A good online weight loss clinic gives you a licensed clinician, a prescription if it suits you, and support while you are on it. We compared seven on what they include, which medications they offer and what a month really costs.
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The short answer
Our top pick is MEDVi: dietitian visits, care coaching and unlimited messaging come with the medication, with no membership on its compounded plans.
Best value: TotalRx, compounded semaglutide from $129 a month with the price locked for life.
Want brand-name Wegovy® or Zepbound®? Hers and Ro prescribe them, with a membership of $149 a month on top of the medication.
Check the month-two price. Several clinics advertise a low first month and charge more after it.
The 7 best online weight loss clinics, ranked
Ranked on the care included, the choice of medication, how clear the pricing is and what a typical month costs. Some of these programs prescribe compounded GLP-1s, which are not FDA-approved. How we ranked them. Sponsored: we may earn a commission when you visit a provider through our links.
1Editor's ChoiceBest all-round care9.8/10
$179 first monthCompounded semaglutide injections, then $299 a month. No membership.
Compounded injections or tablets; brand-name on a $99 membership
Typical monthly cost
$299/mo from month two
MEDVi puts the most support into one price: dietitian visits, care coaching and unlimited appointments and messaging come with the medication, and there is no membership on its compounded plans. You can choose weekly injections or daily tablets, and its $299 refill does not rise as your dose goes up.
Dietitian visits and care coaching included
Injections or tablets, plus brand-name options
Refill price does not rise with dose
$179 first month becomes $299 from month two
Dietitian visits depend on insurance and copay eligibility
FDA warning letter on its marketing, February 2026
TotalRx keeps it simple: one price that covers the clinician and the medication, no membership, and a rate that is locked for life, so it never rises with your dose or at renewal. Unlimited clinician follow-ups are included, and you get a full refund if a clinician does not approve you.
Hers offers the widest choice of FDA-approved medication here, including the Wegovy® pill and pen, Zepbound® and Foundayo®, with a well-built app, care team access around the clock and a treatment plan typically within 24 hours. You pay a membership on top of the medication.
Wegovy®, Zepbound® and Foundayo® available
24/7 care team and a polished app
Treatment plan typically within 24 hours
$149 monthly membership on top of medication
Medication price rises with dose
FTC lawsuit over subscription billing, July 2026 (denied)
Compounded injections; brand-name and non-GLP-1 options
Typical monthly cost
About $198/mo
Eden treats patients in all 50 states and Washington, DC, keeps one medication price at every dose and lets you cancel yourself in the portal. Offers vary depending on where you sign up, so confirm the current price on its site.
SkinnyRx is quick: the intake takes about five minutes, a prescription usually follows within 24 hours, and shipping is free and overnight. Check the ongoing monthly price before you pay, because its public pages show the first month only.
Five-minute intake, prescription usually within 24 hours
Free overnight shipping
Injections or tablets
Ongoing price not shown on its public pages
Five days' notice to cancel
FDA warning letter on its marketing, February 2026
Ro's concierge works on insurance coverage, prior authorization and appeals for you, which makes it the strongest choice if your plan might pay for a GLP-1. Ro says Wegovy® can cost as little as $25 a month with commercial coverage and the manufacturer's savings offer.
Mochi offers unlimited provider appointments, a 30-minute video visit with a doctor and registered dietitian visits, bills visits to insurance where it can, and lists some of the lowest compounded prices we found. The catch is two subscriptions, and medication prices that rise with your dose.
Doctor video visit and dietitian visits
Insurance billed for visits where possible
Low compounded medication prices
Membership and medication billed separately
Per-dose prices not published
Eli Lilly is suing Mochi over compounded tirzepatide
Prices read from each provider's own website between October 11 and October 22, 2026, at the starting dose. Brand-name medication costs more at higher doses.
How we ranked them
We read each clinic's own pricing pages, terms and refund policy, and scored it on five things:
Care included, 30%: clinician follow-ups, dietitian or coaching support, and how easy it is to reach someone.
Price and clear billing, 30%: what a typical month costs once every fee is counted, and whether that price is shown before you pay.
Medication choice, 20%: compounded, brand-name, injections and tablets.
Refunds and cancelling, 10%: what you get back if you are not approved or need to stop.
Track record, 10%: regulator action, lawsuits and complaint patterns.
What an online weight loss clinic does
You fill in a health questionnaire, often with a photo ID and your weight. A licensed clinician reviews it, usually by message rather than video, and decides whether a medication is right for you. If it is, a pharmacy ships it to your door, and the clinic checks in as your dose goes up. What differs between clinics is everything around that: whether you pay a membership, whether a dietitian or coach is included, and whether they can prescribe brand-name medication.
Compounded or brand-name?
Brand-name Wegovy® and Zepbound® are FDA-approved and sold for cash from $149 to $449 a month depending on the medicine and dose 12. Compounded semaglutide and tirzepatide are made by licensed compounding pharmacies and usually cost less, often $99 to $300 a month with the clinician included. Compounded drugs are not FDA-approved. The FDA does not verify their safety, effectiveness, or quality. 3
Decide on brand-name or compounded first. It rules half the list in or out.
Add the membership to the medication. A $149 monthly fee adds $1,700 or more over a year.
Ask what month two costs. Introductory prices are common.
Check the support you will actually use: follow-ups, a dietitian, coaching or a video visit.
Read the refund terms before you prepay for several months.
The FDA has warned telehealth companies about misleading claims for compounded drugs, so be wary of any clinic that says its compounded medication is the same as a brand-name one 4.
Questions and answers
What is the best online weight loss clinic?
Our top pick is MEDVi, for the support it includes with no membership on its compounded plans. TotalRx is the best value, with compounded semaglutide from $129 a month locked for life. For brand-name medication, Hers has the widest range; for insurance, Ro does the most work for you.
Are online weight loss clinics legit?
The clinics we rank are real US companies whose prescriptions are written by licensed clinicians. Several have had FDA warning letters about their marketing, which we note in each listing, and compounded GLP-1s are not FDA-approved.
How much does an online weight loss clinic cost?
From about $99 to $300 a month for compounded medication, usually including the clinician. Brand-name medication costs $149 to $449 a month at the manufacturers' self-pay prices, and many clinics add a membership of up to $149 a month on top.
Do online weight loss clinics take insurance?
Most are cash-pay. Ro and LifeMD work on coverage and prior authorization for brand-name medication, and Mochi bills its visits to insurance where it can. Insurance does not pay for compounded medication.
Can an online clinic prescribe Wegovy or Zepbound?
Yes. Hers, Hims, Ro, LifeMD and Mochi prescribe brand-name GLP-1s, and MEDVi and Eden offer brand-name options alongside their compounded plans. See our guide to getting Wegovy® and Zepbound® online.
Will I have a video visit?
Not always. Many clinics review your health questionnaire by message rather than video. Mochi includes a 30-minute video visit with a doctor; ask any clinic how its review works before you pay.
How we write our guides. We read the manufacturers' prescribing information, FDA and other official sources, published trials and each provider's own pricing and policies, and link to them so you can check our work. Figures were correct when we last checked them on October 22, 2026; prices and rules change often, so confirm them before you act. Medical disclaimer. This guide is general information, not medical advice, and no one at ProviderCompare is your clinician. Talk to a licensed healthcare professional before starting, changing or stopping any medication. Compounded GLP-1 medications are not FDA-approved and do not undergo FDA review for safety, effectiveness or quality. Brand names are trademarks of their owners, used for identification only.