$99 for the first month, $159 thereafterFORM by GBY's semaglutide page · read September 2026
$159
$159
The first month is $99 and each month after is $159; no dose table is printed, and the provider titrates. The FORM3 version with B12 and glycine is “$199/mo FIRST MONTH $129 Then $199/month,” and the Semaglutide Duo with a separate B12 vial is $299 a month.
Compounded tirzepatide
compounded tirzepatide price ladder
Plan
Per month
Charged today
Month to month (after a $169 first month)Source
$169 for the first month, $219 thereafterFORM by GBY's tirzepatide page · read September 2026
$219
$219
$169 for the first month, then $219. The Microdose Tirzepatide Program, “a lower starting strength of the same dual-action GLP-1/GIP compounded injectable,” is $199 per month. Tirzepatide FORM3 is $299 after a $199 first month, the Tirzepatide Duo $399, and compounded tirzepatide dissolving tablets $299 per month.
Oral semaglutide
oral semaglutide price ladder
Plan
Per month
Charged today
Month to monthSource
based on your individual evaluation. $215 per monthFORM by GBY's semaglutide odt page · read September 2026
$215
$215
Compounded semaglutide orally disintegrating tablets, not the brand Wegovy pill. One price, “$215 per month,” with the provider setting the dose. FORM also sells a Wegovy pill membership, but it doesn't print the pill's own price.
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
Dispensed prescriptions can't be returned; a product damaged on delivery may be replaced if reported within three days, with photos.
Nothing stops by itself: plans renew until canceled, and canceling ends charges only after the billing period you're in.
Refunds for unused portions of a subscription are generally not provided, and authorized refunds can take up to 30 days.
FORM doesn't charge a patient whose intake a provider declines.
FORM by GBY cost questions
What does the first month at FORM by GBY cost?$159 for compounded semaglutide, the same as every month after it.
Does FORM by GBY sell a cheaper prepaid plan?No. compounded semaglutide at $159, oral semaglutide at $215 and compounded tirzepatide at $219 are sold month to month only, with no prepaid plan published.
Does the FORM by GBY price go up with the dose?No. Oral semaglutide stays at $215 a month whatever the dose, by FORM by GBY's own account.