# Compare the First 90 Days of GLP-1 Program Costs

A worksheet for totaling what any GLP-1 program actually charges in its first 90 days, worked through with Ēlovi's monthly plans and the exact dates each payment is due.

Canonical HTML: [Compare the First 90 Days of GLP-1 Program Costs](https://joinelovi.com/blog/compare-the-first-90-days-of-glp-1-program-costs)

Prepared by [Ēlovi Editorial](https://joinelovi.com/blog/authors/elovi-editorial).
Published: 2026-09-23T14:49:00.000Z. Updated: 2026-09-23T17:00:00.000Z.
Prepared by Ēlovi Editorial with AI assistance. Sources checked: 2026-09-23. Reviewed by the Ēlovi editorial team, which includes licensed clinicians.
[Editorial process](https://joinelovi.com/blog/editorial-policy).

## The short answer

To compare the first 90 days, add every payment due during that exact window, plus any one-time fees. Ēlovi’s September 23, 2026 prices are $199 per calendar month for compounded semaglutide and $249 for compounded tirzepatide. Three monthly payments total $597 or $747. Depending on the start date and whether day 90 is included, a fourth payment may fall in that window. There is no three-month prepaid plan or separate membership fee. If treatment is not approved, the initial payment is refunded and future renewals are canceled.

## How much will your first 90 days actually cost?

Add up every charge that lands between the day you sign up and day 90 — not the advertised monthly price multiplied by three. Three things change that total: a one-time fee that only appears on your first bill, how many times the billing cycle charges you before day 90, and what you get back if a clinician does not prescribe.

As of September 23, 2026, Ēlovi's [published plans](https://joinelovi.com/#pricing) make this simple to work through: there is no separate first-visit or enrollment charge, because the medical review is already inside the plan price. [1](https://joinelovi.com/#pricing) That is not true of every program, which is why a first-90-day total is worth calculating yourself rather than trusting an advertised price. Our [full GLP-1 cost guide](https://joinelovi.com/blog/glp-1-cost) has a broader worksheet if you are comparing more than price; this one stays on the first-90-day number.

## What one-time charges can hide inside a first quote?

A program's steady-state monthly rate and its actual first bill are not always the same number. Before you compare any two offers, find out whether either one adds a charge that will not repeat:

- **A separate enrollment or intake fee**, billed once alongside — or instead of — your first medication charge.
- **A membership fee that differs in month one**, such as a discounted or waived first month that reverts to a higher price afterward.
- **A required lab or testing charge** billed outside the plan price.

None of these change what you pay in month four, but they change what you owe by day 90 — and a page that only advertises the recurring number will not show them to you.

## A worksheet for your own first-90-day total

Fill in these rows for any program you are considering, using its own current terms rather than a number carried over from somewhere else:

| What to add up | What to check | Why it matters over 90 days |
|---|---|---|
| One-time enrollment or first-visit fee | Is there a charge just to start, beyond the first medication payment? | It lands once, inflating day one without changing your ongoing rate. |
| Medication charge per billing cycle | What does each cycle cost, and what supply does it buy? | A 28-day fill and a calendar month are not the same number of cycles in 90 days. |
| Care or membership fee per cycle | Is clinician care billed separately from medication, or bundled into one price? | Two similar-looking prices are not comparable if only one includes the visit. |
| Number of charges due by day 90 | Under this billing cadence, how many separate charges land before day 90? | Calendar-month billing can produce three or four charges in an inclusive 90-day window. Count the dates. |
| Refund if not prescribed | What comes back if a clinician does not approve treatment? | This sets your real floor if the assessment does not lead to a prescription. |
| **Total cash due through day 90** | Add every line above that actually lands in the first 90 days. | This is the number to compare across programs — not the advertised monthly price. |

## Worked example: Ēlovi's own plans over 90 days

Ēlovi offers monthly billing only. These prices were updated on September 23, 2026. [1](https://joinelovi.com/#pricing)

| Plan | Each calendar-month payment | Three payments | Four payments, if a fourth falls in your window |
|---|---|---|---|
| Compounded semaglutide | $199 | $597 | $796 |
| Compounded tirzepatide | $249 | $747 | $996 |

Count the actual billing dates before choosing which total applies. For example, if the first payment is February 1, 2026, renewals on March 1, April 1, and May 1 can put four payments within an inclusive day-1-through-day-90 window. Three calendar months and 90 days are not always the same period.

Each plan includes medicine, medical review, injection supplies, and delivery, with no separate membership fee. The same price applies after the first month and if your dose changes within the same medicine plan. There are no quarterly discounts. Outside lab tests and care from other providers are not included. [1](https://joinelovi.com/#pricing) Our [tirzepatide cost article](https://joinelovi.com/blog/how-much-does-tirzepatide-cost) compares a bundled plan with brand-name medicine prices.

A program that charges a separate first-visit or membership fee will not follow this pattern — its own first-90-day total could land above or below its advertised monthly number depending on how that fee is structured. Work through the worksheet above with that program's current terms before assuming either direction.

## What happens to your total if a clinician does not prescribe?

This is the line most quotes leave out, and it can matter more than the price itself. Ēlovi’s terms say the initial payment is refunded in full and future renewals are canceled if treatment is not approved. [1](https://joinelovi.com/#pricing) That means your real first-90-day floor, if an assessment does not lead to a prescription, is $0 rather than whatever you paid at sign-up.

Ask this question of any program before you pay: does the fee for the medical review itself get refunded if the answer is no, or only the cost of medication you never received? Those are different promises, and a website that advertises a price rarely volunteers the difference.

## How does billing cadence change what you owe on day one?

Ēlovi’s amount due at checkout is $199 for semaglutide or $249 for tirzepatide. Plans then renew each calendar month at the same price until canceled. There is no prepaid three-month option. [1](https://joinelovi.com/#pricing)

Other programs may charge several months upfront. Compare the amount due today, the next payment date, and the total over your chosen period. A larger first payment does not prove that a plan saves money.

## What a promotional rate does to this math

If a program advertises an introductory price for month one, do not carry that number into months two and three of your worksheet. An introductory rate is not the ongoing price, and a first-90-day total built on it will understate what you actually owe by day 90. Confirm the regular, ongoing price directly on the program's current pricing page, and use that figure for every cycle after the first. Our [subscription-billing article](https://joinelovi.com/blog/glp-1-subscriptions-vs-pay-as-you-go-care) walks through how renewal terms like this work in more detail.

Whatever the price, a compounded GLP-1 medication — including Ēlovi's — is not FDA-approved, and the agency does not review compounded drugs for safety, effectiveness, or quality before they reach the market. [2](https://www.fda.gov/drugs/drug-alerts-and-statements/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss) A lower first-90-day total is a budgeting answer, not a reason to skip that distinction when you are deciding what to take.

## Common questions

### Does a lower advertised monthly price always mean a lower first-90-day total?

Not by itself. Add any one-time fee, count how many times the billing cycle actually charges you before day 90, and check whether the visit is included, before comparing one program's monthly number to another's.

### Is quarterly billing always the cheaper option?

Not automatically. It is cheaper only if the program prices that option below the total of three monthly payments. Ēlovi currently offers monthly billing only. [1](https://joinelovi.com/#pricing) A quarterly price that simply equals three monthly payments saves nothing — check the program's own numbers rather than assuming a discount exists.

### What should I do if a program's page does not list a one-time fee at all?

Ask directly before you pay, and get the answer in writing if you can. A worksheet only works with real numbers — write "not confirmed" rather than assuming zero, and treat an unanswered question as a reason to ask again, not a reason to sign up.

## References

1. [Ēlovi pricing and plans](https://joinelovi.com/#pricing) — Ēlovi
2. [FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight Loss](https://www.fda.gov/drugs/drug-alerts-and-statements/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss) — U.S. Food and Drug Administration

For general education; this does not replace medical advice or an individual evaluation. Talk to your clinician before starting, changing, or stopping treatment. Compounded medications are not FDA-approved.