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Effecty review
The widest menu on the board — compounded, oral and four brand pens, all on a chat visit with no camera — sold behind a pricing page that quotes you a monthly figure for a plan you have to pay for a year in advance.
then $195/mo ongoing
- HSA / FSA-eligible
- Editor-vetted
- No insurance needed
Effecty at a glance
- Semaglutide
- $195/mo
- Tirzepatide
- $275/mo
- Coverage
- All 50 claimed — not confirmed in Terms
- Start
- About a week (site conflicts)
How we scored Effecty
Each factor is read off Effecty's published pricing, disclosures and intake flow, and the six roll up into the 78/100 Rx-Readiness Score on the same weighted six-factor framework we apply to every provider — never nudged by whether a provider pays us.
Fast where it counts — a chat visit with a stated 7-hour average to prescribe — but three of its own pages quote different shipping windows, from 2 to 5 days up to 4 to 12.
Flat at every dose, verbatim, and the ladder is public. Marked down because the cheaper rungs are prepaid blocks quoted as monthly figures, and the site's own totals disagree.
A chat-based visit with no appointment, async by contract except where a state mandates otherwise — though it never publishes which states those are.
'Effecty ships to all states nationwide' on the FAQ, against a Terms of Use that limits certain services to 'individuals located in certain states'. Scored on the contract.
Both compounded lines, an oral semaglutide, and four brand pens on one account — the widest formulary on this board.
Pause and cancel are self-serve in the portal, which is real. But the money is not refundable — 'all sales are final' — and a prepaid 3-month order ships in one box with nothing left to cancel.
How we verified this review
- Last verified
- August 2026
- Confidence
- high
- Primary source
- www.effecty.com/weight-loss/glp-1
$195 and $275 month to month, stepping down to $145 and $215 across a year, with a $95 first month. Every figure previously circulating for Effecty ran $10 to $30 too high, so use these. One thing to know: you pay before a clinician reviews you, and a debit card is charged immediately rather than held.
What to expect when you sign up
We walked Effecty's public signup funnel (August 2026) — a first-hand look at the flow. We don't create accounts, enter medical data, or complete checkout, so this is what any visitor sees, not a patient outcome.
- 1Read the full price ladder on /weight-loss/glp-1 before anything else — there is no quiz-gate and no email wall in front of it
- 2Pick a plan and pay. Effecty's Terms make purchase a prerequisite: 'purchase and completion of a medical intake form are necessary prerequisites'
- 3Complete the intake, then a chat-based visit with a physician licensed in your state — 'You can anticipate a response within 24 hours', and the site says the average time to prescribe is 7 hours
- 4If prescribed, one of five named 503A pharmacies fills it and ships free; auto-refill is switched on by default, 'usually for 6 months'
What we noticed
- You pay before a clinician sees you. A credit-card hold is released if you are not approved — but the Terms say a DEBIT card is charged immediately
- The pricing page reads '$45 first month, $145/mo after'. The help center says 'payment for all months is due upfront', so that plan is $1,740 at checkout, not $45
- The two figures do not even reconcile with each other: $45 + eleven months at $145 is $1,640, not the $1,740 the help center quotes
- Three different shipping estimates on three pages — 2 to 5 business days in the help center, 5 to 7 in the FAQ, and 4 to 12 in the shipping policy
- Pause and cancel are genuinely self-serve in the patient portal (Treatments → Plan → Pause/Cancel), which is more than most of this board offers
- Two different medical groups appear in the legal stack: the Terms of Use name Wasef Health P.A., while the telehealth consent form names Beluga Health, P.A. and never mentions Wasef
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide1 month (month-to-month)The only plan you can walk away from month by month. Every cheaper tier below is billed as one block, in advance. | $95 → $195 | 1 month (month-to-month)The only plan you can walk away from month by month. Every cheaper tier below is billed as one block, in advance. |
| Compounded semaglutide3-month plan (paid upfront)$525 due at checkout, and the whole three months ship in a single box — so after it ships there is no unfulfilled portion left to cancel or refund. | $175 | 3-month plan (paid upfront)$525 due at checkout, and the whole three months ship in a single box — so after it ships there is no unfulfilled portion left to cancel or refund. |
| Compounded semaglutide12-month plan (paid upfront)$1,740 due at checkout — this is the '$145/month' headline. The 6-month tier is $155/mo ($930 upfront). | $145 | 12-month plan (paid upfront)$1,740 due at checkout — this is the '$145/month' headline. The 6-month tier is $155/mo ($930 upfront). |
| Compounded tirzepatide1 month (month-to-month)Sold as 'Compounded GLP-1 + GIP'; the molecule is named in the help center and consent form, not on the product page. | $175 → $275 | 1 month (month-to-month)Sold as 'Compounded GLP-1 + GIP'; the molecule is named in the help center and consent form, not on the product page. |
| Compounded tirzepatide12-month plan (paid upfront)$2,640 due at checkout. The 3- and 6-month tiers are $250/mo ($750) and $235/mo ($1,410). | $220 | 12-month plan (paid upfront)$2,640 due at checkout. The 3- and 6-month tiers are $250/mo ($750) and $235/mo ($1,410). |
| Oral semaglutideOral, 1 month | $245 | Oral, 1 month |
| Oral semaglutideOral, 3-month plan (paid upfront)$490 due at checkout. There is no 6- or 12-month oral tier. | $163 | Oral, 3-month plan (paid upfront)$490 due at checkout. There is no 6- or 12-month oral tier. |
| Compounded semaglutideMicrodosing, 1 monthA separate low-dose line, priced ABOVE the standard 1-month plan. Ladders down to $175/mo on a 12-month prepay ($2,100). | $225 | Microdosing, 1 monthA separate low-dose line, priced ABOVE the standard 1-month plan. Ladders down to $175/mo on a 12-month prepay ($2,100). |
| Brand semaglutideOzempic® | $1300 | Ozempic® |
| Brand semaglutideWegovy® | $1600 | Wegovy® |
| Brand tirzepatideZepbound®Effecty's page adds: 'Price with 3 month starter pack.' | $1400 | Zepbound®Effecty's page adds: 'Price with 3 month starter pack.' |
| Brand tirzepatideMounjaro® | $1300 | Mounjaro® |
HSA/FSA generally applies to GLP-1 telehealth; confirm with your plan. These figures are Effecty's public disclosures at last review and change often; confirm the current number on Effecty's own site.
What we like
- A genuinely asynchronous chat visit with no appointment to book — the consent form only carves out states that mandate a live visit
- 'Same price at every dose', stated verbatim, with no membership fee on top
- The broadest formulary here: compounded injection, an oral semaglutide line, and Ozempic, Wegovy, Zepbound and Mounjaro
- Pause and cancel are self-serve buttons in the patient portal, not a retention call
- Names five 503A compounding pharmacies, and the full price ladder is public with no quiz-gate
The caveats
- Every price below the 1-month plan is paid upfront, which the pricing page never says — the advertised '$145/month' is $1,740 at checkout, and the two figures do not reconcile with each other
- You pay before a clinician reviews you, and a debit card is charged immediately rather than held
- 'Once paid, your Subscription Fee is non-refundable' and 'all sales are final'; a prepaid 3-month order ships in one box, after which there is nothing left to cancel
- No product or pricing page names a molecule — 'Compounded GLP-1 + GIP' is the label, and semaglutide and tirzepatide appear only in the help center and the consent form
- Two different medical groups in the legal stack: Wasef Health P.A. in the Terms of Use, Beluga Health, P.A. in the consent you actually sign
- Three contradictory shipping estimates across three of its own pages, and no published list of the states that require a live visit
Effecty: the widest menu here, sold behind a misleading number
Effecty is one of the few programs on this board that can actually cover a whole decision. Compounded injection, an oral semaglutide line, and real Ozempic, Wegovy, Zepbound and Mounjaro — all on one account, all reachable through a chat visit with no camera and no appointment. The price ladder sits on a public page with no quiz-gate in front of it. For a working mom pricing this at 10pm, that is a genuinely good start. Then you read the help center, and the number on the pricing page turns out not to mean what the pricing page says it means.
"$145/month" is $1,740, today, on your card
Effecty's GLP-1 page lays out four plans in the same shape: "12 Month Plan — $45 first month, $145/mo after." Read that as a monthly bill and you would budget $145. Effecty's own help center says otherwise: "With the multi-month plans, payment for all months is due upfront." The twelve-month plan is $1,740 at checkout. The six-month is $930, the three-month $525. The only plan billed the way the page implies is the one-month, at $195/month after a $95 first month — and that is the number this review headlines, because it is the only one you can walk away from.
There is a smaller tell sitting right next to it. Forty-five dollars plus eleven months at $145 comes to $1,640. The help center says $1,740. Those are the same company's two published figures for the same plan, a hundred dollars apart, and nothing on the site reconciles them. Get the total in writing before you agree to it. If the arithmetic on multi-month commitments is new to you, the flat-versus-dose-scaling maths is the piece to read first.
You pay before a clinician ever sees you
This is the sequencing that surprises people. Effecty's Terms state that "purchase and completion of a medical intake form are necessary prerequisites" — payment comes first, clinical review second. A credit-card hold is released if you are not approved. A debit card is charged immediately. Combine that with a refund policy that reads "Once paid, your Subscription Fee is non-refundable" and "all sales are final", and the order of operations stops being a technicality.
The three-month plan is the one to think hardest about
Effecty's cancellation terms are better than they first look and worse than they sound. Pause and cancel are real self-serve buttons in the patient portal — Treatments, then Plan, then Pause or Cancel — which is more than half this board offers, and auto-refill being on by default ("usually for 6 months") is at least switchable. What you cannot undo is the money. And the three-month plan has a specific trap: the entire three months ship in a single box, so once it goes out there is, in the company's own words, no "unfulfilled portion" left to cancel. The six- and twelve-month plans ship in batches, which means future batches are at least cancellable. If you are prepaying anything here, prepay the twelve, not the three — that is the opposite of what the price ladder nudges you toward. What a clean off-ramp should look like sets the standard this half-clears.
No camera, no appointment — and no list of the states that need one
The intake is a chat-based visit with a physician licensed in your state, with a stated 24-hour response window and an average of seven hours to a prescription. The consent form commits to it: all visits are asynchronous "unless a real-time synchronous telemedicine visit is required by state law." That is a real answer, and it is why Effecty scores well on the factor that matters most to a calendar you do not control — see who else lets you start with no video visit. What Effecty never publishes is which states trigger the exception. Since you pay before you find out, ask support to confirm your state in writing first.
What it will not say on the page you are shopping on
Effecty's product pages never name a drug. The labels are "Compounded GLP-1" and "Compounded GLP-1 + GIP"; search the pricing page's markup and the words semaglutide and tirzepatide do not appear on it at all. They do appear — in the help center, which names "compounded semaglutide and compounded tirzepatide" and lists the actual ingredients, and in the consent form you sign, titled "Informed Consent to Semaglutide and Tirzepatide." So this is a disclosure that exists in the wrong place rather than a disclosure that is missing, which is better than naming no molecule at all, and still not good enough on the page where you choose. Two other gaps belong in the same paragraph: the five compounding pharmacies (Emerald, VialsRx, Greenwich, GoGo Meds, Pharmacy Hub) are named only in the help center, and the Terms of Use name Wasef Health P.A. as the medical group ten times and never mention Beluga, while the consent form you actually sign names Beluga Health, P.A. twenty-one times and never mentions Wasef. That is not a typo — Beluga is the built-in medical group of the shared telehealth platform Effecty runs on, the same one behind Amble — and it leaves the question of which entity is actually treating you genuinely unresolved. Before you hand over a prescription's worth of medical history, it is fair to want one answer to "who is treating me". Our guide to vetting a compounded program covers what to ask.
Two more things worth knowing
The oral line is real and priced sanely — $245 for a month, or $163/month if you prepay three — which makes Effecty one of the few places a needle-averse reader can actually start; read the oral GLP-1 outlook before you assume a compounded tablet is the same product as the one in the trials. And check the shipping window with support rather than the site: the help center says 2 to 5 business days, the FAQ says 5 to 7, and the shipping policy says 4 to 12. Three pages, three answers, one company — the sort of thing that turns into a gap in your dosing schedule rather than a debate.
The bottom line
Effecty earns its place on the strength of the front end: no camera, no appointment, a flat price at every dose, a public ladder, and the broadest formulary on this board. It loses ground on the part you cannot undo — a headline price that is really a year paid in advance, money that is non-refundable once it moves, and a card charged before anyone reads your history. If you go with it, take the $195 month-to-month plan and prove the medication suits you before you buy a block of it. If you would rather the flat price and the async start came without the prepay maths, CoreAge Rx is the simpler default — set them side by side before you decide.
The bottom line for working moms
Best for: Working moms who want an async, no-appointment start with a real oral option and a brand fallback, and who will price the $195 month-to-month plan rather than the $145 headline.
Alternatives to Effecty
Providers we have a referral relationship with, ordered by Rx-Readiness Score — highest first. A fee never moves a score, but it does decide who appears here, so this is not the full list: see the complete ranking.
- Visit CoreAge RxRx-Readiness95100CoreAge RxOur #1 pick
The shortlist pick: one flat price that doesn't climb as your dose does, both molecules on a single plan, and a nationwide async intake you can finish on a break.
- Visit Pallas HealthRx-Readiness89100
Pallas Health removes the two things that usually cost a working parent the most time: it publishes every price before intake, and it runs care asynchronously in 43 of 50 states, so there's no video appointment to wedge into a workday. Compounded semaglutide averages about $199 a month and tirzepatide $299, and unusually the genuine FDA-approved pens sit alongside them — Zepbound $1,069, Ozempic $1,299, Wegovy and Mounjaro $1,349 — all cash-pay from the same clinician. The price is flat at every dose, so a titration never produces a surprise bill, and the plan figure already contains the clinician, dose adjustments, check-ins and messaging with no membership fee. Its cancellation terms are unusually concrete: cancel free through the portal, keep access to the end of the paid period, full refund if a clinician declines you, and a $5 processing fee on a qualifying refund. The trade-offs are that billing lands every 12 weeks in $597 and $897 blocks rather than monthly, the compounding pharmacy is never named, and insurance is never billed.
- Visit Trimi HealthRx-Readiness88100
The price-first partner: some of the lowest flat, all-inclusive compounded pricing we track, nationwide and async — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.
Keep comparing Effecty
Head-to-head & alternatives
Effecty, answered
- What does Effecty actually cost per month?
- $195 for compounded semaglutide and $275 for the GLP-1+GIP line if you want to pay month to month, with a $95 and $175 first month. Those are the only two numbers you can leave behind. Every cheaper figure on the pricing page — $175, $155, the $145 headline — is a prepaid block: the help center says 'payment for all months is due upfront', which makes the $145 plan $1,740 on the day you sign up. Price the month-to-month plan first, then decide whether you want to hand over a year in advance.
- Does Effecty's price go up as my dose goes up?
- No, and this is the part Effecty gets right. 'Same price at every dose' is a hero bullet on its own GLP-1 page, and the help center repeats it: 'Effecty offers same dose pricing for all GLP-1 medications and there is no membership fee required.' Titration is where dose-scaling programs quietly get expensive, so a flat rate through the ladder is worth real money over a year.
- Is there a video visit?
- Not by default. Effecty runs a chat-based telehealth visit — you write, a physician licensed in your state reads, and the site says to expect a response within 24 hours. Its consent form says all visits are asynchronous 'unless a real-time synchronous telemedicine visit is required by state law', and it does not publish which states those are. If you live somewhere with a live-visit mandate, ask before you pay, because paying comes first here.
- Can I get a refund from Effecty if it doesn't work out?
- Assume not. The Terms say 'Once paid, your Subscription Fee is non-refundable' and 'all sales are final', and the shipping policy allows a refund only where Effecty 'made an error in the filling of your prescription'. The wrinkle that matters most: a 3-month plan ships the whole three months in one box, so once it goes out there is, in the company's own words, no 'unfulfilled portion' to cancel. Pausing and canceling future refills is easy and self-serve; getting money back is not.
Pricing, states and verification reflect Effecty's public disclosures at last review; the Rx-Readiness Score is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.