GLP-1 Weight Loss Cost & Pricing
Transparent pay-per-service pricing for physician-led weight loss. No surprise fees, no hidden costs. Just comprehensive care at a fair price.
Vandhana Kiswani-Barley, MD
Triple Board-Certified + FACHE · 15+ Years Experience
Medical Weight Loss Program
General nutrition and lifestyle guidance, with FDA-approved medications when appropriate.
Nutrition-Focused Medical Weight Loss
Pay-per-service pricing
Physician-led weight loss with general nutrition guidance, lifestyle support, and FDA-approved medications when appropriate
2026 GLP-1 Pricing Snapshot: LillyDirect & Novo Nordisk Direct
Both major GLP-1 manufacturers now sell directly to patients at meaningfully lower cash prices than the old pharmacy-only model. With or without insurance, FDA-approved Zepbound and Wegovy are now genuinely affordable for most patients, and FSA/HSA dollars stretch further than ever.
LillyDirect (Zepbound / Mounjaro)
- • Zepbound 2.5 mg starter: $349/month
- • Zepbound 5-15 mg maintenance: $499/month
- • Single-dose vials shipped to your door, no pharmacy lines
- • With commercial insurance + savings card: as low as $25/month
- • Mounjaro: covered by most diabetes insurance plans for type 2 diabetes
NovoCare (Wegovy / Ozempic)
- • Wegovy new-patient pricing: ~$199/month
- • Wegovy standard cash: ~$349/month
- • Wegovy without insurance, list price: $1,349/month (rarely paid in 2026)
- • With commercial insurance + savings card: as low as $0-25/month
- • Broader commercial coverage than Zepbound (longer on market)
FSA / HSA & Insurance Invoice Notes
Thrive RX physician visits ($250 initial / $200 follow-up) are FSA and HSA eligible. We provide an itemized insurance invoice (called a superbill) you can submit for possible out-of-network reimbursement on every visit. Medication is billed separately by the pharmacy or manufacturer program, and is also FSA/HSA eligible when prescribed for a medical indication.
Prices reflect publicly available manufacturer programs as of April 2026 and may change. Insurance coverage varies. Compare directly with Zepbound vs Wegovy for trial data and clinical differences.
What's Included vs. Competitors
When comparing prices, look at total value. Many "affordable" programs have hidden costs.
| Feature | Thrive RX | Typical Competitors |
|---|---|---|
| General nutrition & lifestyle guidance | Varies by provider | |
| Board-certified physician (Dr. Kiswani-Barley, MD) | Often NPs, PAs, or AI | |
| Goal of medication independence | Ongoing prescriptions only | |
| Root-cause evaluation (history, symptoms, labs) | Quick questionnaire | |
| Baseline and ongoing lab monitoring | Minimal or none | |
| Multiple FDA-approved medication options | Limited options | |
| Safe medication titration plan | No tapering support | |
| Direct physician messaging | Chat with support staff | |
| Thorough 60-minute initial visits | 10-15 minute visits | |
| Itemized invoice for possible insurance reimbursement | Often not provided |
The Thrive RX Difference
We believe lasting weight loss comes from changing how you eat, not just taking a medication forever.
Nutrition & Lifestyle First
Our program includes general nutrition and movement guidance. Medications help reduce appetite so you can focus on retraining your eating habits for lasting change.
Dr. Kiswani-Barley's Root-Cause Approach
Dr. Kiswani-Barley personally reviews your health history, symptoms, and lab results to identify what's actually blocking your weight loss, then creates a personalized plan to address it.
Goal: Medication Independence
Unlike competitors who keep you on medication indefinitely, our goal is to safely titrate you off once you've built sustainable habits, setting you up for long-term success.
FDA-Approved Medication Options
We prescribe only FDA-approved medications from trusted manufacturers. Dr. Kiswani-Barley will help you find the right option based on your health profile and goals.
Tirzepatide
Mounjaro, Zepbound (Eli Lilly)
$299-449/month via LillyDirect
Semaglutide
Ozempic, Wegovy (Novo Nordisk)
$199-349/month via Novo Nordisk
Liraglutide
Saxenda, Generic (Novo Nordisk)
$372-496/month with coupons; generic ~$470/month
Contrave
Naltrexone/Bupropion
~$99/month with savings program
Qsymia
Phentermine/Topiramate
$69-98/month at Costco/Engage
Metformin
Metabolic support
$4-20/month (generic)
Prices shown are manufacturer direct/savings program rates and may vary. We never prescribe compounded medications.
Pricing FAQs
Outstanding medical care and professional staff
"I highly recommend Dr. Kiswani-Barley to anyone looking for a compassionate and professional physician. The level of medical expertise and attentiveness is unmatched. Staff included provide exceptional care. They take the time to answer all questions and never make you feel rushed."
Originally posted on Google
Can't say enough good things
"I can't say enough good things about Dr. Kiswani! I am currently a hormone therapy patient of hers, but she has gone above and beyond to help me with my health. She truly cares about her patients and takes the time to listen and understand your concerns."
Originally posted on Google
Why Cost Conversations Are Different at Thrive RX
Most weight loss apps optimize for monthly recurring revenue. Thrive RX optimizes for outcomes: same physician every visit, FDA-approved medications only, transparent per-visit pricing, and a real plan to get you off GLP-1s when the time is right.
Your Story Comes First
Have time to explain your symptoms, your timeline, what you have already tried, and what matters to you. Dr. Kiswani-Barley starts by listening so your concerns can guide a thoughtful assessment.
Understand Your Options
Discuss your history and concerns through secure video, then understand the assessment and next steps in plain language. When a hands-on examination or other in-person care is needed, Dr. Kiswani-Barley will recommend the appropriate setting.
Consider the Whole Picture
Explore how medical conditions, medications, sleep, nutrition, and other factors may affect how you feel. Testing and treatment are chosen for your circumstances, with attention to underlying causes when identifiable and symptom relief when appropriate.
A Real Relationship
Build a relationship with the same physician over time. Follow-up care can draw on your history, review your response to treatment, and adjust recommendations as your needs and goals change.
"I chose family medicine because I wanted to build lasting relationships with my patients, truly get to know them, and partner with them through every stage of life. Knowing my patients as people helps me be a stronger advocate for them and work alongside them toward their best health. That’s the care I want every patient to experience at Thrive Rx."
Vandhana Kiswani-Barley, MD
Board-certified in Family Medicine, Obesity Medicine, and Pain Management, plus a Fellow of the American College of Healthcare Executives (FACHE)
Weight Loss Resources
Explore related physician-led services from Thrive RX
Medical weight loss serving all of Florida
Physician-led semaglutide & tirzepatide care statewide
FDA-approved Wegovy/Ozempic for weight management
Step-by-step guide from a Florida physician
Dual GIP/GLP-1 therapy with Mounjaro/Zepbound
Online prescriptions in Florida