Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our semaglutide provider ranking, above Brightmeds at #91.
Read the Care Bare Rx review →
Provider review
Brightmeds cost: $189/mo semaglutide
Publishes a real month-to-month GLP-1 price, then hides one on NAD+.
Its own chart labels $189 semaglutide and $289 tirzepatide as the 1-Month Plan. Its NAD+ page leads with $105, which is both a twelve-month prepay tier and its discounted first month; the standing rate is $246.
Verified August 2026
Reviewed by Marcus Webb
Transparency scorecard
2 of 4 disclosed openly
What Brightmeds discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Not disclosed
The advertised price requires a prepay, auto-refill, or other commitment we found and named.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
At a glance
Visit BrightmedsPharmacy
Not categorized
Labs
No lab fees for the GLP-1 programs, stated directly
States
Published state list
On this page
What it actually costs
$189/moSemaglutide, per month
What this price covers
Medication
Included
Provider visits
Included
Shipping
Not confirmed
Lab work
Not disclosed
Coaching
Not confirmed
The catch — Not on the GLP-1s, which is the finding worth stating plainly. On NAD+ the headline is doing two jobs at once — it is the twelve-month prepay rate and the discounted first month of that plan, so it understates the standing monthly cost by a factor of 2.3. Note separately that a month here is 28 days, so a monthly plan bills about thirteen times a year rather than twelve.
See plans at BrightmedsPrices read from Brightmeds's own site · August 2026
What they advertise
“Starting at $189” for compounded semaglutide and “Starting at $289” for tirzepatide, with $50 off the first order. NAD+ leads with “from $105/mo.”
What you actually pay
$189/month for semaglutide and $289/month for tirzepatide, both genuine one-month plans per its own pricing chart. Sermorelin is a flat $196 for a one-month supply. NAD+ is the exception: $246/month standing, with tiers at $199 (2 months), $175 (6 months) and $155 (12 months) once the discounted first month passes.
Money you will meet later
- A $100 consultation fee for branded Zepbound, with the medication itself billed separately by LillyDirect — so no Zepbound drug price is published at all.
- A lab test fee is referenced in its Terms for some programs, despite the GLP-1 marketing promising no lab work fees.
The bottom line
Brightmeds (brightmeds.com) is the rare provider on this list publishing a genuine walk-away monthly GLP-1 price. Its own comparison chart labels $189 for semaglutide and $289 for tirzepatide as the 1-Month Plan, and it markets no memberships, no contracts and no lab fees — all checkable, all true. That is worth crediting before the rest. What it does on NAD+ is the opposite of what it does on GLP-1s: the page leads with “from $105/mo,” a figure that is simultaneously the twelve-month prepay rate and its discounted first month, against a standing monthly price of $246. The same company, two products, two entirely different standards of disclosure.
Brightmeds appears on our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- You want a GLP-1 price you can actually leave — the one-month plan is real, labeled as such on its own chart, and comes with no membership and no lab fee.
- You want sermorelin sold with a concrete specification rather than a vague monthly figure: $196 for a 6mL vial at 2.5mg/mL, supplies and shipping included.
- You are in one of the 47 states it serves and want the exclusions named — Alabama, Arkansas and Mississippi are stated outright.
Look elsewhere if
- You are buying NAD+. The $105 it leads with is a twelve-month prepay and a first-month discount at once; the standing rate is $246, disclosed in an asterisked footnote.
- You are relying on the money-back guarantee. It requires a starting BMI above 30, 168 days on medication, a weight upload every single month, notification on or after day 84, at least five group coaching sessions between days 100 and 168, and cancellation after the sixth shipment — and excludes returning customers entirely.
- You want to know who fills your prescription. Two pharmacies are named, neither is tied to a category, and the Terms add that fulfillment is not exclusive to them.
What Brightmeds offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
No category stated
Brightmeds does not name the pharmacy that fills your prescription.
What its own site says
Names two pharmacies in its Terms, Beaker Pharmacy and Red Rock Pharmacy, and states both regulatory categories elsewhere on its homepage without ever joining a name to a category. The Terms then unsettle even the names: fulfillment is described as not exclusive to partnerships it may establish with other pharmacies, so the facility filling a given prescription may be neither of the two named.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
Published state list
47 states, stated explicitly, excluding Alabama, Arkansas and Mississippi. Named rather than counted.
The honest cons
The part they would rather you skipped
The 100% Money-Back Guarantee badge sits on a site whose Terms state that any fees paid are non-refundable, in whole or in part. Reading the guarantee page reconciles them, but only by revealing how narrow it is: a starting BMI above 30, 168 days on medication, a medical form within 7 days, a weight upload every month or the offer is void, notification on or after day 84, at least five group coaching sessions between days 100 and 168, cancellation after the sixth shipment within 30 days, and less than 10% weight lost. Returning customers are excluded outright.
- Its NAD+ headline is a twelve-month prepay and a first-month discount simultaneously, against a standing rate 2.3 times higher.
- The money-back guarantee has eight stacked conditions including monthly weight uploads and five group coaching sessions, and excludes returning customers.
- A month is 28 days, so a monthly plan bills roughly thirteen times a year rather than twelve.
- Its Terms name two mutually inconsistent clinical stacks in the same document, so a patient cannot tell which medical group will treat them.
None of this is unique to Brightmeds — the whole category shares it.
How it compares
The providers we rank on our semaglutide provider ranking — the most specific board Brightmeds sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- Sesame CareA flat, medication-included semaglutide plan — tirzepatide works nothing like it.
- SnagRx"Locked-In... for Life" pricing sits beside a countdown claiming otherwise.
- Telos RxNames the states it can't serve — but the price you see probably isn't the real one.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- HealthRXStructured, disclosed pricing — but no legal entity is named anywhere on the site.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- SkinnyRxInjectable and oral tirzepatide — but the advertised price is a floor, not what you pay.
153 more providers rank on our semaglutide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check Brightmeds's current pricing before you decide. Ours was read from their own site in August 2026.
Facts on this page reflect Brightmeds's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Brightmeds's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
Brightmeds
$189/mo · Semaglutide