How to Get a GLP-1 Prescription Online Without Insurance

The 5 Steps to Getting GLP-1 Online

All online GLP-1 clinics follow the same basic process. Here's what to expect from start to first injection.

1. Choose a clinic and drug

   Decide between semaglutide (cheaper, well-established) and tirzepatide (stronger average weight loss, higher cost). Then pick a clinic based on price, ratings, and drug availability. The cheapest semaglutide starts at $99.99/month (Maximus). The cheapest tirzepatide microdose starts at $149/month (Gala).
2. Complete the intake questionnaire

   All clinics use an online intake form covering your weight, height, medical history, current medications, and weight-loss goals. This takes 5–10 minutes. Be thorough — providers use this to screen for contraindications.
3. Consult with a licensed provider

   Some clinics (like Maximus and Shed) offer asynchronous text-based consultations — no video call needed. Others use video. Either way, a licensed physician, NP, or PA reviews your intake and approves or declines your prescription. This usually takes 24–72 hours.
4. Prescription sent to the compounding pharmacy

   Once approved, the clinic sends your prescription to its partner 503B compounding pharmacy. You don't need to go anywhere — the clinic handles this automatically. Your first order typically ships within 1–3 business days of prescription approval.
5. Medication arrives at your door

   Delivery typically takes 5–10 business days after the prescription is sent. Your shipment includes the medication vial, syringes (if applicable), alcohol swabs, and injection instructions. Some clinics include video tutorials or connect you with a nurse for your first injection.

How Much Does It Cost Without Insurance?

Online GLP-1 clinics charge a flat monthly subscription that covers the consultation, prescription, and medication. There are no insurance forms and no hidden pharmacy fees.

Watch for Membership Fees

Some clinics (like MadeMed) charge a separate annual membership fee ($149/year) on top of the monthly medication cost. Always check the true Year 1 total, not just the advertised monthly price. Our comparison table sorts by true Year 1 cost.

What Disqualifies You from Getting a GLP-1?

Online clinics will not prescribe GLP-1 medications if you have certain medical conditions. Common disqualifiers include:

• Active eating disorder (anorexia, bulimia)
• Pregnancy or breastfeeding
• Personal or family history of medullary thyroid carcinoma
• Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
• History of pancreatitis
• Certain medications that interact with GLP-1s (especially insulin or other diabetes medications)
• BMI below 27 (most clinics require BMI ≥27, or ≥30 without a weight-related comorbidity)

This is not a complete list. Your telehealth provider will review your full medical history and current medications before making a prescribing decision.