MaxLife wins on the two most heavily weighted criteria in our rubric: it publishes flat, all-in pricing with no membership fee and names its pharmacy partners. Add a 4.4 Trustpilot score, all-50-state coverage, a money-back guarantee, and no lawsuit or FDA warning letter on record, and it is the most transparent option we reviewed.
The full ranking
2026 Compounded GLP-1 Provider Rankings
| # | Provider | Score | Semaglutide | Tirzepatide | Names pharmacy | Reviews | |
|---|---|---|---|---|---|---|---|
| 1 |
MLMaxLife Top PickNo membership · names pharmacy
|
9.2 | $175/mo$135 (12-mo) |
$195/mo$150 (12-mo) |
✓ Yes | 4.4 ★ ~239 |
Visit → |
| 2 | MoMochi HealthVideo visits + dietitian |
7.6 | $99/mo+ $79 membership |
$199/mo+ membership |
Not named | 4.4 ★ ~15.6k |
Review |
| 3 | TrTrimRxFlat all-in + guarantee |
7.3 | $199/mo$174 (12-mo) |
$349/mo$283 (12-mo) |
Not named | 3.4 ★ verify |
Review |
| 4 | EdEdenLicensed 503A · no membership |
7.1 | $229/mo$149 first mo |
$329/moverify live |
Not named | verify |
Review |
| 5 | ivIvim HealthIndividualized dosing |
6.9 | from $7512-mo + $75 mbr |
from $13312-mo + mbr |
Not named | verify |
Review |
| 6 | HHenry MedsOral & sublingual formats |
6.8 | inj $297+oral fr $249 |
oral $349+verify live |
✓ Hallandale | 4.5 ★‡ ~12.5k |
Review |
| 7 | ZZealthyInsurance coordination |
6.6 | $151/mo3-mo + $135 mbr |
$216/mo3-mo + membership |
Not named | verify |
Review |
| 8 | WWillowFlat price · no dose upcharge |
6.4 | $299/moflat |
$299–549by dose |
Not named | verify |
Review |
| 9 | FeFella HealthMen-focused program |
6.2 | $299/mo$99 (12-mo) |
$399/mo$199 (12-mo) |
Not named | verify |
Review |
| 10 | EmEmergeDose-tiered · no membership |
6.0 | Not offeredtirz-only |
$287–419by dose |
✓ Named | verify |
Review |
Scores follow our published rubric: pricing transparency (25%), pharmacy disclosure (25%), review score & volume (20%), clinical oversight (15%), support & guarantee (15%). Provider pricing and review figures were sourced June 2026 and change frequently — verify on each provider's own site before deciding.
‡ Henry Meds' Trustpilot listing has been flagged for suspected incentivized reviews. Where a provider does not publicly name its current compounding pharmacy, we mark it "Not named." "Verify" means the figure was not confirmable to a primary source at publication.
Why MaxLife ranks #1
The transparency case, criterion by criterion
Pricing transparency (25%) — leads the field
MaxLife publishes one flat price per medication with no separate membership fee and no per-dose upcharge: $175/mo semaglutide ($135 on a 12-month plan) and $195/mo tirzepatide ($150 on 12 months). Several higher-volume competitors bill a membership on top of the medication (Mochi $79, Ivim ~$75, Zealthy $135) or gate the real number behind an intake quiz (Henry Meds).
Pharmacy disclosure (25%) — names its partners
Because compounded drugs are not FDA-approved, the pharmacy is the main quality signal. MaxLife names its licensed U.S. pharmacy partners; seven of the ten providers here do not publicly name their current compounding pharmacy, which removes the patient's ability to verify sourcing.
Reviews & record (20%) — strong rating, clean docket
MaxLife holds a 4.4 Trustpilot score. As of June 2026 it has no manufacturer lawsuit or FDA warning letter on record — a meaningful signal in a category under active regulatory scrutiny, where several ranked providers face litigation or documented safety actions.
Clinical evidence
What the trials of the FDA-approved drugs showed
Compounded versions have not been studied in these trials. The figures below are for the branded, FDA-approved molecules and are provided as context. Individual results vary and are not guaranteed.
| Molecule | Trial | Avg. weight loss | Duration |
|---|---|---|---|
| Semaglutide (Wegovy®) | STEP 1 · NEJM 2021 | ~15% | 68 weeks |
| Tirzepatide (Zepbound®) | SURMOUNT-1 · NEJM 2022 | up to ~24.3% | 72 weeks |
Trials paired medication with diet and exercise. Sources: Wilding et al., NEJM 2021 (STEP 1); Jastreboff et al., NEJM 2022 (SURMOUNT-1).
Our method
How we rank providers
Every provider is scored on the same five criteria, weighted by how much they affect a patient's outcome and wallet:
- Pricing transparency (25%) — flat all-in pricing vs. hidden membership or dose fees.
- Pharmacy disclosure (25%) — does the provider name its compounding pharmacy and offer testing documentation?
- Review score & volume (20%) — verified ratings across Trustpilot, BBB, and app stores.
- Clinical oversight (15%) — video vs. async visits, dietitian access, monitoring.
- Support & guarantee (15%) — responsiveness, refund terms, results guarantee.
Frequently asked questions
Which compounded GLP-1 provider is best in 2026?
It depends on your priorities. For transparent flat pricing, named pharmacy sourcing, and a clean regulatory record, MaxLife ranks first among the 10 compounded providers here. Mochi stands out for included video visits and a registered dietitian; Eden and Ivim for low compounded pricing; Henry Meds for oral and sublingual formats.
Is compounded semaglutide or tirzepatide FDA-approved?
No. Compounded semaglutide and tirzepatide are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. They are prepared by U.S.-licensed compounding pharmacies when a licensed provider determines treatment is appropriate. Compounded semaglutide is not Ozempic® or Wegovy®; compounded tirzepatide is not Mounjaro® or Zepbound®.
Why does pharmacy transparency matter for compounded GLP-1?
Because compounded medications are not FDA-approved, the compounding pharmacy is the primary quality signal. Providers that name their pharmacy partner and can supply a certificate of analysis (potency, sterility) give patients a way to verify what they're injecting. Seven of the ten providers here do not publicly name their current pharmacy.
How much does compounded semaglutide cost per month?
Among the providers here, semaglutide programs run from roughly $99 to $299 per month, though several add a separate membership fee (Mochi, Ivim, Zealthy) and some gate exact pricing behind an intake form (Henry Meds). Figures were sourced in mid-2026 and change frequently; confirm current pricing and exactly what's included on each provider's own site.
What's the difference between a 503A and a 503B pharmacy?
A 503A pharmacy compounds patient-specific prescriptions under state board of pharmacy oversight. A 503B outsourcing facility registers with the FDA and follows federal cGMP standards, allowing larger-batch production under more oversight. Neither status makes a compounded drug FDA-approved.
Is this an independent review site?
The GLP-1 Guide is published by Generation Health, LLC, which is not owned by MaxLife. It is affiliate-supported: we earn a referral commission when you enroll with providers we feature, including MaxLife, which we rank #1. Because of that financial interest, we do not present our rankings as impartial — we score every provider on the same published rubric and disclose trade-offs. Verify current details on each provider's own site.