prices of $935 to $1,349 a month. This only works if your plan covers weight-management drugs.
Lowest visit fee anywhere
A one-time flat-rate visit from $39, or $15 per visit with a $45 quarterly subscription that includes the first visit. That quarterly figure is cheaper than most competitors charge for a single month. Because Call-On-Doc is a general telehealth clinic covering hundreds of conditions, the subscription is not limited to weight loss. Free home delivery on the compounded semaglutide program.
Watch out for: Published medication pricing is inconsistent between its blog ($190/mo) and plans page ($250/mo). Get a written quote.
Real annual cost at a typical maintenance dose, compared against a split-fee competitor. Figures are published prices, not estimates.
| Provider | Fee structure | Monthly total | Annual total |
|---|---|---|---|
| Curex | All-in, no fee | $149 (semaglutide) | ~$1,788 |
| LillyDirect (Foundayo) | Per fill, no fee | $149-$299 by dose | ~$1,788-$3,588 |
| NovoCare (Wegovy tablets) | Per fill, no fee | $149-$299 by dose | ~$1,788-$3,588 |
| Walgreens | $49/visit + medication | $149+ medication, visits as needed | Varies with visit count |
| Klarity (with insurance) | $50-60/visit + copay | $5-$80 medication | Lowest if covered |
| Lemonaid (split fee) | $49 membership + $299 medication | $348 | ~$4,176 |
| Ivím Health (split fee) | $74.99 membership + $75 medication | ~$150 at entry dose | ~$1,800 at entry dose |
A split-fee provider is not automatically worse — Ivím's combined entry cost is competitive. The problem is that the advertised number is only half the price.
Curex publishes "no membership fees, ever" with all-in pricing at $149 a month for compounded semaglutide. LillyDirect and NovoCare Pharmacy are manufacturer pharmacies that charge per fill with no subscription at all. Walgreens charges $49 per visit with no subscription, Klarity Health $50 to $60 per visit, and Call-On-Doc from $39 per visit.
Yes. LillyDirect and NovoCare Pharmacy sell fills directly with no recurring relationship — you just need a prescription. Walgreens and Call-On-Doc charge per visit rather than per month. If you already have a prescriber, the manufacturer pharmacies involve no ongoing fee of any kind.
No. Ivím Health charges a $74.99 membership plus $75 medication at entry dose, roughly $150 a month combined, which is competitive with Curex's $149 all-in. The problem with split fees is not that they are always more expensive — it is that the advertised figure is only half the price, which makes comparison harder.
For compounded medication, Curex at $149 a month all-in. For FDA-approved medication, Foundayo through LillyDirect and Wegovy tablets through NovoCare Pharmacy both start at $149 a month per fill. If you have insurance covering weight-management drugs, Klarity Health estimates $5 to $80 for medication plus a $50 to $60 visit.
It depends on how often you need care. During titration you may need several visits in a few months, which makes $49 each add up. Once you are stable on a maintenance dose and only need occasional contact, per-visit pricing is substantially cheaper than paying a membership every month for a service you barely use.
Teladoc Health's weight management program is free for eligible members whose employer, health plan or healthcare provider covers it, including a smart scale shipped at no cost. You cannot sign up as an individual consumer — check with your HR department or health plan first, because if you have access it is the cheapest option available.
Membership fees shown separately
Lowest total cost routes
What every route really costs
FDA-approved from $149/mo
With the regulatory position spelled out
When insurance beats every cash price
Claims on this page trace to the following sources, checked on August 30, 2026.
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This article is for informational purposes only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with serious potential side effects and are not appropriate for everyone. Always consult a qualified healthcare provider before starting, changing, or stopping any medication. Individual results vary. This page contains affiliate links, and we may earn compensation if you use them.
Date reviewed: August 30, 2026