Lose weight with a GLP-1 plan made for you.
Compounded semaglutide or tirzepatide, prescribed online. A US-licensed clinician reviews your visit, prescribes only if appropriate and adjusts your dose over time.
Semaglutide programs $109.99/month — locked in for life, prescribed online
Free 2-day shipping once the pharmacy ships
- No membership fees
- Price locked in for life
- No hidden costs
- No insurance needed
Clinician Care
No Memberships
Ever
Dr. Marcus Thompson
No price increases, ever.
Medical weight loss,made simple.
Placebo 2.4%to14.9%
About 15% lost on average
Brand-name semaglutide vs. placebo in the STEP 1 study, with diet and exercise.1
Diet alonetoPlus GLP-1
Medicine that works on hunger
GLP-1s mimic a natural hormone that helps you feel fuller sooner.
On your owntoWith a clinician
A clinician in your corner
A licensed clinician reviews your secure questionnaire and, if appropriate, prescribes and adjusts your dose.
Price hikestoLocked in
Same price, every dose
Price locked in for life. No membership fees. No insurance needed.
The study average, at your weight
Enter your weight and pick a medicine. You'll see the published average for the brand-name medicine, worked out for your weight. It is a study average, not a prediction for you.
At 220 lbs, the STEP 1 average works out to about
33 lbs1
Choose your GLP-1 treatment
Pick a treatment to start your online visit. Your clinician confirms whether it is right for you.
Real care, from your first answer to your door
A licensed clinician reviews every request
If it's right for you, they write your prescription.
Prepared by licensed US pharmacies
Each order is dispensed only with a valid prescription.
Message your care team between visits
Questions about your dose or side effects? Send a message.
Shipping is always free
We never add a delivery charge.
How we compare3
Some GLP-1 programs advertise a low medication price, then bill a required membership on top. Pillar's program price already covers your care and medication — no membership fees, no hidden costs.
Required monthly membership
Pillar
Competitor
What the advertised price covers
Pillar
Competitor
Semaglutide — total monthly cost after the first month
Pillar
Competitor
Tirzepatide — total monthly cost after the first month
Pillar
Competitor
Medication available without a membership
Pillar
Competitor
Price locked in for life
Pillar
Competitor
Same price at every dose
Pillar
Competitor
Savings per year with Pillar
Semaglutide
$1,668
per year
Tirzepatide
$2,256
per year
vs. the competitor's medication + membership total — after the first month, at the published prices above.
| Compare | Pillar HealthCare + medication included | CompetitorGLP-1 telehealth app |
|---|---|---|
| Required monthly membership | $0No membership fees, ever | $39 first monthThen auto-renews at $99/month |
| What the advertised price covers | Care + medicationClinician evaluation, ongoing provider care, dose adjustments — and your medication if prescribed | Medication onlyMembership billed separately |
| Semaglutide — total monthly cost after the first month | $109.99/monthNo membership on top | $249/month$150 medication + $99 membership |
| Tirzepatide — total monthly cost after the first month | $159.99/monthNo membership on top | $348/month$249 medication + $99 membership |
| Medication available without a membership | Yes | No |
| Price locked in for life | Yes | Not published |
| Same price at every dose | Yes | Yes |
Savings per year with Pillar
Semaglutide$1,668per year
Tirzepatide$2,256per year
vs. the competitor's medication + membership total — after the first month, at the published prices above.
How it works
Simple Questionnaire
Choose the plan that fits your needs, then complete a free medical intake and health history form for review by a licensed provider.
Provider Evaluation
Our licensed medical provider will review your medical history and determine if the medication is right for you and your needs.
Prescription & Delivery
If approved by your provider, your prescription is filled by the pharmacy and ships straight to your door.
Important safety information
Side effects, who GLP-1 treatment is designed for, and what to know before you start. A summary of key warnings, not complete prescribing information.
Frequently Asked Questions
Price, eligibility, safety and what happens after you start.
Start your online visit today
Semaglutide $109.99/mo · Tirzepatide $159.99/mo — locked in for life
No membership fees · No hidden costs · No insurance needed · Price locked in for life
Notes
- 1STEP 1 study (New England Journal of Medicine, 2021): adults with obesity or overweight and without diabetes took brand-name semaglutide 2.4 mg once a week for 68 weeks, with diet and exercise, and lost 14.9% of body weight on average (2.4% on placebo plus the same diet and exercise). Pillar's medicines are compounded and were not tested in this study. Individual results vary. Read the study
- 2SURMOUNT-1 study (New England Journal of Medicine, 2022): adults with obesity or overweight and without diabetes took brand-name tirzepatide once a week for 72 weeks, with diet and exercise, and those on the 15 mg dose lost 20.9% of body weight on average (3.1% on placebo plus the same diet and exercise). Pillar's medicines are compounded and were not tested in this study. Individual results vary. Read the study
- 3Competitor figures reflect a leading GLP-1 telehealth provider's published pricing and membership terms as of September 2026; their plans and prices may change. Pillar prices shown are our current program prices.
- *The discounted price or free first month shown applies to your first month of treatment only. Enter the offer code at checkout; your locked-in monthly price applies from the second month.
- Prescription required. Individual results vary.
- The compounded-medication disclosure below applies to the standard Semaglutide and Tirzepatide programs, not the separate Microdosing Tirzepatide program. *Compounded semaglutide and tirzepatide are prepared by licensed US pharmacies and are not FDA-approved. A licensed clinician determines whether treatment is appropriate before any prescription is issued.
- Product images are for illustration only. Packaging may vary.
- All prescription products require an online evaluation with a licensed clinician who will determine if a prescription is appropriate.
- Individual results vary and are not guaranteed. Weight-loss outcomes depend on your health profile, dose, lifestyle, and adherence, and are determined with your clinician.
- Current pricing, payment, refund, and cancellation terms are provided before you agree to treatment. Prescribed medication is shipped by the dispensing pharmacy. Weight-loss results are not guaranteed and individual results vary.