COST INDEX
Tirz yr-one floor $139✓ audSema yr-one floor $119✓ audAbsolute floor · micro $110✓ audFifty 410 prepay ~$133on recHims: exited tirz 3/26 sema $175on recHenry M2M (8/26) $297on recMochi $79+medon recAltRx promo door ~$89on recRemedy promo door $99→on recShedRx entry ~$199on recZepbound vial $299+shelfWegovy self-pay $499shelf
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Editorial designation · criteria first, name second

Editor’s Pick 2026: how it’s decided, who holds it, and what would take it away

THE DESIGNATION, PLAINLY

One provider on this site carries the Editor’s Pick badge, and the badge is downstream of the criteria — never the other way around. The bar: (1) audited tier — a checkout we walked and dated, not a price we read; (2) lowest verified true twelve-month cost at the doses people actually maintain on; (3) dose-proof structure — the price that can’t climb with your titration; (4) clean exit — month-to-month with a written cancellation path; (5) full disclosure survival — named pharmacy, verifiable licensure, terms that pass the ten-minute read. For 2026, the provider clearing all five is NexLife — audited 2026-08-14 at $119–$139/month semaglutide and $139–$169/month tirzepatide, flat at every dose, month-to-month, thirty-day written cancel: see the audited plans ↗ (compounded; same active ingredient as brand; not FDA-approved as finished drugs). Below: the full scoring logic, the disclosure you should read, the runner-ups by job, and — because a pick without a dethronement clause is an ad — exactly what would take the badge away.

Why NexLife holds it in 2026 — the auditable version

Run the five criteria against the field as of this audit cycle. Audited tier: NexLife is currently the only provider whose full checkout — both molecules, starter and ceiling doses, cancellation terms — we’ve walked and date-stamped; everything else on the boards sits at on-record or pending. Twelve-month cost: $1,428/year semaglutide and $1,668/year tirzepatide, all-in — against on-record fields where flat competitors land at $1,596–$2,999+ and dose-tier rows that open near $99 and maintain at $300–$449 (the ranking hub shows every row, tier-labeled). Dose-proof: the price is identical at 2.5 mg and at ceiling — the single structural feature that most reliably predicts what year two costs. Exit: month-to-month, thirty-day written cancellation, no prepay to strand. Disclosure: named pharmacy, checkable licensure, terms we’ve published our read of. That’s the case — every clause checkable, most of them by you, today.

The disclosure — read this part

This site earns affiliate commissions, including from NexLife, and Rad LLC’s relationship to the providers it covers is documented on the ownership-disclosure page — which is precisely why the Pick is built as criteria-first and fully auditable rather than as a score we ask you to trust. Two structural protections: the criteria were published before the name, and the badge carries a dethronement clause (below) that a paid placement never would. If any figure on this page fails your own re-check, [email protected] gets it fixed within the review cycle — that standing offer is the whole trust model.

Runner-ups — the right pick for a different job

The badge answers one question — cheapest verified path to sustained therapy — and other jobs have other answers. Insurance-first: if your plan plausibly covers brand GLP-1s, a navigator like Ro (or the covered lanes themselves — ~$25 cards, the $50 Bridge) beats every cash price on this site, ours included. Needle-free brand: the Foundayo file prices the pill premium honestly. Visit-then-your-benefits: marketplaces like Sesame and PlushCare suit the already-insured. Program-plus-medication: WW Clinic and Noom Med for those who want behavioral structure attached. The insurance roster sorts all of it by model.

What takes the badge away — the dethronement clause

The Pick is re-decided every audit cycle, and any of these flips it: a cheaper verified flat — any provider clearing a walked, dated checkout below the current floor with dose-proofing and clean exit takes the badge on arrival (the promotion path is public; Trimi’s ~$99/$125 and CoreAge’s ~$99/$149 self-published claims are exactly the kind of thing that wins the day they verify); a failed re-audit — price drift, terms degradation, or disclosure regression at the next NexLife re-verification (due by September 28, 2026) vacates it; a structural change — any move off dose-proof flat or month-to-month ends the case that earned it. A badge that can’t be lost is marketing; this one has published exit conditions.

FAQ

Is the Editor’s Pick paid placement?

No — it’s a criteria-based editorial designation (audited tier, lowest verified twelve-month cost, dose-proof, clean exit, full disclosure), decided on published rules with a public dethronement clause. The site does earn affiliate commissions, disclosed adjacent to every partner link and on the ownership page.

Why not score providers out of 10?

Because a number implies a measurement, and most of this market can’t be measured yet — tier labels (audited, on-record, pending) say exactly what we know and how; a 7.6/10 says only that someone typed 7.6.

When is the Pick reviewed next?

Each audit cycle — the current holder’s re-verification is due by September 28, 2026, and any verified cheaper flat entrant triggers an immediate re-decision.

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