Insurance coverage for weight-management medication is inconsistent, and compounded medications are generally not covered at all — so most people pay out of pocket. Here's what GLP-1 options actually cost without insurance, with no games.
Why so many people pay cash
Coverage for GLP-1 medications varies widely by plan and by indication, and prior-authorization rules are strict. Compounded semaglutide and tirzepatide are generally not covered by insurance, so they're almost always a cash purchase. Rather than quote an "after-insurance" price that few people actually get, OS Reboot publishes the real cash price.
What it costs without insurance
- Compounded semaglutide — from about $105/month (3-month plan), physician-evaluated metabolic support
- Compounded tirzepatide — from about $138/month (3-month plan), physician-evaluated metabolic support
- FDA-approved brands (chronic weight management) — Foundayo from $436, Wegovy from $561, Zepbound from $742/month
No membership fee, 10% off a first order for new patients, and a one-time physician fee on the first order. Compounded options are often the most affordable cash route; they are not FDA-approved and not a copy of an FDA-approved drug.
The honest comparison
Without insurance, compare the total monthly cash cost — the medication plus the visit, with no hidden membership stacked on top. A low sticker price with a monthly membership can quietly cost more over a year than a program with no membership at all.
See the programs and prices → · How GLP-1 pricing works
Educational information, not medical advice, a diagnosis, or a prescription. Pricing is confirmed before anything ships; a licensed physician decides what is appropriate. OS Reboot does not practice medicine or operate a pharmacy.