Every GLP-1 journey starts at a low dose and — for most people — settles at a higher maintenance dose. That makes dose-price behavior one of the most financially consequential features of any program, and one of the least advertised. Some channels charge more as you titrate; some charge exactly the same. Here's the field, sorted by that single question.
| Channel | Dose-price behavior | Maintenance-dose monthly |
|---|---|---|
| Telos Rx (sema or tirz) | Flat at every dose | $49–$199 by commitment term — unchanged by dose |
| GobyMeds | Flat at every dose | $99 sema / $133 tirz |
| Brand pens via MFN ($199/$299) | Flat by channel price | $199 sema / $299 tirz |
| Zepbound vials (LillyDirect) | Climbs with dose | $349 → $399 → $449 |
| Some compounded programs | Tiered by dose (varies) | Check the dose schedule before committing |
Why This Matters More Than Intro Price
You'll spend one or two months at starter doses and potentially years at maintenance. A program that's $30 cheaper in month one but $100 more at your maintenance dose costs you four figures over a treatment horizon. The dose schedule, not the landing page, is the real price list.
The Flat-Rate Podium
Telos Rx (Tirzepatide)
Flat-rate injectable tirzepatide with zero dose-based price escalation.
Injectable compounded tirzepatide — $49 first month on 12-mo plan · $99/mo (6-mo) · $129/mo (3-mo) · $199 month-to-month, flat at any dose
- Flat pricing at every dose
- Longer commitments unlock lower rates
- Provider consult included
Compounded medications are not FDA-approved. They are prepared by licensed pharmacies but have not been evaluated by the FDA for safety, effectiveness, or quality.
Try Gala GLP-1 instead Paid linkTelos Rx (Semaglutide)
Flat-rate injectable semaglutide — the same price at starter dose and max dose.
Injectable compounded semaglutide — $49 first month on 12-mo plan · $99/mo (6-mo) · $129/mo (3-mo) · $199 month-to-month, flat at any dose
- No dose-based price increases
- Commitment length sets your rate
- Consult and shipping included
Compounded medications are not FDA-approved. They are prepared by licensed pharmacies but have not been evaluated by the FDA for safety, effectiveness, or quality.
Visit Telos Rx (Semaglutide) Paid linkGobyMeds
The lowest injectable price point we currently track.
Injectable compounded semaglutide $99/mo · tirzepatide $133/mo
- Among the lowest injectable prices tracked
- Direct pharmacy model
- Flat monthly pricing
Compounded medications are not FDA-approved. They are prepared by licensed pharmacies but have not been evaluated by the FDA for safety, effectiveness, or quality.
Visit GobyMeds Paid linkThe Telos structure rewards commitment (12-month plans at the deepest rates, month-to-month at $199) while holding price constant across every dose — the purest inversion of the vial ladder. GobyMeds takes second by pairing flat dose pricing with no commitment at all: $99/$133 whether it's your first month or your fortieth, cancel anytime. Brand pens at $199/$299 through MFN channels are honorable flat-rate mentions — dose-stable, just at a higher tier and medication-only.
Questions to Ask Any Program Before Committing
- "Is the price identical at every dose, including the highest?" — get it in writing.
- "What happens to my rate if my provider adjusts my dose mid-term?"
- "Does the commitment rate survive a medication switch (sema → tirz)?"
Bottom Line
Dose escalation is the plan, so price the plan — not the starting line. Flat-rate programs turn titration from a budget threat into a non-event, and that's worth more than any first-month teaser in the catalog.
Last updated August 2026. Compounded medications are not FDA-approved. Verify current terms and dose schedules with each program.
See the Full Comparison Grid
Every provider and channel we track — price, format, and what's included — side by side.
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Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. All prescription medications discussed require evaluation by a licensed healthcare provider. Always consult your doctor before starting, stopping, or changing any medication. Individual results vary.
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