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The best GLP-1 telehealth programs for maintenance after reaching goal weight of 2026

Most patients on a GLP-1 will need to stay on it long-term to maintain the loss. These four programs are the ones we'd consider for the maintenance phase, where the calculation shifts from speed-to-first-Rx to long-term cost predictability and dose-step-down flexibility.

What to know first

GLP-1 maintenance is structurally different from initiation. You don't need fast onboarding, you already know your tolerated dose and you're optimizing for cost predictability over 5-10 years of continuous treatment. The program that got you to goal weight is often not the right program for maintenance. Switching at goal-weight is common and clinically straightforward.

What we considered

  • Cost predictability at maintenance dose (typically 1.0-2.4 mg semaglutide or 7.5-15 mg tirzepatide)
  • Willingness to step down dose if you're maintaining well at sub-maximum
  • Long-term cancellation flexibility (no annual lock-in)
  • Stable supply: compounded programs should disclose pharmacy partners

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Scores out of 10, equal-weighted across five dimensions. How we score

Top pick: Mochi Health

Best for flat predictable cash-pay
Mochi Health logo
Mochi HealthOne flat price covers every dose, no tier jumps.
Starts From
$178/moincl. medication
Lock-In
Month-to-month
Score
8.2
Read reviewVisit ↗

Mochi's flat $178/mo at every dose is the most cost-predictable maintenance path in the chart. You pay the same in year five as in month two, which matters when you're projecting 10 years of treatment cost.

Read the full Mochi Health review →

Other strong picks

Henry Meds logo
Henry MedsHenry Meds at $199 flat is the next-cheapest predictable maintenance path. Slightly more expensive than Mochi but with a different compounded pharmacy partner.
Starts From
$297/moincl. medication
Lock-In
Month-to-month
Score
8
Read reviewVisit ↗
Ro Body logo
Ro BodyRo Body's brand Zepbound at $299/mo cash-pay is the predictable maintenance route if you specifically want brand and not compounded. Higher cost but lower regulatory exposure.
Starts From
$373/moincl. medication
Lock-In
Month-to-month
Score
7.5
Read reviewVisit ↗
  • GLP-1 cost guideCash, compounded, insurance, and Medicare. What each path costs per month and per year.
  • How we scoreFive dimensions, ten points each. The same framework applied to every program.
  • Monthly rankingsEvery program scored and ranked this month, updated weekly.
  • Full chartEvery program ranked in one view.
  • Learn the categoryLong-form explainers on pricing, regulation, contracts.
John Samaras, editor of GLP Chart
John Samaras, Founder and EditorI started GLP Chart after overpaying for a GLP-1 myself. Based in Austin, Texas.
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Why you can trust GLP ChartSame scoring framework applied to every program. No paid placements. We never remove unfavorable information at an advertiser's request. Pricing is pulled from each program's public-facing page every Monday.