Semaglutide and tirzepatide prices in North Carolina
In November 2026, compounded semaglutide typically costs about $169 a month without insurance and compounded tirzepatide typically costs about $219 a month without insurance from sellers that serve North Carolina, at the starting dose. 51 GLP-1 sellers say on their own pages that they serve North Carolina, and 1 say they do not. Among sellers that say they serve North Carolina, the lowest listed prices are compounded semaglutide from $99 per 30 days at Strut Health and compounded tirzepatide from ≈ $158 per 30 days at Affinity Direct. Every price is a seller's own advertised self-pay price and every statement is quoted from the seller's site.
Compounded semaglutide in North Carolina
Sellers whose own pages say they serve North Carolina, lowest cost per 30 days first.
Strut Health
$99 per 30 days, advertised as $99/30 days (struthealth.com), checked Nov 4, 2026
Pepti
≈ $106 per 30 days, advertised as $99/28 days (hellopepti.com), checked Nov 6, 2026
Affinity Direct
≈ $154 per 30 days, advertised as $143.65/28 days (affinitydirect.com), checked Nov 4, 2026
NiceRx
≈ $160 per 30 days, advertised as $149/28 days (nicerx.com), checked Nov 4, 2026
Sprout Health
≈ $160 per 30 days, advertised as $149/28 days (joinsprouthealth.com), checked Nov 4, 2026
Gimme Care
≈ $171 per 30 days, advertised as $160/28 days (gimme.care), checked Nov 4, 2026
Big Easy Weight Loss
≈ $177 per 30 days, advertised as from $495/12 weeks (joinbigeasy.com), checked Nov 4, 2026
Fifty 410
≈ $213 per 30 days, advertised as $199/4 weeks (fifty410.com), checked Nov 4, 2026
Also serve North Carolina, with no supply period stated, so not ranked: Wellmedr (from $41/mo (wellmedr.com)), Sunlight ($78/mo (sunlight.com)), SnagRx ($99/mo (snagrx.com)), PreventiveMD ($119/mo (preventivemd.com)), Bodybuilding Health+ ($129 for 1 month (bbhealthplus.com)), Gala Health (from $129/mo (galaglp1.com)), Mochi Health ($139/mo (joinmochi.com)), Curex (from $149 (getcurex.com)) and 25 more. 6 more sellers serve North Carolina at a higher 30-day cost. 7 sellers with a price do not say whether they serve it. Every compounded semaglutide price in North Carolina
Compounded tirzepatide in North Carolina
Sellers whose own pages say they serve North Carolina, lowest cost per 30 days first.
Affinity Direct
≈ $158 per 30 days, advertised as $147.90/28 days (affinitydirect.com), checked Nov 4, 2026
Healthy Living Clinic
≈ $160 per 30 days, advertised as $149/4 weeks (healthyliving.clinic), checked Nov 1, 2026
Pepti
≈ $170 per 30 days, advertised as $159/28 days (hellopepti.com), checked Nov 6, 2026
Fifty 410
≈ $213 per 30 days, advertised as $199/4 weeks (fifty410.com), checked Nov 4, 2026
Gimme Care
≈ $213 per 30 days, advertised as $199/28 days (gimme.care), checked Nov 4, 2026
Sprout Health
≈ $213 per 30 days, advertised as $199/28 days (joinsprouthealth.com), checked Nov 4, 2026
Big Easy Weight Loss
≈ $214 per 30 days, advertised as from $599/12 weeks (joinbigeasy.com), checked Nov 4, 2026
NiceRx
≈ $267 per 30 days, advertised as $249/28 days (nicerx.com), checked Nov 4, 2026
Also serve North Carolina, with no supply period stated, so not ranked: Wellmedr (from $71/mo (wellmedr.com)), Eden ($129/mo (eden.health)), PreventiveMD ($139/mo (preventivemd.com)), SnagRx ($149/mo (snagrx.com)), Strut Health (from $149/mo (struthealth.com)), Sunlight ($157/mo (sunlight.com)), Mochi Health ($169/mo (joinmochi.com)), Gala Health (from $179/mo (galaglp1.com)) and 28 more. 4 more sellers serve North Carolina at a higher 30-day cost. 4 sellers with a price do not say whether they serve it. Every compounded tirzepatide price in North Carolina
Sellers that say they do not serve North Carolina
- TOM Weight Loss serves only Texas and Utah: “Right now we can see patients in Texas or Utah, based on each state's telehealth and prescribing rules.” Read Nov 6, 2026. Its page (tomweightloss.com)
Sellers that say they serve North Carolina
Affinity Direct, AgelessRx, Alloy, Amazon Pharmacy, Big Easy Weight Loss, bmiMD, Bodybuilding Health+, Calibrate, Care Bare Rx, CoraDoc, Curex, Direct Meds, Eden, Enhance.MD, Fifty 410, Gala Health, Gimme Care, HealSend, HealthRX, Healthy Living Clinic, knownwell, LifeMD, LillyDirect (Eli Lilly), Maximus, Mochi Health, NiceRx, Noom, Ondra Health, OrderlyMeds, Ozari Health, Pallas Health, Peak Wellness, Pepti, PlushCare, PreventiveMD, Raeliva, Row Telehealth, Rx.com, Shed, Sipra, SnagRx, Sprout Health, Strut Health, Sunlight, Surfbound Health, TelePep, Tomorrow, Trimi, Wellmedr, Wellorithm, Willow
What North Carolina Medicaid paid for
From Q2 2025 to Q1 2026, North Carolina's Medicaid program reported 492,345 GLP-1 prescriptions to CMS, 226,825 of them for brands approved for weight management (Wegovy, Zepbound and Saxenda), which ranks 5 among the states on those brands. A paid prescription does not say what it was prescribed for, and coverage for weight loss is each state's choice, so ask your plan. Every state, and the rules
GLP-1 in North Carolina: common questions
How much does compounded semaglutide cost per month in North Carolina?
Among sellers whose own pages say they serve North Carolina, it typically costs about $169 a month without insurance at the starting dose, with half of them between $144 and $199 (November 2026). Compounded medications are not FDA-approved. Every compounded semaglutide price
Which online sellers ship compounded semaglutide to North Carolina?
41 sellers with a current price say on their own pages that they serve North Carolina. Lowest advertised price first, they include Wellmedr, Sunlight, Strut Health, Pepti, SnagRx, PreventiveMD, Bodybuilding Health+, Gala Health. Confirm with the seller before you pay, because prescribing depends on where you are when you are treated.
How much does compounded tirzepatide cost per month in North Carolina?
Among sellers whose own pages say they serve North Carolina, it typically costs about $219 a month without insurance at the starting dose, with half of them between $179 and $299 (November 2026). Compounded medications are not FDA-approved. Every compounded tirzepatide price
Which online sellers ship compounded tirzepatide to North Carolina?
43 sellers with a current price say on their own pages that they serve North Carolina. Lowest advertised price first, they include Wellmedr, Eden, PreventiveMD, Affinity Direct, Healthy Living Clinic, SnagRx, Strut Health, Sunlight. Confirm with the seller before you pay, because prescribing depends on where you are when you are treated.
What is the cheapest compounded semaglutide in North Carolina?
Among sellers whose own pages say they serve North Carolina, the lowest is Strut Health at $99 per 30 days (advertised as $99/30 days, checked Nov 4, 2026). Compounded medication is not FDA-approved. Confirm the dose, supply and fees with the seller. Every compounded semaglutide price
What is the cheapest compounded tirzepatide in North Carolina?
Among sellers whose own pages say they serve North Carolina, the lowest is Affinity Direct at ≈ $158 per 30 days (advertised as $147.90/28 days, checked Nov 4, 2026). Compounded medication is not FDA-approved. Confirm the dose, supply and fees with the seller. Every compounded tirzepatide price
Which GLP-1 sellers do not serve North Carolina?
TOM Weight Loss says on their own pages that they do not serve North Carolina.
How do I know a seller serves North Carolina?
This page counts a seller only when its own site says so, and quotes the words. Telehealth prescribing depends on where you are when you are treated, so confirm with the seller before you pay. 37 listed sellers do not say on the pages we read, and are shown apart.