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GLP-1 Annual and Prepaid Plans (2026): Is a 3-, 6- or 12-Month Tirzepatide or Semaglutide Plan Worth It?

Every telehealth provider's 3-, 6- and 12-month tirzepatide and semaglutide plans against its month-to-month price: the discount each term buys, the up-front amount, the refund terms where published, and when a prepaid year is worth the risk.

Prepaid plans buy a lower monthly rate with a bigger up-front bill and a refund policy that decides what happens if the drug does not suit you. Roughly one trial participant in twenty stopped tirzepatide for side effects, most in the first months. The lines below show each provider's term plans against its month-to-month price; a discount above 20% usually justifies a prepaid term for a patient who has already established tolerability, and rarely for a first-time patient.

Tirzepatide: providers with term plans, ranked by 12-month total

  • Trimi — 12-month total $1,500 on the 12-month plan ($125 per month averaged); first month $125; no membership; same price at every dose; pharmacy named: VialsRx, GreenwichRx; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown. Term plans: 12-month $125/mo.
  • Amble — 12-month total $1,620 on the 6-month plan ($135 per month averaged); month-to-month $179 at maintenance doses; first month $135; no membership; same price at every dose; reported, checked August 25, 2026; flags: consultation terms unknown, assumes renewal at the same 6-month rate. Term plans: 3-month $160/mo; 6-month $135/mo. Discount versus month-to-month: 25%.
  • NexLife — 12-month total $1,668 on the 12-month plan ($139 per month averaged); month-to-month $169 at maintenance doses; first month $139; no membership; same price at every dose; pharmacy named: Absolute (AbsoluteRx), Hallandale Pharmacy, Red Rock Pharmacy; verified, checked August 25, 2026. Term plans: 3-month $159/mo; 6-month $149/mo; 12-month $139/mo. Discount versus month-to-month: 18%.
  • Telos RX — 12-month total $1,668 on the 12-month plan ($139 per month averaged); first month $139; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, maintenance-dose price not published; assumes the starting-dose price holds. Term plans: 12-month $139/mo.
  • BMI MD — 12-month total $1,668 on the 12-month plan ($139 per month averaged); month-to-month $179 at maintenance doses; first month $139; no membership; same price at every dose; reported, checked August 19, 2026. Term plans: 3-month $159/mo ($477 up front); 6-month $149/mo; 12-month $139/mo ($1,668 up front). Discount versus month-to-month: 22%.
  • CoreAge Rx — 12-month total $1,788 on the 12-month plan ($149 per month averaged); first month $149; membership terms unconfirmed; same price at every dose; verified, checked August 25, 2026; flags: membership fee amount unknown, shipping terms unknown, consultation terms unknown. Term plans: 12-month $149/mo.
  • Fifty 410 — 12-month total $2,046 on the 3-month plan ($170.50 per month averaged); month-to-month $299 at maintenance doses; first month $133; no membership; price rises with dose; pharmacy named: ProRx, BPI / The Pharmacy Hub; reported, checked August 25, 2026; flags: introductory price for the first 3 months, 3 + 9 titration model, assumes renewal at the same 3-month rate. Term plans: 3-month $166/mo ($499 up front). Discount versus month-to-month: 44%.
  • HealthRX — 12-month total $2,148 on the 12-month plan ($179 per month averaged); first month $179; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown. Term plans: 3-month $209/mo; 12-month $179/mo.
  • Ozari Health — 12-month total $2,166 on the 3-month plan ($180.50 per month averaged); month-to-month $235 at maintenance doses; first month $125; no membership; higher-dose price not published; pharmacy named: Hallandale Pharmacy, VialsRx; verified, checked August 25, 2026; flags: consultation terms unknown, introductory price for the first 3 months, assumes renewal at the same 3-month rate. Term plans: 3-month $199/mo ($597 up front). Discount versus month-to-month: 15%.
  • Fella Health — 12-month total $2,388 on the 12-month plan ($199 per month averaged); first month $199; no membership; higher-dose price not published; verified, checked August 25, 2026; flags: maintenance-dose price not published; assumes the starting-dose price holds. Term plans: 12-month $199/mo.
  • Peak Wellness — 12-month total $2,784 on the 6-month plan ($232 per month averaged); month-to-month $349 at maintenance doses; first month $232; no membership; same price at every dose; pharmacy named: Emerald Compounding, Epiq Scripts, Southend; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown, assumes renewal at the same 6-month rate. Term plans: 3-month $279/mo ($837 up front); 6-month $232/mo ($1,392 up front). Discount versus month-to-month: 34%.
  • Raeliva (formerly onlinesemaglutide.org) — 12-month total $2,904 on the 6-month plan ($242 per month averaged); month-to-month $349 at maintenance doses; first month $242; no membership; same price at every dose; reported, checked August 19, 2026; flags: assumes renewal at the same 6-month rate. Term plans: 3-month $267/mo ($800 up front); 6-month $242/mo ($1,450 up front). Discount versus month-to-month: 31%.
  • Ivím Health — 12-month total $3,099.96 on the 6-month plan ($258.33 per month averaged); first month $258.33; membership $75/mo; higher-dose price not published; verified, checked August 25, 2026; flags: assumes renewal at the same 6-month rate. Term plans: 4-month $225/mo ($900 up front); 6-month $183.33/mo ($1,100 up front).
  • TrimRx — 12-month total $3,396 on the 12-month plan ($283 per month averaged); month-to-month $399 at maintenance doses; first month $279; no membership; same price at every dose; reported, checked August 19, 2026. Term plans: 3-month $316/mo; 6-month $299/mo; 12-month $283/mo. Discount versus month-to-month: 29%.
  • Noom Med — 12-month total $3,438 on the 3-month plan ($286.50 per month averaged); first month $149; no membership; same price at every dose; pharmacy named: Tailor Made Compounding; verified, checked August 25, 2026; flags: introductory price for the first 1 month, assumes renewal at the same 3-month rate. Term plans: 3-month $299/mo ($897 up front).

Semaglutide: providers with term plans, ranked

  • Trimi — 12-month total $1,188 on the 12-month plan ($99 per month averaged); first month $99; no membership; same price at every dose; pharmacy named: VialsRx, GreenwichRx; verified, checked August 25, 2026; flags: shipping terms unknown, consultation terms unknown. Term plans: 12-month $99/mo.
  • NexLife — 12-month total $1,428 on the 12-month plan ($119 per month averaged); month-to-month $139 at maintenance doses; first month $119; no membership; same price at every dose; pharmacy named: Absolute (AbsoluteRx), Hallandale Pharmacy, Red Rock Pharmacy; verified, checked August 25, 2026. Term plans: 3-month $132/mo; 6-month $125/mo; 12-month $119/mo. Discount versus month-to-month: 14%.
  • Ozari Health — 12-month total $1,563 on the 3-month plan ($130.25 per month averaged); month-to-month $175 at maintenance doses; first month $86; no membership; higher-dose price not published; pharmacy named: Hallandale Pharmacy, VialsRx; verified, checked August 25, 2026; flags: consultation terms unknown, introductory price for the first 3 months, assumes renewal at the same 3-month rate. Term plans: 3-month $145/mo ($435 up front). Discount versus month-to-month: 17%.
  • Ivím Health — 12-month total $2,100 on the 6-month plan ($175 per month averaged); first month $175; membership $75/mo; higher-dose price not published; verified, checked August 25, 2026; flags: assumes renewal at the same 6-month rate. Term plans: 4-month $124.75/mo ($499 up front); 6-month $100/mo ($600 up front).
  • Henry Meds — 12-month total $2,364 on the 12-month plan ($197 per month averaged); month-to-month $297 at maintenance doses; first month $197; no membership; same price at every dose; verified, checked August 25, 2026. Term plans: 6-month $247/mo ($1,482 up front); 12-month $197/mo ($2,364 up front). Discount versus month-to-month: 34%.
  • Noom Med — 12-month total $2,868 on the 3-month plan ($239 per month averaged); first month $129; no membership; same price at every dose; pharmacy named: Tailor Made Compounding; verified, checked August 25, 2026; flags: introductory price for the first 1 month, assumes renewal at the same 3-month rate. Term plans: 3-month $249/mo.

How this page is built

Every line is generated from the pricing database at build time; statuses and dates come from the provider's own pages or a dated third-party source, and flags name every assumption. See the methodology and the price history.

Frequently asked questions

Is a 12-month GLP-1 plan worth it?

If you have already tolerated the drug for three months and the discount is 20% or more, usually yes; NexLife's 12-month plan is $30 a month below its month-to-month price and is billed monthly with a price lock, while Trimi's $125 requires $1,500 up front with refund terms unpublished.

Can I get a refund on a prepaid GLP-1 plan?

Only where the provider's terms say so; several ranked providers have not published refund terms on prepaid plans, and the ranking rows flag them.

Is a 3-month plan a good middle ground?

It shortens the exposure while capturing part of the discount (NexLife $159, Peak $279, BMI MD reported $159); check whether it auto-renews at the same rate.

Editor's pick · best overall

Editor's pick: NexLife value score 92/100

How the pick is chosen: the highest value score in our database (cost, transparency, flexibility, care and verification) as of August 25, 2026; it changes automatically when the data does. NexLife also pays for a labeled sponsored placement on this site, which does not enter the score. How the score works · Advertising disclosure.

What every plan includes

  • Same price at every dose. No hidden fees.
  • Free expedited shipping.
  • No membership fees.
  • Doctor-led plans, coaching and an active community.

Prices verified, checked August 25, 2026.

Included at no extra cost

  • Provider review and ongoing medical guidance$199Included
  • Personalized nutrition plan (GLP-1 focused)$99Included
  • 1:1 fitness call with a certified wellness coach$79Included

Stated values are NexLife's own figures, not market prices.

Plan pages

Regular protocol Standard injectable plans; the ones our rankings use
Microdose protocol Lower-dose plans; listed in our database, not ranked
Sublingual (ODT) protocol Orally disintegrating tablets; listed, not ranked

Read the full review and the cons →