Compounded semaglutide

Lavender Sky Health review

Lavender Sky Health's cheapest one-month semaglutide is a starter vial from Southend Pharmacy for $139, with shipping and supplies built in. Provider visits are priced separately: a one-time first consult, then a follow-up every six months, which puts the monthly cost near $146. Nothing renews automatically.

A real month costs$146advertised $78 +$67.67 gap
EvidenceVerified
Billing cyclemonthly
Price across dosesClimbs with the doseup to $186
Where it ships50 states
FDA warning letterNone found

Visit Lavender Sky Health →

Is it right for you?

Worth a look if

  • You want to see prices from several compounding pharmacies before you commit.
  • You'd rather order refills only when you need them.
  • You prefer a message-based e-consult to a video visit, where your state allows it.

Skip it if

  • You live in California, Massachusetts, Michigan or New Jersey, where Southend doesn't ship.
  • You want one price that covers the medication and every provider visit.

What's included

Southend's semaglutide is made with vitamin B6. Its starter vial covers new patients and doses up to 0.75 mg a week. A mid vial covers up to 1.25 mg, and an advanced vial for 1.3 mg and up comes to $186 a month once the follow-up fee is spread in.

Each monthly plan is one vial, designed to last up to five weeks, and a way to try a formula before buying a longer supply. The practice's 8 to 10 week and extended plans cost less per month but are paid up front. Every custom plan includes the medication, shipping and supplies.

Care comes from licensed physicians, nurse practitioners and physician assistants. Lavender Sky Health says many of its staff started out as patients. Bloodwork isn't required to start, though optional in-home labs are offered.

From sign-up to refills

  1. Pay the new-patient consult fee and complete your consult by portal message or by phone or video.
  2. Your provider reviews your history and medications, then posts a written plan to the patient portal.
  3. Choose Southend or another pharmacy that serves your state, and pay the medication invoice.
  4. Southend ships refrigerated by UPS, usually within 2 to 4 business days of the order.
  5. Order refills whenever you need them. A follow-up consult is due every six months on an active plan.

What's good, what isn't

What's good

  • Southend's starter semaglutide vial is $139 with supplies and shipping, and there's no membership.
  • Lavender Sky Health accepts HSA and FSA cards and can write a Letter of Medical Necessity.
  • E-consults at Lavender Sky Health are reviewed within 3 business days, with no phone call needed.

What isn't

  • Consult fees sit on top of the $139 vial, and the first one is owed even if nothing is prescribed.
  • Southend doesn't ship semaglutide to California, Massachusetts, Michigan or New Jersey.
  • A monthly vial is meant to last 5 weeks at most, so Lavender Sky Health steers longer needs to prepaid plans.

Read these terms first

Pharmacy coverage
Look up your state on the practice's coverage page. The $139 starter price is Southend's, and the other pharmacies charge more for a monthly vial.
When a follow-up is due
Plan on a follow-up consult every six months, or every 12 on maintenance. After six months without one, you'll need it before your next order.
Switching from another provider
If you're already on semaglutide, bring documentation of your prescription. Without it you can only order a starting dose.

Price

Lavender Sky Health costs $146 a month for compounded semaglutide. It advertises $78. The difference is a charge you cannot decline. That is the starting dose; it rises to $186 at the top of its range.

How we got $146

The arithmeticOne month = 30.4375 days

  1. Lavender Sky Health advertises

    Read on Lavender Sky Health's own site

    $78.00

  2. The card is charged $139.00, not $78.00

    The advertised figure is not the amount that leaves the account.

    + $61.00

  3. And it is charged once a calendar month

    + $0.00

  4. Follow-Up Consult, required every 6 months on active treatment plans (medication billed separately) is billed separately and cannot be declined

    A charge you cannot avoid is part of what the medication costs.

    + $6.67

A real month$145.67

A real month costs $67.67 more than the figure advertised.

There is also $65 once — New Patient Consult. You pay it a single time, so it is not part of the monthly figure above and does not change where this seller ranks.

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 $186.

Where it sits, and what costs less

$54median $199$325+

60 cheaper · 16%318 dearer · 84%

The most expensive 10 sellers charge between $325 and $540 a month.

  1. Fidelity Medical Clinicstarting dose$54
  2. Collective$76
  3. NextMeds$79
  4. Lean Meds$79
  5. RxPepsDirectstarting dose$80
  6. Lavender Sky Health$146

Another 55 sellers are cheaper than Lavender Sky Health. The whole cheapest list →

Where it says it operates

Listed in 50 states, all but 1 of the 51 we track.

What else this seller sells

The same seller appears in our data for one other medication.

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 Lavender Sky Health

Is Lavender Sky Health legit for semaglutide?
Lavender Sky Health is a physician- and female-owned practice from South Carolina that reports more than 110,000 patients served. Licensed providers prescribe, and accredited compounding pharmacies fill the orders. Its compounded semaglutide isn't Wegovy or Ozempic and isn't FDA-approved, as the practice notes on its own pages.
How much does Lavender Sky Health semaglutide cost?
Southend's starter vial is $139 for one month. With the six-monthly follow-up consult spread in, the monthly cost is about $146, and the advanced vial reaches $186. Tirzepatide there starts around $156 a month.
Does Lavender Sky Health accept insurance?
It doesn't bill insurance or complete prior authorizations. You pay the practice directly for consults, and HSA or FSA cards are accepted.
Do I have to cancel a Lavender Sky Health subscription?
No. The practice runs no subscriptions, so there's nothing to cancel. You pay for a consult when one is due and for medication when you order it.