The telehealth GLP-1 landscape changed dramatically in 2026. Major providers pivoted, prices shifted, and the options available to patients look completely different than they did 12 months ago. If you are comparing providers right now, this is the only guide you need. No fluff, no affiliate bias — just an honest breakdown of what each platform offers, what they charge, and what they stopped offering.
The Full Comparison
| Factor | Hims | Ro | TelehealthFX |
|---|---|---|---|
| Compounded semaglutide | ❌ Discontinued | ❌ Discontinued | ✅ Available |
| Brand-name GLP-1 | ✅ Wegovy, Zepbound | ✅ Wegovy, Zepbound | ✅ Referral available |
| Monthly cost (compounded) | N/A | N/A | $199–$399 |
| Monthly cost (brand) | $199–$1,350+ (varies by insurance) | $145+ (with insurance) | Varies by insurance |
| Insurance required? | For brand-name, yes | For brand-name, yes | No (compounded) |
| HSA/FSA accepted | Limited | Limited | ✅ Yes |
| Clinician access | Async messaging | Async + phone | Unlimited messaging |
| Same-day evaluation | ✅ Yes | ✅ Yes | ✅ Yes |
| Tirzepatide available | Brand only (Zepbound) | Brand only | Compounded + brand |
| Contract/commitment | Monthly subscription | Monthly | Month-to-month, cancel anytime |
The Bottom Line
Choose Hims or Ro if:
- Your insurance covers brand-name Wegovy or Zepbound
- You want help with prior authorization and insurance appeals
- You prefer a large, publicly-traded company
Choose TelehealthFX if:
- You want compounded semaglutide at all-inclusive pricing
- You do not have insurance that covers GLP-1, or your insurance denied you
- You were previously on compounded semaglutide through Hims or Ro and need to switch without a gap
- You want access to compounded tirzepatide
- You want to pay with HSA/FSA
Still Offering What They Stopped
Compounded semaglutide from $199/mo. Compounded tirzepatide available. No insurance required. Month-to-month. Cancel anytime.
Start Your EvaluationWhat About Calibrate, Found, and Sequence?
Calibrate offers a structured one-year metabolic reset program with brand-name medications. It is the most expensive option ($1,499 program fee + medication costs) but includes the most comprehensive behavioral support. Best for patients who want a structured curriculum alongside medication.
Found takes a holistic approach with coaching and a wider range of medications (not just GLP-1). Good for patients who want behavioral therapy integrated with pharmacology. Pricing varies based on the medication prescribed.
Sequence (acquired by WW) has partnered with Weight Watchers to combine GLP-1 medication with the WW behavioral program. Best for patients who want community support alongside medication.
None of these platforms currently offer compounded semaglutide or tirzepatide.
Frequently Asked Questions
Can I transfer my Hims prescription to TelehealthFX?
You cannot directly transfer a prescription, but your new TelehealthFX clinician will review your treatment history and continue your current dose through a new prescription. The process takes as little as 24 hours. See our switching guide.
Is TelehealthFX legitimate?
Yes. All prescriptions are written by licensed clinicians in your state. Medications are dispensed by licensed, inspected 503A compounding pharmacies. Read our full legitimacy verification guide.
The Clear Choice for Compounded GLP-1
Same medication Hims and Ro used to sell. Same price range. Still available.
Get StartedReferences
- Dosemate. (2026). Best online GLP-1 providers compared. dosemate.com
- Forbes Health. (2026). Best weight loss programs 2026 review. forbes.com/health