GLP-1 pill programs, scored

Most rows are compounded semaglutide or tirzepatide in a lozenge, drop, capsule or tablet. The rest are brand pills: the Wegovy pill, which the FDA approved in December 2025, and Foundayo, approved in April 2026. They share a lineup because you're asking one question: which pill program, at what monthly price.

Shed has the highest Care & cost score here, 75 out of 100. The score has four parts: price 35, care 25, pharmacy 25 and clarity 15 (how we score). Here, a pill plan at $140 a month or less earns the full 35 price points. One at $350 or more earns zero, and one near $245 earns about half. The band is fixed for the lineup, so a rival's price change never moves anyone else's points.

A pill lineup mixes products that only share a drug family. A brand tablet, a compounded lozenge and a compounded drop are made differently and come with different evidence, so the first filter is the form you want, not the price.

Once you've picked a form, compare score and price as you would on any lineup. The chip row helps here: a strong Pharmacy chip means the provider has said who makes the product, which matters more when it isn't a brand.

A provider that sells only a brand pill earns two of the pharmacy checks automatically once the product is named. Compounded programs have to earn those points on their own pages.

Already on an injection and thinking of switching? Pills and shots aren't dosed the same way, so ask the program how it would choose your pill dose. That conversion is the prescriber's call, not a chart's.

Last, check where the pill is made. A brand tablet comes from its maker; a compounded one comes from a pharmacy, and the Pharmacy chip tells you whether the provider says which.

• Price (35). The monthly price at the starting dose, membership included. For a brand pill that's the price the program charges you, not the maker's list price.
• Care (25). Five 5-point checks: a named prescriber or medical group, a clinician's review of your intake, labs, a stated follow-up rhythm, and dose changes without a new consult fee.
• Why follow-up matters here. With a daily pill, a stated check-in rhythm is how you'll find out whether the dose suits you, so the Care chip is worth a second look.
• Pharmacy (25). Up to 25 points for telling you where the pill comes from: the pharmacy's name (10), its state or 503A/503B status (5), a clear brand-or-compounded label (5) and no claim that a compounded pill is FDA-approved (5).
• Clarity (15). Up to 15 for showing a price before the questions start, publishing cancellation terms and listing the states served.

Prices on this lineup run $149 to $349 a month, so the spread over a year is about $2,400 by our math. At the middle price, $299, a year costs about $3,588. These are annualized comparisons at unchanged starting prices, not the actual payments due in the first 365 days; dose changes, introductory offers and separate tests can change the budget.

Site-wide, 6 programs offer compounded semaglutide in a form you swallow, at $149–$304 a month, and 5 offer oral compounded tirzepatide at $189–$399.

Within this lineup's band, ten dollars off the monthly price is worth about 1.7 price points.

Brand pill prices on this lineup are what each program charges, and they can move when the maker changes its self-pay prices. A compounded pill's price is the provider's own and changes when its pricing page does.

For a confirmed 28-day charge, the monthly comparison annualizes the rate across 365 days. The actual first-year cash payments depend on enrollment, renewal dates, discounts and commitments; supply length alone does not establish billing.

Pill doses are larger in milligrams than shot doses because less of a swallowed dose reaches the blood. That doesn't by itself make a pill cost more, but it's why the dose printed next to a price matters.

1. Is this a brand tablet or a compounded product, and what exactly is the form?
2. Which pharmacy or maker supplies it, and does the label list every ingredient?
3. Does the price rise as the dose goes up?
4. Can you switch to an injection on the same plan if the pill doesn't suit you?
5. Is there a membership in addition to the pill price, and what does it cover?
6. What does canceling cost, and when does the next charge land?