Aspire Health review
Small PA/NP team, per-vial pricing
A small Nebraska-based telehealth practice offering compounded and brand-name semaglutide and tirzepatide, with a monthly care fee and per-vial medication prices.
Our verdict
Aspire Health is a small practice rather than a national platform, and that shows in the good and the less tidy parts. You know who is treating you: the site names its physician assistants and nurse practitioners, and the first consultation is free. It offers both compounded and brand-name GLP-1s and prints a price for every compounded dose. The rough edges are in how you add up the bill. Care is a monthly membership, which its weight-loss pages list at $49 and its FAQ at $75, and the medication comes on top, priced by the vial with supply lengths that vary by dose. It also suggests retatrutide, an experimental drug, to people who plateau. Confirm the membership price in writing before you enroll, and work out how many weeks each vial covers at your dose.
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At a glance
- Category
- GLP-1 telehealth
- Access
- Monthly care $49 (FAQ says $75) plus medication: compounded semaglutide from $129/vial, tirzepatide from $149/vial; brand-name options
- Medications
- Compounded semaglutide · Compounded tirzepatide · Branded
- Visit
- Video visit
- Availability
- 30 states
- LegitScript
- Claimed by provider
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
Aspire Health is the trading name of Aspire Care LLC, with an affiliate, Aspire Health AZ LLC, for some patients; its terms are governed by Nebraska law and it lists a Nebraska phone number. It provides telehealth for weight management, hormone therapy, functional medicine, peptides, sexual health, hair loss, skin care and minor acute illnesses. The clinical team on its site is led by Jenni Haan, PA-C, with Amanda Carlile, APRN, FNP-C, and Memorie Nichols, PA-C, plus a nurse and support staff. Its state map shows 30 states, including California, Florida, Illinois, New York and Virginia, but not Texas, Georgia, Pennsylvania or Ohio. It displays a LegitScript seal and accepts HSA and FSA payments.
How it works
You start with a free new-patient consultation, booked online or by phone, and a short quiz to check whether you're likely to qualify; the practice says a BMI over 27 usually does. Appointments happen by secure message, phone or video. The program includes lab orders with interpretation (the labs themselves cost extra but can be billed to insurance), provider visits every two to three months, access to a food and weight tracking app, and support between visits. Refills are requested by text or through the patient portal, and you can choose automatic or manual refills. Medication ships monthly from the compounding pharmacy even on multi-month plans; automatic refills renew at about three weeks on a monthly plan, 10 weeks on a three-month plan and 22 weeks on a six-month plan, and you can switch to manual refills at any time. Patients who reach their goal can move to a $50-a-month maintenance membership.
Pricing transparency
The new-patient consultation is free. Ongoing care is a monthly membership, which the weight-loss, semaglutide and tirzepatide pages list at $49 and the FAQ lists at $75, so ask which applies. Medication is billed separately and upfront. Compounded tirzepatide with vitamin B3 is $149 for a four-week vial at 2.5 mg, $249 at 5 mg and up to $299 at 15 mg. Compounded semaglutide with B3 is $129 a vial at 0.25 or 0.5 mg (lasting 10 or 5 weeks), $159 at 1 mg and $189 at 1.7 or 2.4 mg. Multi-vial orders cost the same per vial. Brand-name Wegovy is $199 for four weeks at the two lowest doses and $399 after; Zepbound runs $299 to $449; the Wegovy pill is $149 to $299 a month. Once a compounded prescription goes to the pharmacy, the charge is non-refundable, and memberships cancel at the end of the billing cycle. Cherry payment plans are offered. Insurance isn't accepted for visits, though it may cover brand-name medication.
Branded vs compounded
Aspire Health prescribes compounded semaglutide and tirzepatide, each with vitamin B3, plus brand-name Wegovy (pen and pill), Zepbound, Ozempic, Mounjaro and Saxenda, and non-GLP-1 options such as phentermine, Contrave and low-dose naltrexone. Its FAQ names three compounding pharmacies: Strive Pharmacy in Arizona, Boudreaux's New Drug Store in Louisiana and Rush Pharmacy in Florida. It states clearly that compounded drugs aren't FDA-approved and aren't generic versions of the brands. One page invites people who have hit a plateau to consider retatrutide; retatrutide is an investigational drug in clinical trials and isn't approved for any use, so treat that suggestion with caution. A search of the FDA warning-letter database under Aspire Health, its domain and Aspire Care returned no letter to this practice.
Pros and watch-outs
What we like
- Named PA and NP team, and a free first consultation
- Compounded and brand-name GLP-1s side by side
- Price published for every compounded dose
- Names its compounding pharmacies
- Displays a LegitScript seal and accepts HSA and FSA
Watch-outs
- Membership listed as both $49 and $75 a month
- Per-vial pricing makes the monthly total hard to compare
- Suggests experimental retatrutide for plateaus
- Compounded charges are non-refundable once sent to the pharmacy
- Serves 30 states, not including Texas or Georgia
Best for
People in its 30 states who want a small, named care team and the choice of compounded or brand-name GLP-1s.
Who should look elsewhere
Buyers who want one all-in monthly price, or anyone in Texas, Georgia, Pennsylvania, Ohio and the other states it doesn't serve.
The evidence behind what Aspire Health 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 Aspire Health compares
A few alternatives worth a look, depending on what you’re optimizing for.
CoreAge RxFlat pricing that does not climb as your dose titrates up
See CoreAge Rx →- Oak Longevity
Low-cost compounded GLP-1 bundled with a longevity stack
See Oak Longevity → 
MeasuredPeople with commercial insurance who want a brand-name GLP-1 covered, with a dietitian included and a compounded option if coverage falls through
See Measured →
More GLP-1 telehealth reviews: Blue Haven RXZealthyGood Life MedsNoom MedDollar Dad ClubMEDvidi
Pharmacology & mechanisms
How we assessed this. This review reflects Aminoscope’s own read of Aspire Health’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 Aspire Health cost for GLP-1s?
- The first consultation is free. Monthly care is listed at $49 on the weight-loss pages and $75 in the FAQ, and medication is extra: compounded semaglutide from $129 a vial and compounded tirzepatide from $149 for a four-week vial.
- Does Aspire Health offer brand-name Wegovy or Zepbound?
- Yes. It lists Wegovy at $199 to $399 for four weeks, Zepbound at $299 to $449 and the Wegovy pill at $149 to $299 a month, depending on dose. Insurance may lower those costs.
- Which states does Aspire Health serve?
- Its map shows 30 states, among them Arizona, California, Colorado, Florida, Illinois, Michigan, Minnesota, Nebraska, New York, Virginia and Washington. Texas, Georgia, Pennsylvania and Ohio are not included.
- Which pharmacies fill Aspire Health's compounded medications?
- Its FAQ names Strive Pharmacy in Arizona, Boudreaux's New Drug Store in Louisiana and Rush Pharmacy in Florida.
- Can I get a refund from Aspire Health?
- Not for compounded medication once the prescription has gone to the pharmacy. Memberships can be canceled by email and end at the close of the current billing cycle.
- Do I need labs to start at Aspire Health?
- The program includes lab orders with interpretation and medical guidance. The cost of the labs themselves isn't included, but the practice says it can often be billed to your insurance. Ask during your free consultation which tests you'll need before your first prescription.
- Is Aspire Health legit?
- Aspire Health is a GLP-1 telehealth service you reach through a video visit with a clinician. The medications it names are Compounded semaglutide, Compounded tirzepatide and branded medication. Its stated availability: 30 states. What it publishes up front: Monthly care $49 (FAQ says $75) plus medication: compounded semaglutide from $129/vial, tirzepatide from $149/vial; brand-name options. It shows a LegitScript seal. Ask the company for its certificate number before you rely on it. Before you pay, ask in writing about a single monthly price you can check before an intake and whether it bills insurance.