Cost · Not a partner

Pallas Health cost and pricing

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

One month, no commitment

$239/mo, month to month

The cheapest single month with no commitment. The lower monthly rates below need a longer plan.

Month one, then every month after

Pallas Health: first month and later months
DrugMonth oneEach month after
Compounded semaglutide$239$239
Compounded tirzepatide$339$339
Oral semaglutide$499$499
Brand tirzepatide$1,069$1,069
Brand semaglutide$1,299$1,299

Every plan, by drug and term

Compounded semaglutide

compounded semaglutide price ladder
PlanPer monthCharged today
Every 4 weeks, after a $139 first month
Source
Compounded semaglutide is $139 for your first month, then $239 every 4 weeks; compounded tirzepatide is $179 for your first month, then $339 every 4 weeks.Pallas Health's GLP-1 page · read September 2026
$239$239
Annual plan (per-month average)
Source
Compounded semaglutide injection is $139 for your first month, then $239 every 4 weeks, or $159/mo average on the annual plan;Pallas Health's GLP-1 page · read September 2026
$159$1,908

† Applies to the three annual rungs. Pallas's disclosure says “your first charge (the first month on the monthly plan; the full term on other plans) is made once a clinician prescribes”, so an annual plan is charged at once, but only a “per-month average” is printed (“$159/mo average on the annual plan”, “$259/mo average”, “$226/mo average”), spread over a 48-week term. The annual totals ($1,908, $3,108, $2,712) are that average times twelve, our multiplication, not Pallas's figures. The 12-week tablet plan's $777 is Pallas's own figure.

Weekly injection, one price at every dose: “Your compounded plan costs the same at every dose, from your starting dose to maintenance — semaglutide is $139 for your first month, then $239 every 4 weeks on any dose.” New patients pay $139 for the first month. Quarterly and six-month plans exist per the terms, but no price is printed for either; only the annual average of $159 a month is.

Compounded tirzepatide

compounded tirzepatide price ladder
PlanPer monthCharged today
Every 4 weeks, after a $179 first month
Source
Compounded semaglutide is $139 for your first month, then $239 every 4 weeks; compounded tirzepatide is $179 for your first month, then $339 every 4 weeks.Pallas Health's GLP-1 page · read September 2026
$339$339
Annual plan (per-month average)
Source
compounded tirzepatide injection is $179 for your first month, then $339 every 4 weeks, or $259/mo average on the annual plan;Pallas Health's GLP-1 page · read September 2026
$259$3,108

† Applies to the three annual rungs. Pallas's disclosure says “your first charge (the first month on the monthly plan; the full term on other plans) is made once a clinician prescribes”, so an annual plan is charged at once, but only a “per-month average” is printed (“$159/mo average on the annual plan”, “$259/mo average”, “$226/mo average”), spread over a 48-week term. The annual totals ($1,908, $3,108, $2,712) are that average times twelve, our multiplication, not Pallas's figures. The 12-week tablet plan's $777 is Pallas's own figure.

Weekly injection, and the same flat-price rule covers it: the home page says “Your compounded plan costs the same at every dose — step-ups your clinician prescribes are included.” The first month is $179, then $339 every 4 weeks, or a $259 monthly average on the annual plan.

Oral semaglutide

oral semaglutide price ladder
PlanPer monthCharged today
Wegovy pill, every 4 weeks after a $299 first month
Source
The Wegovy® pill is $299 for your first month, then $499 every 4 weeks, charged only once a clinician prescribes, then renewing every 4 weeks until you cancel, with no insurance routing.Pallas Health's Wegovy pill page · read September 2026
$499$499
Compounded semaglutide tablets, 12 weeks
Source
compounded semaglutide tablets are $777 every 12 weeks ($259/mo average), or $226/mo average on the annual plan.Pallas Health's GLP-1 page · read September 2026
$259$777
Compounded semaglutide tablets, annual plan (per-month average)
Source
compounded semaglutide tablets are $777 every 12 weeks ($259/mo average), or $226/mo average on the annual plan.Pallas Health's GLP-1 page · read September 2026
$226$2,712

† Applies to the three annual rungs. Pallas's disclosure says “your first charge (the first month on the monthly plan; the full term on other plans) is made once a clinician prescribes”, so an annual plan is charged at once, but only a “per-month average” is printed (“$159/mo average on the annual plan”, “$259/mo average”, “$226/mo average”), spread over a 48-week term. The annual totals ($1,908, $3,108, $2,712) are that average times twelve, our multiplication, not Pallas's figures. The 12-week tablet plan's $777 is Pallas's own figure.

Two different products share this block. The month-to-month figure belongs to Novo Nordisk's Wegovy tablet: $299 for the first month, then $499 every 4 weeks, at “pharmacy cash-pay rates”. Pallas's compounded semaglutide tablets are sold only on 12-week ($777) or annual terms, so no one-month price exists for them. Foundayo (orforglipron) is priced like the Wegovy pill, $299 then $499.

Brand semaglutide

brand semaglutide price ladder
PlanPer monthCharged today
Ozempic, month to month
Source
Ozempic® is $1,299/month on Pallas, billed flat with no insurance routing.Pallas Health's Ozempic page · read September 2026
$1,299$1,299
Wegovy pen, month to month
Source
Wegovy® is $1,349/month on Pallas, billed flat with no insurance routing.Pallas Health's Wegovy page · read September 2026
$1,349$1,349

Flat cash prices per 28-day supply, no dose tiers printed: Ozempic $1,299 and Wegovy $1,349. Pallas says these reflect “pharmacy cash-pay rates and may change”, bills them itself, and notes that “Insurance routing is not currently supported.”

Brand tirzepatide

brand tirzepatide price ladder
PlanPer monthCharged today
Zepbound, month to month
Source
Zepbound® is $1,069/month on Pallas — billed flat, cash-pay, with no insurance routing.Pallas Health's Zepbound page · read September 2026
$1,069$1,069
Mounjaro, month to month
Source
Mounjaro® is $1,349/month on Pallas, billed flat with no insurance routing.Pallas Health's Mounjaro page · read September 2026
$1,349$1,349

Zepbound is $1,069 and Mounjaro $1,349 for a 28-day supply, flat. The Zepbound page itself points out that Eli Lilly sells lower-dose self-pay vials through LillyDirect.

Paying up front

Pallas Health prepaid plans against paying monthly
PlanCommitmentSame months, paid monthlyDifference
Annual plan (per-month average) · compounded semaglutide$1,908$2,868−$960
Annual plan (per-month average) · compounded tirzepatide$3,108$4,068−$960
Compounded semaglutide tablets, 12 weeks · oral semaglutide$777$1,497−$720
Compounded semaglutide tablets, annual plan (per-month average) · oral semaglutide$2,712$5,988−$3,276

The last two columns are our arithmetic, not Pallas Health's: the plan's charge against the same number of months bought one at a time at Pallas Health's month-to-month price. A prepay only saves that much if you stay on the drug for the whole term.

Fees on top of the medication

Billing, canceling and refunds

Pallas Health cost questions

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