Compounded semaglutide
Lttl review
Compounded semaglutide at Lttl costs $99 a month if you stay on the cancel-anytime refill plan. That figure covers the medication, the clinician review and shipping, with no separate membership. Lttl advertises $89, but only a year paid in advance gets you that rate.
Is it right for you?
Worth a look if
- You're starting semaglutide for the first time and want the lowest standing monthly charge Lttl offers.
- You'd like the price to stay the same from the 0.25 mg starting dose upward.
- You're happy to be reviewed through a written assessment rather than a scheduled visit.
Skip it if
- You need the medication in hand within a couple of days, since the shipping policy allows over a week.
- You want to see which pharmacy fills your prescription before you pay.
What's included
Select Semaglutide Injectable on Lttl's plans page and four supplies appear. The Monthly Auto-Refill is labeled a 4-week supply, and choosing it shows a charge of $99 every month. The 3-, 6- and 12-month supplies lower the monthly rate in exchange for one larger payment.
Lttl's semaglutide page says "Same price, every dose" and "No Hidden Fees". Your plan includes an asynchronous assessment reviewed by a U.S.-licensed provider, ongoing messages with the care team, and cold-chain shipping with tracking.
The company behind the site is The Commerce Group Holdings, LLC. It doesn't make medication itself. Partner pharmacies, described as U.S.-licensed and FDA-registered facilities, compound the semaglutide, which is not an FDA-approved drug.
From sign-up to refills
- Start the free assessment. Lttl asks about your medical history, current medications and weight goals.
- An independent clinician licensed in your state reads it. If treatment fits, they write a prescription and a dosing plan.
- Payment is taken after that review, not before. The prescription goes to a partner pharmacy.
- Expect about 2 to 5 business days of processing, then 3 to 7 in transit. Refrigerate the vial when it arrives.
- Your refill ships each month until you cancel. Follow-up check-ins let the clinician adjust your dose.
What's good, what isn't
What's good
- The $99 monthly charge at Lttl is the same on 0.25 mg as on the maintenance dose.
- Every Lttl supply length and its billed amount is listed on one public plans page.
- Support email gets a reply within 1 business day, and the Lttl portal handles clinical questions.
What isn't
- The lowest Lttl rate, $89, applies only to the 12-month supply paid in a single charge.
- Once shipped, Lttl medication can't be returned or refunded, even if the box is unopened.
- The Lttl product page promises delivery in 1 to 2 days, but its shipping policy allows more than a week.
Read these terms first
- Declined prescriptions
- If the clinician decides not to prescribe, consultation fees may not come back. Lttl's pricing page says so directly.
- Damaged boxes
- Report a damaged or wrong shipment within 7 days of delivery, with photos. Lttl works with the pharmacy on a replacement.
- Stopping the refill
- Cancel before the pharmacy processes your next order. Once it's processed, that month is charged and final.
Price
Lttl costs $99 a month for compounded semaglutide. It advertises $89.
How we got $99
The arithmeticOne month = 30.4375 days
Lttl advertises
Read on Lttl's own site
$89.00
The card is charged $99.00, not $89.00
The advertised figure is not the amount that leaves the account.
+ $10.00
And it is charged once a calendar month
+ $0.00
A real month$99.00
A real month costs $10.00 more than the figure advertised.
Where it sits, and what costs less
$54median $199$325+
11 cheaper · 3%362 dearer · 96%
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
- Lttl$99
Another 6 sellers are cheaper than Lttl. The whole cheapest list →
Where it says it operates
Currently offering services in all 50 states plus Washington D.C. Some services may not be available in all 50 states or Washington D.C. Subject to change.
Read on its own site in August 2026. That is the seller’s own promise for the whole country, so confirm your state when you sign up.
State pages this seller appears on: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $149 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 Lttl
- How much does Lttl semaglutide cost a month?
- $99 a month on the month-to-month refill plan, the same at every dose. Paying for 12 months at once brings it down to $89 a month. A first-month discount is also applied automatically at checkout.
- Is Lttl a legitimate company?
- Lttl is a telehealth platform owned by The Commerce Group Holdings, LLC, with independent licensed clinicians and partner pharmacies. It says its compounded medications are not FDA-approved and aren't Wegovy or Ozempic. Its terms list service in all 50 states and DC, with some treatments limited by state.
- Can I use insurance at Lttl?
- Lttl doesn't bill insurance, and compounded semaglutide is rarely covered anyway. HSA and FSA cards often work.
- How do I cancel Lttl?
- Cancel in your account or email Lttl's support address. Canceling stops future charges. Orders already processed by the pharmacy go ahead and can't be refunded.