Compounded semaglutide
SexyMD review
SexyMD's plain GLP-1 injection is compounded semaglutide, sold to women through an online-only visit. Monthly Flex costs $149 per 4-week supply with no commitment. Billed on that schedule, it averages roughly $162 per calendar month.
Is it right for you?
Worth a look if
- You're new to GLP-1 treatment and want a familiar single-pathway starting point.
- You'd rather message a provider on your own time than book a call.
- You might later lock in a lower rate with the 3-, 6- or 12-month plan.
Skip it if
- Your address is in New Jersey, Mississippi or Arkansas.
- You want dose and supply details spelled out before checkout.
- A card charge before any provider review bothers you.
What's included
SexyMD lists this product as Compounded GLP-1 Injections, and its FAQ names the drug as semaglutide. A U.S.-licensed pharmacy compounds it for each prescription. The liquid may look pink, which SexyMD puts down to a stabilizing ingredient.
The provider price index puts SexyMD’s recorded cost on the same calendar-month basis as other sellers. Check whether the quote covers your prescribed dose and includes the same services. Among the sellers we work with, the Sprout Health review and the HealthRX review cover the sellers nearest in recorded price; we may earn a commission from those sellers.
Plan lengths run from Monthly Flex, one 4-week supply at a time, to a 12 Month Plan with 48 weeks delivered in 12-week shipments. Longer plans lower the monthly rate. Shipping costs nothing extra on any of them.
SexyMD also lists a separate BALANCE line of lower-dose GLP-1 options, including microdosing. Ask your provider which fits before you choose.
From sign-up to refills
- Pick your plan and complete the online intake about your health history and goals. Payment is taken when you submit.
- A licensed physician, nurse practitioner or physician assistant reviews the case, usually within 1 to 2 business days.
- Once approved, the order ships in 2 to 5 business days. Tracking arrives by email and text.
- Inject weekly under the skin of the stomach, thigh or upper arm, stepping the dose up on the schedule you're given.
- Your subscription renews on the plan's schedule. You can update or cancel it in the Patient Portal before the next billing date.
What's good, what isn't
What's good
- SexyMD's Monthly Flex has no commitment, so you can stop after any 4-week supply.
- Every SexyMD semaglutide plan ships free, in insulated packaging with ice packs.
- Unlimited provider messaging through the SexyMD Patient Portal comes with treatment.
What isn't
- Your card is charged when you submit the SexyMD order, before any provider approval.
- Refunds stop once SexyMD's clinical review starts, so a change of mind after checkout usually costs you.
- The SexyMD footer excludes Arkansas, Mississippi and New Jersey, while its FAQ says all 50 states.
Read these terms first
- Billing every four weeks
- Monthly Flex renews each 4-week supply, which means 13 charges in a year. Budget with that in mind.
- Labs
- Some GLP-1 patients are asked for recent bloodwork. Your provider will say during intake whether to get it from your own doctor or a local lab.
- A missed dose
- Take a missed dose only if your next one is more than 48 hours away. If it's sooner, skip it and don't double up.
Price
SexyMD has an estimated cost of $162 a month for compounded semaglutide. It advertises $149. The listed charge is $149; this estimate uses 28 days.
How we got $162
The arithmeticOne month = 30.4375 days
SexyMD advertises
Reported pricing; checkout not confirmed
$149.00
Listed charge: $149.00 — matches the advertised figure
The estimate uses the listed amount, not a confirmed transaction.
+ $0.00
Modeled period: 4 weeks
Used only to estimate monthly cost; not confirmation of refill timing or how long an opened vial can be used.
+ $12.97
Estimated month$161.97
Estimate from reported pricing; confirm the amount and supply details before paying.
Where it sits, and what costs less
$54median $199$325+
97 cheaper · 26%275 dearer · 73%
The most expensive 10 sellers charge between $325 and $540 a month.
- Fidelity Medical Clinicstarting dose$54
- RxPepsDirectstarting dose$65
- Collective$76
- NextMeds$79
- Lean Meds$79
- SexyMD$162
Another 92 sellers are cheaper than SexyMD. The whole cheapest list →
Where it says it operates
Sexy MD is available in all 50 states. Some exclusions may apply and availability may depend on state regulations and the partnered pharmacy licensing in each state.
Read on its own site. 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 monthour figure, not re-checked
Each figure is a calendar-month equivalent. These medications are priced separately from compounded semaglutide. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
Common questions about SexyMD
- Is SexyMD legit?
- SexyMD connects patients with independent, state-licensed providers and partners with 503A and 503B compounding pharmacies. It says it does not employ the physicians or make clinical decisions. Its semaglutide is compounded, so it is not Ozempic or Wegovy and is not FDA-approved.
- How much is SexyMD semaglutide per month?
- $149 for each 4-week supply on Monthly Flex, or roughly $162 averaged over a calendar month. Prepaying for 3, 6 or 12 months lowers the monthly rate.
- Does SexyMD take insurance?
- It doesn't bill insurance. You can submit its receipt to your insurer yourself, and eligible HSA or FSA cards may work at checkout.
- Can you cancel SexyMD?
- Yes, a subscription can be canceled in the Patient Portal ahead of the next billing date. A current order can be canceled only right after checkout, before clinical review begins, and a cancellation fee applies.