- Brand-name programs usually charge a membership on top of the medication: $39 for the first month, then $149 a month at Ro, Hers, Hims and LifeMD.
- That membership never includes the medication. At a usual dose of the Wegovy® pill, the total is about $448 a month.
- Most compounded programs charge one price that includes the medication. Mochi and Eden are exceptions, with a separate membership.
- Before you pay, ask three things: does the price include the medication, what will I pay in month three, and can the membership be refunded?
Who charges a membership, and what it covers
| Program | Membership or program fee | Medication included? | Typical all-in monthly cost |
|---|---|---|---|
| Ro | $39 first month, then $149/moFrom $74/mo if you prepay a year | No | About $448 at a usual Wegovy® pill dose |
| Hers | $39 first month, then $149/mo | No | About $448 at a usual Wegovy® pill dose |
| Hims | $39 first month, then $149/mo | No | About $448 at a usual Wegovy® pill dose |
| LifeMD | $39 first month, then $149/moIncludes essential labs | No | About $448 self-pay at a usual Wegovy® pill dose; less with insurance |
| Mochi | $79/mo, or $588 a year$199 a year with insurance | No | From about $98 at the lowest compounded dose with an annual membership |
| Eden | $39 first month, then $99/mo, as recently listed | No | About $198 for compounded semaglutide |
| Noom | Coaching built into the price | Yes | $279 to $299, billed every 12 weeks after the first month |
| MEDVi | None on compounded plans$99 for brand-name | Yes | $299 after a $179 first month |
| SkinnyRx | None on compounded plans | Yes | $99 first month; ongoing price shown at sign-up |
| AltRx | None | Yes | $89 semaglutide, $149 tirzepatide |
| Embody | None | Yes | $69 to $79 semaglutide, $119 to $129 tirzepatide |
| WellMedr | None stated | Yes | From $49 per 21-day shipment on its current sale |
| TotalRx | None | Yes | $129 to $199 semaglutide, $174 to $249 tirzepatide, locked for life |
From each program's own pages, read between October 12 and 19, 2026; see each review for the detail. "Usual dose" means the dose most people reach after two or three months. Compounded medications are not FDA-approved.
Why brand-name programs charge a membership
Brand-name medication is now sold at the manufacturers' own self-pay prices: $149 to $299 a month for the Wegovy® pill, $349 for the Wegovy® pen and $299 to $449 for Zepbound® 7. A telehealth program cannot mark that price up much, so the membership is how it is paid for the clinician, the care team, the app and, for some, insurance paperwork. It is a legitimate model; it just means the price in the advert is never the whole price.
Compounded programs work differently. The pharmacy's price for the medication is low enough that the program can bundle the clinician and the medicine into one figure, which is why most of them advertise "no membership fee".
The "$39 first month", explained
Ro, Hers, Hims and LifeMD all advertise $39 for the first month 1234. That is the membership, not the treatment. In the first month you pay $39 plus the medication, and from the second month the membership rises to $149, so a starter-dose Wegovy® pill is $188 in month one and about $298 in month two. Move up to the usual dose and it is about $448.
This is the complaint that comes up most often in customer reviews of membership programs: people expected $39 and were charged far more. The figures are disclosed, but in footnotes. The total on the final checkout screen, and the line for month two, are the numbers that matter.
Can you get a membership fee back?
Rarely. Ro does not refund membership fees already paid, Hims says the first month's membership fee is non-refundable 6, and LifeMD and Mochi treat most fees as final, with Mochi refunding part-used periods only at its discretion 5. If you decide a program is not for you, cancel before the next billing date rather than expecting a refund. Our guide to cancelling and refunds has every program's terms.
Membership fees and your HSA or FSA
Prescribed medication for a diagnosed condition is generally HSA and FSA eligible. Membership fees vary: Hims says its weight loss membership is not eligible 3, while Mochi says its membership can be paid from an HSA or FSA 5. If this matters to you, check before you sign up, and keep receipts that show what each charge was for.
When a membership is worth it
- You have insurance that might cover a brand-name GLP-1. Programs like Ro and LifeMD handle the prior authorization, and a covered prescription with a savings card can cost as little as $25 a month, which more than pays for the membership.
- You want brand-name medication and do not have a doctor who will prescribe it. A membership program gets you a prescriber and ongoing support.
- You value the extras: dietitian visits at Mochi, coaching at Noom, or labs at LifeMD.
If none of those apply and you are paying cash, a program with one all-in price will usually cost much less. Our #1 pick, TotalRx, has no membership fee: compounded semaglutide is $129 a month on a 12-month plan, including the clinician, and the price never rises.
Three questions to ask before you pay
- Does this price include the medication? If not, what will the medication cost at my starting dose and at the dose I am likely to reach?
- What will I pay in month two and month three? Introductory prices and dose increases both change the bill.
- Can the membership be refunded, and how much notice do I need to cancel?
Questions and answers
Does the Ro membership include medication?
No. Ro's membership, $39 for the first month and $149 a month after on the monthly plan, covers the clinician, care team and app. The medication is billed separately.
Does the Hers or Hims membership include medication?
No. Both charge $39 for the first month and $149 a month after, and the medication is an additional charge that rises with the dose.
What does the $39 first month cover?
At Ro, Hers, Hims and LifeMD, the $39 is the first month of the membership or program fee only. Medication is charged on top, and the fee rises to $149 from the second month.
Which GLP-1 programs have no membership fee?
Most compounded programs charge a single price that includes the medication, including TotalRx, MEDVi, SkinnyRx, AltRx, Embody and WellMedr. Noom bundles its coaching into its price. Mochi and Eden charge a separate membership.
Can I get a membership fee refunded?
Usually not. Ro does not refund membership fees already paid, Hims says the first month's fee is non-refundable, and LifeMD and Mochi treat most fees as final. Cancel before the next billing date instead.
Is a GLP-1 membership fee HSA or FSA eligible?
It depends on the program. Hims says its membership fee is not HSA or FSA eligible, while Mochi says its membership can be paid from an HSA or FSA. Prescribed medication is usually eligible.
Is a membership ever worth paying?
It can be if you have insurance and the program will handle prior authorization for brand-name medication, or if you value the extra support it includes. Paying cash, an all-in compounded price usually costs far less.
Keep reading
Sources
- Ro: weight loss program and pricing (read October 12, 2026)
- Hers: weight loss program and pricing (read October 12, 2026)
- Hims: weight loss program and pricing (archived October 17, 2026)
- LifeMD: weight management program and FAQ (read October 19, 2026)
- Mochi Health: FAQs, membership prices (read October 19, 2026)
- Hims & Hers: terms and conditions, refunds (archived October 1, 2026)
- NovoCare Pharmacy: Wegovy® self-pay prices
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 19, 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.