How Much Does a GLP-1 Telehealth Program Cost?
If you have been looking into GLP-1 medications for weight management, you already know the price tag on branded options like Wegovy and Ozempic can stop you cold — often hundreds of dollars a month even with insurance, and sometimes fully out-of-pocket when your plan excludes them.
That is the gap Oval Care was built to address. But before you sign up for anything, you want a straight answer: what does it actually cost, what do you get, and how does it compare to going through your insurance or paying cash at a pharmacy?
This guide breaks it all down.
What Oval Care Actually Is
Oval Care is a telehealth and telepharmacy membership. It is not insurance. You pay a membership fee and, if medically approved by a licensed provider through a virtual consultation, gain access to discounted medications shipped from licensed, LegitScript-certified partner pharmacies.
The key difference from traditional pharmacy pricing: Oval earns on the membership fee, not on a markup on your medication. Most telehealth competitors profit by marking up the drug. Oval sells medications near-wholesale — that is where the real savings come from.
Treatment requires provider evaluation. A prescription is not guaranteed. You cannot simply order GLP-1 medication through Oval without a medical consultation and approval.
Cost Breakdown: What You Actually Pay
Here is where most people want to start. Oval Care offers different membership tiers, and what you pay depends on which one you choose and what medications or services you need.
Oval ONE membership
- Telemedicine consults: included
- Medication shipping: included
- Oral medications, hair loss treatment, ED treatment, standard mental health therapy: up to 80% off retail pricing
- GLP-1, peptide, and HRT injectables: not included — ONE does not offer injectable medications
If you are looking for GLP-1 injectables specifically, ONE is not the right plan. A provider evaluating you for GLP-1 will route you to a plan that covers it.
Oval PLUS membership
- Telemedicine consults: included
- Medication shipping: included
- Oral medications, hair loss treatment, ED treatment, standard mental health therapy: up to 80% off retail pricing
- GLP-1, peptide, and HRT injectables: available — subject to provider approval, state regulations, and plan-specific rules
- VIP perks and concierge support
PLUS is the plan where GLP-1, peptide, and hormone therapy injectables live. Availability of compounded GLP-1 specifically depends on your state — more on that below.
Consult fees and shipping
Under both ONE and PLUS, telemedicine consults and standard medication shipping are included in the membership. You are not paying $100 for a video call and then another $30 to ship your medication. That is built in.
What Is Included vs. What Costs Extra
A common question: once I pay the membership, is everything covered?
The short answer: the membership covers your telehealth consultations, medication shipping, and access to discounted pricing on a range of services — oral medications, mental health support, hormone therapy, dermatology, men’s and women’s health, and more.
What is not included in the base membership:
- Provider evaluation and approval. You cannot skip this step. A licensed provider reviews your health history and determines whether a particular medication is appropriate for you. This is a medical decision, not a retail transaction. Prescription access is not guaranteed.
- Compounded GLP-1 availability in restricted states. Compounded GLP-1 medications are not available in every state. If you are in a state where compounded GLP-1 is restricted, branded GLP-1 may still be available on PLUS, subject to provider approval and plan rules.
- Medications beyond what the provider prescribes. The discounted pricing applies to what your provider determines is appropriate for your care. You do not get a blanket discount on every medication on the market.
Branded vs. Compounded GLP-1: What Is the Difference?
This is one of the most common questions people ask, and the answer matters for both cost and access.
Branded GLP-1 medications — Wegovy, Ozempic, Mounjaro, Zepbound — are FDA-approved medications manufactured by major pharmaceutical companies. They are available nationwide through standard pharmacy channels. Wegovy and Zepbound are FDA-approved specifically for weight management. Ozempic and Mounjaro are FDA-approved for type 2 diabetes and are sometimes prescribed off-label for weight loss at a provider’s discretion.
Compounded GLP-1 medications are made by licensed compounding pharmacies. The active ingredients are the same, but compounded medications are not FDA-approved as finished products. They are not manufactured by the same pharmaceutical companies that make the branded versions. They can be significantly less expensive.
Where you live matters for compounded GLP-1. Compounded GLP-1 is available only in states that permit 503A patient-specific compounding. States including Nebraska, Alabama, Arkansas, Louisiana, Mississippi, North Carolina, North Dakota, and Virginia restrict or prohibit compounded GLP-1 sales. Branded GLP-1 is available in all states with no such restriction.
If you are in a state where compounded GLP-1 is not available, branded GLP-1 may still be accessible on an Oval PLUS plan — subject to provider approval and plan rules.
How Does This Compare to Insurance?
The natural question: why not just use my insurance for GLP-1?
For many people, insurance does not cover GLP-1 medications for weight management. Prior authorization requirements, formulary restrictions, and high copays make it difficult to access these medications through a traditional insurance plan — even when the medication is technically covered.
Oval Care is not insurance and does not replace your insurance. It is a supplemental telehealth membership that operates outside the traditional insurance framework. Here is what that means in practice:
- No prior authorization process. Your provider evaluates your case and, if appropriate, writes a prescription. There is no insurance company gatekeeping the decision.
- No formulary restrictions. The medications available through Oval are not limited to what an insurance plan decides to cover.
- Transparent pricing. You see the discounted price before you decide. There is no surprise bill after the fact.
- Membership fee, not a deductible. You pay a predictable membership fee rather than working through an insurance deductible that may or may not be met.
This does not mean Oval is right for everyone. If your insurance covers GLP-1 at a low copay, that may be a more affordable path. If your insurance excludes GLP-1 entirely or requires a lengthy prior authorization process, Oval offers a more direct route — at a membership cost that is typically lower than paying full retail for the medication alone.
Is Oval Care Legitimate?
This is a fair question, and it deserves a straight answer.
Oval Care is a telehealth company that partners with licensed, FDA-registered pharmacies and LegitScript-certified partner pharmacies to deliver medications. Oval is not itself an FDA-approved company, and medications — whether compounded or branded — are not guaranteed to be appropriate for every individual. All treatment requires evaluation and approval by a licensed provider.
Oval Care operates as a telehealth and telepharmacy membership. Medications ship from licensed pharmacies directly to your door. Consultations happen with licensed providers through the platform.
That is what Oval is. It is not a replacement for your primary care physician, and it is not a guarantee of access to any specific medication. It is a membership that connects you to telehealth providers and pharmacy fulfillment at discounted rates — with the understanding that every treatment decision is made by a licensed provider based on your individual health profile.
Cost Calculator: What Your Investment Looks Like
Here is a simplified view of what a membership might cost you over time, depending on the tier you choose and the medications you need.
Monthly membership cost (estimated range)
- ONE membership: lower tier, no injectable access — includes consults, shipping, and oral/standard therapy discounts
- PLUS membership: higher tier, includes injectable access — includes everything in ONE plus GLP-1, peptide, and HRT injectable availability
What the membership covers
- Telehealth consults with licensed providers
- Medication shipping from licensed pharmacies
- Discounted access to oral medications, mental health support, hormone therapy, dermatology, and more
- (PLUS only) Injectable GLP-1, peptide, and HRT access — subject to provider approval and state rules
What you pay on top
- Provider evaluation (included in consults — no separate fee for the evaluation itself)
- Medication costs at discounted rates (not free, but significantly below retail)
- Compounded GLP-1 pricing is typically much lower than branded, where legally available
The math works like this: if you are currently paying full retail for branded GLP-1 at a pharmacy — which can run several hundred dollars a month — an Oval PLUS membership plus the discounted medication price may represent a lower total monthly cost. The exact savings depend on your state, your plan, and the medications your provider prescribes.
Frequently Asked Questions
How much does an Oval Care membership cost?
Membership pricing varies by tier. ONE is the entry-level plan with no injectable access; PLUS includes injectable GLP-1, peptide, and hormone therapy availability. Both tiers include telehealth consults and medication shipping. Specific pricing details are available when you start the enrollment process.
Does Oval Care replace my health insurance?
No. Oval Care is a telehealth and telepharmacy membership, not insurance. It does not replace your health insurance, Medicare, or any other insurance coverage. It is designed to work alongside your existing coverage as a supplemental option for services and medications that may not be fully covered through traditional insurance.
Can I get GLP-1 medication through Oval Care?
If you are medically approved by a licensed provider through a virtual consultation, GLP-1 medication may be available to you — depending on your state and the plan you select. Compounded GLP-1 is available in states that permit compounding; branded GLP-1 (Wegovy, Ozempic, Mounjaro, Zepbound) is available more broadly. Not everyone who consults with a provider will be approved for GLP-1. A prescription is not guaranteed.
Is compounded GLP-1 available in my state?
Compounded GLP-1 is available only in states that permit 503A patient-specific compounding. States including Nebraska, Alabama, Arkansas, Louisiana, Mississippi, North Carolina, North Dakota, and Virginia currently restrict compounded GLP-1 sales. Branded GLP-1 is available in all states. If you are in a restricted state, branded GLP-1 may still be available on a PLUS plan subject to provider approval.
Is Oval Care legitimate?
Oval Care is a telehealth membership that partners with licensed, FDA-registered pharmacies and LegitScript-certified pharmacies for medication fulfillment. It is not an insurance company and not an FDA-approved company. All treatment decisions are made by licensed providers based on individual health evaluations. Medications are not guaranteed to be appropriate for every individual.
What medications can I access through Oval?
Oval provides access to a range of services including GLP-1 and peptide therapy (injectable), hormone replacement therapy (HRT), mental health support, dermatology, men’s and women’s health, hair loss treatment, and ED treatment. Availability depends on your plan tier, provider evaluation, and state regulations.
Do I need to talk to a doctor before getting medication?
Yes. Every treatment through Oval requires evaluation and approval by a licensed provider. You cannot bypass the medical consultation. This is not optional — it is how the platform ensures medications are appropriate for your individual health profile. A prescription is not guaranteed.
How are medications shipped?
Medications ship from licensed, LegitScript-certified partner pharmacies directly to your door. Shipping is included in the membership under both ONE and PLUS plans.
Ready to see what Oval Care could cost you?
Visit account.ovalcare.com/trekis to start your enrollment and see current membership pricing.
For more information, visit us at trekis.net or call 888-960-0442.
Oval Care membership is not insurance. All treatment requires provider evaluation and approval. Prescription access is not guaranteed. Medications ship from licensed, LegitScript-certified partner pharmacies. Oval Care is not an FDA-approved company.
Wegovy and Ozempic are registered trademarks of Novo Nordisk. Mounjaro and Zepbound are registered trademarks of Eli Lilly and Company. Neither Trek Insurance Solutions, Horizon Benefit Partners, nor Oval Care is affiliated with or endorsed by Novo Nordisk or Eli Lilly.