Telehealth Pricing Index, Q4 2026: What 126 DTC Brands Charge Patients
Monthly cash prices across 126 direct-to-consumer telehealth brands in October 2026: compounded and branded GLP-1s, testosterone, menopause hormones, hair loss, ED, Rx skincare and longevity peptides. Medians, middle half and full range for 25 offers.
Q4 2026 edition · Published October 19, 2026 · Prices checked through October 16, 2026 · Next edition January 2027
In this index
The quarter in four lines: compounded semaglutide sits at a $153 median entry price and compounded tirzepatide at $199. Branded Wegovy pills cluster at $149, the manufacturer's self-pay floor. Testosterone runs about $99 a month, often only on a prepaid plan. Generic ED and hair-loss drugs sell for $20–$32 a month while the drug itself costs a dollar or two at retail.
Prices by offer
Each bar shows one offer. The dot is the median brand's entry price, the dark bar is the middle half of brands (25th to 75th percentile) and the thin line runs from the cheapest to the most expensive brand. The scale is logarithmic so $10 and $1,500 offers fit on one chart. The label is the median; hover a row for the full spread, or see every figure in the table below.
GLP-1 / weight loss
TRT / men's health
Menopause / HRT
Hair loss
ED
Rx skincare
Longevity & peptides
The full table
| Offer | Brands | Median | Middle half | Range | Median top price |
|---|---|---|---|---|---|
| GLP-1 / weight loss | |||||
| Compounded semaglutide, injectable | 78 | $153 | $99–$199 | $49–$400 | $199 |
| Compounded tirzepatide, injectable | 72 | $199 | $149–$298 | $69–$900 | $297 |
| Wegovy or Zepbound injectable, branded cash-pay | 24 | $499 | $299–$1,089 | $199–$1,498 | $686 |
| Compounded semaglutide, oral or sublingual | 21 | $226 | $179–$249 | $109–$299 | $259 |
| Microdose GLP-1 plans | 15 | $149 | $104–$162 | $49–$189 | $179 |
| Compounded tirzepatide, oral or sublingual | 13 | $279 | $267–$330 | $230–$399 | $349 |
| Wegovy pill, branded | 11 | $149 | $149–$223 | $98–$499 | $324 |
| Foundayo (orforglipron) pill, branded (small sample) | 4 | $212 | $149–$330 | $149–$499 | $287 |
| TRT / men's health | |||||
| Testosterone (injection, cream or oral) | 26 | $99 | $85–$149 | $25–$299 | $152 |
| Enclomiphene or clomiphene | 17 | $115 | $99–$139 | $60–$194 | $139 |
| Menopause / HRT | |||||
| Estrogen, any form (incl. compounded) | 27 | $79 | $57–$112 | $25–$299 | $149 |
| Progesterone alone (small sample) | 5 | $33 | $32–$39 | $23–$149 | $33 |
| Hair loss | |||||
| Oral finasteride | 17 | $20 | $16–$28 | $10–$149 | $27 |
| Combos (finasteride + minoxidil, compounded, capsules) | 17 | $43 | $30–$56 | $25–$149 | $80 |
| Minoxidil alone (oral or topical) | 7 | $43 | $20–$75 | $9–$199 | $43 |
| ED | |||||
| Generic sildenafil or tadalafil | 19 | $32 | $25–$70 | $11–$100 | $79 |
| Compounded or combination (chews, troches, 3- and 4-in-1) | 19 | $60 | $51–$99 | $25–$168 | $120 |
| Daily tadalafil | 6 | $64 | $32–$97 | $30–$115 | $90 |
| Rx skincare | |||||
| Tretinoin or custom acne / anti-aging cream | 9 | $30 | $29–$49 | $15–$75 | $55 |
| Longevity & peptides | |||||
| NAD+ injection | 50 | $147 | $122–$170 | $40–$325 | $199 |
| Sermorelin | 43 | $149 | $129–$177 | $89–$299 | $199 |
| Glutathione | 25 | $125 | $100–$155 | $79–$275 | $175 |
| MIC + B12 (lipotropic) injections | 15 | $97 | $80–$122 | $65–$179 | $115 |
| Rapamycin, oral (small sample) | 4 | $82 | $65–$99 | $64–$99 | $82 |
| Low-dose naltrexone (small sample) | 4 | $45 | $23–$94 | $17–$180 | $72 |
Rows marked small sample have fewer than six brands; read them as examples, not as the market.
What stood out this quarter
- Oral compounded GLP-1s cost more than injections. Compounded oral or sublingual semaglutide had a $226 median, about 48% above the injectable's $153. Oral tirzepatide was higher still at $279. Brands are charging for needle-free convenience. Compounded drugs aren't FDA-approved in any form, oral or injectable (our compounding guide).
- Branded GLP-1 pricing has split in two. The Wegovy pill's median was $149, the NovoCare self-pay price, often plus a membership. Branded injectables ranged from $199 to $1,498: brands on the manufacturers' self-pay programs sit at the bottom, and brands quoting retail pharmacy prices sit at the top.
- Microdose plans are a price point, not a discount. Microdose GLP-1 plans had a $149 median, close to full-dose compounded semaglutide.
- Prepay hides the real monthly price in TRT. At least 35% of testosterone and enclomiphene entry prices needed a multi-month plan or prepay, according to the brands' own offer notes. About 42% of testosterone offers included labs.
- Generic drugs carry the widest markups. The median brand charged $20 a month for oral finasteride and $32 for generic sildenafil or tadalafil. At the pharmacy floor below, 30 tablets cost under $2 plus a dispensing fee. Brands are pricing the consult, the convenience and the brand, which is why compounded combos ($60 median for ED, $43 for hair) are where they compete.
- Longevity is priced like weight loss. NAD+ injections ($147, 50 brands) and sermorelin ($149, 43 brands) sit at the same level as compounded semaglutide, on far weaker evidence. See which peptides are allowed.
What the drug costs: the retail pharmacy floor
Telehealth prices only mean something next to cost of goods. Cost Plus Drugs publishes its cash prices, which give a public floor for generics. Cost Plus adds a $5 dispensing fee per fill (more for some specialty items) plus shipping. A brand's real cost through its partner pharmacy is usually higher per fill, so treat these as the lowest possible cost, not your cost.
| Generic drug | Strength and quantity | Cost Plus price (drug only) | Median telehealth entry price |
|---|---|---|---|
| Finasteride | 1 mg, 30 tablets | $0.82 | $20/mo |
| Sildenafil | 100 mg, 30 tablets | $1.69 | $32/mo (sildenafil or tadalafil) |
| Tadalafil | 5 mg, 30 tablets | $0.98 | $64/mo (daily tadalafil) |
| Estradiol | 1 mg, 30 tablets | $1.77 | $79/mo (estrogen, any form) |
| Progesterone, micronized | 100 mg, 30 capsules | $4.45 | $33/mo |
| Tretinoin cream | 0.025%, 20 g | $9.17 | $30/mo |
| Sirolimus (rapamycin) | 1 mg, 30 tablets | $17.24 | $82/mo |
Controlled substances (including testosterone), enclomiphene, semaglutide and tirzepatide aren't on the Cost Plus list, so get pharmacy quotes for those. To turn these into a business plan, use the profit calculator and the launch cost estimator.
How the index is built
- Source: our own survey of 179 direct-to-consumer telehealth brands. Each brand's public pricing pages are re-checked by an automated monthly price sweep, and changes are reviewed by hand. 390 of the 609 prices in this edition were last verified in October 2026, 195 in September 2026 and 24 in August 2026. The most recent check was October 16, 2026.
- One price per brand: for each offer, we take the brand's lowest advertised monthly entry price, so a brand with five plans counts once. The "median top price" column takes each brand's highest listed price instead, roughly the price after an intro offer or at higher doses.
- What's excluded: offers with no published price, one-off visits, lab kits and add-ons, consult-only or membership-only fees, and ED prices quoted per dose or per pill.
- Not like-for-like: some brands quote medication only and bill a membership on top; others bundle the consult, medication and shipping. Some entry prices need a 6- or 12-month prepay.
- Not a census: the median is the median brand, not weighted by how many patients each brand has. The survey covers the visible DTC market, not every clinic.
- Download: the full index as CSV. You're welcome to cite or chart it; please credit "DFY Telehealth Pricing Index" and link to this page.
Using this to price a brand
- Start from the middle half, not the cheapest brand. Entering below the 25th percentile usually means a prepay, a membership on top, or a margin that won't cover acquisition costs.
- Price your month-to-month plan honestly and show prepay terms clearly. Enrolment, billing and cancellation terms are part of what the FTC is suing Hims & Hers over (the teardown).
- Check your claims before you check your price. The vertical launch guides cover the rules in each category.
Launching at a price that works?
We build telehealth brands with the clinicians, pharmacy and pricing set up to make money from the first patient. The qualification assessment takes about 2 minutes.
See If You QualifyPrices are what brands advertised to patients and can change at any time. This index is general information for people building telehealth businesses, not medical, legal or pricing advice.