Compounded semaglutide
Refills review
Semaglutide at Refills starts with a monthly plan of $199, charged every 28 days for a four-week supply. Thirteen charges a year put the calendar-month average near $216. Prepaying for three, six or twelve months lowers the rate, and every dose costs the same.
Is it right for you?
Worth a look if
- You want to see lab results, since Refills offers a Certificate of Analysis on request.
- You want semaglutide at one price no matter how far your dose climbs.
- You might also want hair or sexual health treatments from the same account.
Skip it if
- You're in Washington, DC, where Refills doesn't operate.
- You'd like a price guaranteed beyond the first new-patient charge.
What's included
Each monthly box holds four weeks of semaglutide for weekly self-injection. Refills calls the monthly option its base plan and says it adds no membership or app fees. Expedited shipping and access to its Health Concierge are included.
Refills says each batch is tested for sterility and endotoxins, and potency is checked every 3 to 6 months. You can ask for a Certificate of Analysis for your prescription at any time.
Clinicians come through partners including Bask Health and Wasef Health. Orders are filled by partner pharmacies such as PerfectRx in Texas.
From sign-up to refills
- Answer Refills' 3-minute quiz and the health questions that follow.
- Set up an account and choose semaglutide, then a plan from monthly to annual.
- Your card is authorized at checkout but charged only after a licensed provider approves you.
- The approved order ships from a partner pharmacy in discreet packaging.
- Each plan renews on its own cycle, from every 4 weeks to every 48, until you cancel.
What's good, what isn't
What's good
- Refills will send a Certificate of Analysis for your semaglutide batch on request.
- The monthly semaglutide plan is $199, with no membership or app fee added by Refills.
- Longer Refills plans cut the semaglutide rate further, down to the annual plan billed every 48 weeks.
What isn't
- Refills Health received an FDA warning letter in February 2026 over false or misleading claims and misbranding.
- Charges every 28 days mean 13 Refills bills a year, so the monthly average is $216.
- Refills shows the $199 under a new-patient coupon and doesn't say whether renewals keep it.
Read these terms first
- FDA warning letter
- In February 2026 the FDA sent Refills Health a warning letter citing false or misleading claims and misbranding.
- The new-patient coupon
- The semaglutide monthly plan appears beside a struck-out list price with the note “NEW PATIENT COUPON APPLIED.” Refills doesn't say whether the coupon carries into later months. Ask before you subscribe.
- Storage on arrival
- Refills' return policy says it doesn't currently ship refrigerated products. Ask the Health Concierge how to store your semaglutide once it arrives.
- Cancel deadline
- Stop the plan at least 72 hours before its processing date, by email or in your account.
- FDA warning letter
- FDA sent Refills a warning letter in February 2026. Read what it covers.
Price
Refills costs $216 a month for compounded semaglutide. It advertises $199. The card is charged $199 every 4 weeks.
How we got $216
The arithmeticOne month = 30.4375 days
Refills advertises
Read on Refills's own site
$199.00
The card is charged $199.00 — exactly what it advertises
+ $0.00
And it is charged every 4 weeks, not every month
13.04 charges a year, not twelve.
+ $17.32
A real month$216.32
A real month costs $17.32 more than the figure advertised.
Where it sits, and what costs less
$54median $199$325+
236 cheaper · 62%136 dearer · 36%
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
- Refills$216
Another 231 sellers are cheaper than Refills. The whole cheapest list →
Where it says it operates
Refills operates across all 50 states, however does not service the District of Columbia, ensuring nationwide access to our services.
Read on its own site in August 2026. It excludes District of Columbia. 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 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.
FDA has written to this seller
In , FDA sent warning letter 721475 to Refills Health, LLC dba Refills Health (Wilmington, DE). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names refills.com — the same site this page links to.
This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →
Common questions about Refills
- Is Refills legit?
- Refills Health, LLC runs a telehealth platform; independent licensed clinicians do the prescribing and state-licensed pharmacies dispense. Compounded semaglutide isn't Wegovy or Ozempic, and Refills says the FDA hasn't evaluated it. The FDA issued Refills Health a warning letter in February 2026.
- How much does Refills semaglutide cost?
- It's $199 every 28 days on the monthly plan, around $216 per calendar month. The three-month, six-month and annual plans cost less per month. Refills' tirzepatide averages $271 a month.
- Does Refills accept insurance?
- No insurance is required. You pay Refills directly, and the price doesn't rise with your dose.
- What pharmacies does Refills use?
- Refills lists two partner pharmacies: PerfectRx in Bartonville, Texas, and Hallandale Pharmacy in Fort Lauderdale, Florida.