Compounded semaglutide injections are $149 a month at Nirwana Health on a cancel-anytime subscription, and the daily semaglutide tablet is $199. Tirzepatide is where the site argues with itself: $199 on the home page and in the page's own price table, $229 on the plan picker you actually check out from.
$149 buys one month of compounded semaglutide, no commitment
No membership fee on top
Clean FDA warning-letter record
Prescribers licensed in your state
Against it
No pharmacy named
No support hours published
What it is
Nirwana Health runs a pay-your-own-way online practice selling compounded semaglutide and tirzepatide in two forms, a shot once a week or a tablet every day, next to testosterone, hair-loss pills, ED medication and a shelf of peptides such as NAD+, sermorelin and tesamorelin. You fill in a short questionnaire, a physician reviews it within 48 hours, and approved orders go out free of charge, usually 4 to 7 business days from approval to your door.
The legal name in the terms is Nirwana Healthcare LLC. The site never prints a street address or a phone number, and the only contact is a support email. It doesn't name the pharmacy either; the footer says only that treatments come “from US licensed pharmacies.” The About page claims doctors “certified to practice across the entire US.”
Two lines in the terms don't fit the storefront. They say Nirwana accepts insurance and may bill it directly, while every product page promises “No Insurance.” And they describe consultations by video, which the weight-loss pages never mention.
The semaglutide injection has four prices on its plan picker: $199 for a single month bought once, $149 a month on a subscription you can cancel anytime, $133 a month on a quarterly subscription ($399 every three months, per the page's price table), and $99 a month on a six-month subscription whose total isn't printed. The tablet runs $249, $199, $166 and $116 on the same four plans.
The subscription is cheaper than the one-time month, which is unusual. Buying a single month without signing up costs $50 more for semaglutide and the same for tirzepatide.
Tirzepatide is harder to pin down. The injection picker lists $279 once, $229 monthly, $199 a month quarterly and $133 a month for six months. The home page, the sale banner and the page's own summary table put the monthly injection at $199 and the quarterly one at $166 ($499 every three months). Nobody reconciles the two. The tablet picker shows $299, $249, $233 and $149.
Nirwana says the listed price covers the provider consultation, the dosing plan, the medication, free shipping and unlimited check-ins, and that there's no membership. A “LOOSE50” code for $50 off and a 25%-off pop-up for email sign-ups run on top; neither changes the list price.
Refunds are narrow. You get everything back if the doctor doesn't approve you, and you can ask for a refund if nothing has shipped within 14 days. Otherwise every fee is final, including a mid-cycle cancellation, and a damaged or wrong shipment gets a replacement rather than a refund.
Who it's wrong for
Want to know what tirzepatide costs before you start? Nirwana's own page quotes $199 and $229 for the same monthly injection.
Skip it if you want the compounding pharmacy's name before paying. Nirwana never says which U.S. pharmacy compounds or ships the order.
Not for you if you like to settle problems by phone. There's a single support inbox, no number and no hours.
Planning to stop partway through a month? The refund policy keeps the whole cycle once treatment has begun, and a damaged box is replaced, not refunded.
The American checks
Prescriber licensed in your state
Stated
Pharmacy named
Not named
What you get
Compounded. The footer says “Nirwana Health does not manufacture compounded medications” and that treatments are “delivered from US licensed pharmacies”. No pharmacy is named, and neither 503A nor 503B appears on any page.
Overseas fulfillment
None disclosed
Support hours
No hours and no phone number are published. Email support (“Drop us a note anytime”).
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about Nirwana Health
How much does Nirwana Health cost a month?Month to month, compounded semaglutide is $149 a month, oral semaglutide $199 and compounded tirzepatide $229.
Does Nirwana Health charge a membership fee?No. Nirwana Health bills compounded semaglutide at $149 a month with nothing added for a membership.
Does Nirwana Health sell compounded or brand-name GLP-1s?Compounded. The footer says “Nirwana Health does not manufacture compounded medications” and that treatments are “delivered from US licensed pharmacies”. No pharmacy is named, and neither 503A nor 503B appears on any page.
Has Nirwana Health received an FDA warning letter?No. FDA's published warning-letter index holds no letter to Nirwana Health on a search of “Nirwana Health”, “nirwanahealth”, “Nirwana Healthcare LLC”, “Nirwana Health Services”, and the search is linked under Sources.
Does GLP America earn money from Nirwana Health?No. Nirwana Health pays us nothing, and its $149 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 record11 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: Nirwana Health's public site: Nirwana Health's home page, Nirwana Health's weight loss page, Nirwana Health's semaglutide page, Nirwana Health's tirzepatide page, Nirwana Health's about us page, Nirwana Health's FAQ page, Nirwana Health's terms of service page, Nirwana Health's privacy policy page, Nirwana Health's shipping policy page and Nirwana Health's refund policy page. The plan picker's Injection and Oral Tablet options were each selected on both product pages. The questionnaire behind “See If You Qualify” was not opened, and the email pop-up was not filled in.
The prices, from the plan picker on /weight-loss/semaglutide with Injection selected: “1 Month — One Time One-time purchase $199 /mo”, “Monthly Subscription POPULAR Cancel anytime $149 /mo”, “3 Month Subscription Billed quarterly $133 /mo” and “6 Month Subscription BEST VALUE Best per-month value $99 /mo”. With Oral Tablet selected: “1 Month — One Time One-time purchase $249 /mo”, “Monthly Subscription POPULAR Cancel anytime $199 /mo”, “3 Month Subscription Billed quarterly $166 /mo” and “6 Month Subscription BEST VALUE Best per-month value $116 /mo”. The price table lower on the same page: “INJECTION · 1 MONTH $149/mo Introductory rate”, “INJECTION · 3 MONTH $133/mo $399 billed every 3 months” and “ORAL · MONTHLY $199/mo Daily tablet”.
Tirzepatide prices, from the plan picker on /weight-loss/tirzepatide with Injection selected: “1 Month — One Time One-time purchase $279 /mo”, “Monthly Subscription POPULAR Cancel anytime $229 /mo”, “3 Month Subscription Billed quarterly $199 /mo” and “6 Month Subscription BEST VALUE Best per-month value $133 /mo”. The price table on the same page: “INJECTION · 1 MONTH $199/mo Introductory rate”, “INJECTION · 3 MONTH $166/mo $499 billed every 3 months” and “ORAL · MONTHLY $249/mo Daily tablet”.
The compounded tirzepatide tablet, which has no drug category here: with Oral Tablet selected the picker reads “1 Month — One Time One-time purchase $299 /mo”, “Monthly Subscription POPULAR Cancel anytime $249 /mo”, “3 Month Subscription Billed quarterly $233 /mo” and “6 Month Subscription BEST VALUE Best per-month value $149 /mo”.
Headline figures. The banner on both product pages and the weight-loss hub: “Semaglutide from $149/mo·Tirzepatide from $199/mo” and “Get $50 off — use code LOOSE50 at checkout”. Home page tiles: “Semaglutide Control cravings, reduce appetite, and support sustainable weight loss — all with doctor-guided care from home. Get Started | $149” and “Tirzepatide Advanced GLP-1 treatment designed to help maximize weight loss, reduce hunger, and support long-term results. Get Started | $199”. The hub also reads “GET STARTED FROM ONLY $99” and “Starting from $149/mo” / “Starting from $199/mo”. A home-page pop-up offers “Get 25% off your first order” for an email sign-up.
What the price includes, from the product pages: “Upfront & Transparent pricing. The price you see is the price you pay at checkout including doctor prescription and delivery fees.” and the list “Provider consultation Custom dosing plan GLP-1 medication Free shipping Unlimited check-ins”. The home page: “Flat fees, no membership or hidden charges. You only pay if prescribed.” The FAQ answer to “What's the difference between 1 month and 3 month supply?”: “The 3 month supply ships with three months of medication at a lower per-month price.”
Refunds, from /refund-policy (“Last Updated: May 2026”): refunds are issued for “Medical disqualification before treatment begins — a full refund for that billing cycle.”, “Verified billing errors, such as duplicate charges.” and “Refunds required under applicable law.” Otherwise “all fees are non-refundable. This includes situations where you cancel mid-cycle, choose not to continue treatment, or do not achieve the results you were hoping for.” Damaged or incorrect medication must be reported “within 24 hours of delivery”, and “our standard resolution is a replacement — not a refund.” The FAQ: “If your doctor does not approve treatment, we refund 100%.”
Shipping, from /shipping-policy (“Last Updated: May 2026”): “Standard transit time: 3 to 5 business days after the pharmacy ships your order.”, “End-to-end timeline (approval to doorstep): typically 4 to 7 business days.” and “Free expedited delivery is included on every plan.” Also: “If your medication has not shipped within 14 days of placing your order, you are entitled to request a refund — regardless of where your medical review stands.” and “orders cannot be canceled, returned, or refunded once a prescription has been approved and the medication has been processed or shipped by the pharmacy.”
Who does what, from the terms (“Effective Date: January 1, 2026”): the agreement is with “Nirwana Healthcare LLC”; patients must “Be located in a state where our providers are licensed to practice”. The terms also say “We accept various payment methods including credit cards and insurance” and “We may bill your insurance provider directly where applicable,” list “Virtual medical consultations via video, audio, and text communication”, choose “the laws of the state where our primary business operations are located” and require binding arbitration. No street address appears in the terms, the privacy policy or the footer. The About page: “All our providers are board-certified and licensed.” and “Doctors certified to practice across the entire US.” The home page: “A board-certified U.S. physician reviews your intake and prescribes within 48 hours, if appropriate.” The patient login is hosted at nirwana_health.patient.oladigital.health.
Pharmacy, from the footer: “*Nirwana Health does not manufacture compounded medications. Actual product appearance and labeling of the medication you receive will differ from website images.” and “All treatments are doctor-prescribed and delivered from US licensed pharmacies.” The home page: “All medications come from licensed U.S. pharmacies.” No pharmacy is named.
No FDA enforcement action on record: FDA's warning-letter search on “Nirwana Health”, “nirwanahealth”, “Nirwana Healthcare LLC”, “Nirwana Health Services”, returns no letter addressed to Nirwana Health, its operator, the named pharmacies or Nirwana Health. Search FDA's warning letters.
The companies whose month of compounded semaglutide is closest in price to Nirwana Health's, membership included. Picked by price alone; whether a company pays us plays no part.