Compounded semaglutide injections cost $199 a month on Ascend Vitality's one-month plan, tirzepatide $249 and semaglutide tablets $199, with no membership fee. The $99 and $149 monthly rates it promotes belong to a three-month plan, which for the injections is billed $297 or $447 on day one.
$199 buys one month of compounded semaglutide, no commitment
No membership fee on top
Clean FDA warning-letter record
Names 4 pharmacies, including Epiq Scripts and Southend Pharmacy
What it is
Ascend Vitality runs a telehealth storefront for compounded GLP-1s: semaglutide and tirzepatide by weekly injection, and semaglutide in a daily tablet, alongside peptides, NAD+ and erectile-dysfunction drugs. A two-minute questionnaire goes to a U.S.-licensed provider for asynchronous review, typically inside a day or two, and approved medication ships in plain packaging. Labs aren't required up front; the provider orders them only if needed.
The mailing address given for Ascend Vitality LLC is Suite R, 30 N Gould St, Sheridan, Wyoming. Its terms describe a technology and administrative platform that doesn't practice medicine or pharmacy: independent providers prescribe, independent pharmacies dispense, and you must be in a state where your provider is licensed. The footer puts its reach at 50 states and D.C.
The pitch leans on community. Patients get free access to Ascend Vitality Connect, a private group with one-on-one coaching, meal plans, workouts and round-the-clock peer support.
Month to month, semaglutide injections and semaglutide tablets are each $199, and tirzepatide is $249. On the three-month plan, semaglutide injections fall to $99 a month, billed $297 up front, and tirzepatide to $149 a month, billed $447. Tablets on that plan are $149 a month; the card doesn't say how the three months are charged.
Every plan covers the provider evaluation, shipping, unlimited messaging and dose changes, and there isn't a membership. Plans are subscriptions that renew on their own; to stop one, cancel through the portal or by email at least five business days before the next charge.
Two discounts sit on top of those prices. A banner on every page reads “Fall Promo Applied! $120 Off”, and the home page offers code AV15 for 15% off. Neither one says which plans it covers or when it'll end.
Once money's moved, it doesn't come back. The terms declare all sales final, provider fees are non-refundable once an evaluation happens, and an intake you start and abandon can still leave you owing for professional time. HSA and FSA cards run through Stripe at checkout.
Who it's wrong for
Counting on $99 semaglutide? That rate needs the three-month plan and $297 on the first day; a single month is $199.
Skip it if a working phone line matters to you. The footer's 1-800-000-0000 is the only number printed, even though the contact page advertises a weekday care line.
Likely to reconsider once you've paid? The terms read “ALL SALES ARE FINAL”, and canceling stops only the next renewal.
The pharmacy stays unknown. Four partners are named, Epiq Scripts among them, with no locations and no word on which one fills yours.
Cancel fewer than five business days before a renewal and the terms allow a charge for the coming period, which on a three-month injection plan is $297 or $447 again.
The American checks
Prescriber licensed in your state
Stated
Pharmacy named
None tied to an order in public. The contact page lists four partner pharmacies without locations: Epiq Scripts, Southend Pharmacy, AbsoluteRX and Emerald Compounding Pharmacy.
What you get
Compounded. Product pages say “503A Pharmacy Approved”; the footer says compounded medications “are prepared by state-licensed 503A/503B pharmacies”. No brand-name GLP-1 is sold.
Overseas fulfillment
None disclosed
Support hours
Care line “Weekdays, 9:00am to 5:00pm Central.”, but the only phone number printed on the site is 1-800-000-0000. Email Ascend Vitality's support email (“Replies within one business day.”) and portal messaging.
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about Ascend Vitality
How much does Ascend Vitality cost a month?Month to month, compounded semaglutide is $199 a month, oral semaglutide $199 and compounded tirzepatide $249.
Does Ascend Vitality charge a membership fee?No. Ascend Vitality bills compounded semaglutide at $199 a month with nothing added for a membership.
Does Ascend Vitality sell compounded or brand-name GLP-1s?Compounded. Product pages say “503A Pharmacy Approved”; the footer says compounded medications “are prepared by state-licensed 503A/503B pharmacies”. No brand-name GLP-1 is sold.
Which pharmacy fills Ascend Vitality prescriptions?None tied to an order in public. The contact page lists four partner pharmacies without locations: Epiq Scripts, Southend Pharmacy, AbsoluteRX and Emerald Compounding Pharmacy.
Has Ascend Vitality received an FDA warning letter?No. FDA's published warning-letter index holds no letter to Ascend Vitality on a search of “Ascend Vitality”, “av-life”, “Ascend Vitality LLC”, “Epiq Scripts”, “Southend Pharmacy”, “AbsoluteRX”, “Emerald Compounding Pharmacy”, and the search is linked under Sources.
Does GLP America earn money from Ascend Vitality?No. Ascend Vitality pays us nothing, and its $199 month sits where that price puts it. The Collective card on this page comes from a partner, which pays us a commission, and it's labeled Partner.
On the record9 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: Ascend Vitality's public site: Ascend Vitality's home page, Ascend Vitality's weight loss page, Ascend Vitality's GLP-1 semaglutide page, Ascend Vitality's GLP-1 semaglutide tablets page, Ascend Vitality's glp gip tirzepatide page, Ascend Vitality's contact us page, Ascend Vitality's terms conditions page, Ascend Vitality's shipping returns page, Ascend Vitality's telehealth consent open payments notice page, Ascend Vitality's privacy policy page and Ascend Vitality's mobile terms of service page. The “Start My 2-Minute Visit” intake was not opened.
The prices, from the plan cards. /glp-1-semaglutide/: “3-MONTH PLAN SAVE $300 $99/mo $297 billed today, covers 3 months.” and “Prefer monthly? 1-Month Plan · $199/mo”. /glp-gip-tirzepatide/: “3-MONTH PLAN SAVE $300 $149/mo $447 billed today, covers 3 months.” and “Prefer monthly? 1-Month Plan · $249/mo”. /glp-1-semaglutide-tablets/: “3-MONTH PLAN $149/mo Start 3-Month Plan” and the same “Prefer monthly? 1-Month Plan · $199/mo”. The home page's weight-loss tile: “from $199/mo”. /weight-loss/: “$99 /mo with 3-month plan”. The tablet page's comparison row reads “Starting at $199/mo → As low as $149/mo membership with 3-month plan.”
What the plans include, under every plan card: “Both include provider evaluation, free discreet shipping, unlimited provider messaging, ongoing dose adjustments, and no membership fee.” The weight-loss page adds: “Plans are offered as a subscription service which you can cancel at any time.”
Promotions, from the home page: “Fall Promo Applied! $120 Off + Fast, Free Shipping” (a banner on every page) and “HSA / FSA eligible · Use code AV15 for 15% off + free shipping”. Neither names the plans it applies to or an end date.
Billing and refunds, from the terms (“Last Updated: January 1, 2026”): “Your Subscription renews automatically unless canceled.” “To avoid being charged for the next billing period, cancellation requests must be received at least 5 business days before your next scheduled charge date.” “Effect of Cancellation: Cancellation stops future renewals. It does not retroactively refund prior charges.” “ALL SALES ARE FINAL. NO RETURNS. NO REFUNDS, EXCEPT AS EXPRESSLY REQUIRED BY APPLICABLE LAW OR AS EXPRESSLY STATED IN THESE TERMS.” “If you initiate an intake/visit and then choose not to proceed, fees for professional time and administrative processing may still be owed and are non-refundable.”
Shipping, from /shipping-returns/: “Most orders are processed and shipped within 48 hours, and Ascend Vitality offers 2-day shipping on all orders.” and “Unfortunately, we are unable to accommodate returns given the nature of our products.”
Who does what, from the terms: “Ascend Vitality is not a medical provider and does not practice medicine or pharmacy.” and “You must be physically located in a U.S. state where your Provider is licensed (or otherwise legally permitted to practice) at the time of the telehealth encounter.” The terms choose Wyoming law and binding individual arbitration, with a 30-day opt-out. The footer says “Services are currently available in all 50 U.S. states and D.C.”
Contact and pharmacies, from /contact-us/: “Call the care line Weekdays, 9:00am to 5:00pm Central.”, “MAILING ADDRESS Ascend Vitality LLC, 30 N Gould St Ste R Sheridan, WY 82801”, and “Our pharmacy partners We work exclusively with licensed, reputable pharmacies so every prescription is authentic and arrives on time. Epiq Scripts Southend Pharmacy AbsoluteRX Emerald Compounding Pharmacy”. The site footer prints the phone number “1-800-000-0000” and “Ascend Vitality's support email”.
No FDA enforcement action on record: FDA's warning-letter search on “Ascend Vitality”, “av-life”, “Ascend Vitality LLC”, “Epiq Scripts”, “Southend Pharmacy”, “AbsoluteRX”, “Emerald Compounding Pharmacy”, returns no letter addressed to Ascend Vitality, its operator, the named pharmacies or Ascend Vitality. Search FDA's warning letters.
The companies whose month of compounded semaglutide is closest in price to Ascend Vitality's, membership included. Picked by price alone; whether a company pays us plays no part.