Direct Meds
US telehealth for compounded GLP-1 weight-loss prescriptions and injectable NAD+. A licensed physician reviews an online assessment before a prescription is issued. No membership fee.
The pricing page (JSON-LD dateModified 2026-10-05) lists compounded semaglutide at $297/mo and compounded tirzepatide at $399/mo, including medication, physician review, injection supplies, and 1–2 day shipping, with no membership fee. It also says weight-loss prescriptions start at $147/mo but does not name the medication at that price, so $147 is not used as a semaglutide or tirzepatide price. The live homepage FAQ lists sublingual semaglutide from $249/mo and injections from $297/mo, and mentions unpublished new-customer and 6- or 12-month bulk discounts. A Katalys email on 2026-10-21 advertised GLP-1 pricing from $147 with injectable and oral options. The reviews page's claim that $147 is compounded semaglutide conflicts with the itemized $297 price and is not used. NAD+ injections (500 mg and 1000 mg) are listed at /products/nad with no public price; NAD+ Visit links use the NAD+ tracking URL. Shipping copy conflicts across pages (1–2 day vs 3–5 business days). State exclusions also conflict: the weight-loss service FAQ excludes Mississippi and Louisiana, while a product FAQ excludes Alabama and Mississippi. Arkansas is not named on those pages. Trustpilot's own profile could not be read (blocked); the site's self-reported scores were not copied because they disagree with each other (4.6/16,099+ vs JSON-LD 4.3/2,530 vs a homepage 4.8).
State restrictions: Published exclusions conflict: weight-loss FAQ excludes Mississippi and Louisiana; a product FAQ excludes Alabama and Mississippi
Programs & pricing
Compounded Semaglutide — Sublingual drops
From $249/mo
Homepage FAQ lists sublingual semaglutide from $249/mo, including medication, nurse support, and shipping. New-customer and 6- or 12-month bulk rates are mentioned but not published.
$249/mo
Compounded Semaglutide — Injection
$297/mo
Pricing page lists $297/mo all-in: medication, physician evaluation (normally $99 if billed alone), injection supplies, and 1–2 day shipping. No membership or access fee. Full refund if a physician does not approve the prescription.
$297/mo
Compounded Tirzepatide — Injection
$399/mo
Pricing page lists $399/mo all-in: medication, physician review, injection supplies, and 1–2 day shipping. No membership fee. HSA/FSA accepted.
$399/mo
Compounded NAD+ — Injection
Price not published
Product page lists compounded NAD+ injections in 500 mg and 1000 mg, with 30-, 90-, and 180-day supplies. No monthly price is published.
Verify on site
What's included
- Compounded semaglutide and tirzepatide
- Sublingual semaglutide and weekly injections
- Injectable NAD+
- No membership fee
- HSA/FSA accepted
- LegitScript certified
directmeds.com