Medical Weight Loss Program Costs: What You Will Actually Pay

Medical weight loss program pricing is notoriously difficult to compare. Headline monthly prices often exclude clinician fees, lab costs, and medication shipping. Understanding what you are actually buying — and how total costs add up — is essential before committing to a program.

What Drives Cost Variation

GLP-1 program pricing varies based on several key factors:

• Medication type: Compounded semaglutide is significantly cheaper than brand-name Wegovy. Tirzepatide pricing varies similarly.
• Dosage: Higher maintenance doses cost more. Most programs escalate dose over time, so early months are cheaper than later months.
• Bundling: Some programs bundle clinician consultations, labs, and medication in one price. Others charge each separately.
• Clinical model: Programs with dedicated clinicians and frequent check-ins cost more than prescription-only platforms with minimal oversight.
• Pharmacy source: In-house pharmacy vs. third-party compounding pharmacy affects pricing structure.

Typical Cost Ranges

Questions to Ask Before Enrolling

• Is the quoted price all-inclusive, or does it exclude clinician fees and labs?
• What happens to my monthly cost as my dose increases?
• Are baseline and follow-up labs included or billed separately?
• Is there a separate enrollment fee or onboarding charge?
• What are the cancellation and refund terms?
• Does the price change if I need to switch medications?

Insurance and GLP-1 Medications

Insurance coverage for GLP-1 weight loss medications is inconsistent:

• Brand-name Wegovy/Zepbound: Covered by some commercial plans, Medicare Part D (as of 2026 for cardiovascular indication), and occasionally Medicaid. Prior authorization is almost always required.
• Compounded GLP-1: Not covered by insurance as it is not an FDA-approved finished product.
• Manufacturer savings programs: Novo Nordisk and Eli Lilly both offer savings cards that reduce out-of-pocket costs for eligible commercially insured patients.

HSA and FSA Eligibility

Prescription GLP-1 medications obtained through licensed telehealth providers are generally HSA/FSA-eligible as qualified medical expenses. Confirm eligibility with your account administrator for your specific situation.

Long-Term Cost Planning

Medical weight loss is a long-term commitment. Budget planning should include:

• Month 1–3: Lower cost (starting/escalation dose)
• Month 4–12: Higher cost as dose increases toward maintenance
• Year 2+: Stable maintenance dose costs — plan for this ongoing
• Weight regain risk: Research shows weight returns after stopping GLP-1 medications, meaning ongoing treatment is likely for sustained results

Frequently Asked Questions

Why do some programs advertise very low prices?

Low headline prices often reflect only the starting dose or exclude clinician and lab fees. Some programs also use less rigorous clinical oversight, which reduces costs but also reduces safety and support.

Is a more expensive program better?

Not automatically. Higher cost should correlate with better clinical oversight, included labs, and responsive support — not just brand-name medication. Evaluate what is included, not just the price.

Can I use GoodRx for GLP-1 medications?

GoodRx applies to FDA-approved brand-name medications at retail pharmacies. Compounded GLP-1 from specialty compounding pharmacies typically does not apply. GoodRx can reduce brand-name GLP-1 costs at participating pharmacies.

Compare GLP-1 Programs With Full Cost Transparency →