Updated September 2026Every rung on the pageStackMD 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, read August 2026: 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.
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- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- Dose pricing
- Rises with dose
- States
- 50
- 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.
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.
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.
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.
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.
- 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.
How StackMD compares
| Seller | Who it suits | Go |
|---|---|---|
 Telos Rx | Readers taking the longest plan, since no shorter term carries a published rate | See Telos Rx → |
 Sprout Health | Readers taking the six-month plan, which is the one measured in calendar months | See Sprout Health → |
 Sunlight | Readers who want a rate guaranteed against increases and will count the fills | See Sunlight → |
More GLP-1 telehealth sellers reviews: ARSYNL RxAscend MedicalAVARA RxBayan HealthBetterMe RxBioGlow Health
Sponsored alternative
Synergy Rx
A reader who wants the oral and injectable rates for both molecules stated up front rather than after an intake form.
Check Synergy Rx availability →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 149 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $76 to $369 with a median of $179, which puts StackMD below the median, toward the cheaper end. The other 11 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.