#1 spot for 2026. They have stripped away the "telehealth fluff"—no video calls required in most states, text-based check-ins, and zero monthly membership fees.
The "Economic Arbitrage" Breakdown
OrderlyMeds operates on a flat-rate model that is refreshingly simple in an industry full of hidden costs. Unlike competitors that jack up the price as you increase your dosage, Orderly maintains a "dose-locked" structure for most standard protocols.
- Semaglutide Price: ~$199/month (Month-to-Month).
- Tirzepatide Price: ~$399/month.
- Hidden Fees: None. No subscription fee. No consultation fee.
- Starter Promo: In 2026, they introduced a "SimpleStart" bundle (subject to availability) offering 3 months of Semaglutide for as low as $249 total, which breaks down to an unbeatable ~$83/month for the titration phase.
The Safety Filter
OrderlyMeds exclusively utilizes 503A and 503B pharmacies like Red Rock and Hallandale. They strictly avoid "research salts." Their "check-in" system is automated via text but reviewed by real medical providers, ensuring a paper trail of legitimate prescribing.
Pros:
✅ No monthly "membership" fee (save ~$80/mo vs. competitors).
✅ Text-based asynchronous telehealth (no awkward Zoom calls).
✅ Full refund if you are not approved.
Cons:
❌ No expedited shipping option (standard 8-10 business days).
❌ Strict refund policy once the prescription is written.
2. Mochi Health: The "High-Touch" Value Play (Best for Long-Term)
The Verdict: If you need hand-holding, nutritional guidance, or are on a high dose of Tirzepatide, Mochi Health is the superior mathematical choice. While their two-part pricing model is confusing at first, it often works out cheaper for long-term users.
The Pricing Model Explained
Mochi separates the "Care" from the "Medication." You pay a monthly subscription for access to the doctor/nutritionist, and a separate flat fee for the drugs.
- Membership Fee: $79/month (often discounted to $39 or lower with codes).
- Semaglutide Cost: $99/month (any dose).
- Total Monthly Cost: ~$178/month.
While $178 is slightly cheaper than Orderly's $199, you are locked into a subscription. However, the real value is for Tirzepatide users. Mochi charges a flat $199 for the medication + $79 membership = $278/month total. Compared to other clinics charging $400+ for high-dose Tirzepatide, Mochi is the clear winner for heavy hitters.
Pros:
✅ Includes access to registered dietitians (RDs).
✅ Cheapest option for high-dose Tirzepatide.
✅ 24/7 customer support portal.
Cons:
❌ Recurring membership fee even if you don't order meds.
❌ Slower shipping times reported in Q1 2026 due to high volume.
3. Fella Health: The "Men's Health" Specialist
The Verdict: Men face unique metabolic and hormonal challenges. Fella Health is built specifically for men, integrating GLP-1s with testosterone support protocols. If you are a male over 40 worried about muscle loss (sarcopenia) on Ozempic, this is your platform.
More Than Just Weight Loss
Fella's "Enclomiphene" and TRT (Testosterone Replacement Therapy) add-ons distinguish them from the pack. They focus on body recomposition—losing fat while retaining muscle—which is critical for male physiology.
- Semaglutide Price: ~$299/month (Month-to-Month).
- Bulk Discount: Drops to ~$229/month if you prepay for 6 months.
- The "Fella" Guarantee: They offer a refund guarantee if you don't see results after 6 months (terms apply).
Pros:
✅ Specialized "Men's Health" intake (Testosterone/ED focus).
✅ Dose-locked pricing (price doesn't hike as you titrate up).
✅ Strong community/coaching aspect for men.
Cons:
❌ Higher price point than Orderly or Mochi.
❌ Niche focus excludes female demographic.
4. Clinic Secret: The "Speed" Option (With Caveats)
The Verdict: Clinic Secret is the "Wild Card" of 2026. They market aggressively on speed ("Approved in 3 minutes") and price. They are a legitimate option for those who want zero friction, but our forensic review found some inconsistencies.
The Transparency Issue
While legitimate, Clinic Secret's pricing can vary depending on the landing page you enter through. We found price points ranging from $227 to $297 for Semaglutide. However, they do offer a "no membership fee" model similar to Orderly.
- Semaglutide Price: ~$297/month (Standard).
- Speed: Fastest intake form in the industry.
- Legitimacy: LegitScript certified and partners with US-licensed doctors.
Pros:
✅ Extremely fast "Check Eligibility" funnel.
✅ No membership fees.
✅ Refund if denied.
Cons:
❌ Pricing transparency is lower than competitors.
❌ "3-minute approval" marketing may feel less "medical" to skeptical users.
Critical 2026 Update: The "FDA Shortage" Loophole
Is buying compounded Semaglutide still legal in 2026?
This is the most common question we receive. Here is the forensic reality: The FDA declared the Semaglutide shortage "resolved" in early 2025. However, major legal challenges from the Outsourcing Facilities Association (OFA) have resulted in "enforcement discretion."
What this means for you:
As of mid-2026, 503A and 503B pharmacies are currently permitted to continue dispensing these medications while the lawsuits proceed through federal court. The providers listed above (Orderly, Mochi, Fella) are operating within this legal framework. However, this is a fluid situation. We recommend securing a provider that offers multi-month vials (like Orderly's 3-month starter) to insulate yourself from potential regulatory pauses.
Comparison Matrix: 2026 Provider Rankings
| Provider | Best For... | Est. Monthly Cost (Sema) | Membership Fee? | Trust Score |
|---|---|---|---|---|
| OrderlyMeds | Overall Winner & Speed | $199 (or $83/mo starter) | NO | 9.8/10 |
| Mochi Health | High Doses & Nutrition | ~$178 ($79 sub + $99 med) | YES ($79/mo) | 9.5/10 |
| Fella Health | Men (Testosterone Support) | $299 | NO | 9.2/10 |
| Clinic Secret | Fast Approval | ~$297 | NO | 8.5/10 |
Final Recommendation
If you want to buy compounded semaglutide online with the least amount of headache and zero hidden fees, OrderlyMeds is our top recommendation for 2026. Their "SimpleStart" bundles offer the best economic arbitrage available today.
However, if you are looking for a holistic health overhaul that includes nutritional coaching, or if you anticipate needing high doses of Tirzepatide later in your journey, Mochi Health offers the best long-term value.
Disclaimer: This content is for educational purposes only and does not constitute medical advice. We are an affiliate platform and may earn commissions from links on this page. Always consult with a licensed physician before starting any weight loss medication.