On Lttl's cancel-anytime auto-refill, compounded semaglutide runs $99 a month and tirzepatide $149. The “Plans start at” figures of $89 and $139 are 12-month rates, billed $1,068 and $1,668 for the year. A needle-free semaglutide tablet sits in the microdose line at $179 a month after a $149 first month.
$99 buys one month of compounded semaglutide, no commitment
No membership fee on top
Same price at every dose
Names 4 pharmacies, including RedRock Compounding Pharmacy (St George, UT) and Precision Compounding Pharmacy
Against it
The advertised $89/mo is a 12-month prepay, $1,068 at once
Consultation fee disclosed, never priced
What it is
Lttl (pronounced “little”) is a telehealth brand selling injectable compounded semaglutide and tirzepatide, a lower-dose “Microdose” version of both, and a needle-free semaglutide tablet. A longevity menu of NAD+, sermorelin and similar injections sits alongside. You take a two-minute quiz, see a plan, check out, and an independent U.S.-licensed clinician reviews the assessment before anything ships.
The company behind it is The Commerce Group Holdings, LLC, and no street address for it is published. Lttl doesn't make or dispense medication. Its terms list RedRock, Health Warehouse, Precision Compounding and Triad Rx as partner pharmacies, and say your prescription may move among them “for fulfillment, availability, pricing, or operational reasons.”
Service covers all 50 states plus D.C. for adults 18 and over, though not every service is offered everywhere. Lttl doesn't bill insurance; HSA and FSA funds often work, depending on the plan administrator.
What it actually costs
Advertised$89
Actually$99/mo
Lttl advertises $89. A month costs $99 because the advertised rate is the 12-month supply.
The gap
They advertise $89 a month. That is the 12-month supply, $1,068 on the card today. With no commitment it is $99 a month.
Semaglutide injections cost $99 on the monthly auto-refill, which you can cancel anytime. Commit longer and the rate drops: $96 a month billed $288 quarterly, $93 billed $558 every six months, or $89 billed $1,068 a year. Tirzepatide runs $149 monthly, then $146 ($438 a quarter), $143 ($858 per half year) and $139 ($1,668 a year).
Each card also shows a crossed-out comparison price, $249 for semaglutide and $339 for tirzepatide, and a “Save” figure measured against it over the whole term. A banner on every page promises “Up to $140 off your first month” with a code applied automatically. What that does to a specific first charge appears only at checkout.
The Microdose line has its own prices. Low-dose injections of either drug open at $119, then renew at $149 a month, or cost $129, $119 and $109 a month on 3, 6 and 12 months. The semaglutide dissolving tablet is $149 for the first month and $179 after, dropping to $159, $149 and $139 on the longer terms.
No membership fee is listed, and dose doesn't change the price. The pricing policy does talk about paying for a “consultation”, and warns that consultation fees may not come back if a provider declines you, without ever putting a number on one.
Refunds are narrow. The terms promise a full refund only for a medical disqualification or a billing error, and once the intake is submitted the order counts as processed and non-refundable. Any refund request has to go in writing to Lttl's support email within 28 days of the charge.
Who it's wrong for
Took “Plans start at $89/mo” at face value? That's the 52-week semaglutide supply, $1,068 charged for the year. Paying monthly costs $99.
Care which compounder fills your vial? Four partners are listed, and Lttl can shift your prescription among them.
Wondering what the consultation costs? Lttl says you pay for one and that it's generally non-refundable, but never prints the amount.
Once the intake's in, money back is off the table except for a medical disqualification or a billing error; the order already counts as processed.
Counting on phone help at night or on weekends? The phone line and care chat run Monday through Friday, 8am to 8pm Eastern, despite the “Unlimited 24/7 support” line on the home page.
The American checks
Prescriber licensed in your state
Stated
Pharmacy named
One of four partners named in the terms: RedRock Compounding Pharmacy (St. George, UT), Health Warehouse (Florence, KY), Precision Compounding Pharmacy (Bellmore, NY) and Triad Rx (Daphne, AL). Prescriptions may be transferred among them.
What you get
Compounded semaglutide and tirzepatide, “Compounded By U.S.A. Licensed Pharmacies” in “FDA-registered facilities”; no 503A or 503B designation is stated. The terms mention brand-name fulfillment “on a limited basis”, with no published price.
Overseas fulfillment
None disclosed
Support hours
Phone (888) 847-7806 and in-account care chat, “Mon–Fri, 8am–8pm ET”; email Lttl's support email, “Replies within 1 business day”.
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about Lttl
How much does Lttl cost a month?Month to month, compounded semaglutide is $99 a month, compounded tirzepatide $149 and oral semaglutide $179. The $89 it advertises is the 12-month supply, $1,068 charged at once.
Does Lttl charge a membership fee?No. Lttl bills compounded semaglutide at $99 a month with nothing added for a membership, though its terms mention a consultation fee they don't price.
Does Lttl sell compounded or brand-name GLP-1s?Compounded semaglutide and tirzepatide, “Compounded By U.S.A. Licensed Pharmacies” in “FDA-registered facilities”; no 503A or 503B designation is stated. The terms mention brand-name fulfillment “on a limited basis”, with no published price.
Which pharmacy fills Lttl prescriptions?One of four partners named in the terms: RedRock Compounding Pharmacy (St. George, UT), Health Warehouse (Florence, KY), Precision Compounding Pharmacy (Bellmore, NY) and Triad Rx (Daphne, AL). Prescriptions may be transferred among them.
Is there a consultation fee at Lttl?Yes, unpriced. Insurance & Pricing says “Patients pay out-of-pocket for the consultation and medication” and “If a provider declines to prescribe, applicable consultation fees may not be refundable.” Returns & Refunds says consultation fees are “generally non-refundable once a provider has reviewed your information”. No consultation price appears anywhere, and the plan cards show no separate line for one, so it may be folded into the plan price.
Does GLP America earn money from Lttl?No. Lttl pays us nothing, and its $99 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 record8 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: Lttl's public site: Lttl's home page, Lttl's plans page, Lttl's weight loss page, Lttl's semaglutide page, Lttl's tirzepatide page, Lttl's microdose page, Lttl's microdose semaglutide page, Lttl's microdose tirzepatide page, Lttl's peptides page, Lttl's about us page, Lttl's how it works page, Lttl's FAQ page, Lttl's insurance pricing page, Lttl's returns refunds page, Lttl's shipping delivery page, Lttl's contact page, Lttl's terms of service page and Lttl's sitemap.xml page. The /plans selector was clicked through each treatment and supply length. The Get Started quiz and the patient portal at Lttl's home page were not opened.
The prices. The /weight-loss price table (semaglutide): “FLEXIBLE. PAY AS YOU GO. $249 $99 /month $99/mo every month SAVE $150”, “STARTER BUNDLE $249 $96 /month $288 quarterly SAVE $459”, “MOST POPULAR $249 $93 /month $558 every 6mo SAVE $936” and “BEST VALUE $249 $89 /month $1,068 annually SAVE $1,920”. /plans with Tirzepatide Injectable selected: “Monthly Auto-Refill 4-Week Supply · Cancel anytime $149/mo $339 Save $190”, “As low as $146/mo Billed as: $438 quarterly”, “As low as $143/mo Billed as: $858 every 6mo” and “As low as $139/mo Billed as: $1,668 annually”. Home page tiles: “Tirzepatide Our most powerful option Plans start at $139/mo” and “Semaglutide Proven & steady weight loss Plans start at $89/mo”. Every page's banner: “Up to $140 off your first month · Code auto-applied”.
The Microdose tab on /plans. Semaglutide Oral (ODT), “Needle-free microdose GLP-1 in a dissolving tablet.”: “First Month SpecialPROMO 4-Week Supply · One-time intro $149/mo $209 first month, then $179/mo after Save $60”, “As low as $159/mo Billed as: $477 quarterly”, “As low as $149/mo Billed as: $894 every 6mo” and “As low as $139/mo Billed as: $1,668 annually”. Microdose injections, semaglutide and tirzepatide priced alike: “First Month SpecialPROMO 4-Week Supply · One-time intro $119/mo $179 first month, then $149/mo after Save $60”, then $129 a month (“$387 quarterly”), $119 (“$714 every 6mo”) and $109 (“$1,308 annually”).
Inclusions, from Insurance & Pricing: “Lttl offers transparent, membership-based pricing for weight management care.” and “you will only be charged once a provider has reviewed your assessment and issued a treatment plan.” The plan includes “An asynchronous medical assessment reviewed by a U.S.-licensed provider”, care-team access, pharmacy dispensing and “Cold-chain shipping where required, with tracking”. The same page: “Patients pay out-of-pocket for the consultation and medication.” The home page: “No hidden fees”, “Same price, every dose” and “Your rate is locked in from day one.”
Refunds, from the terms (“Effective Date: May 12, 2026”), section 14: “Once the initial medical intake has been submitted, the order is considered processed and is non-refundable.” A full refund is issued for “Medical disqualification by provider” or a “Billing error”. “Refund requests must be made within 28 days of the original payment date and submitted in writing to Lttl's support email.” The Returns & Refunds page: consultation fees “are generally non-refundable once a provider has reviewed your information, regardless of whether a prescription is issued”, “Orders that have already been processed by the pharmacy cannot be canceled or refunded.”, and billing errors are reviewed if raised “within 30 days of the charge”.
Who does what: “The Commerce Group Holdings, LLC (“Lttl,” “we,” “our,” or “us”) owns and operates Lttl's site”. The footer: “Clinical services are provided by independent networks of U.S.-licensed clinicians and providers”. The FAQ: “Lttl is available to adults (18+) located in U.S. states where our partner providers are licensed.” The terms: “Currently offering services in all 50 states plus Washington D.C.”, Delaware law, and JAMS individual arbitration. No street address for the company is published anywhere on the site.
Partner Pharmacies, from the terms: RedRock Compounding Pharmacy, 1240 E 100 S #220, St. George, UT 84790; Health Warehouse, 7107 Industrial Rd, Florence, KY 41042; Precision Compounding Pharmacy, 2657 Merrick Road, Bellmore, NY 11710; Triad Rx, 26258 Pollard Road, Daphne, AL 36526. “Your prescription may be transferred among pharmacies for fulfillment, availability, pricing, or operational reasons”. The terms also describe a “Prescription-Only Service” for brand-name drugs and say “Lttl offers fulfillment for FDA-approved branded medications on a limited basis”; no brand price is published.
Shipping and support. Shipping & Delivery: orders are processed “within 2–5 business days after a prescription is issued”, arrive “within 3–7 business days after the order leaves the pharmacy”, and “Lttl currently ships only within the United States.” The banner says “Prescribed and shipped within 48 hours”. Contact: phone “(888) 847-7806 Mon–Fri, 8am–8pm ET · Real people, no phone trees”, email “Replies within 1 business day”. The home page advertises “Unlimited 24/7 support”.
Sources
Lttl's own pages
Lttl's weight loss pageCompounded semaglutide price
Lttl's plans pageCompounded tirzepatide price
Prices come from the company's own public pages only; the dated quotations are in On the record above.
What Lttl sells, priced across the market
The same molecules at every other company we have reviewed, with the range each one falls in.
The companies whose month of compounded semaglutide is closest in price to Lttl's, membership included. Picked by price alone; whether a company pays us plays no part.