Provider review
Citizen Meds review
Prices by the milligram, sells each month outright, and never makes you subscribe.
The entry rung is the cheapest thing on the site and you can buy it again and again without moving up. Avoid the discounted subscription — it bills every 23 days, so it costs more over a year than paying the full rate twelve times.
Reviewed by Lena OrtizMetabolic Health Editor
Price updated August 2026
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Price as published
Citizen Meds
$125 one-time at 0.25 mg semaglutide
- Vs median
- Not comparable — no per-month rate is published — the verified string carries no monthly figure
- Market
- $59–$1300/mo across 242 of 373
- Structure
- Quotes off the lowest dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
In one paragraph
The verdict
Take a low dose here and you pay a low price for it. Citizen Meds prints a price against every milligram rung of both molecules, in public, on the cheapest product's own page — so the entry dose, the maintenance dose and every step between are costed before you buy anything. Better still, each month is a standalone purchase with no subscription required, which means someone intending to hold at a quarter dose can rebuy that rung indefinitely and never climb. That is close to the ideal shape for this reader. Two things will cost you. The plan it sells as a discount bills every 23 days rather than monthly — closer to sixteen charges a year than twelve, so over a year the "discount" costs more than paying the full rate every month. And the strike-through beside the entry price is decorative: the store's own regular price for that item is the price you are already being shown.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
Who it suits, and who it does not
A good fit if
- You intend to hold at the starting dose and want to buy that dose over and over without a subscription
- You want the whole ladder costed before you buy the first month
- You want to see exactly what titrating up will cost you, rung by rung
- You want to know how many injections a month actually contains
Look elsewhere if
- You take the discounted subscription at face value — it bills every 23 days, nearly sixteen charges a year, and costs more annually than the full rate paid monthly
- You want to start above the entry rung. Every patient is required to begin at the month-1 dose
- Your BMI is below 27 — the product page requires 27 or greater to order
- You want the dispensing pharmacy named, or a published list of states served
What it actually costs
Price as published
Compounded semaglutide sold one month at a time: $125 at 0.25 mg, $245 at 0.5 mg, $295 at 1.0 mg, $345 at 1.7 mg, $395 at the 2.4 mg maintenance rung · compounded tirzepatide $145 at 2.5 mg, $295 at 5 mg, $345 at 7.5 mg, $395 at 10 mg, $445 at 12.5 mg, $545 at 15 mg · each kit is "one-time purchase — one-month supply — no subscription necessary", four injections per kit · month-1 tirzepatide at $145 is sold against a store regular price of $399 · a site-wide banner offers "NEW PATIENT DISCOUNT! Use code NEWPATIENT10 to get 10% OFF today!" · the optional subscription bills $100 every 23 days — 15.87 charges a year, about $1,587, against $1,500 for twelve full-price months · the homepage strikes through "$299" beside the $125 semaglutide price, but the store's own regular price for that item is $125
- Vs median
- Not comparable — no per-month rate is published — the verified string carries no monthly figure
- Market
- $59–$1300/mo is the full published spread in our ranking
- Structure
- Quotes off the lowest dose
States plainly that its advertised figures are based on the lowest dosage and that higher doses may cost more. On a general ranking that is a warning; for someone staying small it is the one model that bills accordingly.
36 of the 373 programs we track price a small dose this way. Every milligram rung of both molecules carries its own published price and each month is a standalone purchase with no subscription, so someone holding at the entry dose buys the entry rung over and over at the entry price. The one trap is the optional subscription, whose interval is shorter than a month.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
What is included
- Consult
- Included in the price
- Dietitian
- Not included
- Labs
- Not required
- Pricing
- Varies by dose, plan or tier
- Price last updated
- August 2026
What it does well
- Prints a price against every milligram rung of both molecules, in public, before anything is bought
- Sells each month outright with no subscription required, so a patient holding at 0.25 mg can rebuy that rung indefinitely and never climb the ladder
- The entire ladder appears on the cheapest product's own page, so the cost of titrating up is known on day one
- Publishes what a kit contains — four injections, a one-month supply — rather than leaving "month" undefined
- Carries 1,191 ratings on the month-1 semaglutide product alone, several of which describe microdosing
- States its BMI requirement and its titration rule on the product page rather than at checkout
Pharmacy, labs and oversight
Citizen Meds does not publicly identify the pharmacy that fills its prescriptions. No bloodwork is required before you start. A clinician review is included in the price.
Transparency check
2 of 4 published openly
What Citizen Meds publishes about itself, read from its own pages when we verified them — not estimated, and not a score.
- Pharmacy named and regulatedNo pharmacy is identified anywhere we could find on its own pages.
- Not published
- A price you can read before intakeA monthly rate is published on its own pages — the figure in the price row above, read there and verified against it.
- Published
- What a higher dose costsPriced by dose, plan or tier, and the higher rungs are not published — the advertised figure does not tell you what a larger dose costs.
- Not published
- No FDA warning letter on fileChecked against the FDA's own warning-letter database; nothing on file for this company.
- None on file
How the program works
Citizen Meds sells compounded semaglutide and compounded tirzepatide as one-month kits of four weekly injections, bought outright rather than subscribed to — "one-time purchase — one-month supply — no subscription necessary". Each dose band is its own product with its own price, and the full ladder is printed on the cheapest product's own page, so the cost of every step is visible from the entry rung. Its semaglutide is compounded with B12: "Our Semaglutide is combined with B12 for energy, sleep cycle regulation and a better patient experience." Every patient must start at the month-1 dose, and a BMI of 27 or greater is required to order.
The honest cons
The "discounted" subscription costs more per year than paying full price twelve times: $100 every 23 days is 15.87 charges, about $1,587 a year, against $125 × 12 = $1,500
- The homepage strikes through "$299" beside the $125 semaglutide price, but the store's own regular price for that item is $125 — the markdown is decorative, not a real reduction
- The maintenance product is titled "Semaglutide (Maintenance) 2.4mg" while the same $395 rung's ingredient list reads "Semaglutide 2.5mg X (4 Injections)" — the two disagree about what is in the kit
- "THIS PRODUCT FOLLOWS A TITRATION SCHEDULE. ALL PATIENTS MUST START WITH 'MONTH 1' DOSE" — you cannot buy a higher rung first
- "A MINIMUM BMI OF 27 OR GREATER IS REQUIRED TO ORDER THIS PRODUCT"
- No compounding pharmacy is named
- No list of states served is published anywhere
- Compounded GLP-1s are not FDA-approved, and intentional microdosing is off-label and unproven
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
How it compares
Citizen Meds is one of 373 low-dose GLP-1 programs we track, and 242 of them publish a monthly rate you can read before signing up. The ranking lists every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to.
Where this sits
#133 of 373
Ordered with the companies that pay us first, and Citizen Meds is not one of them. A disclosed partition, not a score.
Compare all 373 providers →Read this before you buy
Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.
- What the evidence actually shows
- What microdosing GLP-1 costs
- Low dose vs full dose
- What a flat price costs at a low dose
- The true annual cost of a plan
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
The closest alternative
Elara MD
$249/mo at 0.2 mg/wk semaglutide
- Vs median
- $80/mo above the $169 median
- Market
- $59–$1300/mo across 242 of 373
- Structure
- Quotes off the lowest dose
- Dispensed
- Compounded, 503A pharmacy
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
Read the Elara MD review →Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.