# StackMD reviews (2026): GLP-1 telehealth sellers | This GLP

Five priced rungs on one molecule and six on the other, printed where a reader can find them before starting.

Publisher: This GLP Editorial Team
Canonical: https://thisglp.com/reviews/stackmd
Updated: 2026-10-28

By [This GLP Editorial Team](https://thisglp.com/about) · Updated September 2026 Every rung on the page

# StackMD review

Five priced rungs on one molecule and six on the other, printed where a reader can find them before starting.

## The verdict

StackMD publishes a per-dose ladder on both molecules: semaglutide from $125 at 1 mg to $225 at 10 mg, and tirzepatide from $199 at 5 mg to $449 at 30 mg. No membership or platform fee applies.

**Disclosure:** This GLP is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. The order on this page is not commercial, and a commission never changes what we write about a provider. [How we make money](https://thisglp.com/disclosures).

Category

GLP-1 telehealth

Molecule

Semaglutide · Tirzepatide

Form

Injection

Dose pricing

Rises with dose

States

50

From

From $125/mo

Prescription

Required

Compounded

Yes — not FDA-approved

Availability

All 50 states

StackMD sells both molecules by injection across fifty states, with the price attached to the milligram rather than to a plan length, and a denial of any fee outside it.

1.  ## Who writes the prescription, and what do they see?
    
    A prescription precedes shipping and the clinician is not described. What the ladder does describe is the decision a clinician will make, because every rung on it has a number beside it before anyone starts.
    
    Publishing a price at every rung changes what a buyer can plan. Most sellers on this market answer the escalation question with a single word or with silence. The honest consequence of StackMD's approach is visible on its own page: a patient titrated to a high dose pays more than double the advertised starting price.
    
2.  ## What happens when the dose goes up?
    
    This is the field StackMD answers better than almost anything a reader will meet. Semaglutide runs $125, $149, $175, $199 and $225 across 1, 2, 4, 6 and 10 mg. Tirzepatide runs $199, $249, $299, $349, $399 and $449 across 5 to 30 mg. All are 1 ml or 2 ml vials with B12 and glycine.
    
3.  ## What the price includes
    
    Six months at the semaglutide entry rung is $750 and at the top rung $1,350. On tirzepatide the same spans are $1,194 and $2,694. The marquee reads transparent pricing with no memberships, and the product page backs it with a denial of any membership or platform fee on top. One gap remains: the injection vials state no supply duration, and only the oral tablets say thirty days.
    
4.  ## What it claims, and what it cites
    
    Both lines are compounded rather than manufactured, prepared by a pharmacy the site does not name, and not reviewed by the FDA before dispensing as an approved product is.
    

## Where it holds up, and where it does not

-   Strength: Eleven priced dose rungs published in all
-   Strength: No membership or platform fee, stated
-   Strength: Coverage across all fifty states
-   Strength: Formulations described vial by vial
-   Limitation: The top tirzepatide rung is $449
-   Limitation: The entry figure is the bottom rung only
-   Limitation: Injection vials state no supply duration
-   Limitation: No compounding pharmacy is named

## What the evidence says about this kind of treatment

The assessment above is about StackMD. These are about the drugs it sells, and they are traced to the primary literature.

-   [What happens to the dose, and to the side effects, over the first twenty weeks?](https://thisglp.com/research/how-long-does-nausea-last-on-a-glp1)
-   [How much of the weight lost is muscle, and what changes that?](https://thisglp.com/research/muscle-loss-on-glp1)
-   [What does the trial evidence show when treatment stops?](https://thisglp.com/research/stopping-glp1-and-weight-regain)

Right for

A reader who wants the cost of every dose stated before starting the lowest one.

Wrong for

A reader comparing the entry figure as though it were a rate.

## The evidence behind what StackMD prescribes

These studies examine the medicines, not this provider. Results with approved products do not establish the quality or effectiveness of a seller’s compounded formulation.

-   [Cochrane Review of Semaglutide for Obesity: 18 Trials Graded](https://thisglp.com/research/semaglutide-cochrane-review)
    
    A 2025 Cochrane review pooled eighteen randomized trials. The weight figure is high certainty and smaller than the marketing, and almost everything else is graded lower.
    
-   [Tirzepatide vs Semaglutide: Which Works Better for Weight Loss?](https://thisglp.com/research/tirzepatide-vs-semaglutide-which-works-better)
    
    In a 72-week randomized trial at weight-management doses, weight fell 20.2 percent on tirzepatide and 13.7 percent on semaglutide. Routine-care studies found a smaller gap, three to four points.
    

## How StackMD compares

| Seller | Who it suits | Go |
| --- | --- | --- |
| Telos Rx | Readers taking the longest plan, since no shorter term carries a published rate |  |
| Sprout Health | Readers taking the six-month plan, which is the one measured in calendar months |  |
| Sunlight | Readers who want a rate guaranteed against increases and will count the fills |  |

[Compare all providers side by side →](https://thisglp.com/best)

More GLP-1 telehealth sellers reviews: [Defy Medical](https://thisglp.com/reviews/defy-medical) [Docberry](https://thisglp.com/reviews/docberry) [Elara MD](https://thisglp.com/reviews/elara-md) [EmbraceRX](https://thisglp.com/reviews/embrace-rx) [eMed](https://thisglp.com/reviews/emed) [Enara Health](https://thisglp.com/reviews/enara-health)

Sponsored alternative

SkinnyRx

Readers choosing tirzepatide, the one line with a published standing rate

## Frequently asked

What does the price do as my dose rises?

It rises with the milligram and every step is printed: semaglutide at $125, $149, $175, $199 and $225, and tirzepatide across six rungs from $199 to $449.

Are there fees on top?

The product page states no membership or platform fee on top, beside a marquee reading transparent pricing with no memberships.

How long does a vial last?

The injection vials state no supply duration. Only the oral tablets say thirty days, which leaves the billing cycle on the injections unestablished.

Is StackMD legit?

StackMD is a GLP-1 telehealth sellers service. Its stated availability: All 50 states. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.

Is StackMD expensive compared with other GLP-1 telehealth sellers?

StackMD publishes a starting figure of $125/mo. Across the 402 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $190, which puts StackMD below the median, toward the cheaper end. The other 178 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Or [compare every seller we cover](https://thisglp.com/best).

**Research, not medical advice.** This GLP is independent and educational. Nothing here is a substitute for individualized care from a licensed clinician, and reading it creates no doctor–patient relationship. Talk to your own provider before starting, stopping, or changing any medication, peptide, or therapy. See our [methodology](https://thisglp.com/methodology) and [terms](https://thisglp.com/terms).
