What does the first month at Citizen Meds cost?

$125 for compounded semaglutide, the same as every month after it.

Does Citizen Meds sell a cheaper prepaid plan?

No. compounded semaglutide at $125 and compounded tirzepatide at $145 are sold month to month only, with no prepaid plan published.

Does the Citizen Meds price go up with the dose?

Yes. A month of compounded semaglutide runs from $125 to $395 depending on the dose; the full ladder is above.

Cost · Not a partner

Citizen Meds cost and pricing

Every plan, month one, fees and refunds · Prices read September 2026

One month, no commitment

$125/mo, month to month

No commitment, and no cheaper rung: this is what the site publishes.

GLP America, Publisher · Prices read on the company's own pages · How we review

Month one, then every month after

Citizen Meds: first month and later months
Drug	Month one	Each month after
Compounded semaglutide	$125	$125
Compounded tirzepatide	$145	$145

Every plan, by drug and term

Compounded semaglutide

compounded semaglutide price ladder
Plan	Per month	Charged today
Month 1, 0.25 mg · advertised Source Semaglutide (Month 1) 0.25mg $125.00Citizen Meds' select products page · read September 2026	$125	$125
Month 2, 0.5 mg Source Semaglutide (Month 2) 0.5mg $245.00Citizen Meds' select products page · read September 2026	$245	$245
Month 3, 1.0 mg Source Semaglutide (Month 3) 1.0mg $295.00Citizen Meds' select products page · read September 2026	$295	$295
Month 4, 1.7 mg Source Semaglutide (Month 4) 1.7mg $345.00Citizen Meds' select products page · read September 2026	$345	$345
Maintenance, 2.4 mg Source Semaglutide (Maintenance) 2.4mg $395.00Citizen Meds' select products page · read September 2026	$395	$395

Each rung is one month, bought once, and the dose is what changes. The product page says so in capitals: “THIS PRODUCT FOLLOWS A TITRATION SCHEDULE. ALL PATIENTS MUST START WITH ‘MONTH 1’ DOSE. AFTER MONTH 1, THE DOSAGE PER INJECTION INCREASES GRADUALLY IN MONTH 2, 3, AND 4. LASTLY THE MAINTENAINCE DOSE CAN BE ONGOING FOR UP TO 8 MONTHS DEPENDING ON YOUR GOALS”, spelling as printed. An optional subscription takes roughly a fifth off each figure ($100, $196, $236, $276, $316), and it doesn't hold a price either. By default it escalates with the dose.

Compounded tirzepatide

compounded tirzepatide price ladder
Plan	Per month	Charged today
Month 1, 2.5 mg Source Tirzepatide (Month 1) 2.5mg $145.00$399.00Citizen Meds' select products page · read September 2026	$145	$145
Month 2, 5 mg Source Tirzepatide (Month 2) 5mg $295.00Citizen Meds' select products page · read September 2026	$295	$295
Month 3, 7.5 mg Source Tirzepatide (Month 3) 7.5mg $345.00Citizen Meds' select products page · read September 2026	$345	$345
Month 4, 10 mg Source Tirzepatide (Month 4) 10mg $395.00Citizen Meds' select products page · read September 2026	$395	$395
Month 5, 12.5 mg Source Tirzepatide (Month 5) 12.5mg $445.00Citizen Meds' select products page · read September 2026	$445	$445
Month 6, 15 mg Source Tirzepatide (Month 6) 15mg $545.00Citizen Meds' select products page · read September 2026	$545	$545

Tirzepatide runs six months, $145 up to $545, one month at a time. The optional subscription prices are $116, $236, $276, $316, $356 and $436, each billed “every 23 days” rather than monthly.

Fees on top of the medication

Membership. None. The medication price is the whole monthly charge.
Consultation. No separate consultation fee is disclosed.

Billing, canceling and refunds

The first month can be bought once, with no subscription required.
The optional subscription charges every 23 days rather than once a calendar month.
Subscribers get an automatic monthly dose increase, and a higher price with it, unless they email Citizen Meds' support email to opt out.

Citizen Meds cost questions

What does the first month at Citizen Meds cost?$125 for compounded semaglutide, the same as every month after it.
Does Citizen Meds sell a cheaper prepaid plan?No. compounded semaglutide at $125 and compounded tirzepatide at $145 are sold month to month only, with no prepaid plan published.
Does the Citizen Meds price go up with the dose?Yes. A month of compounded semaglutide runs from $125 to $395 depending on the dose; the full ladder is above.

The service, the checks and who should skip Citizen Meds are in the Citizen Meds review. To price a plan line by line with any membership and fee added, use the real cost calculator; it reads the same ladder. How the advertised figure compares with every other company's is on the September 2026 Price Gap Index.

More reviews on the index; the rules behind them are on how we review.