Your treatment plan,
built by a real clinician.

Every medication prescribed through 1stRX is compounded by a licensed pharmacy and shipped directly to you — no insurance required.

Weight Loss
Semaglutide
GLP-1 · Weight Loss

Semaglutide

Weekly Injectable · Compounded

A GLP-1 receptor agonist that reduces appetite and slows gastric emptying. Contains the same active ingredient used in leading branded weight loss medications — at a fraction of the cost.

  • Weekly subcutaneous injection
  • Up to 15% body weight loss in clinical trials*
  • Reduces hunger and food noise
  • Compounded at a licensed pharmacy
Starter Dose $224 / 3 months supply

Maintenance Dose $335 / 3 months supply

Starter dose is for new to GLP-1 patients. All plans include medication, supplies & provider check-ins.

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Tirzepatide
GLP-1/GIP · Most Popular

Tirzepatide

Weekly Injectable · Compounded

A dual GLP-1/GIP receptor agonist — the most effective weight loss mechanism available. Contains the same active ingredient used in leading dual-action branded medications.

  • Weekly subcutaneous injection
  • Up to 22.5% body weight loss in SURMOUNT trials*
  • Dual hormone mechanism for superior results
  • Compounded at a licensed pharmacy
Starter Dose $449 / 3 months supply

Maintenance Dose $670 / 3 months supply

Starter dose is for new to GLP-1 patients. All plans include medication, supplies & provider check-ins.

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Wellness & Optimization
NAD+
Energy & Recovery

NAD+

Injectable · Compounded

Nicotinamide Adenine Dinucleotide — a coenzyme central to cellular energy production, DNA repair, and metabolic function. Clinically used to support energy, focus, and healthy aging.

  • Supports cellular energy and metabolism
  • Promotes cognitive clarity and focus
  • Aids in recovery and healthy aging
  • Compounded at a licensed pharmacy
Monthly $200 / month

Quarterly $549 / 3 months

6 Months $899 / 6 months
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Glutathione
Antioxidant & Detox

Glutathione

Injectable · Compounded

The body's master antioxidant — a tripeptide that supports detoxification, immune function, and oxidative stress reduction. Often used alongside GLP-1 therapy and optimization protocols.

  • Powerful antioxidant and detox support
  • Supports liver health and immune function
  • Reduces oxidative stress
  • Compounded at a licensed pharmacy
Monthly $130 / month

Quarterly $349 / 3 months

6 Months $699 / 6 months
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MIC/B12
Lipotropic & Energy

MIC / B12

Injectable · Compounded

A lipotropic injection combining Methionine, Inositol, and Choline with Vitamin B12. Supports fat metabolism, energy production, and liver health — commonly used alongside GLP-1 treatment programs.

  • Supports fat metabolism and liver health
  • Boosts energy via Vitamin B12
  • Enhances GLP-1 treatment outcomes
  • Compounded at a licensed pharmacy
Monthly $75 / month

Quarterly $199 / 3 months

6 Months $399 / 6 months
Take Free Assessment →
Sermorelin
Growth Hormone & Anti-Aging

Sermorelin

Injectable · Compounded

A growth hormone-releasing hormone (GHRH) analogue that stimulates the pituitary gland to naturally produce and release growth hormone. Used to support lean muscle, recovery, sleep quality, and healthy aging.

  • Stimulates natural growth hormone production
  • Supports lean muscle and body composition
  • Improves sleep quality and recovery
  • Compounded at a licensed pharmacy
Monthly $225 / month

Quarterly $599 / 3 months

6 Months $1,099 / 6 months
Take Free Assessment →
Treatment Support
Zofran (Ondansetron)
Anti-Nausea · Oral

Zofran (Ondansetron)

Oral Tablet · Compounded

A well-established anti-nausea medication included in GLP-1 treatment programs to help manage nausea during dose titration — particularly in the early weeks of semaglutide or tirzepatide treatment.

  • Manages GLP-1 related nausea
  • Especially helpful during dose titration
  • Oral tablet — easy to take as needed
  • Included in select treatment programs

With GLP-1 Program

Monthly $20 / month

Quarterly $50 / 3 months

6 Months $90 / 6 months

Standalone

Monthly $50 / month

Quarterly $100 / 3 months

6 Months $175 / 6 months
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What our patients say

★★★★★

"I was paying $1,200/month for Wegovy through my insurance. Switched to compounded semaglutide through 1stRX — same results, fraction of the price. This is how healthcare should work."

Rachel D.
Semaglutide · 8 months
★★★★★

"Down 47 lbs in 6 months. My A1C dropped from 6.8 to 5.4. The monthly check-ins keep me accountable and my clinician adjusted my dose when I plateaued. Couldn't be happier."

Marcus T.
Tirzepatide · 6 months
★★★★★

"Started tirzepatide after plateauing on another medication. Down 38 lbs in 5 months and my energy is through the roof. My clinician adjusted my dose perfectly — zero nausea. Best decision I've made for my health."

Amanda L.
Tirzepatide · 5 months

Common Questions

Are compounded medications the same as brand-name drugs?

Compounded medications contain the same active pharmaceutical ingredient (e.g., semaglutide or tirzepatide) but are prepared by licensed compounding pharmacies rather than the original manufacturer. They are not FDA-approved and have not been evaluated by the FDA for safety or efficacy. Your clinician will explain the differences.

Why are compounded medications less expensive?

Compounded formulations don't carry the R&D, marketing, and insurance overhead of brand-name drugs. This allows pharmacies to offer them at significantly lower prices while using the same active ingredients.

How do I know which treatment is right for me?

Start with the free assessment. Your clinician will review your health history, goals, and (if applicable) lab results to recommend the right medication and dose. You're never locked in — your protocol can be adjusted as you progress.

What's included in the price?

All treatment plans include medication, injection supplies (syringes, alcohol swabs), free refrigerated shipping, ongoing clinician check-ins, and dose adjustments as needed. No hidden fees.

Can I switch medications?

Yes. If one medication isn't working well for you or you're experiencing side effects, your clinician can adjust your protocol or switch you to a different option. This is part of the ongoing care relationship.

Ready to find the right treatment?

Start a free online assessment and a licensed clinician will recommend the right protocol for your goals.

No insurance needed · Licensed clinicians · Delivered to your door

* All medications listed are compounded formulations prepared by licensed compounding pharmacies. Compounded medications are not FDA-approved but are regulated under applicable pharmacy law. Clinical trial results referenced are from studies of brand-name medications containing the same active ingredients, not compounded formulations. Individual results vary based on dosage, adherence, diet, activity level, and other factors. Results are not guaranteed or typical. Always consult with your clinician before starting any new medication.