GLP-1 Cost Without Insurance: Transparent Telehealth Pricing
People search "GLP-1 cost without insurance" because list prices, prior authorizations, and surprise pharmacy bills make planning hard. This page explains how Refuvia currently prices clinician-directed programs that are structured as cash-pay (not billed to insurance) — so you can see the shape of the cost before you start an evaluation.
It is not a coupon page. It is a clear map of paths your clinician may discuss. Philosophy: RESTORE · TRANSFORM · THRIVE with numbers you can actually read.
What "without insurance" means here
- These programs are not billed to insurance (no claims / prior-auth theater for these cash-pay style programs).
- That can feel simpler for some people.
- It does not mean compounded medication replaces brand coverage decisions or is "the same product for less."
HSA/FSA: many people use HSA/FSA for eligible medical expenses; confirm with your plan administrator — we do not guarantee eligibility.
Path A — Compounded all-inclusive GLP-1
| Medication | Starting price | Notes |
|---|---|---|
| Compounded semaglutide | Starting at $249/mo | All-inclusive path as currently marketed (med when prescribed + care elements) |
| Compounded tirzepatide | Starting at $329/mo | All-inclusive path as currently marketed |
Multi-month packages may appear on live weight-care pages; confirm current package rates with your care team at evaluation.
Higher doses may cost more.
Path B — Branded care fee (confirmed)
$100/mo flat care fee for ongoing clinical management when you and your clinician choose a brand-name GLP-1 path.
- You pay the pharmacy separately for brand medication (insurance, manufacturer programs, or cash-pay pharmacy — not included in the $100 fee).
- The fee covers clinical oversight on that path — not the drug itself.
- Brand product selection and pharmacy routing depend on clinical appropriateness and access.
Hormone cash-pay structure (for context)
This page focuses on GLP-1 search intent, but Refuvia also markets transparent hormone pricing:
| Program | Structure |
|---|---|
| TRT | $249 first month, then $149/mo |
| HRT | $399 first month, then $149/mo |
| Enclomiphene | Starting at $149/mo |
See Men's health and Women's health for clinical context — prices alone are not a treatment recommendation. Higher doses may cost more.
Labs & what first month can include
Men (TRT / enclomiphene baseline): Total Testosterone, CBC, and PSA are commonly included in baseline evaluation discussions.
Women (HRT first month): The first month includes a more extensive lab panel so the clinician can see the full picture. The clinician orders the markers that matter for the patient’s history and goals, then tailors medication and dosing to the patient — not a one-size protocol. Examples such as estradiol (E2), progesterone, testosterone, and thyroid-related markers are illustrative only.
What can affect your total
- Which path (compounded vs brand) your clinician recommends
- Dose and titration schedule
- Lab needs beyond baseline
- Brand medication acquisition if on Path B (outside the $100 fee)
- Shipping or pharmacy fees depending on route
- Whether you pause, change, or stop (cancel anytime soft — coordinate with your care team)
Cancel anytime (soft)
Month-to-month options are designed so you can pause or stop with clinical guidance when that is the right call. Stopping does not erase the need for a thoughtful off-ramp conversation with your clinician — especially on metabolic medications.
How to use this page
- Read Path A vs Path B honestly (compounded ≠ brand).
- Start your free consultation.
- Let a licensed clinician (HLY Medical Group PA) decide appropriateness.
- Confirm current inclusions and any package rates before you pay.
Availability: clinicians licensed in your state via the HLY network, subject to service and treatment availability.
Start your free consultation
Explore whether physician-directed care is appropriate for you. A prescription is never guaranteed — your clinician decides.
Frequently asked questions
Why is compounded priced differently from brand?
They are different product categories with different regulatory status and fulfillment models. Compounded is not a generic brand substitute. Price transparency is not a "same drug cheaper" pitch.
What does the $100 branded care fee cover?
Clinical management on the brand path. Brand medication is paid at the pharmacy, separate from the fee.
Are TRT and HRT billed to insurance?
As marketed, these are cash-pay style programs with transparent monthly structure. Confirm details at evaluation.
Can I use HSA/FSA for these programs?
Often for eligible medical expenses — confirm with your plan administrator. Not guaranteed.
When can compounded GLP-1 be prescribed?
A clinician may prescribe compounded medication when the patient’s medical needs cannot be met by an FDA-approved drug. Brand paths remain available when appropriate. Your clinician decides.