Compounded semaglutide
Citizen Meds review
At Citizen Meds, the opening month of semaglutide costs $125 bought once, or $100 if you subscribe. Subscription boxes ship every 23 days, and overnight UPS is added to each one. That puts a starter month near $161, with the price climbing as the dose does.
Is it right for you?
Worth a look if
- You want to try one box first with no subscription attached.
- You'd like B12 mixed into the same injection.
- Your BMI is 27 or higher, the minimum Citizen Meds sets for this product.
Skip it if
- You're hoping for a price that holds as you move to maintenance doses.
- You want to know the compounding pharmacy's name before ordering.
- You need itemized paperwork for an HSA or FSA claim, since only a basic receipt is issued.
What's included
A Citizen Meds semaglutide box is a homekit: four once-weekly injections of semaglutide combined with B12, with syringes, alcohol pads and access to a physician. A video tutorial on injecting comes after purchase.
Doses rise month by month on a set schedule, starting at 0.25 mg and moving through 0.5 mg and 1 mg toward maintenance. Each step is its own product with its own price. On the subscription, the highest step comes to about $447 a month once shipping is counted.
Orders go by UPS Next Day Air, or an early-morning version for a higher fee. The medication is prepared under Section 503A for the individual patient. Citizen Meds recommends refrigerating it once it arrives.
From sign-up to refills
- Choose the Month 1 box. The product page says every patient starts there.
- Pick a one-time purchase or the subscription, then fill in the medical questions at checkout.
- A physician reviews the order. You'll only get a call, within 24 hours, if more information is needed.
- After approval, the order is packed within 48 hours and ships by the UPS option you chose.
- Subscribers get the next month's box every 23 days. Unless you email support, it comes at the next dose up.
What's good, what isn't
What's good
- Each semaglutide step, from 0.25 mg upward, is sold as a single one-time box with no subscription required.
- Subscribing takes 20% off every dose Citizen Meds sells.
- An order its physician turns down is refunded instantly under the Citizen Meds refund policy.
What isn't
- Shipping is added to every box, and a 23-day subscription means more boxes a year than months.
- The Citizen Meds site doesn't say which pharmacy compounds the semaglutide.
- Once approved, no Citizen Meds order can be refunded, even if unopened.
Read these terms first
- Holding your dose
- The subscription steps up a dose each month by default, and the charge goes up with it. Email support if you'd rather repeat your current strength.
- The BMI requirement
- The product page requires a BMI of at least 27 to order.
- The 48-hour window
- Check the box on arrival. Citizen Meds only takes delivery or product complaints emailed within 48 hours.
Price
Citizen Meds costs $161 a month for compounded semaglutide. It advertises $125. The card is charged $100 every 23 days. That is the starting dose; it rises to $447 at the top of its range.
How we got $161
The arithmeticOne month = 30.4375 days
Citizen Meds advertises
Read on Citizen Meds's own site
$125.00
The card is charged $100.00, not $125.00
The advertised figure is not the amount that leaves the account.
− $25.00
And it is charged every 23 days, not every month
15.88 charges a year, not twelve.
+ $32.34
UPS Next Day Air shipping, charged on every order is billed separately and cannot be declined
A charge you cannot avoid is part of what the medication costs.
+ $29.11
A real month$161.45
A real month costs $36.45 more than the figure advertised.
The price above is the starting dose, and it rises as your dose does. At the top of the range this seller publishes, a month costs $447.
Where it sits, and what costs less
$54median $199$325+
92 cheaper · 24%286 dearer · 75%
The most expensive 10 sellers charge between $325 and $540 a month.
- Fidelity Medical Clinicstarting dose$54
- Collective$76
- NextMeds$79
- Lean Meds$79
- RxPepsDirectstarting dose$80
- Citizen Meds$161
Another 87 sellers are cheaper than Citizen Meds. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $183 a month
Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
Common questions about Citizen Meds
- Is Citizen Meds legit?
- Citizen Meds runs as a cash-pay telehealth store with named physicians reviewing each order. Its semaglutide is a compounded 503A preparation made for one patient at a time. That means it is not Wegovy or Ozempic, and it hasn't gone through FDA approval.
- How much does Citizen Meds semaglutide cost a month?
- The first box is $125 once, or $100 per box on subscription. With overnight shipping on each box, a starter month on the subscription is about $161. Later doses cost more. Its compounded tirzepatide begins near $183 a month.
- Does Citizen Meds accept insurance?
- No insurance is taken. HSA and FSA cards work, but the only document you get is a receipt of purchase.
- Can I stop a Citizen Meds subscription?
- Changes go through the support email. You can also skip the subscription entirely and buy each month's box once.