Tool · 80 plans on a non-monthly cycle
29 companies here sell something priced “a month” that is not a month. A four-week cycle fits thirteen times into a year rather than twelve, so the monthly figure is right and the yearly one everybody assumes from it is wrong by a whole extra payment.
Sorted by what the cycle does to a year, most expensive first. The cycle length in the second column is the company's own wording (“per 4 weeks”, “per 28-day supply”, “billed approx. every 4 weeks”), not our interpretation of a plan name. Cycles between 23 and 60 days appear here.
| Company and plan | Cycle | Per cycle | Charges a year | A year, really | vs twelve months |
|---|---|---|---|---|---|
| Luvo Healthbrand tirzepatide · Every 4 weeks | 28 days | $1,399 | 13 | $18,187 | +$1,399 |
| Luvo Healthbrand semaglutide · Every 4 weeks | 28 days | $1,299 | 13 | $16,887 | +$1,299 |
| Fresh Day Medscompounded tirzepatide · 1-month plan (renews every 23 days) | 23 days | $179 | 15 | $2,685 | +$537 |
| Rixa Healthcompounded tirzepatide · Injection Level 6, 15 mg/week, per 4 weeks | 28 days | $525 | 13 | $6,825 | +$525 |
| Pallas Healthoral semaglutide · Wegovy pill, every 4 weeks after a $299 first month | 28 days | $499 | 13 | $6,487 | +$499 |
| Rixa Healthcompounded tirzepatide · Injection Level 5, 12.5 mg/week, per 4 weeks | 28 days | $495 | 13 | $6,435 | +$495 |
| Rixa Healthcompounded tirzepatide · Injection Level 4, 10 mg/week, per 4 weeks | 28 days | $475 | 13 | $6,175 | +$475 |
| Rixa Healthcompounded tirzepatide · Injection Level 3, 7.5 mg/week, per 4 weeks | 28 days | $430 | 13 | $5,590 | +$430 |
| Fresh Day Medscompounded semaglutide · 1-month plan (renews every 23 days) | 23 days | $140 | 15 | $2,100 | +$420 |
| Remedy Medscompounded tirzepatide · Tirzepatide plan, per 28-day shipment | 28 days | $399 | 13 | $5,187 | +$399 |
| Freya Medscompounded tirzepatide · Monthly, per 28-day cycle | 28 days | $390 | 13 | $5,070 | +$390 |
| Rixa Healthcompounded tirzepatide · Injection Level 2, 5 mg/week, per 4 weeks | 28 days | $355 | 13 | $4,615 | +$355 |
| Pallas Healthcompounded tirzepatide · Every 4 weeks, after a $179 first month | 28 days | $339 | 13 | $4,407 | +$339 |
| Prime Doctor RXcompounded tirzepatide · Month to month, billed every 4 weeks | 28 days | $339 | 13 | $4,407 | +$339 |
| Rixa Healthcompounded semaglutide · Injection Level 5, 2.2 mg/week, per 4 weeks | 28 days | $310 | 13 | $4,030 | +$310 |
| Health Source Onlinecompounded tirzepatide · Every 4 weeks (starter or full dose) | 28 days | $299 | 13 | $3,887 | +$299 |
| Remedy Medscompounded semaglutide · Semaglutide plan, per 28-day shipment | 28 days | $299 | 13 | $3,887 | +$299 |
| Sprycompounded tirzepatide · Starting price, rebilled every 4 weeks | 28 days | $299 | 13 | $3,887 | +$299 |
| Freya Medscompounded semaglutide · Monthly, per 28-day cycle | 28 days | $297 | 13 | $3,861 | +$297 |
| Emerge Weight Losscompounded tirzepatide · Injection 15 mg, per 4-week supply, existing patients only | 28 days | $289 | 13 | $3,757 | +$289 |
| Rixa Healthcompounded tirzepatide · Injection Level 1, 2.5 mg/week, per 4 weeks | 28 days | $280 | 13 | $3,640 | +$280 |
| Emerge Weight Losscompounded tirzepatide · Injection 12.5 mg, per 4-week supply, existing patients only | 28 days | $279 | 13 | $3,627 | +$279 |
| Nolucompounded tirzepatide · Every 4 weeks, cancel anytime | 28 days | $279 | 13 | $3,627 | +$279 |
| Prime Doctor RXoral semaglutide · Month to month, billed every 4 weeks | 28 days | $279 | 13 | $3,627 | +$279 |
| Emerge Weight Losscompounded tirzepatide · Injection 10 mg, per 4-week supply | 28 days | $269 | 13 | $3,497 | +$269 |
| REMEVicompounded tirzepatide · Every 4 weeks | 28 days | $269 | 13 | $3,497 | +$269 |
| Luvo Healthoral semaglutide · Every 4 weeks | 28 days | $259 | 13 | $3,367 | +$259 |
| Emerge Weight Losscompounded tirzepatide · Injection 7.5 mg, per 4-week supply | 28 days | $249 | 13 | $3,237 | +$249 |
| Luvo Healthcompounded tirzepatide · Every 4 weeks | 28 days | $249 | 13 | $3,237 | +$249 |
| Prime Doctor RXcompounded semaglutide · Month to month, billed every 4 weeks | 28 days | $249 | 13 | $3,237 | +$249 |
| REMEVioral semaglutide · Every 4 weeks | 28 days | $249 | 13 | $3,237 | +$249 |
| Emerge Weight Losscompounded tirzepatide · Injection 5 mg, per 4-week supply | 28 days | $239 | 13 | $3,107 | +$239 |
| Noluoral semaglutide · Every 4 weeks, cancel anytime | 28 days | $239 | 13 | $3,107 | +$239 |
| Pallas Healthcompounded semaglutide · Every 4 weeks, after a $139 first month | 28 days | $239 | 13 | $3,107 | +$239 |
| Rixa Healthcompounded semaglutide · Injection Level 2, 0.55 mg/week, per 4 weeks | 28 days | $225 | 13 | $2,925 | +$225 |
| Wispcompounded semaglutide · Sublingual, per 28-day supply | 28 days | $225 | 13 | $2,925 | +$225 |
| Emerge Weight Losscompounded tirzepatide · Injection 2.5 mg, per 4-week supply | 28 days | $224 | 13 | $2,912 | +$224 |
| Luvo Healthcompounded semaglutide · Every 4 weeks | 28 days | $209 | 13 | $2,717 | +$209 |
| DadVantage Men's Healthcompounded semaglutide · 4-week supply | 28 days | $200 | 13 | $2,600 | +$200 |
| Clayacompounded tirzepatide · Monthly plan, shipped every 4 weeks | 28 days | $199 | 13 | $2,587 | +$199 |
| Health Source Onlinecompounded semaglutide · Every 4 weeks (starter or full dose) | 28 days | $199 | 13 | $2,587 | +$199 |
| Nolucompounded semaglutide · Every 4 weeks, cancel anytime | 28 days | $199 | 13 | $2,587 | +$199 |
| REMEVicompounded semaglutide · Every 4 weeks | 28 days | $199 | 13 | $2,587 | +$199 |
| Sprycompounded semaglutide · Starting price, rebilled every 4 weeks | 28 days | $199 | 13 | $2,587 | +$199 |
| Maximuscompounded tirzepatide · Compounded GLP-1 + GIP Tirzepatide, per 28-day supply | 28 days | $198 | 13 | $2,574 | +$198 |
| Rixa Healthcompounded semaglutide · Injection Level 1, 0.3 mg/week, per 4 weeks | 28 days | $195 | 13 | $2,535 | +$195 |
| Luma Health Cocompounded tirzepatide · 2.5 mg starting dose, 4-week supply | 28 days | $180 | 13 | $2,340 | +$180 |
| Noluunspecified GLP-1 · Microdose Core, every 4 weeks | 28 days | $179 | 13 | $2,327 | +$179 |
| Sunlightcompounded tirzepatide · Month to month (billed every 28 days) | 28 days | $157 | 13 | $2,041 | +$157 |
| Aspire Healthcompounded tirzepatide · 1 vial at 2.5 mg a week (4-week supply) | 28 days | $149 | 13 | $1,937 | +$149 |
| Maximuscompounded semaglutide · Compounded GLP-1 Semaglutide, per 28-day supply | 28 days | $116 | 13 | $1,508 | +$116 |
| Luma Health Cocompounded semaglutide · 0.25 mg starting dose, 4-week supply | 28 days | $115 | 13 | $1,495 | +$115 |
| Sunlightcompounded semaglutide · Month to month (billed every 28 days) | 28 days | $88 | 13 | $1,144 | +$88 |
| Company and plan | Cycle | Per cycle | Charges a year | A year, really | vs twelve months |
|---|---|---|---|---|---|
| BloomMDcompounded tirzepatide · 30-day supply, 2.2 mg weekly | 30 days | $249 | 12 | $2,988 | Same |
| ElleScompounded semaglutide · One month (30-day supply) | 30 days | $269 | 12 | $3,228 | Same |
| LunaRxcompounded semaglutide · Starting price, billed every 30 days | 30 days | $146 | 12 | $1,752 | Same |
| LunaRxcompounded tirzepatide · Starting price, billed every 30 days | 30 days | $166 | 12 | $1,992 | Same |
| MangoRxoral semaglutide · 30-day supply, single order | 30 days | $299 | 12 | $3,588 | Same |
| Nex Gen Health Rxcompounded semaglutide · 30-day supply | 30 days | $190 | 12 | $2,280 | Same |
| Nex Gen Health Rxcompounded tirzepatide · 30-day supply | 30 days | $239 | 12 | $2,868 | Same |
| Rixa Healthcompounded semaglutide · Semaglutide/B12 oral tablet, 2 mg, per 30 days | 30 days | $140 | 12 | $1,680 | Same |
| Rixa Healthcompounded semaglutide · Semaglutide/B12 oral tablet, 5 mg, per 30 days | 30 days | $180 | 12 | $2,160 | Same |
| Rixa Healthcompounded semaglutide · Semaglutide/B12 oral tablet, 12 mg, per 30 days | 30 days | $225 | 12 | $2,700 | Same |
| Rixa Healthcompounded tirzepatide · Tirzepatide oral tablet, 3 mg, per 30 days | 30 days | $225 | 12 | $2,700 | Same |
| Rixa Healthcompounded tirzepatide · Tirzepatide oral tablet, 4 mg, per 30 days | 30 days | $245 | 12 | $2,940 | Same |
| Rixa Healthcompounded tirzepatide · Tirzepatide oral tablet, 5 mg, per 30 days | 30 days | $270 | 12 | $3,240 | Same |
| Strut Healthcompounded semaglutide · Oral lozenge, 30-day supply | 30 days | $199 | 12 | $2,388 | Same |
| Strut Healthcompounded tirzepatide · Injectable, 30-day supply | 30 days | $149 | 12 | $1,788 | Same |
| Strut Healthcompounded tirzepatide · Oral, 30-day supply | 30 days | $199 | 12 | $2,388 | Same |
| SurpassMDcompounded semaglutide · 30-day supply, standard renewal rate | 30 days | $219 | 12 | $2,628 | Same |
| SurpassMDcompounded tirzepatide · 30-day supply, standard renewal rate | 30 days | $309 | 12 | $3,708 | Same |
| WePeptideRxcompounded semaglutide · 30-day supply | 30 days | $149 | 12 | $1,788 | Same |
| WePeptideRxcompounded tirzepatide · 30-day supply | 30 days | $159 | 12 | $1,908 | Same |
| WePeptideRxoral semaglutide · 30-day supply | 30 days | $159 | 12 | $1,908 | Same |
| Rixa Healthcompounded semaglutide · Injection Level 3, 0.8 mg/week, per 5 weeks | 35 days | $265 | 10 | $2,650 | −$530 |
| Rixa Healthcompounded semaglutide · Injection Level 4, 1.6 mg/week, per 5 weeks | 35 days | $290 | 10 | $2,900 | −$580 |
| The Aesthetic Conciergecompounded semaglutide · Renewal, billed every 5 weeks | 35 days | $414 | 10 | $4,140 | −$828 |
| The Aesthetic Conciergecompounded tirzepatide · Renewal, billed every 5 weeks | 35 days | $479 | 10 | $4,790 | −$958 |
| Henry Medsoral semaglutide · Sublingual drops or tablets, up to 60 mg every 60 days | 60 days | $179 | 6 | $1,074 | −$1,074 |
| Henry Medsoral semaglutide · Sublingual tablets, up to 180 mg every 60 days | 60 days | $249 | 6 | $1,494 | −$1,494 |
The widest row, step by step
Luvo Health prices brand tirzepatide at $1,399 for what its own label calls every 4 weeks, a 28-day cycle. 365 ÷ 28 is 13.04, so a card is charged 13 times in a year, not twelve. 13 × $1,399 = $18,187, against the $16,788 that twelve months at the same figure would suggest. The difference is $1,399, and it is one extra charge rather than a higher price.
The charge count is floored on purpose: 365 ÷ 28 is 13.04, and nobody is billed four hundredths of a time. A whole number is also the only version of this figure you can check against a bank statement, which is the point of putting it on a page.
6 of these rows go the other way. A 60-day cycle fits 6 times into a year, so a plan priced at a given figure per cycle costs less across twelve months than the same figure billed monthly would. It is the same mechanism, and reporting only the direction that suits the argument would turn a measurement into a complaint.
21 rows come out level: a 30-day cycle fits twelve times into a year, so it behaves like a month even though it is not described as one.
Each table refuses at 60 rows rather than growing past what one page can show.