Basal review
Tirzepatide only, flat price
A physician-founded telehealth company offering one program, compounded tirzepatide at $299 every four weeks at any dose, with a metabolic-health framing.
Our verdict
Basal does one thing: compounded tirzepatide through a program it calls GLP-One, at $299 every four weeks regardless of dose, with no membership fee and no charge until a clinician approves you. That flat price is useful if you expect to move to higher doses, where dose-priced plans get expensive. The program is framed around metabolic health rather than the scale, tracking things like insulin sensitivity and muscle mass, and its FAQ answers are sensible about tapering off and weight regain. What's missing is the detail behind the care: it names its co-founders but not the medical group or clinicians who prescribe, and not the pharmacy. Cancellation is straightforward, but refunds end once your medication is ordered, so decide before you submit a refill intake.
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At a glance
- Category
- GLP-1 telehealth
- Access
- Compounded tirzepatide $299 every 4 weeks at any dose ($149 first 4 weeks); no membership fee
- Medications
- Compounded tirzepatide
- Visit
- Quiz intake
- Availability
- All 50 states and D.C.
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
Basal is the brand of Basal Health, LLC, a Utah company co-founded by Lori Allred and Darin Allred, MD. It describes itself as taking a metabolism-first approach to wellness, and GLP-One, compounded tirzepatide, is currently its only treatment. Its terms say care is provided by licensed telehealth partners and their affiliated medical groups and clinicians, none of which are named on the site, and that Basal isn't a pharmacy. Prescriptions are filled by a compounding pharmacy partner that also isn't named. Basal says it serves patients in all 50 states and D.C. It says it is LegitScript-certified but doesn't display a verifiable seal number. Its terms are governed by Utah law.
How it works
You start with an online intake form, which a licensed clinician reviews to decide whether GLP-1 therapy is appropriate; Basal says there are no rubber-stamp prescriptions and that some patients need a live video visit. Lab work isn't required to begin, though metabolic diagnostics are offered and recommended. If you're approved, your starting dose and titration schedule are set individually and the medication ships to your home. The care framework tracks five markers: insulin sensitivity, muscle mass, hormonal response, VO2 max and body fat percentage. Your care team is available between check-ins for side effects or questions, and when you stop, a clinician plans a taper rather than an abrupt end. Clinical support and billing support have separate phone lines, and Basal also publishes plain-language primers on metabolism for patients who want to understand the markers it tracks.
Pricing transparency
GLP-One costs $149 for the first four weeks, then $299 every four weeks, and the price is the same at every dose. There's no membership fee, and you aren't charged until a clinician approves you; if you're medically disqualified, you get a full refund. The subscription covers provider consultations, the medication and support. Because billing runs every four weeks rather than monthly, you'll pay 13 times a year, about $3,887 annually at the regular rate. You can cancel anytime by email, phone or your account, but the request must arrive at least 72 hours before your billing date or you'll be charged once more. You keep service to the end of the cycle. Refunds cover only the current cycle and only if your medication hasn't been ordered yet. FSA and HSA payments are accepted.
Branded vs compounded
Basal prescribes compounded tirzepatide only, made by a compounding pharmacy partner and given as a weekly injection under the skin. It calls tirzepatide one of the most clinically advanced GLP-1s and says it's currently the only one it prescribes, so there's no semaglutide or brand-name option. It states that compounded medication is made in licensed U.S. pharmacies, but it doesn't name the pharmacy or say whether the drug contains added ingredients. Its FAQ answers are measured: it says some patients regain weight after stopping and recommends a structured taper rather than an abrupt stop. Compounded tirzepatide isn't FDA-approved, and the weight-loss evidence comes from trials of the brand-name drug. A search of the FDA warning-letter database under Basal's name and domain returned no letter to this company.
Pros and watch-outs
What we like
- Same $299 price at every dose
- No membership fee, and no charge until approved
- Metabolic-health framing with optional diagnostics
- Sensible guidance on tapering and stopping
- Serves all 50 states and D.C.
Watch-outs
- Prescribing medical group and clinicians aren't named
- Compounding pharmacy isn't named
- Billed every four weeks, 13 charges a year
- No refund once medication is ordered
- Tirzepatide only, with no brand-name option
Best for
People who want compounded tirzepatide at one flat price as their dose rises, with a focus on metabolic health beyond weight.
Who should look elsewhere
Anyone who wants semaglutide or brand-name drugs, or who wants to know the prescribing group and pharmacy before starting.
The evidence behind what Basal prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- 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 tirzepatide dosage chart: mg to units, 2.5 to 15 mg
The Zepbound titration schedule from the FDA label, converted to syringe units at 5, 10 and 20 mg/mL, with the reverse chart for 25, 50 and 75 units and the dosing errors FDA has documented.
- 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 Basal compares
A few alternatives worth a look, depending on what you’re optimizing for.
Trimi HealthLow-cost compounded GLP-1 with thorough dosing guidance
See Trimi Health →
CollectiveA low all-in GLP-1 cost, if you will actually keep the annual membership
See Collective →
Mochi HealthA clinician-led, titration-focused program
See Mochi Health →
More GLP-1 telehealth reviews: FitRxFitishFMmedsGaya WellnessMaxLifeMedro
Access & cost
How we assessed this. This review reflects Aminoscope’s own read of Basal’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 Basal cost?
- Compounded tirzepatide is $149 for the first four weeks, then $299 every four weeks at any dose. There's no membership fee, and you aren't charged until a clinician approves you.
- Does Basal offer semaglutide?
- No. Compounded tirzepatide is the only GLP-1 it prescribes.
- Does Basal take insurance or HSA cards?
- It doesn't bill insurance, and its pages don't describe any insurance route. GLP-1 therapy at Basal is eligible for FSA and HSA payment, and the company suggests contacting it about your specific plan.
- Do I need lab work to start with Basal?
- No. A clinician reviews your intake form to decide whether treatment is appropriate. Metabolic testing is offered and recommended but not required.
- How do I cancel Basal?
- Through your account, by email or by phone, at least 72 hours before your next billing date. Your service continues to the end of the current cycle.
- Can I get a refund from Basal?
- Only for the current billing cycle and only if your medication hasn't been ordered yet. If a clinician disqualifies you for medical reasons, you get a full refund.
- Who prescribes at Basal?
- Licensed clinicians working through Basal's telehealth partners and their affiliated medical groups. The site names its co-founders, Lori Allred and Darin Allred, MD, but not the medical group or the individual clinicians, so ask during intake who will manage your care.
- Is Basal legit?
- Basal is a GLP-1 telehealth service you reach through an online questionnaire. The medications it names are Compounded tirzepatide. Its stated availability: All 50 states and D.C. What it publishes up front: Compounded tirzepatide $299 every 4 weeks at any dose ($149 first 4 weeks); no membership fee. Before you pay, ask in writing about whether it bills insurance.
- Is Basal expensive compared with other GLP-1 telehealth providers?
- Basal publishes a starting figure of $299/mo. Across the 87 GLP-1 telehealth providers we review that publish a single monthly figure, those run $49 to $399 with a median of $190, which puts Basal above the median. The other 101 GLP-1 telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.