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Complete a short health questionnaire, get matched with a US-licensed provider who reviews your information and (where clinically appropriate) writes a prescription, and receive medication shipped directly to your door. The entire process is online — no office visits required.

One price with provider care included, and nothing is charged until a clinician prescribes. Compounded semaglutide is $139 for your first month, then $199 every 4 weeks, or $139/mo average forever on the annual plan; compounded tirzepatide is $179 for your first month, then $299 every 4 weeks, or $239/mo average forever on the annual plan. FDA-approved brand-name pens are $499 for your first month, then from $599 every 4 weeks, cash-pay.

No. Your compounded plan costs the same at every dose, from your starting dose to maintenance — semaglutide is $139 for your first month, then $199 every 4 weeks on any dose, or $139/mo average forever on the annual plan. The brand-name plans also cost the same at every dose.

No. Pallas is cash-pay and not billed to insurance, so there's nothing to verify or pre-authorize. Compounded plans are one price with provider care included, FDA-approved brand-name GLP-1s are available cash-pay when clinically appropriate, and pay-over-time options are available at checkout.

All 50 states plus Washington, D.C. Care is 100% online — in 45 of 50 states your visit is fully asynchronous (no video call needed); 5 states (Arkansas, Louisiana, Mississippi, Rhode Island, and West Virginia) require one quick video visit.

After submitting an intake, a provider typically reviews it within 1 business day and, if appropriate, writes a prescription — the pharmacy usually ships within 2–3 business days, so most members receive their first shipment within a week. If you're in one of the 5 states (plus Washington, D.C.) that require a live video visit, you'll book that visit with your clinician right after checkout — the scheduler appears on your confirmation page — and medication typically arrives within 3–5 business days after they approve your request. Everything is tracked in the Pallas app and your patient portal.

Yes. You can cancel or pause your subscription at any time through your account portal or by emailing us — canceling is free, and you keep access through the end of your paid period. You’re charged only once a clinician prescribes your plan; that charge is final once your prescription is issued (your medication is prepared for you). Canceling stops future charges. This applies to purchases made on or after July 14, 2026; earlier purchases are refunded under the policy in effect when you bought. See our Terms of Service for details.