| Medicines | Brand Zepbound®, Wegovy® (pen and pill), Foundayo, Ozempic® and Mounjaro®; no compounded GLP-1 listed | Brand Zepbound®, Wegovy® (pen and pill), Foundayo, Ozempic® and Saxenda®; no compounded medicines | Compounded tirzepatide and compounded semaglutide, if prescribed |
| FDA approval | FDA-approved brand medicines (Ozempic® and Mounjaro® for type 2 diabetes) | FDA-approved brand medicines (Ozempic® for type 2 diabetes) | Compounded medicines are not FDA-approved |
| Tirzepatide | Zepbound® vial or KwikPen® from $299 a month, plus the membership | Zepbound® KwikPen® $299, $399 or $449 a month by dose, plus the membership | $120/mo flat, the same price at every dose |
| Semaglutide | Wegovy® pill from $149 or pen from $199 a month, plus the membership | Wegovy® pen $199 for 2 months, then $349; Wegovy® pill $149 to $299; plus the membership | $89/mo flat, the same price at every dose |
| Membership fee | $39 the first month, then $149 a month; monthly prices only on its website | $39 the first month, then $149 a month, or $74 to $99 a month prepaid | None |
| First month | $338 on Zepbound®, $238 on the Wegovy® pen, $188 on the Wegovy® pill | $338 on Zepbound®, $238 on the Wegovy® pen, $188 on the Wegovy® pill | $120/mo flat for tirzepatide or $89/mo flat for semaglutide |
| First year | About $7,315 on Zepbound®, $5,915 on the Wegovy® pen | About $6,490 to $7,315 on Zepbound®; about $5,090 to $5,915 on the Wegovy® pen | $1,440 for tirzepatide, $1,068 for semaglutide $120/mo flat and $89/mo flat |
| Insurance | Not used; medicine fees are HSA and FSA eligible, the membership isn't | Free coverage check and prior authorization help for the Wegovy® pen, Zepbound® pen and Ozempic® | Not needed; cash pay, and HSA or FSA may be eligible |
| Included | In the membership: 24/7 messaging, dose changes, side-effect support, app tracking and a smart scale; medicine billed separately | In the membership: provider messaging, check-ins, coaching, tracking and labs if needed; medicine billed separately | All-inclusive: a free online consultation with a licensed provider, free ongoing medical support, the medicine if prescribed, supplies and free expedited shipping |
| Higher doses | The medicine price rises with the dose | The medicine price rises with the dose | Same price at every dose; your provider decides when a higher dose is right for you |
| Visit | Online intake; video or audio visit only where a state requires one | Online visit reviewed within 24 hours; video only where a state requires it; replies within 48 hours on weekdays | Online intake reviewed by a licensed provider, usually within 24 hours; video visit on request |
| Canceling | At least 2 days before billing; the first month isn't refundable; canceling the membership cancels the medicine plan | At least 48 hours before renewal; fees aren't refundable once paid ($39 refunded if you're not eligible) | Cancel anytime with notice before your next billing period; medicine costs aren't refundable |
| Pharmacy | Zepbound® and Foundayo are filled by Lilly's LillyDirect pharmacy | Ro's pharmacy network or a LillyDirect partner pharmacy; insured pens at your local pharmacy | Licensed U.S. partner pharmacies, including Dirx, Southend, Hallandale, Red Rock, Advanced, Perfect Rx, Health Wealth, Quaker Community, VLS and NewLife Rx |
| States | GLP-1s not yet available in all 50 states | All 50 and Washington, D.C. | All 50 |
| Spanish-speaking team | Not stated | Not stated | Yes |
| Trustpilot (October 2026) | 2.9 from about 9,700 reviews (hims.com); 3.3 from about 10,800 (forhers.com) | 3.9 from about 7,500 reviews | 4.7 from 620+ reviews |