Compounded semaglutide
OnlyRx review
Semaglutide injections are the lowest-priced thing OnlyRx sells for weight loss, at $179 per shipment. You're charged every 28 days, which averages out near $195 a calendar month. Nothing extra is added for a membership.
Is it right for you?
Worth a look if
- You want the cheapest entry point in OnlyRx's lineup and plan to stick with injections.
- You like being able to check which pharmacies might fill your prescription.
- You'd pay with HSA or FSA funds.
Skip it if
- You want a discount for committing to several months. OnlyRx's prepaid semaglutide bundles average more per month than its monthly plan.
- You'd want a refund if you change your mind, since OnlyRx's payment consent rules them out.
What's included
Semaglutide at OnlyRx is a shot you take once a week, prescribed through the Lion MD provider network. The shipment price takes in the consult, the prescription and free, discreet delivery. OnlyRx's FAQ says any cost you pay will be stated on its pricing pages.
The company describes itself as a platform that connects patients with independent, U.S.-licensed providers. It doesn't dispense medication. State-licensed sterile compounding pharmacies prepare the semaglutide, and four are named: Belmar, Strive, Epiq Scripts and Casa Pharma Rx.
There's also a daily semaglutide ODT tablet, sold separately and priced higher than the injections.
From sign-up to refills
- Open the intake from OnlyRx's homepage. It starts by asking your height and weight, then moves through health and eligibility questions.
- Add your contact details and choose semaglutide injections, then the monthly plan or a prepaid bundle.
- A provider reviews the form, which OnlyRx says happens within 24 hours.
- If you're prescribed, a partner pharmacy mails the medication. The FAQ says the full process usually takes two to three weeks.
- Charges repeat until you cancel. The payment consent names CareGLP, which OnlyRx owns, as the company that bills you.
What's good, what isn't
What's good
- At $179 a shipment, semaglutide is the cheapest weight-loss product in the OnlyRx catalog.
- OnlyRx's FAQ names its four partner pharmacies, from Belmar Pharmacy to Casa Pharma Rx.
- HSA and FSA cards are accepted, and OnlyRx offers buy-now-pay-later plans.
What isn't
- Being charged every 28 days adds a 13th semaglutide payment to each year.
- The payment consent names CareGLP as the biller and says programs auto-renew with no refunds or exchanges.
- Every prepaid bundle costs more per month than OnlyRx's monthly semaglutide plan.
Read these terms first
- Stopping treatment
- Programs renew automatically. Ask to cancel before the next payment is processed, because OnlyRx's terms say all sales are final.
- Bundles cost more, not less
- The 3-, 6- and 12-month semaglutide bundles are billed in one payment and average more per month than the monthly plan. Choose monthly unless you have a reason to prepay.
- Delivery time
- Plan for roughly two to three weeks from intake to your door, which is how long OnlyRx's FAQ says the process typically takes.
Price
OnlyRx costs $195 a month for compounded semaglutide. It advertises $179. The card is charged $179 every 4 weeks.
How we got $195
The arithmeticOne month = 30.4375 days
OnlyRx advertises
Read on OnlyRx's own site
$179.00
The card is charged $179.00 — exactly what it advertises
+ $0.00
And it is charged every 4 weeks, not every month
13.04 charges a year, not twelve.
+ $15.58
A real month$194.58
A real month costs $15.58 more than the figure advertised.
Where it sits, and what costs less
$54median $199$325+
173 cheaper · 46%203 dearer · 54%
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
- OnlyRx$195
Another 168 sellers are cheaper than OnlyRx. The whole cheapest list →
Where it says it operates
We currently serve patients in all 50 U.S. states.
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 — $271 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 OnlyRx
- Is OnlyRx legit?
- OnlyRx is an Irvine, California telehealth company. Lion MD, an outside network of licensed providers, decides who gets a prescription, and state-licensed compounding pharmacies make the medication. The site says plainly that compounded semaglutide is not FDA-approved and that OnlyRx has no tie to Novo Nordisk.
- How much does OnlyRx semaglutide cost?
- $179 for each shipment on the monthly plan, charged every 28 days. Averaged over a calendar month that's about $195. The consult, prescription and shipping are included, with no membership fee.
- Does OnlyRx accept insurance?
- No. You pay directly, though HSA and FSA cards work and buy-now-pay-later plans are offered.
- Can I cancel OnlyRx?
- Yes. Contact support before your next payment is processed, since plans renew on their own. Money already charged isn't refunded under OnlyRx's terms.