Ro
Ro leads April 2026 rankings with the strongest orforglipron preparation, lowest compounded pricing with included coaching, and over 1 million patients served. The LillyDirect partnership positions Ro for fastest orforglipron access post-April 10 approval. Metabolic health coaching included at no extra charge remains the differentiator against bare-bones competitors.
- Monthly cost (compounded semaglutide)
- $149
- Monthly cost (orforglipron, expected)
- $149
- Monthly cost (branded semaglutide)
- Via insurance/cash-pay
- Consultation
- Free, async
- Shipping
- Free
- Coaching
- Metabolic health coaching included
- Lab testing
- Not included
- Orforglipron preparation
- Confirmed ready, 24-48h post-approval
Ally earns a referral fee from some providers. Rankings are never influenced by revenue. See our methodology →