GetRelief Rx review
Under-the-tongue GLP-1s
A Montana telehealth company selling compounded semaglutide and tirzepatide as a daily under-the-tongue liquid, from its own affiliated pharmacy, on plans of two months or more.
Our verdict
GetRelief Rx is for people who want a GLP-1 without needles. Its compounded semaglutide and tirzepatide come as a daily sublingual suspension, a minty liquid held under the tongue, prepared by an affiliated pharmacy in the same Billings, Montana complex, with clinicians named on a sister site. That openness about who prescribes and who compounds is a plus. The tradeoffs are real, though. There's no month-to-month option: the shortest plan is two months, at $418 for semaglutide and $718 for tirzepatide at starting prices, and the price rises with your dose. Sublingual GLP-1s also have far less evidence behind them than injections. Processed orders aren't refundable, it serves 34 states and D.C., and the LegitScript badge is a plain image rather than a verifiable seal.
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At a glance
- Category
- GLP-1 telehealth
- Access
- Sublingual compounded semaglutide from $209/mo (2-month plan, $418) or $189/mo on 6 months; tirzepatide from $359/mo ($718) or $319/mo; price varies by dose; 34 states and D.C.
- Medications
- Compounded semaglutide (sublingual) · Compounded tirzepatide (sublingual)
- Insurance
- Cash-pay, no insurance
- Visit
- Quiz intake / Async intake
- Availability
- 34 states and D.C.
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
Get Relief RX LLC is based at Shiloh Road in Billings, Montana, with phone support Monday through Thursday, 8 a.m. to 4:30 p.m. Mountain time. It runs three linked businesses: the GetReliefRX patient platform, which handles subscriptions and support; GetReliefMD, which lists its independent clinicians; and GetReliefPharmacy, a licensed compounding pharmacy next door that prepares the medication. Its medical director is Cole Hunter, a family nurse practitioner, and its listed clinicians include Dr. Adam Sasso, a board-certified family physician, along with nurse practitioners and physician assistants. Beyond weight care, it sells sublingual sermorelin, tadalafil, and a combined tirzepatide and tadalafil product for men. It says it has supported more than 5,000 patients and displays a Better Business Bureau accreditation seal. Its terms are governed by Montana law, with arbitration you can opt out of within 30 days. It serves Alaska, Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Hawaii, Iowa, Idaho, Louisiana, Maryland, Michigan, Minnesota, Missouri, Montana, North Dakota, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, Ohio, Oregon, Pennsylvania, Rhode Island, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin, West Virginia, Wyoming and D.C.
How it works
You start with a secure online health assessment covering your medical history, current medications and lifestyle. Payment is collected before a clinician reviews it, and the charge is canceled if you aren't prescribed. Follow-up questions come through your patient account, and a virtual visit is scheduled when state telehealth rules require one. If you're approved, the prescription goes to the compounding pharmacy, which prepares your sublingual suspension and ships it to your door. You take a measured dose under the tongue once a day, avoiding food and drink for two hours before and 90 minutes after. Refills are automatic, with dose adjustments built in as your clinician decides, and refill orders can ship up to seven days before each new 30-day cycle. The company includes unlimited support, a habit tracker and other resources, and says the suspension doesn't always need refrigeration, which makes it easier to travel with.
Pricing transparency
Every weight-care plan is a subscription of at least two months, and prices are listed as starting figures that depend on your dose. Compounded semaglutide starts at $209 a month on the two-month plan, charged as $418, or $189 a month on the six-month plan, $1,134 in total. Compounded tirzepatide starts at $359 a month on two months ($718) or $319 a month on six months ($1,914). The combined tirzepatide and tadalafil product is priced the same as tirzepatide. Each plan includes one bottle per cycle, clinician review, ongoing support and free shipping. A site banner offers $30 off for three months if you sign up for text messages. Subscriptions renew on a 30-day cycle; cancel before the renewal date shown in your account, and note that a refill already being processed will still ship. Orders can be canceled with a full refund before the pharmacy processes them, but not after, except for verified errors or defective products reported within seven days. HSA and FSA cards are accepted, and insurance isn't.
Branded vs compounded
GetRelief Rx prescribes compounded semaglutide and compounded tirzepatide as daily sublingual suspensions, prepared under Section 503A by its affiliated pharmacy. Compounded medications are not FDA-approved, and the FDA doesn't review them for safety, effectiveness or quality. The FDA-approved oral semaglutide, Rybelsus and the Wegovy pill, is a tablet with a special absorption enhancer, and the clinical trial results for semaglutide and tirzepatide come from injections and that tablet, not from under-the-tongue liquids, so how much of the drug a sublingual dose delivers is far less established. No brand-name drugs are offered. The site shows a LegitScript image rather than a seal with a certification number. A search of the FDA warning-letter database under the company's name, its web address and its pharmacy returned no letters.
Pros and watch-outs
What we like
- Needle-free daily sublingual option
- Affiliated pharmacy and clinicians named
- Payment canceled if you aren't prescribed
- Free shipping and HSA or FSA accepted
Watch-outs
- No month-to-month plan; two-month minimum
- Price rises with dose
- Sublingual GLP-1s have little evidence behind them
- Processed orders aren't refundable
- Serves 34 states and D.C.; no verifiable LegitScript seal
Best for
People in its 34 states who strongly prefer to avoid injections and are comfortable committing to at least two months of a daily sublingual dose.
Who should look elsewhere
Anyone who wants proven injectable dosing, a month-to-month plan, brand-name medication or care outside its states.
The evidence behind what GetRelief Rx prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- Oral semaglutide (Rybelsus): what the PIONEER trials actually showed
A GLP-1 peptide in a pill is hard to pull off. PIONEER 1, 4, and 6 plus OASIS 1 — 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 GetRelief Rx compares
A few alternatives worth a look, depending on what you’re optimizing for.
- HumeCare+
Tracking lean mass rather than scale weight, if you read the guarantee terms first
See HumeCare+ → 
SkinnyRxStraightforward compounded GLP-1 access with cancel-anytime flexibility
See SkinnyRx →
ClayaPeople who want coaching, check-ins and an app alongside a compounded GLP-1, and who will confirm the monthly price before paying
See Claya →
More GLP-1 telehealth reviews: Zera HealthZYP Medical1st OptimalZipHealthShapelySteady State Health
Peptides & longevity
How we assessed this. This review reflects Aminoscope’s own read of GetRelief Rx’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 GetRelief Rx cost?
- Sublingual semaglutide starts at $209 a month on a two-month plan ($418) or $189 a month on six months. Tirzepatide starts at $359 a month ($718) or $319 on six months. Prices rise with dose.
- What is a sublingual GLP-1?
- A compounded liquid you hold under your tongue once a day instead of a weekly injection. It isn't FDA-approved, and its absorption is less established than injections or the approved tablet.
- Which states does GetRelief Rx serve?
- 34 states plus D.C., including Florida, Texas, Georgia, Michigan, Ohio, Pennsylvania and Washington. It doesn't serve California or New York.
- Can I cancel GetRelief Rx?
- Yes, before the renewal date in your account. A refill already in processing will still ship, and processed orders aren't refundable.
- Who makes the medication?
- GetReliefPharmacy, an affiliated compounding pharmacy in Billings, Montana.
- Is GetRelief Rx legit?
- GetRelief Rx is a GLP-1 telehealth service you reach through an online questionnaire and an online intake a clinician reviews. The medications it names are Compounded semaglutide (sublingual) and Compounded tirzepatide (sublingual). What it publishes up front: Sublingual compounded semaglutide from $209/mo (2-month plan, $418) or $189/mo on 6 months; tirzepatide from $359/mo ($718) or $319/mo; price varies by dose; 34 states and D.C. It is cash-pay and states it does not bill insurance. Before you pay, ask in writing about a single monthly price you can check before an intake.