Head to head
Refills vs Elevate Health: GLP-1 Programs Compared (2026)
Compare Refills and Elevate Health on real cost over 12 months, medication type, price stability and support. Independent 2026 analysis, no first-month.
Published · Pricing as published in our provider dataset, synced · Editorial scores 7.7 and 7.0 out of 10
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Two platforms, one drug class, and a difference in annual cost most people do not notice until month four. That is the Refills versus Elevate Health question.
The useful differences are in the detail: Refills is built around $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing, while Elevate Health leads with lab work included rather than billed separately, which is a real line item elsewhere.
This comparison works from what each provider publishes: the entry price, what it becomes at month two, the medication actually dispensed, and what is bundled rather than billed. Gaps in a provider's disclosure are reported as gaps, because they are part of what you are buying.
The short answer
- Lowest 12-month cost
- Refills — $1,188 against $1,596 at Elevate Health, on each provider's own best published pricing.
- Most predictable bill
- Refills — Flat rate at every dose, so titration does not change what you are charged.
- Least friction to get going
- Elevate Health — Fully remote intake, then fully remote process.
- Most support included
- Elevate Health — Free lab tests included.
Refills and Elevate Health, side by side
Nothing in this table is our estimate. Where a provider does not publish something, the cell says so.
| Refills | Elevate Health | |
|---|---|---|
| Advertised price | GLP-1 from $99/mo, about $5 a day | Semaglutide from $133/mo, tirzepatide from $197/mo |
| Rate after promotions | $99/mo | $133/mo |
| Pricing structure | Flat rate at every dose | Published rate per medication |
| Medication | Compounded semaglutide and GIP+GLP-1 dual agonist | Compounded semaglutide and compounded tirzepatide |
| Shipping | Free, fast and discreet shipping on every order | Fully remote process |
| Support model | No coaching program stated | No coaching program stated |
| Tirzepatide | Available | $197/mo |
| Price transparency | Published upfront | Published upfront |
| Patient reviews | 7,400 | 29,722 |
| eRxDoctor score | 7.7/10 | 7.0/10 |
What Refills and Elevate Health actually cost over a year
The advertised rate answers the wrong question. So the table works in the timeframe treatment actually happens in.
| Refills | Elevate Health | |
|---|---|---|
| First month | $99 | $133 |
| Months 2 onward | $99/mo | $133/mo |
| 6-month total | $594 | $798 |
| 12-month total | $1,188 | $1,596 |
| Best published plan | No multi-month discount published | No multi-month discount published |
Refills finishes the year $408 cheaper. For some patients the support Elevate Health bundles closes that gap; for a patient who only needs the prescription written, it does not.
The difference that actually decides it
Refills leads with $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing. Elevate Health leads with lab work included rather than billed separately, which is a real line item elsewhere. Both are true, and neither is the reason most people end up unhappy with a GLP-1 program.
The reasons they do are duller: a price that moved, a support queue that did not answer, or a medication that was not available at the dose they needed. On those, Refills is exposed on one thing (clinicians come from partner networks and availability varies by state) and Elevate Health on another (the headline discount depends on a promo code that may no longer be live).
Read those two caveats again before the marketing. Choosing a provider is mostly choosing which compromise you are prepared to make.
How Refills works
Refills offers personalized compounded GLP-1 from $99/month (~$5/day) with flat pricing, the same price at every dosage, plus free discreet shipping, 24/7 health concierge support, and no membership or app fees.
From signup to first shipment: 3-minute approval quiz, then free, fast and discreet shipping on every order. Billing follows a flat rate at every dose structure.
Behind the prescription sits free 24/7 health concierge. Available medication: compounded semaglutide and GIP+GLP-1 dual agonist.
Refills pros
- Free 24/7 Health Concierge support
- Free, fast, and discreet shipping on every order
- No insurance required, 3-minute approval quiz
- LegitScript-certified U.S. compounding pharmacies with third-party USP testing
Refills cons
- Compounded medication, not an FDA-approved branded product
- Clinicians come from partner telehealth networks (Beluga, Bask, Wasef Health)
- Availability varies by state
Read next to Elevate Health, the weak point: clinicians come from partner networks and availability varies by state.
Inside the Elevate Health program
Elevate Health positions itself on lab work included rather than billed separately, which is a real line item elsewhere. Elevate Health offers compounded semaglutide from $133/month and tirzepatide from $197/month, with lab tests included and a fully remote intake.
You start with fully remote intake; medication arrives via fully remote process. The price behaves as published rate per medication.
On the clinical side, free lab tests included, prescribing compounded semaglutide and compounded tirzepatide.
Elevate Health pros
- Semaglutide from $133/mo and tirzepatide from $197/mo
- Free lab tests included, unlike programs that bill them separately
- Fully remote process, no in-person visits required
Elevate Health cons
- Cash-pay model; insurance is not billed
- Compounded medications only, not FDA-approved brand-name products
- The $300 discount requires promo code BFCM300, verify it is still active
The reservation worth holding, particularly next to Refills: the headline discount depends on a promo code that may no longer be live.
Who should choose Refills, and who should choose Elevate Health
Choose Refills if:
- the monthly rate is the constraint — $99/mo against $133/mo
- you want the price you sign up at to survive titration
- the twelve-month total is what you are optimizing ($1,188 against $1,596)
- you would get real value from $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing
Choose Elevate Health if:
- delivery works the way you want it to: fully remote process
- the level of clinical contact suits you: free lab tests included
- you want to start on their timeline: fully remote intake
- you would rather use the platform with the longer public record (29,722 reviews)
What each one gives up
On price. $99/mo against $133/mo. Elevate Health is asking you to pay for lab work included rather than billed separately, which is a real line item elsewhere; decide whether that is a line item you will use.
On predictability. Flat rate at every dose at Refills, against published rate per medication at Elevate Health. The more predictable structure is worth a premium to anyone who has been surprised by a telehealth invoice before.
On access. Refills advertises 3-minute approval quiz and free, fast and discreet shipping on every order; Elevate Health advertises fully remote intake and fully remote process. Coverage differs too — availability varies by state against not published — which decides the question before price does if you are in a restricted state.
On medication. Refills covers compounded semaglutide and GIP+GLP-1 dual agonist; Elevate Health covers compounded semaglutide and compounded tirzepatide. Neither locks you out of a molecule the other offers, so this is unlikely to be the deciding factor.
Evidence and regulatory status
The efficacy data people cite when comparing these platforms is not platform data. It comes from trials of the underlying medication, and it applies to both.
NIDDK frames medication as one component of obesity treatment rather than a replacement for the rest of it, per NIH, NIDDK.
Compounded medication occupies a different regulatory category entirely: no approval application, and no FDA verification of what is in the vial, per FDA.
Use it as the floor for the conversation with whichever prescriber you end up with, rather than as a reason to pick one platform over the other.
Refills vs Elevate Health: common questions
Which is cheaper to start, Refills or Elevate Health?
Refills, at $99 against $133. Note that the cheapest first month and the cheapest year are often different providers here — check the 12-month row of the cost table before deciding on the entry price.
Which costs less over a year, Refills or Elevate Health?
Refills, at roughly $1,188 for twelve months against $1,596 at Elevate Health, using each provider's own best published pricing. Those totals cover medication and program fees as published; they exclude anything a provider bills separately, and they assume you stay on the same plan for the full year.
Is Refills cheaper than Elevate Health?
Yes, on the ongoing rate. Refills runs $99/mo once promotional pricing ends, against $133/mo at Elevate Health — a difference of 34%. Compare the first-month offers separately, because both providers discount entry differently from the rate you will actually be paying by month three.
What happens if I stop taking the medication?
Weight regain is the documented pattern, and it is not specific to either platform. Trial extension data has recorded participants regaining most of the weight they lost within a year of stopping semaglutide. Both Refills and Elevate Health price on a monthly basis, so treat the twelve-month figure as the realistic commitment rather than a first-month experiment.
Is Refills or Elevate Health better for a first GLP-1 prescription?
First-timers usually get more from clinical access than from a lower rate, because the first two months are where most people stop. On that basis Refills has the stronger case; after month three, cost should take over.
Are Refills and Elevate Health legitimate?
Both are licensed telehealth platforms that route a prescription through a clinician review before anything is dispensed; neither sells medication without one. Refills operates on flat rate at every dose with pricing published upfront, Elevate Health on published rate per medication, published upfront. The meaningful due diligence is on the medication category and the terms, not on whether the platforms are real.
Can I switch from Refills to Elevate Health later?
Yes. Neither program locks you in clinically, and both operate month to month unless you have bought a multi-month plan. Practically, switching means a fresh intake, a fresh clinician review and possibly a gap in supply, so time it against your current shipment rather than your renewal date.
The verdict
Refills is the cheaper year by $408, and for a straightforward course of treatment that settles it.
The case for Elevate Health is lab work included rather than billed separately, which is a real line item elsewhere. That is worth $34 a month to some patients and nothing at all to others — be honest about which you are.
Whichever you choose, diarise the month the introductory pricing ends and re-run the comparison then. Neither platform will remind you.
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Disclaimers and methodology
Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.
Some links are affiliate links and may generate commission at no extra cost to you.
Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.
eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by Refills or Elevate Health, and does not sell treatment. Read our ranking methodology.