A directory of online GLP-1 care United States & Washington, DC

Provider profile

Form Health

Form Health is a telehealth obesity-medicine practice that can prescribe GLP-1 medications. Its medications page lists Wegovy, Ozempic, Rybelsus, Zepbound, Foundayo and Saxenda.

Care model
Telehealth
Latest source check
Visit Form Health

How access works

Form Health says it accepts most major private insurance plans and Medicare and bills visits, labs and medications through insurance; patients pay any copay or deductible, and coverage depends on the plan.

Patients can direct prescriptions to the pharmacy of their choice.

Listed GLP-1 offerings

Prices and fees

Compare ongoing monthly costs for the specified product and dose, with startup and cancellation costs shown separately. “All-in monthly” means every recurring fee is accounted for. A subtotal has missing fees and is not your final price. Insurance, eligibility and renewal terms can change what you pay.

How monthly comparisons work

A month means one twelfth of 365.25 days (about 30.44 days). We convert day-based charges by multiplying by 365.25 ÷ 12 ÷ the number of days, and week-based charges by 365.25 ÷ 12 ÷ 7 ÷ the number of weeks. Multi-month plan totals are divided by the months covered. We add the unrounded amounts, then round to cents.

These are comparison amounts, not payment schedules. A four-week supply is not a calendar month, and an upfront payment is still due upfront. Original charges appear below. Per-visit or per-supply prices without a documented time period cannot be converted; unknown fees are never counted as zero. Introductory prices, startup costs and cancellation costs are not included in the ongoing monthly figure.

Monthly GLP-1 costs, original charges, startup and cancellation costs
Product and doseMonthly costPayment and details
Wegovy

Self-pay plan; medication and labs paid separately

Any prescribed dose

Published monthly subtotal

$299/month

Itemized charges

Checked

This is a partial monthly cost; the fees below are not included.

Unpriced: medication, labs, shipping, other required fees, taxes.

Form Health charges the $299 self-pay plan fee monthly. Its terms say the subscription renews automatically at the end of each subscription period until cancelled. Medication and lab work are paid separately.

Commitment: No minimum term is stated. Form Health says you can cancel your membership at any time; its terms say the account closes at the end of the current billing period.

Fees, offers & cancellation

Original recurring charges

Program or membership
$299 for 1 month
Medication
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of medications and does not publish medication prices.
Visits
Included in program or membership
Labs
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of any lab work and does not publish lab prices.
Shipping
Unknown: Shipping or pharmacy delivery charges are not published on the pages checked.
Other required fees
Unknown: Not published on the pages checked.
Taxes
Unknown: Form Health's terms say you pay applicable taxes; amounts are not published on the pages checked.

Startup costs

Not published or not yet verified.

Cancellation costs

  • Cancellation fee: Amount unknown — Form Health says "You can cancel your Form Health membership at any time." Its terms say the account closes at the end of the current billing period. It does not say whether any fee or partial refund applies.

Separate charges or conditional options; not added to the monthly figure. Unlisted costs are not assumed to be zero.

Conditions and sources

  • Form Health says the self-pay plan is for people without insurance or whose insurance does not cover the program, and that you are responsible for the cost of any lab work and medications.
  • Form Health requires you to have a primary care physician and to have visited them within the last 12 months.
  • Form Health says the self-pay plan monthly fee is HSA/FSA eligible.
  • Form Health lists Ozempic and Rybelsus among off-label medication options.
Ozempic

Self-pay plan; medication and labs paid separately

Any prescribed dose

Published monthly subtotal

$299/month

Itemized charges

Checked

This is a partial monthly cost; the fees below are not included.

Unpriced: medication, labs, shipping, other required fees, taxes.

Form Health charges the $299 self-pay plan fee monthly. Its terms say the subscription renews automatically at the end of each subscription period until cancelled. Medication and lab work are paid separately.

Commitment: No minimum term is stated. Form Health says you can cancel your membership at any time; its terms say the account closes at the end of the current billing period.

Fees, offers & cancellation

Original recurring charges

Program or membership
$299 for 1 month
Medication
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of medications and does not publish medication prices.
Visits
Included in program or membership
Labs
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of any lab work and does not publish lab prices.
Shipping
Unknown: Shipping or pharmacy delivery charges are not published on the pages checked.
Other required fees
Unknown: Not published on the pages checked.
Taxes
Unknown: Form Health's terms say you pay applicable taxes; amounts are not published on the pages checked.

Startup costs

Not published or not yet verified.

Cancellation costs

  • Cancellation fee: Amount unknown — Form Health says "You can cancel your Form Health membership at any time." Its terms say the account closes at the end of the current billing period. It does not say whether any fee or partial refund applies.

Separate charges or conditional options; not added to the monthly figure. Unlisted costs are not assumed to be zero.

Conditions and sources

  • Form Health says the self-pay plan is for people without insurance or whose insurance does not cover the program, and that you are responsible for the cost of any lab work and medications.
  • Form Health requires you to have a primary care physician and to have visited them within the last 12 months.
  • Form Health says the self-pay plan monthly fee is HSA/FSA eligible.
  • Form Health lists Ozempic and Rybelsus among off-label medication options.
Rybelsus

Self-pay plan; medication and labs paid separately

Any prescribed dose

Published monthly subtotal

$299/month

Itemized charges

Checked

This is a partial monthly cost; the fees below are not included.

Unpriced: medication, labs, shipping, other required fees, taxes.

Form Health charges the $299 self-pay plan fee monthly. Its terms say the subscription renews automatically at the end of each subscription period until cancelled. Medication and lab work are paid separately.

Commitment: No minimum term is stated. Form Health says you can cancel your membership at any time; its terms say the account closes at the end of the current billing period.

Fees, offers & cancellation

Original recurring charges

Program or membership
$299 for 1 month
Medication
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of medications and does not publish medication prices.
Visits
Included in program or membership
Labs
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of any lab work and does not publish lab prices.
Shipping
Unknown: Shipping or pharmacy delivery charges are not published on the pages checked.
Other required fees
Unknown: Not published on the pages checked.
Taxes
Unknown: Form Health's terms say you pay applicable taxes; amounts are not published on the pages checked.

Startup costs

Not published or not yet verified.

Cancellation costs

  • Cancellation fee: Amount unknown — Form Health says "You can cancel your Form Health membership at any time." Its terms say the account closes at the end of the current billing period. It does not say whether any fee or partial refund applies.

Separate charges or conditional options; not added to the monthly figure. Unlisted costs are not assumed to be zero.

Conditions and sources

  • Form Health says the self-pay plan is for people without insurance or whose insurance does not cover the program, and that you are responsible for the cost of any lab work and medications.
  • Form Health requires you to have a primary care physician and to have visited them within the last 12 months.
  • Form Health says the self-pay plan monthly fee is HSA/FSA eligible.
  • Form Health lists Ozempic and Rybelsus among off-label medication options.
Zepbound

Self-pay plan; medication and labs paid separately

Any prescribed dose

Published monthly subtotal

$299/month

Itemized charges

Checked

This is a partial monthly cost; the fees below are not included.

Unpriced: medication, labs, shipping, other required fees, taxes.

Form Health charges the $299 self-pay plan fee monthly. Its terms say the subscription renews automatically at the end of each subscription period until cancelled. Medication and lab work are paid separately.

Commitment: No minimum term is stated. Form Health says you can cancel your membership at any time; its terms say the account closes at the end of the current billing period.

Fees, offers & cancellation

Original recurring charges

Program or membership
$299 for 1 month
Medication
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of medications and does not publish medication prices.
Visits
Included in program or membership
Labs
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of any lab work and does not publish lab prices.
Shipping
Unknown: Shipping or pharmacy delivery charges are not published on the pages checked.
Other required fees
Unknown: Not published on the pages checked.
Taxes
Unknown: Form Health's terms say you pay applicable taxes; amounts are not published on the pages checked.

Startup costs

Not published or not yet verified.

Cancellation costs

  • Cancellation fee: Amount unknown — Form Health says "You can cancel your Form Health membership at any time." Its terms say the account closes at the end of the current billing period. It does not say whether any fee or partial refund applies.

Separate charges or conditional options; not added to the monthly figure. Unlisted costs are not assumed to be zero.

Conditions and sources

  • Form Health says the self-pay plan is for people without insurance or whose insurance does not cover the program, and that you are responsible for the cost of any lab work and medications.
  • Form Health requires you to have a primary care physician and to have visited them within the last 12 months.
  • Form Health says the self-pay plan monthly fee is HSA/FSA eligible.
  • Form Health lists Ozempic and Rybelsus among off-label medication options.
Foundayo pill

Self-pay plan; medication and labs paid separately

Any prescribed dose

Published monthly subtotal

$299/month

Itemized charges

Checked

This is a partial monthly cost; the fees below are not included.

Unpriced: medication, labs, shipping, other required fees, taxes.

Form Health charges the $299 self-pay plan fee monthly. Its terms say the subscription renews automatically at the end of each subscription period until cancelled. Medication and lab work are paid separately.

Commitment: No minimum term is stated. Form Health says you can cancel your membership at any time; its terms say the account closes at the end of the current billing period.

Fees, offers & cancellation

Original recurring charges

Program or membership
$299 for 1 month
Medication
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of medications and does not publish medication prices.
Visits
Included in program or membership
Labs
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of any lab work and does not publish lab prices.
Shipping
Unknown: Shipping or pharmacy delivery charges are not published on the pages checked.
Other required fees
Unknown: Not published on the pages checked.
Taxes
Unknown: Form Health's terms say you pay applicable taxes; amounts are not published on the pages checked.

Startup costs

Not published or not yet verified.

Cancellation costs

  • Cancellation fee: Amount unknown — Form Health says "You can cancel your Form Health membership at any time." Its terms say the account closes at the end of the current billing period. It does not say whether any fee or partial refund applies.

Separate charges or conditional options; not added to the monthly figure. Unlisted costs are not assumed to be zero.

Conditions and sources

  • Form Health says the self-pay plan is for people without insurance or whose insurance does not cover the program, and that you are responsible for the cost of any lab work and medications.
  • Form Health requires you to have a primary care physician and to have visited them within the last 12 months.
  • Form Health says the self-pay plan monthly fee is HSA/FSA eligible.
  • Form Health lists Ozempic and Rybelsus among off-label medication options.
Saxenda

Self-pay plan; medication and labs paid separately

Any prescribed dose

Published monthly subtotal

$299/month

Itemized charges

Checked

This is a partial monthly cost; the fees below are not included.

Unpriced: medication, labs, shipping, other required fees, taxes.

Form Health charges the $299 self-pay plan fee monthly. Its terms say the subscription renews automatically at the end of each subscription period until cancelled. Medication and lab work are paid separately.

Commitment: No minimum term is stated. Form Health says you can cancel your membership at any time; its terms say the account closes at the end of the current billing period.

Fees, offers & cancellation

Original recurring charges

Program or membership
$299 for 1 month
Medication
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of medications and does not publish medication prices.
Visits
Included in program or membership
Labs
Unknown: Not included in the plan fee. Form Health says you are responsible for the cost of any lab work and does not publish lab prices.
Shipping
Unknown: Shipping or pharmacy delivery charges are not published on the pages checked.
Other required fees
Unknown: Not published on the pages checked.
Taxes
Unknown: Form Health's terms say you pay applicable taxes; amounts are not published on the pages checked.

Startup costs

Not published or not yet verified.

Cancellation costs

  • Cancellation fee: Amount unknown — Form Health says "You can cancel your Form Health membership at any time." Its terms say the account closes at the end of the current billing period. It does not say whether any fee or partial refund applies.

Separate charges or conditional options; not added to the monthly figure. Unlisted costs are not assumed to be zero.

Conditions and sources

  • Form Health says the self-pay plan is for people without insurance or whose insurance does not cover the program, and that you are responsible for the cost of any lab work and medications.
  • Form Health requires you to have a primary care physician and to have visited them within the last 12 months.
  • Form Health says the self-pay plan monthly fee is HSA/FSA eligible.
  • Form Health lists Ozempic and Rybelsus among off-label medication options.

State availability

The provider lists service in the following jurisdictions. We list its advertised medications in these states unless it specifies an exception. Medication pages show product restrictions and conditions; eligibility and prescribing decisions remain with the provider.

Details to confirm

  • States served were not listed on the pages checked.

Sources

  1. Form Health weight-loss medications pageChecked
  2. Form Health FAQChecked ,
  3. Form Health terms of useChecked
  4. Form Health help center: clinicians in my areaChecked

This profile describes advertised access. It does not promise a prescription or recommend treatment.