Telos Rx advertises GLP-1 plans from $99 a month; this review covers the true cost, compounded drugs, and multi-month cancellation terms.
Where we stand: Menova is independent. We do not sell medication or take payment for placement. We may earn a commission if you use a clearly marked provider link, at no extra cost to you. That does not change our verdict. This is editorial analysis and general education, not medical advice. We have not used Telos Rx as a patient and do not imply personal testing.
Quick verdict
Telos Rx is worth comparing if you are a US cash-pay patient who prefers an asynchronous intake and knowingly accepts a compounded, non-FDA-approved GLP-1. Its appeal is simple pricing: Telos advertises compounded semaglutide from $99/month and tirzepatide from $139/month, with shipping and support included.
It is a poor fit if you want an FDA-approved brand, need insurance navigation, prefer a scheduled video visit, or are uncomfortable with the added uncertainty around compounded GLP-1s. The lowest advertised price may also require a longer commitment. Telos says early cancellation of a 3-, 6-, or 12-month plan can trigger a one-time adjustment that re-prices months already received.
Prices and terms were checked against official pages in August 2026. Confirm the exact medication, dose, pharmacy, term, and total before paying.
What Telos Rx is
Telos Rx is a technology and administrative platform. Its site says medical care comes from an independent US-licensed telehealth group and prescriptions are filled by US-licensed compounding pharmacies.
The process is asynchronous: you complete an online intake, a licensed clinician reviews it, and no scheduled video visit is required. Approval is not guaranteed. Telos says you pay nothing if its clinician decides you do not qualify.
That speed is convenient, but it removes the natural back-and-forth of a live appointment. Before submitting, prepare your diagnoses, medication and supplement list, recent labs, prior GLP-1 use, pregnancy plans, and relevant family history. Do not leave a complicated issue for a free-text box at the end.
What Telos Rx costs
Telos lists four compounded options:
- Weekly semaglutide injection: from $99/month
- Weekly tirzepatide injection: from $139/month
- Daily under-the-tongue tirzepatide: from $129/month
- Weekly microdosed tirzepatide: from $116/month
These are “as low as” figures, not a promise that every plan costs that amount. Telos says its plan price includes free two-day temperature-controlled shipping, supplies, dose adjustments, labs, and unlimited care-team messaging. It also says the monthly price does not rise when the dose changes.
Ask for the checkout total and billing cadence in writing. A $99 monthly equivalent billed for a long term is a different commitment from a $99 month-to-month subscription.
The cancellation term to understand
“Cancel anytime” does not mean every dollar is refundable.
Telos says cancellation stops future cycles, but a medication cycle that has already shipped is not refunded. It also says compounded medication cannot be returned. If a shipment arrives damaged, leaking, too warm, or incomplete, its policy asks customers to report the problem within 48 hours.
The less obvious term applies to discounted 3-, 6-, and 12-month plans. If you leave early, Telos says the months already received are re-priced at the shortest-plan rate covering that period, and the difference is charged at cancellation. Before choosing a long plan, ask:
- What is the exact upfront or recurring charge?
- What would I owe if I stopped after one, three, or six months?
- When is the next shipment considered processed and non-refundable?
- How do I pause because of side effects, surgery, pregnancy, or another clinical reason?
Choose the commitment only after comparing the possible adjustment with the discount.
All four options are compounded
Telos clearly states that all four GLP-1 options are compounded and not FDA-approved. This is not a technical footnote. FDA-approved drugs are reviewed for safety, effectiveness, and manufacturing quality before marketing; compounded drugs are not.
The FDA says a compounded drug should be used only when a patient's medical need cannot be met by an approved drug. It also warns about dosing errors, shipping-temperature problems, fraudulent labeling, and salt forms in some compounded GLP-1 products. In April 2026, the FDA reiterated restrictions on making copies after semaglutide and tirzepatide shortages were resolved.
This does not prove that a specific Telos prescription is inappropriate. It means the prescriber should explain the patient-specific reason for compounding and identify the dispensing pharmacy. Ask what formulation you would receive, whether it is injectable or sublingual, who compounds it, and how to verify the pharmacy's state license.
Do not assume evidence from FDA-approved Wegovy, Ozempic, Zepbound, or Mounjaro transfers unchanged to a compounded formulation or route. In particular, Telos's under-the-tongue tirzepatide and “microdose” option are not the products studied in the pivotal trials for approved injections.
Who Telos Rx may fit
Telos may fit someone who:
- Has already discussed weight-management medication with a clinician
- Prefers asynchronous care and predictable cash pricing
- Understands why a compounded product is being considered
- Can verify the pharmacy and follow dosing instructions precisely
- Has a regular clinician who can see the complete medication list
It may not fit someone who:
- Wants an FDA-approved brand or help pursuing insurance coverage
- Wants live video as the default
- Has a complicated history that benefits from a longer conversation
- Is choosing solely because of the lowest monthly headline
- Is uncomfortable with changing compounding rules or possible availability changes
For the broader clinical decision, read how to get a GLP-1 online safely and semaglutide versus tirzepatide.
Five checks before paying
- Ask for the exact drug, formulation, concentration, dose, and dispensing pharmacy.
- Ask why the compounded version meets your individual medical need.
- Get the first-month and six-month total, including any visit, lab, supply, and shipping charges.
- Read the cancellation adjustment for your selected term before authorizing payment.
- Confirm who handles side effects, dose questions, missed doses, and warm or damaged shipments.
If a vial arrives warm, damaged, or without clear instructions, do not guess. Contact the pharmacy and care team before using it. Keep your primary clinician informed so weight change, nutrition, muscle, blood pressure, and other medications are not managed in separate silos.
Frequently asked questions
Is Telos Rx legitimate?
Telos publishes an asynchronous telehealth model using US-licensed clinicians and licensed compounding pharmacies. That is more transparent than a site selling medication without screening. It does not make its compounded GLP-1 products FDA-approved, guarantee a prescription, or establish that the service fits every patient.
How much is Telos Rx?
In August 2026, Telos advertised semaglutide from $99/month, tirzepatide from $139/month, under-the-tongue tirzepatide from $129/month, and microdosed tirzepatide from $116/month. The lowest price may depend on plan length. Check the full amount and early-cancellation adjustment before paying.
Does Telos Rx use compounded medication?
Yes. Telos states that all four GLP-1 options on its comparison page are compounded by licensed US pharmacies and are not FDA-approved.
Can I return medication or cancel?
Telos says you can cancel future cycles through its portal, but shipped compounded medication is not returnable or refundable. Ending a discounted multi-month plan early may cause the months already received to be re-priced, with the difference charged at cancellation.
Before you book, the free 2-minute Menova self-check organizes your symptom picture, the free printable visit prep sheet is what the first consultation runs on, and the free blood test sheet covers what should be checked regardless of which service you use — no account, not a diagnosis, and your answers never leave your device.
Educational only. Not medical advice, diagnosis, or treatment. Prices, availability, regulation, and eligibility can change. A licensed clinician who knows your history should decide whether an approved or compounded medication is appropriate.
Sources, checked August 2026: Telos Rx — GLP-1 Options, Telos Rx — Shipping & Returns, FDA — Concerns With Unapproved GLP-1 Drugs, and FDA — GLP-1 Compounding Policy.