How much does Aspen cost?

Aspen advertises compounded semaglutide or tirzepatide from $179 a month, the same at every dose, with the visit, medication and shipping included. That price requires a three-month commitment, and a $20 consultation fee is added at checkout.

You can cancel a monthly subscription from your dashboard or by email, but you must do it at least four business days before the renewal date. Cancellation takes effect at the end of the current period, and partly used periods are not refunded. Prepaid 6- and 12-month programs are one-time purchases, and medication already compounded is not refundable.

What is Aspen's weight-loss guarantee?

New patients who take their prescribed GLP-1 for 28 consecutive weeks, log their weight every week, reach at least 1.7 mg of semaglutide or 10 mg of tirzepatide, and lose less than 5% of their starting weight can claim back the program fees paid over the first seven months. You must prove your weight with a physician's attestation or a short scale video.

Does Aspen take insurance?

No. It is cash-pay only. HSA and FSA cards are accepted on multi-month plans, and it provides itemized receipts.

Aspen Health Systems LLC publishes its terms, refund policy and telehealth consent, names its pharmacy and physician network, and displays a LegitScript seal. The FDA's warning-letter database lists no letter under the Aspen name or its website. The things to weigh are the three-month commitment, the strict refund terms and the illustrative testimonials.

Updated October 2026

Aspen review

Named pharmacy, 3-month minimum

Compounded semaglutide or tirzepatide from $179 a month at any dose, on a three-month commitment, from a platform that names its compounding pharmacy.

Our verdict

Aspen is a straightforward compounded GLP-1 service with one detail many sellers skip: it tells you which pharmacy fills the prescription. The headline of $179 a month covers the visit, medication and shipping at any dose, but it is tied to a three-month commitment, and a $20 consultation fee is added at checkout. The refund terms are strict, and the testimonials on its weight-loss page are labeled as illustrative examples rather than real member reviews. If you are happy to commit for three months and want to know where your medication comes from, it is worth a look. If you want to buy one month and stop, look elsewhere.

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.

Check availability →As low as $179/mo at any dose on a 3-month commitment, plus a $20 consultation fee. 50 states + DC

At a glance

Category: GLP-1 telehealth
Access: As low as $179/mo at any dose on a 3-month commitment, plus a $20 consultation fee. 50 states + DC
Medications: Semaglutide · Tirzepatide
Insurance: Cash-pay, no insurance
Visit: Quiz intake / Async intake
Availability: All 50 states + DC
LegitScript: Claimed by provider

Partner alternative

yourEra

A low-cost entry point into compounded GLP-1 treatment

Check yourEra availability →

What it is

Aspen is the consumer brand of Aspen Health Systems LLC, a company registered in Sheridan, Wyoming. It describes itself as a technology platform rather than a healthcare provider: independent licensed physicians make the clinical decisions, and independent pharmacies compound and ship the medication. Alongside weight loss it offers hair-loss, sexual-health, skin and longevity treatments, including NAD⁺. Its partner page lists a physician network based in Nashville, Tennessee, and names the pharmacy as Red Rock Compounding Pharmacy in Springville, Utah, with a second Red Rock location in St. George, Utah, serving California and Nevada patients. The site says care is available in all 50 states and Washington, D.C. A premium tier called Aspen+, with overnight shipping and a concierge, is marked as coming soon. It displays a LegitScript seal.

How it works

You start with a short eligibility check online, which Aspen says takes about a minute, then complete a fuller health intake covering your history and goals. A licensed provider reviews it and decides whether treatment is appropriate and, if so, which medication; you do not pick semaglutide or tirzepatide yourself. There is no required live visit in the standard flow, though the provider may contact you with questions. If you are prescribed, the pharmacy ships the medication in plain packaging, and tracking is provided once it is fulfilled. Ongoing care is handled through a patient dashboard with care-team messaging, check-ins, refill reminders and wellness resources. The site gives no fixed shipping time, saying only that it varies by treatment, pharmacy and prescription status.

Pricing transparency

The weight-loss page shows compounded GLP-1 medication with glycine or B12 "as low as $179 a month", with every dose at the same price. The fine print adds two things that matter: the price carries a three-month commitment, and a $20 medical consultation fee is presented at checkout, paid to the provider for reviewing your intake. The plan covers the consultation, medication, supplies and shipping, and Aspen does not bill insurance. HSA and FSA cards are accepted only on multi-month plans. Six- and 12-month plans can be paid up front by card or financed through Klarna or Afterpay; those are treated as one-time purchases of a whole program, and any medication already compounded or dispensed is not refundable. On monthly subscriptions you must cancel at least four business days before the renewal date, there are no refunds for partly used periods, and the first renewal may be charged early. Aspen also offers a weight-loss guarantee: new patients who take their medication for 28 consecutive weeks, log their weight every week, reach at least 1.7 mg of semaglutide or 10 mg of tirzepatide, yet lose less than 5% of their starting weight can claim back program fees paid over the first seven months, with a doctor's attestation or a scale video as proof.

Branded vs compounded

Compounded semaglutide and compounded tirzepatide, both weekly injections, prepared with glycine or B12 by a licensed compounding pharmacy. Aspen labels them clearly as compounded and not FDA-approved, which is accurate: compounded GLP-1s have not been reviewed by the FDA for safety, effectiveness or quality. The weight-loss figures behind these drugs come from trials of the branded versions, Wegovy and Zepbound, not from compounded products with added glycine or B12. The member quotes on the weight-loss page sit under a 4.9 out of 5 rating, but the page itself states that the reviews shown are illustrative examples, so they are not evidence of real results. Ask the pharmacy for its batch-testing information if that matters to you; the site mentions batch review, sterility and potency checks without publishing results.

Pros and watch-outs

What we like

Names its compounding pharmacy, Red Rock Compounding Pharmacy in Utah, on its own partner page
Same advertised price at every dose, with the visit, medication and shipping included
Serves all 50 states and Washington, D.C.
A written weight-loss guarantee with clear qualifying rules
Displays a LegitScript seal; the operating company is named

Watch-outs

The $179 price requires a three-month commitment, and a $20 consultation fee is added at checkout
All sales are final once an order is processed, with no refunds for partly used periods
Subscriptions must be canceled at least four business days before renewal
Testimonials on the weight-loss page are labeled as illustrative examples
HSA and FSA cards are accepted only on multi-month plans

Best for

Buyers who are ready to commit to at least three months of compounded semaglutide or tirzepatide and want to know which pharmacy fills it.

Who should look elsewhere

Anyone who wants to try a single month first, who needs a live visit with a clinician, or who wants flexible refunds.

The evidence behind what Aspen prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

What the semaglutide weight-loss trials actually showed
STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.
Tirzepatide vs semaglutide for weight loss: what the trials actually support
Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.
Compounded vs branded GLP-1: regulatory status, sourcing and the evidence
Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.

How Aspen compares

A few alternatives worth a look, depending on what you’re optimizing for.

Direct Meds
Straightforward compounded GLP-1 without an insurance requirement
See Direct Meds →
Strut Health
A general telehealth that covers GLP-1 alongside other everyday care
See Strut Health →
Amble
Buyers who want one flat price at every dose and can plan around a 15-day cancellation window
See Amble →

Compare all providers side by side →

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Nadia Feldman

Access & cost

How we assessed this. This review reflects Aminoscope’s own read of Aspen’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

How much does Aspen cost?: Aspen advertises compounded semaglutide or tirzepatide from $179 a month, the same at every dose, with the visit, medication and shipping included. That price requires a three-month commitment, and a $20 consultation fee is added at checkout.
Which pharmacy does Aspen use?: Its partner page names Red Rock Compounding Pharmacy in Springville, Utah, with a second Red Rock location in St. George, Utah, for patients in California and Nevada.
Can I cancel Aspen?: You can cancel a monthly subscription from your dashboard or by email, but you must do it at least four business days before the renewal date. Cancellation takes effect at the end of the current period, and partly used periods are not refunded. Prepaid 6- and 12-month programs are one-time purchases, and medication already compounded is not refundable.
What is Aspen's weight-loss guarantee?: New patients who take their prescribed GLP-1 for 28 consecutive weeks, log their weight every week, reach at least 1.7 mg of semaglutide or 10 mg of tirzepatide, and lose less than 5% of their starting weight can claim back the program fees paid over the first seven months. You must prove your weight with a physician's attestation or a short scale video.
Does Aspen take insurance?: No. It is cash-pay only. HSA and FSA cards are accepted on multi-month plans, and it provides itemized receipts.
Is Aspen legit?: Aspen Health Systems LLC publishes its terms, refund policy and telehealth consent, names its pharmacy and physician network, and displays a LegitScript seal. The FDA's warning-letter database lists no letter under the Aspen name or its website. The things to weigh are the three-month commitment, the strict refund terms and the illustrative testimonials.

Check availability →

Or compare every GLP-1 provider.