We looked at every competitor.
Here's the truth.
Most telehealth companies compete on price by cutting corners. We compete on what actually matters — sourcing, testing, and physician oversight. Here's exactly how we stack up.
What "all-inclusive" actually means.
No care coach included. Lab retests billed separately.
Supplies, monitoring, dose adjustments billed separately
Everything included, every month. No surprises.
Compounded semaglutide pricing — the full picture.
Prices current as of April 2026. All-inclusive where noted.
| Provider | Price | All-Inclusive | Notes |
|---|---|---|---|
| SkinnyRx | $129/mo | ✗ | Regulatory risk — FDA shortage ended |
| Henry Meds / Ro | $149/mo | Partial | Monitoring extra |
| AgelessRx | $139/mo | ✗ | Supplies not included |
| Meridian | $199/mo | ✓ | Physician review, supplies, shipping — all in |
| Hims / Hers | $197–$347/mo | Partial | Now brand-name only |
| Ro (full plan) | $245–$395/mo | Partial | |
| Defy Medical | $280/mo + $250 consult | ✗ | Separate consult fee |
| Brand Wegovy | $1,349/mo | N/A | Requires separate prescription |
Sermorelin pricing — what you'll actually pay.
| Provider | Price | All-Inclusive |
|---|---|---|
| AgelessRx / Strut | $99/mo | ✗ |
| Ivy Rx | $175–$225/mo | ✓ |
| Defy Medical | $175/mo + $250 consult | ✗ |
| Eden Health | $150–$500/mo | Varies |
| Meridian | $199/mo | ✓ |
The providers at $99/mo typically do not include supplies, follow-up monitoring, or dose adjustments. Factor those in and Meridian is competitive.
What you actually get.
| Feature | Meridian | Other Telehealth | Grey Market |
|---|---|---|---|
| Physician-prescribed | ✓ | Sometimes | ✗ |
| 503A licensed pharmacy | ✓ | Sometimes | ✗ |
| COA tested every batch | ✓ | Rarely | ✗ |
| No initial consultation fee | ✓ | Rarely | ✗ |
| Supplies included | ✓ | Rarely | ✗ |
| Physician review within 24hrs | ✓ | Varies (days–weeks) | ✗ |
| Ships in 3–5 days | ✓ | Varies | Varies |
| Cancel anytime | ✓ | Sometimes | N/A |
| All 50 states | ✓ | Varies | ✓ |
| Legal / compliant | ✓ | Usually | ✗ |
They're cheaper. Here's why.
Research chemical sites sell peptides without a prescription. There are no physicians. The compound isn't made by a licensed pharmacy. There's no COA — or if there is one, it's testing potency only, not sterility or endotoxin levels.
The peptide market runs on trust, and most of these sites haven't earned it. Some ship from overseas. Some use off-spec ingredients. Most have no accountability when something goes wrong.
The price difference between a research chemical site and Meridian isn't just a business model difference. It's a safety difference.