Is the Wegovy pill the same drug as Ozempic?

Same molecule, different product. Both contain semaglutide. Ozempic is a weekly injection approved for type 2 diabetes; the Wegovy pill is a daily tablet approved in December 2025 for chronic weight management, taken on an empty stomach with a small sip of water.

Can I get Foundayo online?

Yes. Several telehealth services on this page prescribe Foundayo (orforglipron), which the FDA approved for weight management in April 2026. It is a daily pill with no food or water rules, and starting-dose cash prices of about $149 a month are listed by services such as Ro, Hims and Mochi Health, usually plus a membership.

Is there an oral tirzepatide?

Not an approved one. Tirzepatide, the drug in Zepbound and Mounjaro, is approved only as a weekly injection. The oral tirzepatide tablets some services sell are compounded, are not FDA-approved, and have no published trials showing how well they are absorbed.

Do compounded semaglutide drops and lozenges work?

There are no published human trials of compounded under-the-tongue or dissolving semaglutide, so nobody can say how much of the dose is absorbed or how much weight people lose on it. The trial results quoted for oral semaglutide come from the approved swallowed tablet, which uses an absorption enhancer. If you try a compounded form, track your weight and ask the prescriber what happens if it doesn't work.

Needle-free GLP-1

Oral GLP-1 providers: the Wegovy pill, Foundayo and compounded tablets

A GLP-1 you take by mouth comes in two very different kinds. One is an FDA-approved pill, the Wegovy pill (oral semaglutide) or Foundayo (orforglipron), tested in large trials and sold at manufacturer cash prices. The other is a compounded tablet, drop or lozenge made by a pharmacy, which is cheaper to start and has far less evidence behind it. Each row below says which one the service sells and what it costs.

Short answer

45 services sell a GLP-1 by mouth: 9 list an FDA-approved pill and 39 a compounded oral form, and some offer both. If you want an oral drug with trial results, choose the Wegovy pill or Foundayo. Compounded sublingual and dissolving semaglutide is not FDA-approved, and no oral tirzepatide is approved at all.

By Julian RothResearch & data

45 providers comparedReviewed against our editorial methodologyUpdated August 2026

Disclosure: Aminoscope is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.

The shortlist

45 providers, side by side

Included: services that sell a GLP-1 taken by mouth, either an FDA-approved pill (the Wegovy pill, Foundayo or Rybelsus) or a compounded oral, sublingual or dissolving form, as shown on the company's own site or in its review. The Access cell describes the oral option and its price; injection prices are left off. Partners are listed first; the order is commercial, not a ranking.

Sort

Provider	Access	Medications	Insurance	Visit	Go
FoundPartner Insurance-friendly Read review →	Oral option: Brand-name Wegovy pill, Foundayo and Rybelsus on its brand-name plan; drug billed separately	SemaglutideTirzepatide+1	Insurance	VideoAsync	Check availability
Direct MedsPartner Simple cash-pay Read review →	Oral option: Sublingual semaglutide from $249 a month	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Strut HealthPartner One-stop telehealth Read review →	Oral option: Buccal semaglutide lozenge, $99 to $199 a month depending on the page; oral tirzepatide $199	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Oak LongevityPartner Longevity bundle Read review →	Oral option: Sublingual drops or tablets; per-drug price shown in the intake	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
HumeCare+Partner Lean-mass tracking, price behind a quiz Read review →	Oral option: Oral semaglutide at the same price as the injection	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
SkinnyRxPartner Cancel anytime Read review →	Oral option: Daily tablets; only a first-month price is published	SemaglutideTirzepatide+1	Cash-pay	VideoAsync	Check availability
MadeMedPartner GLP-1 + NAD⁺ Read review →	Oral option: Under-the-tongue semaglutide $219 and tirzepatide $299 a month, billed quarterly	SemaglutideTirzepatide	Cash-pay	Async	Check availability
ShedPartner Injections, drops, lozenges Read review →	Oral option: Compounded semaglutide lozenges $199 a month or drops from $229; brand-name Wegovy pill and Foundayo from $149	SemaglutideTirzepatide+2	Cash-pay	Async	Check availability
MEDGmPartner Membership math unclear Read review →	Oral option: Tablets from $249	Compounded semaglutideBrand Zepbound / Wegovy / Ozempic	Cash-pay	QuizAsync	Check availability
WillowPartner Prices every dose Read review →	Oral option: Semaglutide tablet from $299 a month	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
WellMedRxPartner Named pharmacy, no price Read review →	Oral option: Daily dissolving tablets of compounded semaglutide or tirzepatide	SemaglutideTirzepatide	—	Async	Check availability
Fridays Coaching-heavy, coupon pricing Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+2	Cash-pay	QuizAsyncVideo	Check availability
CareBareRX Oral option, inclusive Read review →	Oral option: Names Rybelsus, the brand-name daily tablet, as its oral semaglutide	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
FeelGood Injection + oral Read review →	Oral option: Dissolvable tablets from $249	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Ro Polished, insurance help Read review →	Brand-name: the Wegovy pill from $149 and Foundayo from $149 at starting doses, plus the $149 monthly membership	Branded	Insurance	VideoAsync	Check availability
Hims Mainstream, app-first Read review →	Brand-name: the Wegovy pill, Foundayo and the Ozempic pill from $149, plus the membership (about $298 a month all-in)	Branded	Cash-pay	VideoAsync	Check availability
Henry Meds Flat-fee, simple Read review →	Oral option: Under-the-tongue semaglutide in the $179-a-month entry plan	SemaglutideTirzepatide+1	Cash-pay	VideoAsync	Check availability
Mochi Health Titration-focused Read review →	Oral option: A weekly compounded semaglutide pill and a daily compounded orforglipron	SemaglutideTirzepatide+2	Insurance	Video	Check availability
LifeMD Bundled primary care Read review →	Oral option: The brand-name Wegovy pill from $149 a month, plus the program fee	Branded	Insurance	Video	Check availability
Form Health Dietitian-led Read review →	Brand-name: the Foundayo pill, billed to insurance or at its cash price, plus $299 a month self-pay care	Branded	Insurance	Video	Check availability
Nolu Compounded, cash-pay, named pharmacies Read review →	Oral option: Oral semaglutide at $279 per 4 weeks	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
FORM Broad menu, verify pricing Read review →	Oral option: Oral tablet (ODT) versions from $215 a month	Compounded semaglutideCompounded tirzepatide+2	Cash-pay	QuizAsync	Check availability
CeliaRx Read review →	Oral option: Semaglutide ODT tablets from $199 as a one-time purchase, after a $55 video consult	Compounded semaglutideCompounded tirzepatide	Cash-pay	Video	Check availability
Pepti Every route, priced openly Read review →	Oral option: Oral routes from $249 to $399 a month	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Vyvron Banner price isn't in the catalog Read review →	Oral option: Oral semaglutide at $279 per 4 weeks	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Bayan Health Low entry, broad menu Read review →	Oral option: Oral tablets at $169 (semaglutide) and $199 (tirzepatide)	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
Idgie Health Pharmacy named, plans shown Read review →	Oral option: Oral ODT at $287	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Prime Doctor RX Both prices on the card Read review →	Oral option: Oral semaglutide at $279 every 4 weeks	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Hers Brand-name only, for women Read review →	Brand-name: the Wegovy pill, Foundayo and the Ozempic pill from $149, plus the membership (about $298 a month all-in)	Branded	Cash-pay	AsyncVideo	Check availability
MEDVi Low first month, $299 after Read review →	Oral option: A compounded dissolvable tablet from $249, and the brand-name Wegovy pill with a $99 monthly membership	SemaglutideOral+1	Cash-pay	QuizAsync	Check availability
Dollar Dad Club Low headline, term unclear Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	SemaglutideTirzepatide+1	Cash-pay	QuizAsync	Check availability
Alan Meds Compounded menu, prepaid plans Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+2	Cash-pay	QuizAsync	Check availability
Curex Many formats, unclear pricing Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	SemaglutideTirzepatide+1	Cash-pay	QuizAsyncVideo	Check availability
Elara Health and Wellness Labs and coaching included Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
Fella Health Built for men, guarantee included Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideOral tirzepatide (compounded)+1	Cash-pay	QuizAsyncVideo	Check availability
Fitish Flat monthly price, all sales final Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
Vaylen Prepaid-year pricing, refund if declined Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
Recovery Delivered Live video visits, dose-priced Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizVideo	Check availability
Cabana Concierge care, named pharmacy Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+1	—	QuizAsync	Check availability
BeyondMD Peptide clinic with GLP-1 programs Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+3	—	QuizVideo	Check availability
Avono Health No membership, one monthly price Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+2	—	QuizAsync	Check availability
EllieMD Three-month plans, injection or drops Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+2	Cash-pay	QuizAsync	Check availability
eMI Video visits, prices after intake Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+2	Cash-pay	QuizVideo	Check availability
Go Vida Plena Spanish-language GLP-1 care Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+2	Cash-pay	QuizVideo	Check availability
Fidelity Medical Clinic Florida clinic, oral options Read review →	Oral option: An oral form is listed; ask for its price and formulation at intake	Compounded semaglutideCompounded tirzepatide+2	Cash-pay	Video	Check availability

FoundPartnerInsurance-friendly
Compounded GLP-1 with the drug included, and insurance for the visits
Access
Oral option: Brand-name Wegovy pill, Foundayo and Rybelsus on its brand-name plan; drug billed separately
Insurance
Insurance
Medications
SemaglutideTirzepatideBranded
Visit
VideoAsync
Check availability
Direct MedsPartnerSimple cash-pay
Straightforward compounded GLP-1 without an insurance requirement
Access
Oral option: Sublingual semaglutide from $249 a month
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
Strut HealthPartnerOne-stop telehealth
A general telehealth that covers GLP-1 alongside other everyday care
Access
Oral option: Buccal semaglutide lozenge, $99 to $199 a month depending on the page; oral tirzepatide $199
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
Oak LongevityPartnerLongevity bundle
Low-cost compounded GLP-1 bundled with a longevity stack
Access
Oral option: Sublingual drops or tablets; per-drug price shown in the intake
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
HumeCare+PartnerLean-mass tracking, price behind a quiz
Tracking lean mass rather than scale weight, if you read the guarantee terms first
Access
Oral option: Oral semaglutide at the same price as the injection
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
QuizAsync
Check availability
SkinnyRxPartnerCancel anytime
Straightforward compounded GLP-1 access with cancel-anytime flexibility
Access
Oral option: Daily tablets; only a first-month price is published
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
VideoAsync
Check availability
MadeMedPartnerGLP-1 + NAD⁺
GLP-1 paired with NAD⁺ and sermorelin under one account
Access
Oral option: Under-the-tongue semaglutide $219 and tirzepatide $299 a month, billed quarterly
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
ShedPartnerInjections, drops, lozenges
A wide range of GLP-1 formats (injection, drops, lozenges, microdose)
Access
Oral option: Compounded semaglutide lozenges $199 a month or drops from $229; brand-name Wegovy pill and Foundayo from $149
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral+1
Visit
Async
Check availability
MEDGmPartnerMembership math unclear
Readers who want compounded and brand-name GLP-1 routes presented side by side
Access
Oral option: Tablets from $249
Insurance
Cash-pay
Medications
Compounded semaglutideBrand Zepbound / Wegovy / Ozempic
Visit
QuizAsync
Check availability
WillowPartnerPrices every dose
Buyers who want every dose priced and the pharmacies named, and will pay more for it
Access
Oral option: Semaglutide tablet from $299 a month
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideOral
Visit
QuizAsync
Check availability
WellMedRxPartnerNamed pharmacy, no price
Compounded GLP-1s by injection or tablet, with a named clinician network and pharmacy
Access
Oral option: Daily dissolving tablets of compounded semaglutide or tirzepatide
Insurance
—
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
FridaysCoaching-heavy, coupon pricing
People who want a GLP-1 with dietitian visits, group coaching and live workouts built in, and who will confirm the monthly price at checkout
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide drops+1
Visit
QuizAsyncVideo
Check availability
CareBareRXOral option, inclusive
Inclusive, no-insurance telehealth with oral and injectable GLP-1 options
Access
Oral option: Names Rybelsus, the brand-name daily tablet, as its oral semaglutide
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
FeelGoodInjection + oral
Compounded GLP-1 with both injection and oral-tablet options
Access
Oral option: Dissolvable tablets from $249
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
RoPolished, insurance help
A polished, well-resourced end-to-end program
Access
Brand-name: the Wegovy pill from $149 and Foundayo from $149 at starting doses, plus the $149 monthly membership
Insurance
Insurance
Medications
Branded
Visit
VideoAsync
Check availability
HimsMainstream, app-first
An app-first experience from a mainstream brand
Access
Brand-name: the Wegovy pill, Foundayo and the Ozempic pill from $149, plus the membership (about $298 a month all-in)
Insurance
Cash-pay
Medications
Branded
Visit
VideoAsync
Check availability
Henry MedsFlat-fee, simple
Simple flat-fee compounded access without insurance
Access
Oral option: Under-the-tongue semaglutide in the $179-a-month entry plan
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
VideoAsync
Check availability
Mochi HealthTitration-focused
A clinician-led, titration-focused program
Access
Oral option: A weekly compounded semaglutide pill and a daily compounded orforglipron
Insurance
Insurance
Medications
SemaglutideTirzepatideOral+1
Visit
Video
Check availability
LifeMDBundled primary care
Bundling weight care with general telehealth
Access
Oral option: The brand-name Wegovy pill from $149 a month, plus the program fee
Insurance
Insurance
Medications
Branded
Visit
Video
Check availability
Form HealthDietitian-led
A more medical, dietitian-supported approach
Access
Brand-name: the Foundayo pill, billed to insurance or at its cash price, plus $299 a month self-pay care
Insurance
Insurance
Medications
Branded
Visit
Video
Check availability
NoluCompounded, cash-pay, named pharmacies
Compounded GLP-1 injections or a daily oral pill
Access
Oral option: Oral semaglutide at $279 per 4 weeks
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideCompounded oral semaglutide
Visit
QuizAsync
Check availability
FORMBroad menu, verify pricing
Comparing compounded and branded GLP-1 options in one place
Access
Oral option: Oral tablet (ODT) versions from $215 a month
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideWegovy (semaglutide)+1
Visit
QuizAsync
Check availability
CeliaRx—
Buyers who want a-la-carte GLP-1 dosing without committing to a subscription plan
Access
Oral option: Semaglutide ODT tablets from $199 as a one-time purchase, after a $55 video consult
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
Video
Check availability
PeptiEvery route, priced openly
Buyers who want a wide set of GLP-1 routes with a price published against each
Access
Oral option: Oral routes from $249 to $399 a month
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
QuizAsync
Check availability
VyvronBanner price isn't in the catalog
Buyers comparing microdose GLP-1 options who will price off the intake, not the banner
Access
Oral option: Oral semaglutide at $279 per 4 weeks
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
QuizAsync
Check availability
Bayan HealthLow entry, broad menu
Readers who want a microdose entry point and their lab work priced in the same catalog
Access
Oral option: Oral tablets at $169 (semaglutide) and $199 (tirzepatide)
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideRetatrutide / orforglipron / cagrilintide
Visit
QuizAsync
Check availability
Idgie HealthPharmacy named, plans shown
One menu covering GLP-1, NAD⁺, sermorelin and hair care with the pharmacy named
Access
Oral option: Oral ODT at $287
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
QuizAsync
Check availability
Prime Doctor RXBoth prices on the card
Readers who want the month-to-month price printed beside the prepay price
Access
Oral option: Oral semaglutide at $279 every 4 weeks
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
QuizAsync
Check availability
HersBrand-name only, for women
Women who want a brand-name GLP-1, including a pill, inside an app with 24/7 messaging
Access
Brand-name: the Wegovy pill, Foundayo and the Ozempic pill from $149, plus the membership (about $298 a month all-in)
Insurance
Cash-pay
Medications
Branded
Visit
AsyncVideo
Check availability
MEDViLow first month, $299 after
Buyers who want compounded and branded GLP-1 options under one account
Access
Oral option: A compounded dissolvable tablet from $249, and the brand-name Wegovy pill with a $99 monthly membership
Insurance
Cash-pay
Medications
SemaglutideOralBranded
Visit
QuizAsync
Check availability
Dollar Dad ClubLow headline, term unclear
Price-led buyers who will confirm the plan length before paying
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
QuizAsync
Check availability
Alan MedsCompounded menu, prepaid plans
Buyers who want a wide compounded menu, including a sublingual option, at a flat price at every dose and who are comfortable prepaying
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide (sublingual)+1
Visit
QuizAsync
Check availability
CurexMany formats, unclear pricing
Buyers who want a needle-free compounded option and will confirm the plan price first
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
QuizAsyncVideo
Check availability
Elara Health and WellnessLabs and coaching included
People who want labs and regular coaching built into a compounded GLP-1 price, with every partner named
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide tablet
Visit
QuizAsync
Check availability
Fella HealthBuilt for men, guarantee included
Men who want a coached, flat-price compounded GLP-1 plan with free labs and a money-back guarantee
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideOral tirzepatide (compounded)Branded
Visit
QuizAsyncVideo
Check availability
FitishFlat monthly price, all sales final
Cash buyers who want a simple flat monthly price with the consult and shipping included and no membership
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideOral tirzepatide (compounded)
Visit
QuizAsync
Check availability
VaylenPrepaid-year pricing, refund if declined
Buyers ready to prepay a year of compounded semaglutide or tirzepatide for a lower monthly rate, with a refund if they aren't approved
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideCompounded oral semaglutide
Visit
QuizAsync
Check availability
Recovery DeliveredLive video visits, dose-priced
People who want a real video visit every month and a published price for every dose
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide (compounded)
Visit
QuizVideo
Check availability
CabanaConcierge care, named pharmacy
People who want a dedicated concierge and a named care group and pharmacy, and who can confirm their state is served
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
—
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide (compounded)
Visit
QuizAsync
Check availability
BeyondMDPeptide clinic with GLP-1 programs
People who want compounded or oral GLP-1s alongside other peptide programs from one clinic
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
—
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide (compounded)+2
Visit
QuizVideo
Check availability
Avono HealthNo membership, one monthly price
People who want compounded GLP-1s at one published monthly price with no membership or visit fee
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
—
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide (compounded)+1
Visit
QuizAsync
Check availability
EllieMDThree-month plans, injection or drops
People who want needle-free oral drops or a community-style program and are ready to commit to three months
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide drops+1
Visit
QuizAsync
Check availability
eMIVideo visits, prices after intake
People who want scheduled video visits and coaching and don't mind seeing the final price after intake
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideOral semaglutide+1
Visit
QuizVideo
Check availability
Go Vida PlenaSpanish-language GLP-1 care
Spanish-speaking patients who want care, nutrition coaching and a patient portal in Spanish, and prefer one-time payments to a subscription
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideCompounded oral semaglutide+1
Visit
QuizVideo
Check availability
Fidelity Medical ClinicFlorida clinic, oral options
Florida residents who want a local nurse-practitioner team, Spanish-speaking care or a needle-free compounded tablet
Access
Oral option: An oral form is listed; ask for its price and formulation at intake
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideCompounded oral semaglutide+1
Visit
Video
Check availability

We never show a fabricated price or rating. Facts are shown only where a provider publishes them.

Which GLP-1 pills are approved, and what the trials showed

The Wegovy pill is semaglutide in a once-daily tablet, approved by the FDA in December 2025 for chronic weight management in 1.5, 4, 9 and 25 mg strengths. In OASIS 4, the trial behind the approval, people on the 25 mg dose lost an average of 13.6% of their body weight at 64 weeks, against 2.2% on placebo. The widely quoted 16.6% is from the same trial but counts only people who kept taking the drug as directed. Our Wegovy pill evidence review explains the two numbers.

Foundayo is orforglipron, Eli Lilly’s once-daily pill, approved in April 2026 in strengths from 0.8 mg to 17.2 mg. It is a small molecule rather than a peptide, so it doesn’t need an empty stomach or a fasting window. In ATTAIN-1, a 72-week trial of 3,127 adults, the highest dose produced an average 11.2% weight loss against 2.1% on placebo. See the orforglipron evidence.

Rybelsus, the older semaglutide tablet, is approved for type 2 diabetes rather than weight management, at lower doses. A few services list it; it is a diabetes drug prescribed off-label if used for weight. For context, the weekly injections still lead: semaglutide 2.4 mg produced 14.9% at 68 weeks in STEP 1 and tirzepatide 15 mg about 20.9% in SURMOUNT-1, as the pill vs injection comparison sets out.

Compounded tablets, drops and lozenges: what you are buying

Most rows offering an “oral GLP-1” at $169 to $399 a month sell compounded semaglutide, and a few compounded tirzepatide, as a tablet that dissolves under the tongue or against the cheek, a liquid drop or a lozenge. These are prepared by a pharmacy for each prescription. They are not FDA-approved, are not the same product as the Wegovy pill, and have no published human trials showing how much of the dose reaches the bloodstream. The approved semaglutide tablet needs an absorption enhancer and a strict empty stomach to get even a small fraction of its dose absorbed, which is why under-the-tongue versions can’t borrow its results. Oral tirzepatide is further still from the evidence: tirzepatide is approved only as a weekly injection, as our oral tirzepatide explainer covers.

If you choose a compounded oral form, ask four things before paying: the milligrams of drug per tablet or drop and how the dose rises; which pharmacy makes it and whether it is a 503A or 503B facility; whether the price changes at higher doses; and what the prescriber will do if your weight doesn’t move after a few months. Several services in the table publish only a starting price for their oral line.

How to take a GLP-1 pill so it works

The rules differ by pill. Semaglutide tablets, both the Wegovy pill and Rybelsus, go in first thing in the morning on an empty stomach with no more than 4 ounces of plain water, and then nothing else to eat, drink or swallow, including other pills, for at least 30 minutes. Breaking that routine cuts absorption. Foundayo can be taken at any time of day, with or without food. Compounded sublingual and dissolving forms come with the pharmacy’s own instructions; follow them exactly, and ask how long to hold the dose before swallowing. All of these start at a low dose and step up over weeks to limit nausea, the same as the injections.

What an oral GLP-1 costs each month

Brand-name pills are priced by dose. At Ro, for example, the Wegovy pill is $149 a month at 1.5 mg, $199 at 4 mg and $299 at 9 and 25 mg, and Foundayo starts at $149, with a $149 monthly membership billed on top. Hims, Hers and LifeMD start the Wegovy pill at $149 plus a membership or program fee, about $298 a month all-in. Compounded oral semaglutide runs from about $169 to $399 a month in the table, and some services quote only a first month or a one-time purchase, so check the Access cell for the basis of each figure. Insurance can help with some brand-name pills; ask the service whether it will check your coverage.

How we judge providers

Pricing transparency — is the all-in monthly cost clear, or does a low headline hide consults, labs, and medication fees?
Clinical oversight — real clinician review and dose titration, not a rubber-stamp questionnaire.
Branded vs compounded clarity — does the provider tell you plainly which you’re getting? (It matters — see our compounded-vs-branded explainer.)
Honest insurance handling — straight answers about what is and isn’t covered.

We never show a fabricated price or rating, and access notes appear only where a provider publishes them. Pricing and availability change often — confirm current details on the provider’s own site.

Keep comparing

Fine with a weekly shot? Compare the compounded semaglutide and tirzepatide price lists. Coming off Ozempic? The Ozempic alternatives page covers every route. For the trial data, see oral semaglutide in the PIONEER trials and Rybelsus vs Ozempic, or browse the whole GLP-1 provider roundup.

Choosing between two services? Every provider head-to-head is on one page, including LifeMD vs SkinnyRx, Mochi Health vs SkinnyRx and Strut Health vs LifeMD.

Common questions

Is the Wegovy pill the same drug as Ozempic?: Same molecule, different product. Both contain semaglutide. Ozempic is a weekly injection approved for type 2 diabetes; the Wegovy pill is a daily tablet approved in December 2025 for chronic weight management, taken on an empty stomach with a small sip of water.
Can I get Foundayo online?: Yes. Several telehealth services on this page prescribe Foundayo (orforglipron), which the FDA approved for weight management in April 2026. It is a daily pill with no food or water rules, and starting-dose cash prices of about $149 a month are listed by services such as Ro, Hims and Mochi Health, usually plus a membership.
Is there an oral tirzepatide?: Not an approved one. Tirzepatide, the drug in Zepbound and Mounjaro, is approved only as a weekly injection. The oral tirzepatide tablets some services sell are compounded, are not FDA-approved, and have no published trials showing how well they are absorbed.
Do compounded semaglutide drops and lozenges work?: There are no published human trials of compounded under-the-tongue or dissolving semaglutide, so nobody can say how much of the dose is absorbed or how much weight people lose on it. The trial results quoted for oral semaglutide come from the approved swallowed tablet, which uses an absorption enhancer. If you try a compounded form, track your weight and ask the prescriber what happens if it doesn't work.