Compounded semaglutide costs $175 for a single month at FitFlow, and tirzepatide $235. The $99 and $134 that lead the home page are annual-plan rates, charged as $1,188 and $1,608 at once. Dose never changes the price.
$175 buys one month of compounded semaglutide, no commitment
No membership fee on top
Same price at every dose
Clean FDA warning-letter record
Against it
The advertised $99/mo is a 12-month prepay, $1,188 at once
What it is
FitFlow sells two compounded GLP-1 injections online, semaglutide and tirzepatide, for cash, along with sermorelin, NAD+, MIC+B12, glutathione and an NAD+ face cream on the side. You fill in a 5 to 10 minute questionnaire, a provider reviews it within 24 to 48 hours, and an approved prescription ships free with a vial, syringes and alcohol pads.
The terms identify the seller only as FitFlow Health, with no street address, and its own pages disagree about who prescribes. The medical team page says a Wasef Health provider licensed for your state reviews every intake; the home-page FAQ says care comes from Beluga Health's providers. The two pharmacies it names, VialsRx and Greenwich RX, come with no location.
It lists all 50 states and bills no insurance; HSA and FSA cards, Klarna and Afterpay all work at checkout. One page exists only to say FitFlow isn't connected to a similarly named company, so reviews of that other business aren't about this one.
What it actually costs
Advertised$99
Actually$175/mo
FitFlow advertises $99. A month costs $175 because the advertised rate is the annual plan.
The gap
They advertise $99 a month. That is the annual plan, $1,188 on the card today. With no commitment it is $175 a month.
Semaglutide costs $175 on the monthly plan, $435 every three months ($145 a month), $720 every six months ($120 a month) or $1,188 a year ($99 a month). Tirzepatide runs $235 monthly, $597 a quarter ($199 a month), $1,050 per half year ($175 a month) or $1,608 a year ($134 a month).
The home-page FAQ folds the consultation, prescription, drug and free shipping into those figures and rules out a membership. No separate visit fee shows up anywhere on the site.
The $99 and $134 that head the home page, the treatments page and the FAQ are annual prices. Each product page's footnote says the price shown “applies to compounded GLP-1 12-Month plan paid upfront or with buy now, pay later programs,” yet the home-page FAQ answers “How much does it cost?” with $99 and $134 and nothing else.
Plans keep renewing until you've asked FitFlow to stop. A cancellation takes effect when the paid cycle runs out, and nothing is prorated, so leaving a $1,608 tirzepatide year after four months gets none of it back.
Two FitFlow pages give opposite answers on returns. The product-page FAQ says “Any unused medication can be returned within 30 days for a prorated refund,” while the refund policy says prescriptions “cannot be returned or refunded once prepared” and rules out prorated refunds.
Who it's wrong for
Planning around the $99 on the home page? That's semaglutide on a 12-month plan, $1,188 charged at once. A single month costs $175.
Skip FitFlow if you need the name of your medical group before signup: one page says Wasef Health, another says Beluga Health.
Prone to second thoughts? Once a FitFlow prescription is transmitted, the order is locked, with no cancellation and no refund.
Tempted by the six-month tirzepatide card at $175 a month? It's $1,050 paid in full, and canceling partway through only stops the next renewal.
Would a chargeback be your fallback in a billing fight? FitFlow's policy says it may suspend prescriptions and shipments while one is open, and close the account for good if it wins.
The American checks
Prescriber licensed in your state
Stated
Pharmacy named
VialsRx and Greenwich RX, named in the home-page FAQ with no location for either.
What you get
Compounded semaglutide and tirzepatide from “US-based compounding pharmacies” working to “USP <797> sterile compounding standards,” per the home-page FAQ. No brand-name GLP-1 is sold.
Overseas fulfillment
None disclosed
Support hours
Monday - Friday: 9:00 AM - 6:00 PM EST; Saturday: 10:00 AM - 4:00 PM EST; Sunday: Closed, per the contact page. Phone +1 201-639-4659 and an email address on its contact page; the site header also advertises “Unlimited 24/7 support.”
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about FitFlow
How much does FitFlow cost a month?Month to month, compounded semaglutide is $175 a month and compounded tirzepatide $235. The $99 it advertises is the annual plan, $1,188 charged at once.
Does FitFlow charge a membership fee?No. FitFlow bills compounded semaglutide at $175 a month with nothing added for a membership.
Does FitFlow sell compounded or brand-name GLP-1s?Compounded semaglutide and tirzepatide from “US-based compounding pharmacies” working to “USP <797> sterile compounding standards,” per the home-page FAQ. No brand-name GLP-1 is sold.
Which pharmacy fills FitFlow prescriptions?VialsRx and Greenwich RX, named in the home-page FAQ with no location for either.
Has FitFlow received an FDA warning letter?No. FDA's published warning-letter index holds no letter to FitFlow on a search of “FitFlow”, “fitflowrx”, “FitFlow Health”, “FitFlowRx”, “Wasef Health”, “Beluga Health”, “VialsRx”, “Greenwich RX”, “Greenwich Rx”, and the search is linked under Sources.
Does GLP America earn money from FitFlow?No. FitFlow pays us nothing, and its $175 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 record10 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: FitFlow's public site: FitFlow's home page, FitFlow's treatments page, FitFlow's semaglutide page, FitFlow's tirzepatide page (plan cards and each page's FAQ accordion), FitFlow's FAQ page (every answer expanded), FitFlow's how it works page, FitFlow's about page, FitFlow's medical team page, FitFlow's states we serve page, FitFlow's calculators page, FitFlow's contact page, FitFlow's terms of service page, FitFlow's refund policy page, FitFlow's privacy policy page, FitFlow's code of conduct page, FitFlow's partnerships page, FitFlow's fitflowrx vs fitflow ai page and the other treatment pages (sermorelin, NAD+, MIC+B12, glutathione, NAD+ facial cream). The “Get Started” questionnaire and the checkout were not opened.
The prices, from the plan cards. /treatments/semaglutide: “Monthly Billed monthly $175”, “Quarterly Billed every 3 months ($145/mo) $435 Save $90”, “Bi-Annual Popular Billed every 6 months ($120/mo) $720 Save $330” and “Annual Billed yearly ($99/mo) $1,188 Save $912”. /treatments/tirzepatide: “Monthly Billed monthly $235”, “Quarterly Billed every 3 months ($199/mo) $597 Save $108”, “6 Months Popular Billed every 6 months ($175/mo) $1,050 Save $540” and “Annual Billed yearly ($134/mo) $1,608 Save $1,212”. Both pages' footnote: “*Price shown applies to compounded GLP-1 12-Month plan paid upfront or with buy now, pay later programs. Actual price will depend on product and plan prescribed.” The home page: “Compounded semaglutide and tirzepatide, prescribed by licensed providers and shipped to your door — from $99/month.” and the tiles “Compounded Tirzepatide $134 /month Same price at every dose” and “Compounded Semaglutide $99 /month Same price at every dose”.
The unqualified figures. Home-page FAQ, “How much does it cost?”: “Compounded semaglutide: $99/month. Compounded tirzepatide: $134/month. Includes consultation, prescription, meds, and free shipping—no hidden fees or memberships. Insurance not accepted; HSA/FSA is accepted.” The /faq page: “Compounded semaglutide starts at $99/month and compounded tirzepatide starts at $134/month. No hidden fees or membership charges.” and, on discounts, “We offer significant savings when you commit to 3, 6, or 12-month plans.” The calculators page lists “Compounded Semaglutide — $99/month” and “Compounded Tirzepatide — $134/month” in its cost estimator.
What a plan includes, from the product-page FAQ: “Every plan includes your prescription medication, complimentary shipping, dedicated medical guidance, and round-the-clock patient portal access.” The home-page FAQ: “a compounded medication vial (clearly labeled with your dose), sterile syringes and needles, alcohol disinfectant pads, and discreet packaging with free expedited shipping (2–3 days).”
Who does what. /medical-team: “FitFlow partners with Wasef Health, an independent medical group of licensed providers who deliver telehealth consultations for FitFlow patients. When you complete an online visit, your health history is individually reviewed by a Wasef Health provider licensed for your state.” The home-page FAQ: “All 50 US states via Beluga Health's licensed providers.” and “Beluga Health, a telehealth platform with board-certified providers licensed in all 50 states, specializing in weight management.” Pharmacies, home-page FAQ: “We partner with trusted, US-based compounding pharmacies — VialsRx and Greenwich RX — that operate in full compliance with FDA guidelines and USP <797> sterile compounding standards.” The site calls itself “a LegitScript-certified telehealth platform”, and the footer says “FitFlow is a telehealth platform and does not manufacture or compound medications.”
The operator: the terms are “a contract between you ("You", "your") and FitFlow Health ("FitFlow," "we," "us") and our affiliates”, with binding arbitration, a class-action waiver and a 30-day written opt-out. No street address or legal entity suffix is published. Contact: “FitFlow's support email” and “+1 201-639-4659”; hours “Monday - Friday: 9:00 AM - 6:00 PM EST Saturday: 10:00 AM - 4:00 PM EST Sunday: Closed”.
Billing and refunds, from the Refund & Cancellation Policy (“Last Updated: September 27, 2026”): “All prescriptions are personalized for individual patients and therefore cannot be returned or refunded once prepared.” “Before Pharmacy Submission: If you've completed a provider consultation but the medication order has not yet been submitted to the pharmacy, you may cancel for a refund.” “After Pharmacy Submission: Once your prescription has been transmitted to the pharmacy, cancellation and refund are no longer possible.” “If, after review, a licensed healthcare provider determines that you are not medically eligible for treatment, your order will be canceled and you will receive a full refund.” “Once confirmed, your plan will stay active until the end of your current billing cycle, and no further renewals will be charged.” “Partial or prorated refunds are not offered for unused time within a billing cycle.” Damaged packages: “you must notify us within 24 hours of delivery and include a clear photo of the damage.” Chargebacks: FitFlow “reserves the right to immediately suspend or terminate all current and future services, prescriptions, shipments, and account access while the dispute is under review.”
The contradiction on returns: the semaglutide and tirzepatide FAQ, “What if I need to cancel?”: “You can cancel your subscription at any time with no cancellation fees. Simply reach out to our support team or manage your subscription through your patient portal. Any unused medication can be returned within 30 days for a prorated refund.” The refund policy: “Federal and state pharmacy rules prohibit the return of prescription medications under any circumstances.”
Shipping and coverage: /faq says “medication typically ships within 1-3 business days and arrives within 5-7 business days via free shipping”; /how-it-works says “Arrives within 5-7 business days”; the home-page FAQ says “free expedited delivery” in “(2–3 days)”. /states-we-serve lists all 50 states, adding “Availability of specific treatments may vary by state based on applicable regulations.” Eligibility, /faq: “adults with a BMI of 27 or higher with a weight-related condition, or a BMI of 30 or higher.”
No FDA enforcement action on record: FDA's warning-letter search on “FitFlow”, “fitflowrx”, “FitFlow Health”, “FitFlowRx”, “Wasef Health”, “Beluga Health”, “VialsRx”, “Greenwich RX”, “Greenwich Rx”, returns no letter addressed to FitFlow, its operator, the named pharmacies or FitFlow. Search FDA's warning letters.
The companies whose month of compounded semaglutide is closest in price to FitFlow's, membership included. Picked by price alone; whether a company pays us plays no part.