Providers
Lavender Sky Health Pricing
Lavender Sky Health cost, from its own price pages read October 16, 2026: $65 and $40 consults, compounded tirzepatide orders from $195 to $725 by pharmacy, price per milligram, Zepbound and Wegovy routes, and worked first-year totals.
Published October 24, 2026 · 6 min read
Key takeaways
- Lavender Sky Health charges $65 for a first consult and $40 for each follow-up, required every six months; there is no membership. Refills between follow-ups cost only the medication.
- Compounded tirzepatide orders cost $195 to $725 on October 16, 2026, with medication, supplies and shipping included. Each order is paid up front and usually lasts 8 to 10 weeks; the price per milligram ran from about $2.20 to $6, depending on the pharmacy.
- In our worked example, a first year of compounded tirzepatide climbing to 10 mg a week came to about $2,150 at ReviveRx and $3,800 at Alchemist. The same year on Zepbound through Lavender Sky's $25 brand plan came to about $6,100.
- Orders are final once sent to the pharmacy, and refunds keep a 5% card fee.
Lavender Sky Health costs $65 for the first consult, $40 for each six-monthly follow-up, and then whatever you order: compounded tirzepatide plans ran from $195 to $725 per order on October 16, 2026, and brand plans cost $25 a month plus the manufacturer's price. Our Lavender Sky Health review covers the practice, its pharmacies and its record; our Lavender Sky alternatives guide compares other services on the same terms. This page does the arithmetic.
Disclosure. The Peptide Doctrine is an independent editorial project. It currently has no sponsor and runs no advertising: we accept no payment for reviews, rankings or placements, we run no affiliate links, and we do not sell or link to "research-use" peptide vendors. Content is educational and is not medical advice.
What you pay for
| Charge | Price | When |
|---|---|---|
| New-patient consult | $65 | Once, by e-consult, phone or video |
| Follow-up consult | $40 | Every 6 months on active treatment, every 12 on maintenance, and before the first refill if you are new to GLP-1s |
| Refill request | $0 | Between follow-ups, when the refill rules are met |
| Compounded plan | $139 to $725 per order | Includes medication, supplies and shipping |
| Brand plan | $25 a month ($75 for a three-month maintenance prescription) | Medication bought separately |
| Optional labs | $175 or $250 | At-home finger-stick kit |
Sources: consults (Lavender Sky services pricing); refill rules and brand fees (Lavender Sky refill and brand guides); plans (Lavender Sky pricing).
Refills follow minimum gaps after the last paid order: 10 days on monthly plans, 21 on tier plans and 42 on extended plans. Each refill can go up by one dose level at most (Lavender Sky refill and brand guides).
Compounded tirzepatide, pharmacy by pharmacy
Lavender Sky sells each pharmacy's tirzepatide in tiers sized by weekly dose. You pay once, and the order lasts about 8 to 10 weeks. The 'per month' figures on its page are comparisons, not a payment schedule (Lavender Sky pricing). The table shows the largest regular tier for each pharmacy and what a milligram costs in it, which is the fairest way to compare formulas of different sizes.
| Pharmacy (added ingredient) | Starting plan | Largest tier | Cost per mg in largest tier |
|---|---|---|---|
| Nova via AbsoluteRx (B12) | $199, 34 mg | $335, 136 mg ($449 for 204 mg extended) | $2.46 ($2.20 extended) |
| Southend (B6) | $195, 18 mg | $349, 132 mg | $2.64 |
| ReviveRx (B6) | $205, 20 mg | $325, 120 mg | $2.71 |
| Hallandale (none) | $219, 20 mg | $349, 120 mg | $2.91 |
| Vios (L-carnitine) | $235, 20 mg | $395, 120 mg | $3.29 |
| Red Rock (B12 or glycine) | $279, 17 mg | $519, 136 mg | $3.82 |
| OptioRx (niacinamide) | $249, 25 mg | $599, 141 mg | $4.25 |
| Empower (niacinamide) | $300, 40 mg | $595, 136 mg | $4.38 |
| Strive (glycine and B12) | $279, 20 mg | $579, 120 mg | $4.83 |
| Alchemist or South Lake (L-carnitine or B12) | $370, 40 mg | $725, 120 mg | $6.04 |
Prices read October 16, 2026; cost per mg is our arithmetic. For comparison, Zepbound at 10 mg costs about $11.20 per mg at Lilly's $449 self-pay price.
Three cautions. Most of these formulas add a vitamin or amino acid, and in September 2026 FDA told Empower that its tirzepatide-niacinamide products were essentially copies of the approved drug (FDA Empower letter); an add-in does not create a legal basis for a compounded GLP-1, as our legal explainer explains. Lavender Sky describes Nova as a 503B outsourcing facility, a source our review explains FDA has challenged for tirzepatide. And only some pharmacies ship to each state: California residents had three for GLP-1s.
Monthly vials. If you would rather not prepay two months, single vials meant to last up to five weeks cost $139 to $209 at Nova, $149 to $199 at ReviveRx, $155 to $209 at Hallandale and $189 to $335 at Empower, priced by dose (Lavender Sky pricing).
Semaglutide and the oral forms
Compounded semaglutide tiers start at $195 (ReviveRx, 5 mg) and reach $465 (Hallandale, 45 mg, for high doses a provider has approved). Per milligram, the larger plans at Southend and Hallandale cost about $10, against about $36 for Wegovy at 2.4 mg a week at $349 a month.
Sublingual and dissolving forms cost more, because they are taken daily at much higher doses: sublingual tirzepatide at $475 to $625 for 60 days, tirzepatide dissolving tablets at $295 to $395 for 60 days, and sublingual semaglutide at $295 to $595 for 60 days (Lavender Sky pricing). No published human trial has tested these forms.
Brand GLP-1s through Lavender Sky
The brand plan is $25 a month for the prescription and support; you buy the drug yourself.
| Drug | Medication price Lavender Sky lists | Your monthly total with the plan fee |
|---|---|---|
| Zepbound vials | $299 (2.5 mg), $399 (5 mg), $449 (7.5 to 15 mg) | $324 to $474 |
| Zepbound KwikPen | Same with refills within 45 days; $499 at 7.5 mg and $699 at 10 to 15 mg if late | $324 to $724 |
| Wegovy pens | $349 on its brand guide; $499 on its pricing page | $374 |
| Wegovy pills | $149 to $299 by dose | $174 to $324 |
| Foundayo pills | $299 to $699 by dose | $324 to $724 |
Zepbound prices match Lilly's self-pay terms (LillyDirect terms), and $349 is Novo Nordisk's cash price for Wegovy since November 2025 (Managed Healthcare Executive 2025). We did not confirm the Foundayo range. If you have commercial insurance that might cover a brand drug, note that Lavender Sky does not submit prior authorizations.
A first year, worked out
Assumptions: a new patient follows label-style steps of 2.5, 5 and 7.5 mg for four weeks each, then stays on 10 mg a week; one $65 consult and two $40 follow-ups; prices as of October 16, 2026. Your dose, pharmacy and timing will differ, so use the peptide calculator with your own numbers.
| Route | Medication | Lavender Sky fees | First-year total | Per 4 weeks |
|---|---|---|---|---|
| Compounded, ReviveRx (Tier 1, Tier 2, then five Tier 3 orders) | $2,010 | $145 | About $2,155 | About $166 |
| Compounded, Alchemist (same pattern) | $3,690 | $145 | About $3,835 | About $295 |
| Zepbound vials via the $25 brand plan (13 fills) | $5,637 | $470 | About $6,107 | About $470 |
| Zepbound vials prescribed by your own clinician | $5,637 | None | $5,637 plus your clinician's fees | About $434 plus fees |
The compounded rows are cheaper only if a compounded drug is lawful for you, which since the shortages ended requires a documented clinical reason the approved drug cannot meet. Our tirzepatide cost guide covers insurance, Medicare and the manufacturer programs, and our peptide therapy cost guide covers the wider market.
Money rules to know before you pay
- Medication orders are final once the pharmacy has them, and the pharmacy can change prices; later price changes are not refunded (Lavender Sky terms).
- Refunds that are approved, including for a consult cancelled in advance, keep back a 5% card processing fee.
- Report damage, missing items or warm packages within 24 hours of delivery, or Lavender Sky says it cannot help.
- $100 prepayments can be refunded within 180 days until applied to an invoice.
- Disputing a disclosed charge with your card issuer can send the balance to collections and end your service.
Bottom line
Lavender Sky is cheap to start ($65) and charges nothing between follow-ups except the medication, but the medication price varies almost threefold per milligram by pharmacy. Compare the price per milligram at the dose you expect to reach, check which pharmacies ship to your state, ask what is in the vial besides tirzepatide, and remember that every order is final.
Frequently asked questions
+How much is Lavender Sky Health a month?
There is no monthly fee. You pay $65 for a first consult, $40 for each follow-up every six months, and the price of each medication order. Compounded tirzepatide orders cost $195 to $725 and usually last 8 to 10 weeks, which Lavender Sky presents as about $77 to $363 a month. Brand plans are $25 a month plus the drug.
+What is the cheapest tirzepatide at Lavender Sky Health?
On October 16, 2026 the lowest order price was $195 for 18 mg from Southend, a low-dose plan, and the lowest monthly vial $139 from Nova via AbsoluteRx. Per milligram, the largest plans at Nova, Southend and ReviveRx cost about $2.20 to $2.70. Which pharmacies you can use depends on your state.
+Does the Lavender Sky price include the medication?
For compounded plans, yes: the plan price includes the medication, supplies and shipping. For brand-name plans, no: the $25 monthly fee covers the prescription and support, and you buy Zepbound, Wegovy or Foundayo separately from the manufacturer's program or a pharmacy.
+How much is Zepbound through Lavender Sky Health?
The $25 monthly plan fee plus Lilly's self-pay price, which Lavender Sky lists as $299 for 2.5 mg, $399 for 5 mg and $449 for 7.5 to 15 mg a month for vials, and the same for KwikPens refilled within 45 days. A first year at a 10 mg maintenance dose came to about $6,100 in our worked example.
+Can I use HSA or FSA at Lavender Sky Health?
Yes. Lavender Sky accepts HSA and FSA cards and will write a letter of medical necessity if your administrator asks for one; whether the plan pays is the administrator's decision.
+Can I get a refund from Lavender Sky Health?
Medication orders are final once sent to the pharmacy, delivered consults are not refunded, and any approved refund keeps a 5% card processing fee. Problems with a delivery must be reported within 24 hours.
Sources
- SourceLavender Sky Health. Treatment Plan Pricing (compounded tier, extended and monthly plans by pharmacy; brand-name plans). Page updated October 13, 2026; read October 16, 2026. (2026)
- SourceLavender Sky Health. Services Pricing ($65 new-patient and $40 follow-up consults; follow-up interval; HSA and FSA). Read October 16, 2026. (2026)
- SourceLavender Sky Health. Refill and follow-up guide and brand-name medication guide (refill intervals, dose-step rule, $25 brand plan fee, Zepbound, Wegovy and Foundayo prices). Read October 16, 2026. (2026)
- SourceLavender Sky Health, LLC. Terms and Policies: billing, refund and payment policies and shipping policy (effective August 12, 2024). Read October 16, 2026. (2026)
- SourcePrescriberPoint. LillyDirect Zepbound self-pay terms: $299 (2.5 mg), $399 (5 mg), $449 (7.5 to 15 mg) with refills within 45 days; vials and KwikPens, as of February 2026. (2026)
- NewsManaged Healthcare Executive. Novo Nordisk lowers Wegovy price for cash-paying patients (to $349 per month). November 2025. (2025)
- RegulatoryFDA. Warning letter to Empower Clinic Services, LLC dba Empower Pharmacy: tirzepatide-niacinamide and semaglutide-cyanocobalamin products found to be essentially copies. MARCS-CMS 738238, September 18, 2026. (2026)
Written by
The Peptide Doctrine Editorial Team
Our editors write from primary sources — peer-reviewed studies, FDA documents and pharmacy records — and grade every claim by the strength of its evidence. See our editorial policy for how articles are researched, reviewed and updated.
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