Aspire Health is a telehealth practice that publishes a full dose-by-dose price table for compounded semaglutide and tirzepatide, alongside brand-name Wegovy and Zepbound pricing.
Overview
Aspire Health is a broader telemedicine practice than most GLP-1 specialists, covering weight management, hormone replacement therapy, functional medicine, peptides, sexual health, hair loss, skin care and acute care. The weight-loss arm is what concerns us here, and it is unusually transparent about money.
Rather than a single headline rate, Aspire publishes the price of each vial at each weekly dose. Compounded semaglutide with B3 is $129 a vial at 0.25mg and 0.5mg, $159 at 1mg, and $189 at 1.7mg and 2.4mg, with multi-vial pricing shown alongside. Compounded tirzepatide with B3 runs $149 at 2.5mg, $249 at 5mg, $279 at 7.5mg, $289 at 10mg and $299 at 12.5mg and 15mg. Brand-name Wegovy is $199 for the two starting doses and $399 for all others; brand-name Zepbound is $299, $399 and $449 by dose band.
That structure is the opposite of the flat-rate model most competitors now advertise, and it is worth being clear-eyed about the implication: your cost rises substantially as you titrate. On top of medication, Aspire charges a monthly care fee. The semaglutide page states $49 a month for monthly medical care; the FAQ describes a LoseIt Program at $75 a month and a LostIT maintenance programme at $50 a month or $550 a year. Ask which applies before enrolling.
Aspire Health at a Glance
| Detail | What Aspire Health Publishes |
|---|---|
| Type of company | Multi-service telemedicine practice with a weight-management arm |
| Medications | Compounded semaglutide and tirzepatide, brand-name Wegovy and Zepbound |
| Pricing model | Dose-based: price rises as your weekly dose increases |
| Compounded semaglutide | $129 to $189 per vial by dose |
| Compounded tirzepatide | $149 to $299 per vial by dose |
| Brand-name Wegovy | $199 starting doses, $399 all other doses |
| Brand-name Zepbound | $299, $399 and $449 by dose band |
| Care membership | $49/mo on the semaglutide page; $75/mo LoseIt in the FAQ |
| Maintenance membership | LostIT at $50/mo or $550/year |
| New patient consultation | Free |
| Payments | HSA and FSA accepted; Cherry instalment plans available |
Medications Offered
- Compounded semaglutide with B3, priced by weekly dose
- Compounded tirzepatide with B3, priced by weekly dose
- Brand-name Wegovy, priced by dose band
- Brand-name Zepbound, priced by dose band
- Retatrutide referenced as an option to discuss if you plateau at a high dose
- Double-strength formulations available at several dose levels
Brand-Name or Compounded?
Both. Aspire offers compounded semaglutide and tirzepatide and also resells brand-name Wegovy and Zepbound, with separate published price tables for each. That dual route is genuinely useful: it means you can start compounded and move to brand-name, or the reverse, without changing practice. Compounded medication remains not FDA-approved.
Consultation Process
Free new patient consultation
Aspire offers the initial consultation at no cost and asks you to schedule it online.
Provider evaluation
A board-certified provider reviews your history via secure messaging, phone or video consultation and develops a treatment plan.
Dose and vial size confirmed
Your provider confirms your weekly dose and the appropriate vial size before prescribing, which determines your price.
Enrol in a care programme
Active enrolment in the care programme is required to continue medication therapy, with medication billed separately in 1, 3 or 6-month packages.
Eligibility
- Adults booking a free initial telemedicine consultation
- Eligibility determined by a board-certified provider after reviewing your history
- Both compounded and brand-name routes are available depending on clinical fit
- Active enrolment in the care programme is required to continue medication
- A separate maintenance programme exists for patients who reach goal weight
- Specific BMI thresholds are not published
Provider Involvement and Lab Requirements
Provider Involvement
Aspire emphasises unhurried care, stating there are no cookie-cutter plans and no rushed visits. Consultations happen by secure messaging, phone or video with board-certified providers. The care membership covers provider visits, messaging, prescription management and ongoing medical support, and active enrolment is required for medication therapy to continue.
Lab Requirements
Aspire sells lab tests directly and runs a separate lab account portal, so ordering bloodwork through the practice is straightforward. Labs are not described as included in the care membership fee, so treat them as an additional cost and ask what your provider wants before starting.
Pharmacy Fulfillment and Shipping
Pharmacy Fulfillment
Not named. Aspire publishes detailed formulation information, including that its compounded semaglutide and tirzepatide are prepared with B3 and that double-strength options exist at several dose levels, but does not identify the compounding facility.
Shipping Frequency
Aspire states that multi-month supplies ship together in one order, which is why the price tables show one, two and three vial columns. Shipping cost and cold-chain handling are not described on the pricing pages, so confirm both, especially for a three-vial order.
Support Services
- Care membership covering provider visits, messaging and prescription management
- A separate maintenance programme for patients who have reached goal weight
- Lab ordering through a dedicated lab account portal
- Fullscript supplement dispensary access
- Cherry instalment payment plans with pre-approval that does not affect credit
- Follow-up appointments to discuss dose increases or plateau management
Pricing
Aspire publishes the most granular price table in this category. It shows the cost of each vial at each weekly dose, plus multi-vial pricing, for both compounded and brand-name products.
| Plan or Medication | Published Price | What It Covers |
|---|---|---|
| Compounded semaglutide, 0.25mg and 0.5mg | $129 per vial | 10-week and 5-week supply respectively |
| Compounded semaglutide, 1mg | $159 per vial | 5-week supply, double-strength formulation |
| Compounded semaglutide, 1.7mg and 2.4mg | $189 per vial | Roughly 4 to 6-week supply, double-strength |
| Compounded tirzepatide, 2.5mg | $149 per vial | 4-week supply |
| Compounded tirzepatide, 5mg | $249 per vial | 4-week supply |
| Compounded tirzepatide, 10mg to 15mg | $289 to $299 per vial | 4 to 5-week supply |
| Brand-name Wegovy | $199 or $399 per 4 weeks | $199 for 0.25mg and 0.5mg, $399 for all other doses |
| Brand-name Zepbound | $299 to $449 per 4 weeks | $299 at 2.5mg, $399 at 5mg, $449 all other doses |
| Monthly medical care | $49/mo (semaglutide page) | Provider visits, messaging, prescription management |
| LoseIt Program | $75/mo (FAQ) | Ongoing medical oversight, follow-ups, care coordination |
| LostIT maintenance | $50/mo or $550/year | For patients at goal weight focused on maintenance |
Pricing reflects what Aspire Health published at the time of review and can change without notice. Confirm current pricing directly with the provider before enrolling.
Membership Fees
Charged separately from medication, and the figure needs clarifying. The semaglutide page states monthly medical care is $49 and covers provider visits, messaging, prescription management and ongoing support. The FAQ describes a LoseIt Program at $75 a month and a LostIT maintenance programme at $50 a month or $550 annually. Confirm which applies to you before enrolling.
Medication Fees
Billed separately from the care membership and priced by weekly dose. Compounded medication is offered in 1, 3 or 6-month packages billed upfront for the selected term. Because the price rises with dose, model your cost at a maintenance dose rather than a starting one.
Cancellation and Refund Policy
Cancellation
Aspire requires active enrolment in its care programme to continue medication therapy, so cancelling the membership ends the prescription route. Because compounded medication is billed upfront for the selected package length, ask what happens to an unfinished 3 or 6-month package if you stop.
Refunds
No refund policy is published on the pricing or FAQ pages we reviewed. Given that compounded medication is billed upfront in multi-month packages, get the refund terms in writing before choosing anything longer than a single month.
Insurance, HSA and FSA
Insurance
Not accepted for telemedicine services. Aspire notes, correctly, that you may still be able to use insurance to cover the cost of medications prescribed during your consultation, which is most relevant to the brand-name Wegovy and Zepbound routes. It advises verifying benefits directly with your insurer.
HSA / FSA
HSA and FSA payments are accepted. Aspire also offers Cherry instalment payment plans, with pre-approval that it states will not harm your credit, which is a useful option for patients facing a $299 monthly medication cost at a maintenance tirzepatide dose.
For a fuller explanation of how these accounts work with GLP-1 care, see our GLP-1 insurance, HSA and FSA guide.
Who Aspire Health May Be Best For
- You want to see exactly what each dose will cost before you start
- You want the option of brand-name Wegovy or Zepbound from the same practice
- You are starting at a low dose and want the lowest possible entry cost
- You want labs ordered through the same practice
- You want an instalment payment option
- You have reached goal weight and want a cheaper maintenance membership
- Dose-based pricing means your cost rises sharply as you titrate
- Compounded tirzepatide reaches $299 a vial at maintenance doses
- The care membership is quoted differently on different pages
- The compounding pharmacy is not named
- No published refund policy for prepaid multi-month packages
- Insurance is not accepted for the telemedicine service itself
Alternatives to Consider
Cora Health
Flat pricing at every dose, which costs less than Aspire once you reach maintenance.
SkinnyVIP
One price for any tirzepatide dose, the direct opposite of dose-based pricing.
Medvi
Another provider offering both brand-name and compounded routes.
Shed
Also carries brand-name Wegovy and Zepbound alongside compounded options.
You can also compare the whole field in our GLP-1 provider comparison and best online GLP-1 providers roundups.
Frequently Asked Questions
How much does Aspire Health cost?
Medication is priced by weekly dose: compounded semaglutide $129 to $189 a vial, compounded tirzepatide $149 to $299 a vial. Brand-name Wegovy is $199 or $399 per four weeks and Zepbound $299 to $449. A monthly care fee applies on top, quoted as $49 on the semaglutide page and $75 in the FAQ.
Does the price go up as my dose increases?
Yes, substantially. Compounded tirzepatide runs $149 a vial at 2.5mg and $299 at 15mg. This is the opposite of the flat-rate model many competitors now use, so model your cost at a maintenance dose.
Does Aspire Health offer brand-name Wegovy or Zepbound?
Yes. Aspire publishes separate price tables for brand-name Wegovy at $199 or $399 per four weeks and brand-name Zepbound at $299 to $449, alongside its compounded options.
Is the initial consultation free?
Yes. Aspire states the new patient consultation is free and asks you to schedule it online.
Does Aspire accept insurance?
Not for telemedicine services. Aspire notes you may be able to use insurance to cover medications prescribed during your consultation, which mainly applies to the brand-name route, and advises verifying benefits with your insurer directly.
Can I pay with HSA or FSA?
Yes. Aspire accepts HSA and FSA payments, and also offers Cherry instalment payment plans with pre-approval that it states will not harm your credit.
What happens when I reach my goal weight?
Aspire offers a maintenance programme, described in its FAQ as LostIT, at $50 a month or $550 a year, providing continued oversight, periodic follow-ups and care coordination.
Medical Disclaimer
This review is for general information only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with real risks and contraindications. Only a licensed clinician who knows your history can decide whether any medication is appropriate for you. Never start, stop, or change a prescription based on this page. If you have a medical emergency, call 911.
Details on this page describe what Aspire Health published at the time of review. Programs, pricing, pharmacy partners, and policies change; verify everything directly with the provider before enrolling. See our full medical disclaimer.
Date reviewed: August 30, 2026