Compounded Semaglutide (semaglutide (compounded))
A cash-pay semaglutide alternative made by compounding pharmacies. Historically the cheapest route, but legally available only in limited circumstances now that branded semaglutide is off the FDA shortage list.
Pricing last updated:
Avg. weight loss
over ~68 weeks
Compounded Semaglutide — cost by route
- TelehealthCheapest$149/mo
- CompoundedCheapest$149/mo
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Compounded Semaglutide pricing routes, ranked
- Telehealth subscriptionOften cheapest
All-in telehealth pricing that typically bundles the visit and medication.
$149–$299/moCheck price at Hims & Hers - Compounded version (cash-pay)
Compounded drugs are not FDA-approved and are only legally available in limited situations. Availability varies by state and current shortage status.
$149–$299/moCheck price at Henry Meds
What is Compounded Semaglutide?
Compounded Semaglutide is semaglutide (compounded), a GLP-1 receptor agonist from 503A/503B compounding pharmacies (via telehealth). It is a compounded formulation and is not FDA-approved.
A cash-pay semaglutide alternative made by compounding pharmacies. Historically the cheapest route, but legally available only in limited circumstances now that branded semaglutide is off the FDA shortage list.
How Compounded Semaglutide works and dosing
Compounded Semaglutide is taken as a once-weekly subcutaneous injection. It is typically titrated up slowly to reduce side effects, moving through 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, and 2.4 mg.
The usual maintenance dose is Titrated per prescriber, often up to 2.4 mg weekly. Your prescriber decides the right dose and pace for you.
How much weight can you lose on Compounded Semaglutide?
In clinical data, Compounded Semaglutide was associated with roughly 15% average body-weight reduction over about 68 weeks (Extrapolated from branded semaglutide trials; compounded formulations are not FDA-reviewed).
That is an average — real results vary widely with dose, diet, activity, and how long you stay on treatment.
How much does Compounded Semaglutide cost?
Cash price runs about —. It is cash-pay only. Telehealth routes run roughly $149–$299/mo, and compounded versions (where legal) run about $149–$299/mo.
Use the calculator to rank these routes for your insurance and state, and see the cheapest way to get Compounded Semaglutide.
Side effects and safety
The most common side effects are nausea, diarrhea, vomiting, and constipation. Most are gastrointestinal and often ease as the dose is increased gradually.
Compounded Semaglutide carries serious warnings, including compounded drugs are not fda-approved and quality can vary by pharmacy and boxed warning for the molecule: risk of thyroid c-cell tumors. Only a licensed clinician can decide whether it is appropriate for you.
Insurance and coverage
Not covered by insurance. Paid out of pocket, usually through a telehealth membership.
Sources & further reading
Educational references only. Figures are averages that vary by person, dose, and duration.
Frequently asked questions
How much does Compounded Semaglutide cost per month?
Cash list price is about —, but savings programs (~—) and telehealth (~$149–$299/mo) are usually cheaper. Check the calculator for your situation.
Is Compounded Semaglutide FDA-approved for weight loss?
No. Compounded Semaglutide is a compounded formulation and is not FDA-approved.
How much weight can you lose on Compounded Semaglutide?
Clinical averages are around 15% of body weight over ~68 weeks (Extrapolated from branded semaglutide trials; compounded formulations are not FDA-reviewed). Individual results vary.
Do I need a prescription for Compounded Semaglutide?
Yes. Compounded Semaglutide is a prescription medication requiring evaluation by a licensed clinician.