HSA Trackr

Best HSA-Eligible GLP-1 Telehealth Programs (2026)

GLP-1 medications (semaglutide, tirzepatide) treat clinical obesity and Type 2 diabetes. Telehealth programs prescribe them - either branded (Wegovy, Zepbound, $1,300+/mo) or compounded (typically $199-$349/mo). Both are HSA-eligible under IRS Pub 502 when prescribed for a diagnosed condition (typically BMI 30+, or 27+ with comorbidity). This guide compares 13 programs side-by-side on price, medication type, and HSA-eligibility framing.

Hims

Compounded GLP-1 weight loss with bundled clinical visits.

HSA-eligible

Best for: a recognized telehealth brand with one-platform coverage (GLP-1 plus ED, mental health, hair). Compounded semaglutide and tirzepatide.

$199-$349/mo compounded plans

Visit HimsDetailed comparison

Ro

Concierge-style GLP-1 telehealth across branded and compounded.

HSA-eligible

Best for: people who want branded Wegovy or Zepbound via insurance, with concierge support. Higher cost but more clinical coordination.

Consult $15-$99. GLP-1 $499-$1,349/mo branded.

Visit RoDetailed comparison

Strut Health

Compounded GLP-1 plus broader compounded Rx platform.

HSA-eligible

Best for: low-cost compounded GLP-1 alongside multiple compounded Rx categories on one platform. Lower-priced than most peers.

Compounded semaglutide $80+/mo, tirzepatide $140+/mo

Visit Strut HealthDetailed comparison

Gala Health

Telehealth weight-loss with compounded GLP-1 prescribing.

HSA-eligible

Best for: streamlined intake plus shipped compounded GLP-1. Provider-issued prescription bundled with the consult.

Compounded GLP-1 plans, varies by dose

Visit Gala Health

MEDVi

Personalized health Rx including weight-loss programs.

HSA-eligible

Best for: personalized telehealth with broader Rx coverage beyond GLP-1.

Varies by program tier

Visit MEDVi

Fridays Health

Subscription GLP-1 telehealth.

HSA-eligible

Best for: subscription-style GLP-1 access with telehealth visits bundled.

Subscription plans, varies

Visit Fridays Health

Sprout Health

Telehealth weight-loss program.

HSA-eligible

Best for: alternative compounded GLP-1 provider.

Varies

Visit Sprout Health

IVY RX

Weight loss plus longevity telehealth.

HSA-eligible

Best for: combined GLP-1 plus longevity-protocol approach (some longevity items may need LMN).

Combined weight-loss plus longevity plans

Visit IVY RX

TMates GLP1

Prescription weight-loss focused on GLP-1.

HSA-eligible

Best for: dedicated GLP-1 telehealth without broader Rx category overlap.

Compounded GLP-1 plans

Visit TMates GLP1

Trim Rx

Compounded GLP-1 weight-loss telehealth.

HSA-eligible

Best for: streamlined GLP-1 access with compounded options.

Varies by medication and dose

Visit Trim Rx

Embody GLP1

Telehealth GLP-1 program.

HSA-eligible

Best for: alternative compounded GLP-1 telehealth option.

Plans vary

Visit Embody GLP1

Ivim Health

Weight management plus longevity telehealth.

HSA-eligible

Best for: weight loss combined with broader metabolic health protocols. Check eligibility per individual Rx.

Combined weight-management programs

Visit Ivim Health

Care Bare Rx GLP1

Compounded GLP-1 prescription telehealth.

HSA-eligible

Best for: alternative compounded GLP-1 provider.

Compounded GLP-1 plans

Visit Care Bare Rx GLP1

Common Questions

Are GLP-1 medications HSA-eligible?▼
Yes when prescribed for a diagnosed condition like obesity (BMI 30+, or 27+ with comorbidity), Type 2 diabetes, or related diagnosis. Both the medication and the clinical visit fee qualify under IRS Pub 502 prescription-medicines and weight-loss-as-disease rules.
Compounded vs branded GLP-1: does HSA eligibility differ?▼
No. The IRS prescription-medicines rule does not distinguish between branded (Wegovy, Zepbound) and compounded (semaglutide, tirzepatide). Both qualify when legally dispensed under a valid prescription. The difference is cost (compounded $200-$350/mo vs branded $1,300-$1,500/mo without insurance) and regulatory status (compounding legality shifts when the FDA updates the drug shortage list).
What does the FDA shortage list mean for compounded GLP-1 HSA eligibility?▼
The shortage list affects whether compounding is LEGAL, not whether the resulting prescription is HSA-eligible. While compounded GLP-1s are legally dispensed under valid prescriptions, they remain HSA-eligible. If compounding becomes restricted, providers transition patients to branded versions, which stay HSA-eligible too.
Do I need a Letter of Medical Necessity for GLP-1?▼
Usually no. The IRS recognizes obesity as a disease (per Pub 502 weight-loss-as-disease example) and prescription medications for obesity qualify under the prescription-medicines rule. The clinician's prescription and chart note documenting the obesity diagnosis are the documents you keep. An LMN is overkill for standard GLP-1 use.
Are non-Rx weight-loss products HSA-eligible?▼
No. Food, meal-replacement shakes, supplements, and general-wellness products are never HSA-eligible, even when bundled with a prescription program. IRS Pub 502 explicitly excludes food. Only the prescription medication and clinical visit fees qualify.
How do I track GLP-1 charges in my HSA records?▼
Keep three documents for each fill: the prescription record (clinician-issued), the pharmacy receipt (itemized line for the medication), and a copy of the chart note documenting your diagnosis. HSA Trackr can store all three together so the audit trail stays clean.
What if my employer-sponsored insurance doesn't cover GLP-1?▼
HSA eligibility is independent of insurance coverage. If you pay out-of-pocket through a compounded telehealth program, the cost is still HSA-eligible under IRS rules. Many people use the HSA tax shield specifically to make compounded GLP-1 affordable when their insurance excludes weight-loss medications.

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