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GLP‑1 programs that ship to all 50 states (8 compared)

Find GLP-1 online care in any state. We compare the programs that ship to all 50 states on verified price, fees, pharmacy and FDA warning letters.

Last updated Oct 26, 2026
Quick answer

YourEra is the cheapest month to month, at $89 a month with no fee on top. We compared 8 GLP-1 programs that ship to every state on verified monthly price, fees, pharmacy, LegitScript status, FDA warning letters and the states they ship to, last checked Oct 24, 2026.

ProgramMonth to monthCheapest plan
YourEra
$89 / mo
—
Lttl
$99 / mo
$89 / mo
12 months, $1,068 up front
bmiMD
$159 / mo
—
HealthRX
$165 / mo
$99 first month
$97 / mo
12 months, $1,163 up front
FMmeds
$225 / mo
$95 / mo
12 months, $1,140 up front

Ranked on our rating, then on coverage in all 50 states. Never on commission: the order is the same whether a program pays us or not.

The best pick for what you need

  • Best overall
    Lttl
    9.1 / 10
    $89 / mo

    Our highest-rated pick, at 9.1 / 10.

    Visit Lttl
  • Lowest price
    YourEra
    9.0 / 10
    $89 / mo

    Ties for the lowest verified price in this ranking.

    Visit YourEra
  • No membership fee
    HealthRX
    8.7 / 10
    $97 / mo

    No separate membership fee: the monthly price covers the plan.

    Visit HealthRX
  • Ships everywhere
    bmiMD
    8.4 / 10
    $159 / mo

    Ships to all 50 states.

    Visit bmiMD
Before you compare “from” prices

All eight programs here say they serve all 50 states, but several add that what you get can depend on where you live. YourEra picks one of three pharmacies by your state, ShedRx sets your shipment cycle by state, System Labs ties treatment to state telehealth and pharmacy rules, and Sesame Care covers labs everywhere except nine states. Most review a written online intake; Sesame uses a video visit, and YourEra adds a live video or phone visit where your state's law requires one. For month 1, the lowest prices are YourEra's $89 for compounded semaglutide and the $99 first months at HealthRX (either drug) and System Labs (tirzepatide). From month 2, YourEra's $89 is the lowest month-to-month semaglutide price here, against $159 at bmiMD, $165 at HealthRX and $199 at ShedRx.

9.1/10Excellent
  • No FDA warning letter
  • Names its pharmacy
  • Prices checked Oct 24, 2026

Lttl's terms say it serves all 50 states plus Washington, DC, and add that some services may not be available in every state. A clinician from an unnamed network reviews a 2-minute online quiz without a video call. Shipping is free; its shipping page allows 2 to 5 business days for the pharmacy to process an order and 3 to 7 business days in transit, while its banner says "Prescribed and shipped within 48 hours". Compounded semaglutide is $99 and tirzepatide $149 for a 4-week supply, the same price in every state Lttl lists.

What you payAmount
Compounded semaglutide$99 a month (4-week supply); $89 a month on a 12-month plan
Compounded tirzepatide$149 a month (4-week supply); $139 a month on a 12-month plan
ShippingFree; 2 to 5 business days to process plus 3 to 7 in transit, per its shipping page
MembershipNone; the same price at every dose
Month 1 total$99 for semaglutide or $149 for tirzepatide

Lttl has no FDA warning letter on file, names its four pharmacies in its terms and doesn't bill insurance.

It’s for you if
  • You live in Washington, DC, or a state other programs skip.
  • You want an online review with no video visit.
  • You want free shipping.
It’s not for you if
  • You need medication fast: its own shipping page allows up to 12 business days.
  • You want to know which clinician licensed in your state prescribes.
  • You want a brand-name pen like Wegovy or Zepbound.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit LttlFrom $89 / mo · Rated 9.1 / 10
9.0/10Excellent
  • No FDA warning letter
  • Names its pharmacy
  • LegitScript certified
  • Prices checked Oct 26, 2026

YourEra says its telehealth services are available across all 50 states, and that which treatments you can get may depend on your state. Its terms say which of its three pharmacies fills your order depends on your drug and your state, and that a live video or phone visit takes place where your state's law requires one; otherwise a provider licensed in your state reviews your online intake. Orders ship free in 1 to 2 days; some need an adult signature, and YourEra doesn't ship to PO boxes. Compounded semaglutide is $89 a month and tirzepatide $129, month to month.

What you payAmount
Compounded semaglutide$89 a month, month to month, after an auto-applied 20% off (new-patient price)
Compounded tirzepatide$129 a month, month to month ($161.25 before the 20%)
ShippingFree, 1 to 2 days
MembershipNone; the same price at every dose
Month 1 total$89 for semaglutide or $129 for tirzepatide

YourEra has no FDA warning letter on file, names its three pharmacies in its terms and doesn't bill insurance.

It’s for you if
  • You live in a state that requires a live visit and want one at no extra charge.
  • You want free delivery in 1 to 2 days.
  • You want the lowest month-to-month compounded semaglutide price on this list.
It’s not for you if
  • You want delivery to a PO box.
  • You want to know which pharmacy serves your state before you sign up.
  • You want a brand-name pen like Wegovy or Zepbound.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit YourEraFrom $89 / mo · Rated 9.0 / 10
8.7/10Very good
  • No FDA warning letter
  • LegitScript certified
  • Prices checked Oct 24, 2026

HealthRX says it serves all 50 US states, and a provider licensed in the state where you live reviews your answers to a brief set of medical questions, typically within about 24 hours. If you are approved, your medication ships overnight from a licensed 503A pharmacy by rush no-contact delivery, with no signature needed and shipping included in the price. HealthRX doesn't say whether the review is ever by video or whether any state requires one. Compounded semaglutide is $99 the first month, then $165 a month.

What you payAmount
Compounded semaglutide$99 the first month, then $165 a month (Subscribe & Save)
Compounded tirzepatide$99 the first month, then $214 a month
12-month plan$1,163 for semaglutide or $2,123 for tirzepatide, paid up front
FeesNo visit or membership fee; overnight shipping included
Month 1 total$99

HealthRX has no FDA warning letter on file; it doesn't name its 503A pharmacy and doesn't bill insurance, though plans are HSA and FSA eligible.

It’s for you if
  • You want overnight delivery to any state with no signature needed.
  • You want a $99 first month on either drug.
  • You want a written review by a provider licensed in your state, not a scheduled call.
It’s not for you if
  • You want the pharmacy named.
  • You want a video visit or a stated follow-up schedule.
  • You'd prepay 12 months for the lowest rate but aren't sure you'll stay on it. If you have side effects, talk to your provider.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit HealthRXFrom $97 / mo · Rated 8.7 / 10
8.4/10Good
  • No FDA warning letter
  • LegitScript certified
  • Prices checked Oct 26, 2026

bmiMD's product pages say its compounded semaglutide and tirzepatide are "Available in All 50 States". A board-certified physician reviews your intake in a telehealth consult, usually the same day, and the medication usually ships 3 to 5 business days after approval from a US-based licensed partner pharmacy, with free shipping on subscription orders. bmiMD doesn't say whether the consult is a video call or written, or whether any state needs more. Compounded semaglutide is $159 a month month to month.

What you payAmount
Compounded semaglutide$159 month to month; $149, $129 or $119 a month on 3-, 6- or 12-month plans
Compounded tirzepatide$249 month to month; $229, $189 or $179 a month on 3-, 6- or 12-month plans
ShippingFree on subscription orders; usually ships 3 to 5 business days after approval
Intake processing fee$100, non-refundable, if you ask to cancel after you submit your intake form
Month 1 total$159 for semaglutide or $249 for tirzepatide

bmiMD has no FDA warning letter on file; it names no pharmacy and doesn't bill insurance.

It’s for you if
  • You want a physician consult, usually the same day, wherever you live in the US.
  • You want free shipping and one price at every dose.
  • You want 24/7 chat with your physician or a support team member.
It’s not for you if
  • You need your medication within a few days: it usually ships 3 to 5 business days after approval.
  • You want to know which pharmacy ships your drug.
  • You want a multi-month plan you can get money back on: payments are non-refundable once your first order goes to the pharmacy. If you have side effects, talk to your provider.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit bmiMDFrom $159 / mo · Rated 8.4 / 10
8.3/10Good
  • No FDA warning letter
  • LegitScript certified
  • Prices checked Oct 21, 2026

Oak Longevity says it is licensed in all 50 states. Care is 100% online with no video call or appointment: a US-licensed provider reviews your short health assessment, and you can chat with a provider. Oak says you can receive your medication in just a few days.Compounded semaglutide starts at $119 a month on a 12-month plan; the month-to-month price shows only at checkout.

What you payAmount
Compounded semaglutide$119 a month on a 12-month plan
Compounded tirzepatide$185 a month on a 12-month plan
Month to monthNot published; shown only at checkout
FeesNo membership or consultation fee; $0 shipping in our record
Leaving a multi-month plan earlyYou repay the discount on the months you received, unless your provider stops or changes treatment for medical reasons

Oak has no FDA warning letter on file; it doesn't name its pharmacies and doesn't bill insurance.

It’s for you if
  • You want online care with no video call, wherever you live.
  • You can commit to 12 months for $119 a month.
  • You want health coaching included.
It’s not for you if
  • You want to see the month-to-month price before checkout.
  • You want to leave a multi-month plan early without paying back the discount. If you have side effects, talk to your provider.
  • You want the pharmacy named.
Visit Oak LongevityFrom $119 / mo · Rated 8.3 / 10
8.2/10Good
  • No FDA warning letter
  • Names its pharmacy
  • Prices checked Oct 24, 2026

FMmeds' terms say its services are "available in all fifty (50) states plus the District of Columbia". One pharmacy fills every order, Manifest Pharmacy in Greer, South Carolina, and approved orders arrive in 1 to 5 business days, it says. Compounded semaglutide is $225 month to month or $95 a month on a 12-month plan charged up front.

What you payAmount
Compounded semaglutide$225 month to month; $95 a month on a 12-month plan ($1,140 up front)
Compounded tirzepatide$265 month to month; $145 a month on a 12-month plan ($1,740 up front)
ShippingFree; processed within 24 hours of approval, 1 to 5 business days
FeesNone; the same price at every dose

Compounded and not FDA-approved; FMmeds has no FDA warning letter on file, calls Manifest Pharmacy a 503A pharmacy and doesn't bill insurance.

It’s for you if
  • You live in any state or in Washington, DC.
  • You want to know which pharmacy ships to you, wherever you live.
  • You can pay a year up front for the lowest rate. If you have side effects, talk to your provider.
It’s not for you if
  • You want a low month-to-month price: $225 or $265.
  • You want a named clinician.
Visit FMmedsFrom $95 / mo · Rated 8.2 / 10
8.2/10Good
  • No FDA warning letter
  • LegitScript certified
  • Prices checked Oct 24, 2026

Sesame Care's Success by Sesame is a $99-a-month program built on a video visit with a provider you choose; the drug is a separate bill, and your prescription goes to your local pharmacy for same-day pickup or home delivery, or to LillyDirect for self-pay Zepbound. Sesame says it serves all 50 states, and labs at Quest Diagnostics are covered except in AZ, HI, ND, NJ, NY, OK, RI, SD and WY, where you pay the lab facility yourself. Its prescribers include doctors, nurse practitioners and physician assistants, with supervising-physician rules that vary by state. Zepbound vials through LillyDirect start at $299 a month at 2.5 mg, on top of the $99 fee.

What you payAmount
Program fee$99 a month, billed every 28 days; from $59 a month on a 12-month plan billed once
MedicationBilled separately by the pharmacy; not in the $99
Zepbound vials (LillyDirect)$299 (2.5 mg), $399 (5 mg), $449 (7.5 mg and up) a month
Wegovy pen$199 a month for the first two months for new patients, then $349
Month 1 total, Zepbound 2.5 mg$398 ($99 + $299)

Sesame Care has no FDA warning letter on file; it prescribes brand-name drugs only, and insurance can cover the drug at the pharmacy but not the $99 fee.

It’s for you if
  • You want a video visit with a provider you pick, in any state.
  • You want to collect your prescription at a local pharmacy the same day instead of waiting for the mail.
  • You have insurance that may cover a brand-name GLP-1 at the pharmacy.
It’s not for you if
  • You live in AZ, HI, ND, NJ, NY, OK, RI, SD or WY and want labs included.
  • You want one monthly price with the medication included.
  • You'd take the $59 annual plan but might stop early: Sesame doesn't say what comes back. If you have side effects, talk to your provider.
Visit Sesame CareFrom $248 / mo · Rated 8.2 / 10
8.1/10Good
  • No FDA warning letter
  • Prices checked Oct 20, 2026

Live Vital's states page lists all 50 states, and its terms say its services are available only to patients located in a state on that list, where its clinicians are licensed. After a clinician review of 24 to 48 hours, a licensed pharmacy compounds the drug, total processing can take 5 to 7 days, and the order then ships overnight in cold packs. You can do the online intake on your own or book a free 15-minute phone consult first. Compounded semaglutide is $299 for a prepaid 10-week protocol, about $130 a month.

What you payAmount
Compounded semaglutide$299 for a 10-week protocol, paid up front (about $130 a month)
Compounded tirzepatide$549 for a 10-week protocol (about $239 a month)
ShippingOvernight in cold packs; fee not published
Membership feeNot published
RefundsMedication is generally non-refundable once ordered or dispensed

Live Vital has no FDA warning letter on file; it doesn't name its pharmacy (its FAQ says 503A, its weight-loss guide 503B) and doesn't bill insurance, though HSA and FSA funds work.

It’s for you if
  • You want overnight cold-pack shipping once your drug is ready.
  • You'd like a free phone consult before you pay.
  • You want a medical team led by one named doctor, Dr. Patrick Taylor, MD.
It’s not for you if
  • You need your first dose within a few days: intake to starting typically takes 5 to 10 days.
  • You want a month-to-month plan rather than a prepaid 10-week protocol. If you have side effects, talk to your provider.
  • You want the pharmacy named, or one consistent pharmacy type.
  • You don't want injections, or don't feel comfortable injecting yourself.
Visit Live VitalFrom $130 / mo · Rated 8.1 / 10

“From” prices are the lowest verified rate on the program’s own checkout, usually a prepaid plan. Reference only: we don’t sell medication, we verify who does.

Our top picks, in short

  1. #1Lttl — from $89 a month, best for users who want one price at every dose, no membership fee, and the pharmacies named up front.
  2. #2YourEra — from $89 a month.
  3. #3HealthRX — from $97 a month, best for users willing to prepay a longer plan for the lowest flat monthly price.
Quick answers

GLP‑1 programs that ship to every state: what people ask

Lttl ranks first of the 8 programs we compared, rated 9.1 / 10, from $89 a month. The ranking weighs verified price, pharmacy, FDA enforcement record and state coverage, never commission.

Lttl has the lowest verified price in this ranking, at $89 a month. Check what the price includes: a membership or consultation fee can change which program is cheaper over three months. Where a program bills the medication separately, the price shown is its fee plus the maker's own cash price.

6 of the 8 programs here charge no separate membership fee. The rest either charge one or do not disclose it; each write-up states which.

None of the 8 programs here bills insurance. They are cash-pay, so the listed price is what you pay.

8 of the 8 programs ship to all 50 states. The others leave out a few states; each write-up gives the count.

How this ranking works

How we score
Every program is scored 0–10 on verified price, transparency and the safety record.
What removes a program
An open FDA warning letter removes a program from every recommendation on this site.
How we make money
Some outbound links are affiliate links. Commission is not an input to a score, and a program cannot pay to change it.
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