Market comparison · 2026 published rates · Starting / all-in monthly
Why patients choose Text2MD
Competitive pricing — plus the one thing the big platforms can’t offer
★
Text2MD Best value
SEMAGLUTIDE
$142
all-in to start
TIRZEPATIDE
$190
all-in to start
INITIAL CONSULT
Video Call
Included in your program
ONGOING
Text Messaging
same physician
✓ Board-certified MD — Internal Medicine + Obesity Medicine
✓ Same physician, every single visit — no exceptions
✓ 503B compounding pharmacy · Physician-personalized dosing
Provider
Sema/mo
Tirz/mo
What you don’t get
Mochi
$99 med + $79 membership billed separately
NP / PA prescribers
$178
all-in
$278
all-in
Different provider every visit. Mandatory membership fee billed regardless of usage. No MD oversight on your case.
Ro Body
$145 med + $99 membership required
NP / PA prescribers
$244+
all-in
—
not offered
Mandatory $99/mo membership on top of medication. Different provider every visit. No tirzepatide. Async messaging only — no video visits.
TrimRx
Varies by dose tier
NP / PA prescribers
$179+
starting
$259+
starting
Price increases at every dose tier. Different provider every visit. No continuity of care. Higher therapeutic doses cost significantly more.
Henry Meds
+$100 per dose step-up tier
NP / PA prescribers
$149+
starting
$199+
starting
Advertised price is starter dose only. Escalates ~$100/tier at maintenance. Different provider every visit. BBB F-rating.
Hims / Hers
Prepay plans only · Exited compounded GLP-1 in 2026
NP / PA prescribers
$199+
prepay only
N/A
not offered
Now brand-name Wegovy only — compounded semaglutide discontinued. Different provider every visit. Prepay commitment required. No tirzepatide.
Brand name (retail)
Wegovy / Zepbound · Cash-pay list price
Varies by prescriber
$1,349
Wegovy
$1,069
Zepbound
Retail cash-pay list price. Manufacturer savings cards may apply with insurance. No physician continuity included.
What “same physician every visit” actually means
At Mochi, Ro, Henry Meds, Hims, TrimRx, and most large platforms — your prescription is reviewed by whoever is on shift that day. A different NP or PA each visit means re-explaining your history, no longitudinal judgment on your progress, and no one who knows your metabolic pattern. At Text2MD, Dr. Antonatos reviews every prescription, every dose adjustment, and every message — personally.
Competitor pricing and features compiled from publicly available provider websites and Forbes Health reviews, May 2026. Subject to change. Text2MD pricing; $142 all-in semaglutide start; $190 all-in tirzepatide start; monthly refill consult. California residents add $40 shipping/fulfillment. Not affiliated with any competitor listed.
Transparent pricing
Simple, flat pricing.
No surprises. No memberships.
No surprises. No memberships.
Our GLP-1 program includes medication, supplies, shipping, and physician consultation — all in one flat price. No subscriptions, no hidden fees, no surprise charges.
No insurance required
No subscriptions
No hidden fees
No rotating providers
Cancel anytime
GLP-1 weight loss
Semaglutide & Tirzepatide
Your dose tier is determined clinically by the physician during your initial consultation — it is not selected in advance. Most new patients typically start in the Micro or Medium tier.
Tier
Typical dose
Total
New patient — includes free metabolic assessment and initial video consultation
Most common start
Micro
Starting dose
0.25 mg × 4 doses
$142
all-inclusive
Medium
Standard titration
0.5–0.6 mg (4–5 doses)
$157
all-inclusive
Advanced
Optimization phase
1–1.25 mg (4–5 doses)
$182
all-inclusive
High
Maximum dose
1.5–2.4 mg (5–8 doses)
$200
all-inclusive
Returning refill consults via text, with optional video visits
Micro refill
0.25 mg × 4 doses
$112
all-inclusive
Medium refill
0.5–0.6 mg (4–5 doses)
$127
all-inclusive
Advanced refill
1–1.25 mg (4–5 doses)
$152
all-inclusive
High refill
1.5–2.4 mg (5–8 doses)
$170
all-inclusive
Compounded Semaglutide. California residents: add $40 shipping. Pricing determined by dispensing pharmacy and subject to availability. Dose tier assigned clinically — not chosen in advance.
Tier
Typical dose
Total
New patient — includes free metabolic assessment and initial video consultation
Most common start
Micro
Starting dose
2.5–5 mg (4–7 doses)
$190
all-inclusive
Medium
Standard titration
7.5 mg × 5 doses
$241
all-inclusive
Advanced
Optimization phase
10 mg × 4 doses
$342
all-inclusive
High
Maximum dose
12.5–15 mg (4–5 doses)
$400
all-inclusive
Returning refill consults via text, with optional video visits
Micro refill
2.5–5 mg (4–7 doses)
$160
all-inclusive
Medium refill
7.5 mg × 5 doses
$211
all-inclusive
Advanced refill
10 mg × 4 doses
$295
all-inclusive
High refill
12.5–15 mg (4–5 doses)
$370
all-inclusive
Compounded Tirzepatide. California residents: add $40 shipping. Pricing determined by dispensing pharmacy and subject to availability. Dose tier assigned clinically — not chosen in advance.
Every order
What’s always included
One flat price. No add-ons, no surprise charges after checkout.
✓
Physician consultation (video or text)✓
Compounded GLP-1 medication vial✓
Personalized semaglutide or tirzepatide dosing✓
Syringes, needles, and alcohol swabs✓
Overnight shipping to your door✓
Injection instruction guide✓
Secure messaging between visits✓
20% off supplements and discounted laboratory testing through Fullscript
Not included in the consultation fee: Lab testing, pharmacy costs beyond the GLP-1 order, and specialist referrals. These are discussed transparently during your visit before anything is ordered. No surprise charges — ever.
Other services
Hormone therapy & gut health
Hormone and Gut services start at $65 for the initial consultation.
Hormone therapy
Menopause & Midlife Hormone Therapy
$65
Initial 20-min video · $35 follow-up text
✓
Full symptom + lab review✓
Personalized BHRT protocol✓
Estradiol, progesterone, testosterone✓
Prescription same day if appropriateGut health
Gut Health & Metabolic Syndrome
$65
Initial 20-min video · $35 follow-up text
✓
Full gut + metabolic review✓
Personalized 4-week gut reset✓
Supplements + nutrition protocol✓
20% off supplements and discounted laboratory testing through FullscriptMembership
Annual Membership
$350
Per year · $0.96/day · cancel anytime
✓
3 video visits included✓
Annual metabolic lab screening✓
GLP-1 at member pricing (~$77/mo)✓
Unlimited secure messagingHow it works
From application to medication — 4 steps
Most patients have their medication within 3–5 business days of booking.
1
Book & complete intake
Schedule your consultation and complete a brief secure intake form
5 minutes
2
Video visit with the doctor
Full metabolic review. Personalized plan built during your visit
15–20 minutes
3
Prescription & shipment
If appropriate, prescription sent same day and medication ships within 24–48 hours
Same day
4
Unlimited Text Support
Direct text access to your doctor for ongoing guidance, refill support, side effect monitoring, and treatment adjustments as your body responds.
Ongoing
Ready to get started?
Book your initial GLP-1 consultation — included as part of your GLP-1 program. Appointments are typically available within 24–48 hours. Not a candidate for GLP-1? You still leave with a personalized metabolic plan at no cost for you.
Medication selection and dosing are determined clinically by a board-certified physician. GLP-1 therapy is not appropriate for everyone. Controlled substances are not prescribed through this practice. Pricing subject to pharmacy availability and may change. California residents add $40 shipping.