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REMEVi
Illustrative semaglutide vial on a stone pedestal
Weight lossGLP-1

Compounded semaglutide online · English & SpanishSemaglutide

Compounded semaglutide · dose personalized to you

From $159/4 weeks

$954 upfront for 24 weeks

Semaglutide acts on GLP-1 receptors involved in appetite and fullness. A licensed provider reviews your history, discusses approved options and decides whether a compounded preparation fits your medical needs.

REMEVi offers its compounded GLP-1 program in 49 states and Washington, DC. It is not available in Louisiana. Your provider must be licensed in the state where you receive care.

Plan

$954 upfront for 24 weeks

See If You Qualify Not sure? See all plans and pricing

Your provider determines whether treatment is right for you. Your price every 4 weeks stays the same at every dose.

  • No insurance required
  • Licensed U.S. providers
  • Pharmacies we name
  • Founded by patients
  • Fast, discreet shipping
  • Unlimited follow-up with your clinician
$0 Membership fees

Quick answers

How much does REMEVi cost?

From $159 per 4 weeks (24-week plan) · same at every dose
REMEVi plan prices (USD). Each plan has one price at every dose.
Medication 24-week plan12-week planEvery 4 weeks
Semaglutide injection $159 per 4 weeks $169 per 4 weeks $199 per 4 weeks

Your price never goes up: same at every dose and every renewal of your plan. No membership fee. Compounded medications are not FDA-approved.

What’s included in the price?

Care, medication, labs, supplies and shipping

Your plan price includes the clinician evaluation and follow-up, the medication if it is prescribed, injection or dosing supplies, shipping, the GLP-1 lab tests your clinician requires, and care coordination in English or Spanish. The health questionnaire is free, and there is no separate membership fee.

Where is REMEVi available?

49 states + DC · not Louisiana

REMEVi’s GLP-1 program is available in 49 states and Washington, DC. It is not available in Louisiana. Care happens online, so there is no clinic to visit, and medication ships to your door. The clinician who reviews your questionnaire must be licensed in the state where you receive care. See the state-by-state list.

Can I do everything in Spanish?

Yes, every step

Yes. The intake questionnaire, the clinical evaluation, your dosing instructions, the patient portal, billing, and our care coordinators and support are all available in Spanish. You choose English or Spanish when you start, and you can switch languages at any time.

Who prescribes, and which pharmacy fills it?

Clinicians licensed in your state

Clinicians in the OpenLoop network who are licensed in your state review your questionnaire and decide whether a prescription is appropriate. If one is prescribed, a state-licensed US 503A compounding pharmacy prepares it: RedRock Pharmacy (Utah), Health Warehouse (Kentucky), Precision Medicine (New York) or Triad Rx (Alabama). See our pharmacy partners. Compounded medications are not FDA-approved.

How long until my medication ships?

Median 3.6 days to ship

Median 3.6 days from payment to shipment (1.9–7.0 days for the middle half of orders; 33 orders, July–September 2026). The pharmacy order was placed a median of 0.7 days after payment (41 orders). Carrier delivery time comes after shipment. Your timing can differ.

Your medication.
And the care around it.

One program price, with no separate membership fee or increase for a higher prescribed dose.

See every payment option and full cost

The monthly plan is billed every 4 weeks. The 12-week and 24-week plans are prepaid for the full term, with the total charge shown before you choose. Review the renewal terms at checkout and in your patient portal.

Clinical evaluation
Your history, medications, goals and suitability reviewed by a licensed provider.
Prescribed medication
If approved, your individual prescription is filled through the pharmacy network.
Follow-up & required labs
Lab tests required by your clinician for the GLP-1 program are included in your plan price.
Shipping & bilingual support
Shipments every four weeks, plus care coordination in English and Spanish.

What is compounded semaglutide — and is it safe?

A compounded medicine is prepared by a pharmacy for an individual prescription. It is not FDA-approved or an approved generic of a brand medicine. The FDA does not review compounded drugs for safety, effectiveness and quality before they are marketed.

Clinical review and pharmacy oversight matter, but neither guarantees the safety of a preparation. Ask why an approved medicine cannot meet your medical needs and which pharmacy will dispense your prescription.

FDA: unapproved GLP-1 medicines · Pharmacy verification

How it works

Works with your appetite, not against it.

Semaglutide is a GLP-1 receptor agonist. Receptors sit in the brain, gut and pancreas, where activation supports appetite regulation and metabolic function.

REMEVi compounded semaglutide vial

Activates GLP-1 receptors

Semaglutide mimics the GLP-1 your gut already releases after a meal, acting on the same receptors that signal fullness to the brain.

Signals satiety for days, not minutes

The GLP-1 your gut makes is broken down by the DPP-4 enzyme within minutes. A receptor agonist is engineered to keep signalling long enough for once-weekly dosing.

Slows gastric emptying

Food leaves the stomach more gradually, which extends the feeling of fullness after a meal and is also why dose titration matters for tolerability.

The evidence

What the trials actually measured.

Semaglutide in STEP 1.

The trial studied once-weekly semaglutide 2.4 mg with lifestyle support in 1,961 adults with overweight or obesity without diabetes. Placebo participants lost 2.4% on average. This was not a study of REMEVi compounded medication.

14.9% Average body-weight reduction in this trial
68 weeks Trial duration

Source: Wilding et al. STEP 1. NEJM 2021. DOI: 10.1056/NEJMoa2032183.

Follow the prescribed schedule.

The approved injectable medicine is given once weekly. Your compounded prescription has its own concentration and instructions. Confirm the milligram dose and syringe units with your pharmacy; do not calculate a dose from another product’s label.

Weekly Injection schedule, when prescribed
Your label Your preparation’s instructions

Source: Wegovy prescribing information; FDA unapproved GLP-1 safety information.

Dose changes are clinical decisions.

Your clinician considers response, side effects and medical history before increasing a dose. An individual titration schedule does not, by itself, establish that a compounded preparation is medically necessary or legally eligible for compounding.

Individual Schedule set by your prescriber
Stay in touch Discuss side effects before changing dose

Source: FDA compounding guidance; REMEVi dose-level catalog.

Plan for follow-up, not a promised milestone.

Weight management may involve ongoing treatment and support. Discuss benefit, tolerability, cost and a plan for stopping or changing treatment with your clinician. Trial averages do not predict how much weight you will lose or how quickly.

Ongoing Review of benefit and tolerability
No guarantee Individual outcomes vary

Source: Wegovy prescribing information; STEP 1.

These trials studied the manufacturers’ medicines, not compounded preparations. They do not establish equivalence, safety or effectiveness for REMEVi’s compounded medication.

How REMEVi works

Care from your first question through your next refill.

See If You Qualify

A licensed provider decides whether treatment is appropriate — nobody is prescribed automatically.

  1. Patient completing the REMEVi medical intake on a phone
    Step 1

    Medical intake

    Start the free health questionnaire. Choose a plan and review the full charge before authorizing payment.

    About 2 minutes
  2. Licensed clinician reviewing a patient intake
    Step 2

    Clinician review

    A licensed provider in your state reviews your intake and prescribes only if it is clinically appropriate.

    Timing depends on your review
  3. REMEVi welcome kit flat lay with vial and supplies
    Step 3

    Pharmacy and shipping

    A named, state-licensed pharmacy fills your prescription and ships it cold-chain in discreet packaging.

    3–5 business days to dispatch after approval, then two-day shipping
  4. Patient messaging her care team from home
    Step 4

    Follow-up, in your language

    Message your care team as often as you need for dose adjustments and side-effect support, in English or Spanish.

    Unlimited, every month

A live visit or additional clinical information may be required. Preparation, dispatch and delivery estimates are not guarantees.

Semaglutide dosing protocol

Once-weekly subcutaneous injection, using only the dose and instructions on your prescription. These are REMEVi’s listed protocol levels, not the dosing schedule for a branded product.

Your provider may adjust the dose about every four weeks if appropriate. Not everyone progresses through every level. Do not change syringe units, frequency or dose yourself.

Level 10.2 mgStarting level
Level 20.4 mgOnly as prescribed
Level 30.8 mgOnly as prescribed
Level 41.4 mgOnly as prescribed
Level 52.24 mgOnly as prescribed

Semaglutide results timeline

A care plan can have checkpoints. It cannot promise a weight-loss deadline.

  1. Starting treatment

    Review administration, storage, nutrition and possible side effects. Appetite response and tolerability vary.

  2. During dose changes

    Keep your clinician informed about symptoms and progress. Faster increases do not guarantee better results.

  3. Long-term follow-up

    Review benefit, tolerability and goals together. The trial results above are averages for the manufacturers’ medicines over 68 or 72 weeks, not a six-month promise for compounded treatment.

Before you start,
talk through the risks.

Read the approved medicine’s safety information

Tell your clinician about a personal or family history of medullary thyroid carcinoma or MEN 2, pregnancy or pregnancy plans, severe stomach problems, pancreatitis, gallbladder disease and all medicines you take. The approved medicines carry a boxed warning about thyroid C-cell tumors.

The Wegovy label advises stopping semaglutide at least two months before a planned pregnancy. Discuss your own prescription with your clinician.

Nausea, vomiting, diarrhea and constipation can occur. Severity and duration vary. Seek medical attention for severe persistent abdominal pain, inability to keep fluids down or a serious allergic reaction. Review your full history and other medicines with your prescriber.

This is not the complete risk list. Safety information for approved medicines does not establish the safety of a compounded preparation.

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Care you can check.

REMEVi offers its compounded GLP-1 program in 49 states and Washington, DC. It is not available in Louisiana. Your provider must be licensed in the state where you receive care.

Semaglutide questions answered

What is semaglutide and how does it work?

Semaglutide acts on GLP-1 receptors involved in appetite and fullness. A licensed provider reviews your history, discusses approved options and decides whether a compounded preparation fits your medical needs.

Is compounded semaglutide FDA-approved?

No. Compounded medicines are not FDA-approved, are not approved generics of brand medicines and are not established as equivalent. Discuss approved options and the specific medical reason for compounding with your clinician. A prescription or pharmacy license does not establish FDA approval.

What are common side effects?

Nausea, vomiting, diarrhea and constipation can occur. Severity and duration vary. Seek medical attention for severe persistent abdominal pain, inability to keep fluids down or a serious allergic reaction. Review your full history and other medicines with your prescriber.

How long does semaglutide take to work?

There is no guaranteed timeline or amount of weight loss. The cited trials measured averages over many months using the manufacturers’ medicines, not REMEVi compounded preparations. Your clinician monitors response and tolerability before changing treatment.

Can I use semaglutide long-term?

Your clinician reviews whether continuing treatment is appropriate based on benefits, risks, tolerability and goals. Plan follow-up and discuss any decision to stop or switch. Do not combine semaglutide and tirzepatide or convert doses yourself.

What will I pay, and can I cancel?

$954 upfront for 24 weeks; $507 upfront for 12 weeks; $199 billed every 4 weeks. You can cancel future renewals without a cancellation fee. Prepaid terms are paid in advance; refund eligibility is governed by the Cancellation & Refund Policy.

What is included in care?

Clinical evaluation, prescribed medication if approved, shipping, ongoing follow-up and bilingual care coordination are included. Lab tests required by your clinician for the GLP-1 program are included in your plan price.

Your next step starts
with a conversation.

Semaglutide · $954 upfront for 24 weeks

See if I qualify

Free questionnaire. No card to start. Prescription only if clinically appropriate.

Cancellation and refund policy
The GLP-1 Guide · Free

Not ready to start today? Take the guide with you.

What GLP-1 is, how it works, what to expect, and nutrition tips — in English and Spanish. Free, straight to your inbox.

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Medically reviewed by Linda West-Conforti, RN · CA RN #389453 ·

Educational information; not individual medical advice.

Semaglutide$954 upfront for 24 weeksSee if I qualify