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This GLP
Updated September 2026Three plans, one price per dose

50 Stars Health review

Compounded semaglutide is $146 on the monthly plan, the same at every dose.

The verdict

50 Stars Health charges $146 a month for compounded semaglutide. Compounded tirzepatide is $220 a month. Both are monthly-plan rates. Three- and six-month plans cost less per month. The price does not change with the dose.

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Category
GLP-1 telehealth
Molecule
Semaglutide · Tirzepatide
Form
Injection
Dose pricing
Flat across doses
From
From $146/mo
Dose published
Yes
Prescription
Required
Compounded
Yes — not FDA-approved
Pharmacy
Not named
Availability
Puerto Rico plus 44 states

50 Stars Health sells compounded GLP-1 injections for weight loss. It also sells longevity, hormone, sexual-health, hair and pain treatments.

  1. Who writes the prescription, and what do they see?

    A U.S.-licensed provider reviews the intake and decides whether to prescribe. Review takes up to 48 hours. The provider messages the patient in the portal before prescribing. The patient can ask questions at that point. The product pages name one physician, Dr. Gidon Akler, MD. The site does not say he reviews every intake.

    Step 1 is a written intake of about two to five minutes. Step 2 is the provider review. Step 3 is compounding and processing, about five business days. Step 4 is free two-day shipping. There is no fee for the assessment or the consultation. Insurance is neither required nor accepted. Follow-up runs through unlimited portal messaging.

  2. What happens when the dose goes up?

    The provider sets the dose. Patients do not select it. Semaglutide comes in 0.2, 0.4, 0.75, 1.0 and 1.2 mg. Tirzepatide comes in 2, 3, 5, 6, 9, 11 and 14 mg. Every strength is priced the same. A dose change does not change the bill. Nausea or constipation medication may be added and is reassessed at the three-month follow-up.

  3. What the price includes

    Semaglutide is $146 a month on the monthly plan. It is $133 a month on the three-month plan and $124 on the six-month plan. Tirzepatide is $220, $201 and $183 on the same three plans. The monthly plan is the rate paid without a longer commitment. Consultation, follow-ups, supplies and shipping are included. Plans renew automatically. Cancellation must come at least two days before the billing date. Refunds are not typically offered.

  4. What it claims, and what it cites

    Both drugs are compounded by licensed U.S. pharmacies. The site states compounded semaglutide is not FDA-approved. Compounded drugs get no FDA review before dispensing. Semaglutide is compounded with vitamin B12. The site describes third-party testing for sterility, endotoxins, pH and potency. No pharmacy is named.

Where it holds up, and where it does not

  • Strength: Same price at every dose
  • Strength: Every available strength published
  • Strength: Consultation and shipping included
  • Strength: Monthly plan without a longer term
  • Limitation: Not available in six states
  • Limitation: Refunds not typically offered
  • Limitation: No compounding pharmacy named
  • Limitation: Auto-renews unless canceled two days ahead

What the evidence says about this kind of treatment

The assessment above is about 50 Stars Health. These are about the drugs it sells, and they are traced to the primary literature.

Right for
A buyer who wants one price at every dose and a published list of strengths.
Wrong for
A buyer in Alabama, Arkansas, California, Indiana, South Carolina or West Virginia.

How 50 Stars Health compares

SellerWho it suitsGo
CieloBuyers who want the commitment behind a headline rate spelled out in the asterisk under itSee Cielo
Belle HealthBuyers ready to commit to a longer supply in exchange for a lower monthly rateSee Belle Health
Boston Medical GroupBuyers who want a one-month price that holds at every dose and a named dispensing pharmacySee Boston Medical Group
Compare all providers side by side →

More GLP-1 telehealth sellers reviews: SignosSilhouette MDSkyRxSociety of YouSomi HealthSomira Health

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

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Frequently asked

Does 50 Stars Health serve every state?
No. It serves Puerto Rico plus 44 states. It does not serve Alabama, Arkansas, California, Indiana, South Carolina or West Virginia.
What does semaglutide cost month to month?
$146 a month on the monthly plan. The three- and six-month plans are $133 and $124 a month.
Will the price change as the dose climbs?
No. The site states every strength is priced the same.
Is 50 Stars Health legit?
50 Stars Health is a GLP-1 telehealth sellers service. Its stated availability: Puerto Rico plus 44 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 50 Stars Health expensive compared with other GLP-1 telehealth sellers?
50 Stars Health publishes a starting figure of $146/mo. Across the 399 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $189, which puts 50 Stars Health below the median, toward the cheaper end. The other 58 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.
Glenn TorresStandards editor · Reviewed and last verified September 2026

How this was assessed. The four questions above are answered from 50 Stars Health’s own publicly-stated model, against the published editorial methodology. No ratings are fabricated and no first-hand outcomes are claimed. A partnership never changes the assessment — see how we make money.