What does the first month at PreventiveMD cost?

$119 for compounded semaglutide, the same as every month after it.

Is PreventiveMD cheaper if I pay up front?

The 12-month supply works out to $83 a month for compounded semaglutide, charged $999 at once. Bought month by month, the same 12 months would be $1,428: a difference of $429 by our math, if you stay the whole term.

Does the PreventiveMD price go up with the dose?

No. Compounded semaglutide stays at $119 a month whatever the dose, by PreventiveMD's own account.

Cost · Not a partner

PreventiveMD cost and pricing

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

They advertise

~~$83/mo, 12-month supply~~

A month with no commitment

$119/mo, month to month

What one month costs before any prepay discount. The ladders below price each part separately.

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

Month one, then every month after

PreventiveMD: first month and later months
Drug	Month one	Each month after
Compounded semaglutide	$119	$119
Compounded tirzepatide	$139	$139
Brand semaglutide	$198	$198
Brand orforglipron	$198	$198
Brand tirzepatide	$348	$348

Includes the $49 membership.

Every plan, by drug and term

Compounded semaglutide

compounded semaglutide price ladder
Plan	Per month	Charged today
1-month supply Source 1-month supply $119 — —PreventiveMD's semaglutide page · read September 2026	$119	$119
3-month supply Source 3-month supply MOST POPULAR $286 ~$95/mo per month Save $71PreventiveMD's semaglutide page · read September 2026	$95	$286
6-month supply Source 6-month supply† $536 ~$89/mo per month Save $178PreventiveMD's semaglutide page · read September 2026	$89	$536
12-month supply · advertised Source 12-month supply† BEST VALUE $999 ~$83/mo per month Save $429PreventiveMD's semaglutide page · read September 2026	$83	$999

Dose doesn't move it; the FAQ: “For our compounded medications, yes every dose is the same price”. Only plan length does, and the longer plans' monthly figures are the page's own rounded “~” numbers. Six- and 12-month plans are paid up front and ship three months at a time. The additive depends on the pharmacy you pick: cyanocobalamin (B12) from Empower, glycine from Drug Crafters or Boudreaux's.

Compounded tirzepatide

compounded tirzepatide price ladder
Plan	Per month	Charged today
1-month supply Source 1-month supply $139 — —PreventiveMD's tirzepatide page · read September 2026	$139	$139
3-month supply Source 3-month supply MOST POPULAR $334 ~$111/mo per month Save $83PreventiveMD's tirzepatide page · read September 2026	$111	$334
6-month supply Source 6-month supply† $626 ~$104/mo per month Save $208PreventiveMD's tirzepatide page · read September 2026	$104	$626
12-month supply Source 12-month supply† BEST VALUE $1,168 ~$97/mo per month Save $500PreventiveMD's tirzepatide page · read September 2026	$97	$1,168

Flat across doses on the same plan-length ladder. Empower's tirzepatide contains niacinamide; Drug Crafters' and Boudreaux's contain glycine.

Brand semaglutide

brand semaglutide price ladder
Plan	Per month	Charged today
Wegovy, medication only (paid to NovoCare) Source Monthly membership fee $49 + medication starting at $149/mo per month , paid directly to NovoCare®.PreventiveMD's Wegovy page · read September 2026	$149	$149

Brand Wegovy, described on the page as an injection pen. The drug is paid directly to NovoCare, not to PreventiveMD, and “starting at” is the only figure given, with no dose ladder. The $49 monthly membership is due on top, so the first rung comes to $198 by our addition.

Brand tirzepatide

brand tirzepatide price ladder
Plan	Per month	Charged today
Zepbound, medication only (paid to LillyDirect) Source Monthly membership fee $49 + medication starting at $299/mo per month , paid directly to LillyDirect®.PreventiveMD's Zepbound page · read September 2026	$299	$299

Brand Zepbound, as single-dose vials or the KwikPen; the page says vials “may be more cost-effective in some pricing programs.” Paid directly to LillyDirect from $299, plus the $49 membership, $348 by our addition.

Brand orforglipron

brand orforglipron price ladder
Plan	Per month	Charged today
Foundayo, medication only (paid to LillyDirect) Source Monthly membership fee $49 + medication starting at $149/mo per month , paid directly to LillyDirect®.PreventiveMD's Foundayo page · read September 2026	$149	$149

Lilly's Foundayo, a once-daily tablet titrated from 0.8 mg up to 17.2 mg. Paid directly to LillyDirect from $149; the $49 membership makes it $198 by our addition.

Paying up front

PreventiveMD prepaid plans against paying monthly
Plan	Charged at once	Same months, paid monthly	Difference
3-month supply · compounded semaglutide	$286	$357	−$71
6-month supply · compounded semaglutide	$536	$714	−$178
12-month supply · compounded semaglutide	$999	$1,428	−$429
3-month supply · compounded tirzepatide	$334	$417	−$83
6-month supply · compounded tirzepatide	$626	$834	−$208
12-month supply · compounded tirzepatide	$1,168	$1,668	−$500

The last two columns are our arithmetic, not PreventiveMD's: the plan's charge against the same number of months bought one at a time at PreventiveMD'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

Membership. Required for brand semaglutide, brand tirzepatide and brand orforglipron: $49 a month. Required for brand-name drugs only. The Wegovy, Zepbound and Foundayo pages each list a “Monthly membership fee $49” plus medication “paid directly to” NovoCare or LillyDirect. The compounded plans carry, per the FAQ, “no membership, consultation, or cancellation fees.”
Consultation. No separate consultation fee is disclosed.

Billing, canceling and refunds

An authorization hold at checkout becomes a charge only after provider approval.
A full refund is available until the pharmacy accepts the prescription; from then on the order can't be refunded, damage, dispensing errors and duplicate charges aside.
Plans keep renewing, term after term, until canceled; canceling stops future renewals, and months already prepaid still ship.
Refund requests must reach PreventiveMD's support email no later than 30 days after the charge.

PreventiveMD cost questions

What does the first month at PreventiveMD cost?$119 for compounded semaglutide, the same as every month after it.
Is PreventiveMD cheaper if I pay up front?The 12-month supply works out to $83 a month for compounded semaglutide, charged $999 at once. Bought month by month, the same 12 months would be $1,428: a difference of $429 by our math, if you stay the whole term.
Does the PreventiveMD price go up with the dose?No. Compounded semaglutide stays at $119 a month whatever the dose, by PreventiveMD's own account.

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