Compounded semaglutide injections typically cost $184 a month. Published prices run from $76 to $485 across 380 sellers.
The table splits the market three ways. The live board is semaglutide prices.
| Product | Sellers | Low | Typical | High | Read through |
|---|---|---|---|---|---|
| Compounded, injection | 380 | $76 | $184 | $485 | September 2026 |
| Compounded, oral or sublingual | 76 | $99 | $222 | $599 | September 2026 |
| Brand, cash price at a telehealth | 12 | $119 | $286 | $449.99 | September 2026 |
Price at the dose you will stay on
Semaglutide doses step up over months. A seller may quote the starting dose. Ask for the price at each step.
Some charge one flat monthly price across doses. Others raise it as the dose climbs. Compare at the top dose, not the first.
Then add the fees. Membership, consult, labs, supplies and shipping are listed in the peptide therapy cost guide.
The vial sets a hidden limit
Compounded semaglutide often ships in a vial holding several doses[1]. FDA generally recommends using such a vial within 28 days of first use[1].
That matters for price. A vial sized for ten weeks is not ten weeks of drug. FDA says to discard it at 28 days, even if the compounder’s label says longer[1].
Cold shipping matters too. FDA has received complaints of vials arriving warm[1]. It advises not using an injectable GLP-1 that arrives without enough refrigeration[1]. Ask who pays for a replacement.
What compounded means for the buyer
Compounded drugs are not FDA-approved. FDA does not review them for safety, effectiveness or quality before marketing[1].
FDA flags semaglutide salt forms. Semaglutide sodium and semaglutide acetate are different active ingredients from the approved drug[1]. FDA knows of no lawful basis for compounding them[1]. Ask the seller which form it dispenses.
Through May 31, 2026, FDA had 990 adverse-event reports tied to compounded semaglutide[1]. FDA notes these are likely underreported[1].
Where the supply comes from
A secret-shopper study run in 2025 covered 75 clinics and medical spas in two states[3]. Of those, 42 (56.0%) offered compounded GLP-1s mixed with B vitamins[3].
The study traced 23 supplying compounders[3]. Four of 21 checked (19.0%) were not licensed for sterile compounding[3]. Ask the seller to name the pharmacy. The difference between pharmacy tiers is in 503A vs 503B.
The larger outsourcing tier faces its own limit. In May 2026, FDA proposed not to put semaglutide on the 503B bulks list[2]. Without that listing or a shortage, an outsourcing facility cannot compound it from bulk[2].
Before you pay
Four questions settle most of the price.
- What is the monthly price at each dose step?
- How many weeks does one vial last, given the 28-day limit?
- Which pharmacy compounds it, and is it semaglutide base or a salt?
- What does canceling or pausing cost?
The tirzepatide market follows the same rules. Its figures are in the compounded tirzepatide cost guide. Reviewed sellers are on the reviews page.