Updated September 2026Texas only, ladder publishedNeo Soma Healthcare review
A Texas clinic that publishes its full semaglutide dose ladder, names its compounding pharmacy, and prices refills by dose band.
The verdict
Neo Soma charges $199 for each four-week refill of compounded semaglutide up to 1 mg a week, after a $99 first fill. That is $215.58 a calendar month. From 1.5 mg the refill is $299. Tirzepatide has no single monthly figure: a $330 first purchase, then refills of $495 to $680 by dose.
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- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- From
- From $215.58/mo
- Dose published
- Yes
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Named
- Availability
- Texas only
Neo Soma Healthcare is a clinic in Leander, Texas that sells weight-loss, sexual-health and anti-aging prescriptions online. Its weight-loss line is compounded semaglutide and compounded tirzepatide, both injected weekly. The FAQ adds liraglutide to the list its providers may prescribe. Service is limited to Texas, according to the same FAQ.
Who writes the prescription, and what do they see?
The site names its chief medical director, Dr. Stephen Bunker, an Austin physician it says graduated from Creighton in 1976. The refill page prints the doctor's name and a license number beside each dose band. Each product popup says the prescription is reviewed and written by an on-staff physician. No video visit is described at any stage.
The order runs in four stated steps: payment, a short questionnaire, prescriber review, then shipping. The site says the whole process takes under 20 minutes. Stated criteria are a BMI of 30 or more, age 18 or over, and blood pressure under 170/100. Semaglutide ships by FedEx Express on Mondays and Wednesdays. Tirzepatide ships from the pharmacy in three to five business days. Follow-up runs through unlimited messaging with the doctor.
What happens when the dose goes up?
The FAQ prints the semaglutide ladder in full: 0.25, 0.5, 0.75, 1.0, 1.5, 2.0 and 2.4 mg a week. Steps come at four- to six-week intervals, at the provider's discretion. A patient cannot ask to climb faster, or higher, than that protocol. The price changes once on the way up, from $199 to $299 per refill at 1.5 mg. Tirzepatide is listed from 2.5 mg to 15 mg a week, with each refill tier priced separately.
What the price includes
Semaglutide costs $99 for the first four weeks and $199 per four-week refill through 1 mg. From 1.5 mg to 2.4 mg the refill is $299. Each purchase is four weeks of injections, so a year holds thirteen refills rather than twelve. Spread over a calendar month, the $199 refill is $215.58, and that is the figure ranked here. Tirzepatide is listed at $330 as an "Initial Purchase", and the site does not say that figure repeats. The FAQ says tirzepatide refills start at $495 every four weeks for the lowest dose. The refill page sells four- and six-week supplies, priced $495 to $680 by dose. Shipping is free on both drugs.
What it claims, and what it cites
Both drugs are compounded, and the site's own disclaimer states that compounded medications are not FDA-approved. Semaglutide is compounded with cyanocobalamin, a form of vitamin B12, which the FAQ says turns it pink. Tirzepatide carries glycine and B12. The FAQ names the compounding pharmacy as Strive Pharmacy in San Antonio.
Where it holds up, and where it does not
- Strength: Full semaglutide dose ladder printed in the FAQ
- Strength: Compounding pharmacy named with its address
- Strength: Chief medical director named on the site
- Strength: Refill price stated for each semaglutide dose band
- Limitation: Serves Texas residents only, per the FAQ
- Limitation: Semaglutide refill rises to $299 at 1.5 mg
- Limitation: No single monthly figure for tirzepatide
- Limitation: Four-week refills mean thirteen charges a year
What the evidence says about this kind of treatment
The assessment above is about Neo Soma Healthcare. These are about the drugs it sells, and they are traced to the primary literature.
- Right for
- A Texas resident who wants the whole semaglutide dose ladder, and its prices, before paying.
- Wrong for
- Anyone outside Texas, or a buyer who needs one fixed monthly figure for tirzepatide.
How Neo Soma Healthcare compares
| Seller | Who it suits | Go |
|---|---|---|
 Henry Meds | Patients who want a fixed monthly bill and can read dose as milligrams per shipment | See Henry Meds → |
 Belle Health | Buyers ready to commit to a longer supply in exchange for a lower monthly rate | See Belle Health → |
 Cielo | Buyers who want the commitment behind a headline rate spelled out in the asterisk under it | See Cielo → |
More GLP-1 telehealth sellers reviews: InstaRXIntimate RoseInvigor MedicalInvyncibleIron Med RXiThriveMD
Sponsored alternative
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Readers choosing tirzepatide, the one line with a published standing rate
Check SkinnyRx availability →Frequently asked
- Is Neo Soma's semaglutide $99 a month?
- Only for the first four weeks. After that each four-week refill is $199 through 1 mg a week, and $299 from 1.5 mg.
- What does tirzepatide cost at Neo Soma?
- The first purchase is listed at $330. Refills cost $495 to $680 depending on dose, sold as four- or six-week supplies, so no single monthly figure is published.
- Which states does Neo Soma serve?
- Texas only, according to its FAQ.
- Is Neo Soma Healthcare legit?
- Neo Soma Healthcare is a GLP-1 telehealth sellers service. Its stated availability: Texas only. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is Neo Soma Healthcare expensive compared with other GLP-1 telehealth sellers?
- Neo Soma Healthcare publishes a starting figure of $215.58/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 Neo Soma Healthcare above the median. 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.