What does the first month at LifeMD cost?

$188 for brand semaglutide, then $298 a month from month two. Membership is $39 the first month, then $149.

Does LifeMD sell a cheaper prepaid plan?

No. brand semaglutide at $149, brand orforglipron at $149 and brand tirzepatide at $299 are sold month to month only, with no prepaid plan published.

Does the LifeMD price go up with the dose?

Yes. A month of brand semaglutide runs from $149 to $199 depending on the dose; the full ladder is above.

Cost · Not a partner

LifeMD cost and pricing

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

They advertise

~~$149/mo, Wegovy pill, month to month~~

A month with no commitment

$298/mo, month to month

Medication plus the membership they require. The advertised price is the medication alone.

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

Month one, then every month after

LifeMD: first month and later months
Drug	Month one	Each month after
Brand semaglutide	$188	$298
Brand orforglipron	$188	$298
Brand tirzepatide	$338	$448

Membership is $39 the first month, then $149.

Every plan, by drug and term

Brand semaglutide

brand semaglutide price ladder
Plan	Per month	Charged today
Wegovy pill, month to month · advertised Source ‡ Initial Wegovy® pricing starting at $149 (pill) and $199 (pen) is for new patients eligible for prescription without insurance coverage. Price does not include the monthly program & provider fee of $149 (first month discounted to $39 today). If using insurance, eligible and qualified patients may pay as low as $0-$25 co-pay for medication.LifeMD's weight management page · read August 2026	$149	$149
Wegovy pen, month to month Source Wegovy® Pen Starting At Just $199LifeMD's weight management page · read September 2026	$199	$199

From the footnote LifeMD attaches to its own headline: "Initial Wegovy® pricing starting at $149 (pill) and $199 (pen) is for new patients eligible for prescription without insurance coverage. Price does not include the monthly program & provider fee of $149 (first month discounted to $39 today)." These are cash prices; LifeMD also states that insured patients "may pay as low as $0-$25 co-pay for medication".

Brand tirzepatide

brand tirzepatide price ladder
Plan	Per month	Charged today
Zepbound vial, month to month Source Zepbound® Vial Starting At $299LifeMD's weight management page · read September 2026	$299	$299

"Zepbound® Vial Starting At $299" on the weight-management page in September 2026, down from "Zepbound® Vial Starting At $349/mo" in August 2026. The same $149 monthly program and provider fee applies on top.

Brand orforglipron

brand orforglipron price ladder
Plan	Per month	Charged today
Foundayo, self-pay, lowest dose Source For people paying out of pocket, Foundayo is available at $149 to $349 per month depending on dose.LifeMD's understanding Foundayo page · read September 2026	$149	$149

Medication only, printed in LifeMD's own Foundayo explainer rather than on a plan card: “For people paying out of pocket, Foundayo is available at $149 to $349 per month depending on dose.” The same article says LifeMD fills it through LillyDirect's pharmacy. The $149 monthly program and provider fee ($39 the first month) is charged on top; the weight-management page lists Foundayo in its medication selector without a price.

Fees on top of the medication

Membership. Required: $149 a month ($39 the first month). LifeMD's own footnote: "Price does not include the monthly program & provider fee of $149 (first month discounted to $39 today)." Its weight-management FAQ puts it the same way: "Our program starts as low as $39 for your first month, and just $149 a month thereafter with the flexibility to cancel anytime." Two other blocks on that page price the same fee at $75 a month, and the page hero prices it at $29 a month for LifeMD+ members.
Consultation. No separate consultation fee is disclosed.

Billing, canceling and refunds

The program and provider fee bills monthly, $39 for the first month and $149 after that, with the option to cancel anytime.
Medication is billed on top of that program fee.
The separate LifeMD+ membership charges $19 at the start of each billing cycle and renews automatically until canceled.
Program members who fail to lose at least 10% of body weight may qualify for a refund, subject to terms.

LifeMD cost questions

What does the first month at LifeMD cost?$188 for brand semaglutide, then $298 a month from month two. Membership is $39 the first month, then $149.
Does LifeMD sell a cheaper prepaid plan?No. brand semaglutide at $149, brand orforglipron at $149 and brand tirzepatide at $299 are sold month to month only, with no prepaid plan published.
Does the LifeMD price go up with the dose?Yes. A month of brand semaglutide runs from $149 to $199 depending on the dose; the full ladder is above.

The service, the checks and who should skip LifeMD are in the LifeMD 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.