OrderlyMeds review
Flat price, every dose
Compounded semaglutide at $149 a month and tirzepatide at $299, the same at every dose, with the pharmacies named and no membership fee.
Our verdict
OrderlyMeds is easy to price. Compounded semaglutide is $149 a month and compounded tirzepatide is $299, month-to-month, and neither goes up as your dose climbs, which matters more over a year than the starter discount does. The partner pharmacies are named, the consultation is included, and there is no membership fee on top. The trade-offs are a strict cancellation rule (once the prescription is written, the order stands), slow delivery of eight to ten business days by the company's own estimate, and an FDA warning letter from June 2026 about how its website presented its products.
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FDA warning letter on record — public record, does not change our verdict.
At a glance
- Category
- GLP-1 telehealth
- Access
- Semaglutide $149/mo, tirzepatide $299/mo, month-to-month at any dose; 2-month starter for new patients. 50 states
- Medications
- Semaglutide · Tirzepatide · Branded
- Insurance
- Cash-pay, no insurance
- Visit
- Quiz intake / Async intake
- Availability
- All 50 states
- LegitScript
- Claimed by provider
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
An online weight-loss service run by OrderlyMeds LLC from Decatur, Georgia. It sells compounded semaglutide and compounded tirzepatide injections, and branded Wegovy and Zepbound pens, prescribed by licensed physicians and nurse practitioners after an online health screening. The company says its providers began prescribing at the start of 2024 and that it has served more than 150,000 patients. Its chief medical officer, Dr. Brian Spears, is named and profiled on the site, and it runs live question-and-answer sessions with him. Existing GLP-1 patients can add compounded NAD⁺ or sermorelin at a refill check-in; neither is sold on its own.
How it works
Mostly asynchronous. You answer an eligibility quiz, pick a product and plan, complete a health screening form and pay. A provider reviews it within 24 to 48 hours and talks with you by text chat in the patient portal. Live video is required only where state law demands it, which the sign-up FAQ lists as Louisiana, Mississippi, New Mexico, Rhode Island, Kansas and West Virginia. No bloodwork is required. New patients need a BMI above 25 and patients already on a GLP-1 a BMI above 20; pregnancy, a history of thyroid cancer or MEN2, pancreatitis, gastroparesis and inflammatory bowel disease are listed exclusions. Refills run through a check-in where you report how you are doing and ask to stay at your dose or move up. The FAQ names five 503A partner pharmacies: PerfectRx/PerfectionRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx. The homepage lists three of them. Everything is shipped to your door; the company estimates eight to ten business days from sign-up to delivery and cannot expedite.
Pricing transparency
The month-to-month prices are $149 for compounded semaglutide and $299 for compounded tirzepatide, and the FAQ is clear that the price is the same at every dose. Each price includes the provider visits, the medication, syringes, alcohol pads and shipping, with no membership or setup fee. New patients starting at the lowest dose can buy a two-month starter plan, paid up front: $149 for two months of semaglutide ($74 a month) or $299 for two months of tirzepatide ($149 a month). Patients switching from another GLP-1 can buy a two-month transfer plan for semaglutide at $224. After the starter, the standard monthly rate applies. Branded Wegovy is listed at $1,839 a month and Zepbound at $1,498. Insurance is not accepted, but HSA and FSA cards are, and CareCredit is not. You are charged only when you request a refill, so there is no automatic renewal. Payment is taken before the provider review and is refunded in full if you are not prescribed. The catch is cancellation: you can cancel up to the moment the prescription is written and not after, and a multi-month plan cannot be canceled once bought.
Branded vs compounded
Compounded semaglutide and compounded tirzepatide, both as weekly injections from a vial, plus branded Wegovy and Zepbound. The compounded medication may include an added vitamin such as B6 or B12 at the prescriber's choice. The site's compounding disclaimer is correct: compounded GLP-1s are not FDA-approved and are not reviewed for safety, effectiveness or quality, and the clinical trial figures it quotes (about 15% average weight loss on Wegovy and about 20% on Zepbound) belong to the branded drugs alone. In June 2026 the FDA issued OrderlyMeds warning letter 728291, after reviewing its website in March 2026. The letter objected to the company's logo on pictured vials, which suggested OrderlyMeds compounds the drugs when it does not, and to a claim that its medication came from an "FDA-licensed pharmacy", a designation the FDA says does not exist. Ask which pharmacy will fill your prescription before you pay.
FDA warning letter on record
The FDA issued a warning letter naming OrderlyMeds LLC dba OrderlyMeds, the company behind OrderlyMeds.
- Letter 728291, issued June 8, 2026 — read it on fda.gov
We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove OrderlyMeds from this site, and it does not change our verdict — read the letter and decide for yourself.
Pros and watch-outs
What we like
- Month-to-month prices of $149 (semaglutide) and $299 (tirzepatide) that do not rise with the dose
- Visits, medication, syringes and shipping included, with no membership fee
- Five 503A partner pharmacies named, and the chief medical officer named
- Charged only when you request a refill, so there is no automatic renewal
- Full refund if the provider does not prescribe; HSA and FSA cards accepted
- Also offers branded Wegovy and Zepbound
Watch-outs
- No cancellation once the prescription is written, and multi-month plans cannot be canceled
- Delivery takes eight to ten business days by the company's own estimate, with no expedited option
- FDA warning letter 728291 (June 2026) over its product labels and an "FDA-licensed pharmacy" claim
- The homepage and FAQ disagree on the pharmacy list (three names versus five)
- Branded Wegovy and Zepbound are sold at full list price
Best for
Readers who expect to stay on a compounded GLP-1 for months and want a price that will not change as the dose goes up.
Who should look elsewhere
Anyone who wants to be able to change their mind after the provider has written the prescription, or who needs medication within a week.
The evidence behind what OrderlyMeds 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 OrderlyMeds compares
A few alternatives worth a look, depending on what you’re optimizing for.
EdenCompounded or branded GLP-1 through one consumer telehealth account
See Eden →
WellMedRxCompounded tirzepatide with a named clinician network and pharmacy
See WellMedRx →
Rx.comBuyers who want the pharmacy, the provider network and the boxed warning all published up front
See Rx.com →
More GLP-1 telehealth reviews: Andrew MedsBayan HealthBelieve HealthClume HealthGoldspan HealthLean Meds
Access & cost
How we assessed this. This review reflects Aminoscope’s own read of OrderlyMeds’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 OrderlyMeds cost per month?
- Compounded semaglutide is $149 a month and compounded tirzepatide is $299 a month, at any dose, with the provider visit, medication, supplies and shipping included. New patients starting at the lowest dose can pay $149 for two months of semaglutide or $299 for two months of tirzepatide up front, after which the monthly price applies. Branded Wegovy is $1,839 and Zepbound $1,498 a month.
- Does the price go up when my dose increases?
- No. OrderlyMeds states that every dose of a given medication costs the same, so moving from the starting dose to a maintenance dose does not change the monthly price.
- Can I cancel an OrderlyMeds order?
- Only before the provider finalizes your prescription. After that, the order cannot be canceled, and multi-month plans cannot be canceled once purchased. If the provider decides not to prescribe, your payment is refunded in full, usually within three to five business days.
- Has OrderlyMeds received an FDA warning letter?
- Yes. The FDA issued warning letter 728291 to OrderlyMeds LLC on June 8, 2026. It said the company's logo on pictured vials implied OrderlyMeds compounds the drugs, which it does not, and that calling its source an "FDA-licensed pharmacy" was misleading because no such FDA designation exists. A warning letter is about marketing claims, not a finding about the medication itself, but it is worth knowing before you buy.
- Will I talk to a doctor by video?
- Usually not. The consultation is a text chat with your provider in the patient portal. Residents of Louisiana, Mississippi, New Mexico, Rhode Island, Kansas and West Virginia have a live video visit instead, because state law requires one.
- Can I get NAD⁺ or sermorelin from OrderlyMeds?
- Only as an add-on. Compounded NAD⁺ ($224 a month) and sermorelin ($200 a month) are offered to existing GLP-1 patients who buy a refill at their check-in. They are not sold to new patients on their own.
- Is OrderlyMeds legit?
- FDA has a warning letter on record against OrderlyMeds LLC dba OrderlyMeds, the company behind OrderlyMeds, issued June 8, 2026 as letter 728291; it is linked further down this page. A warning letter is a public record worth reading. It doesn't by itself mean you can't use this provider. OrderlyMeds is a GLP-1 telehealth service you reach through an online questionnaire and an online intake a clinician reviews. The medications it names are Semaglutide, Tirzepatide and branded medication. What it publishes up front: Semaglutide $149/mo, tirzepatide $299/mo, month-to-month at any dose; 2-month starter for new patients. 50 states. It is cash-pay and states it does not bill insurance. It shows a LegitScript seal. Ask the company for its certificate number before you rely on it. Those are the provider's own published claims rather than checks we could run ourselves, so get the ones that matter to you confirmed in writing before you pay.
- Is OrderlyMeds expensive compared with other GLP-1 telehealth providers?
- OrderlyMeds publishes a starting figure of $149/mo. Across the 57 GLP-1 telehealth providers we review that publish a single monthly figure, those run $49 to $299 with a median of $179, which puts OrderlyMeds below the median, toward the cheaper end. The other 49 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.