Lttl costs
On this page
Customers
Lttl reviews, on video and in writing
What patients say
Lttl has no third-party review page yet: we recheck Trustpilot monthly and list scores the moment real ones exist. Until then its review factor counts as neutral, and the only rating here is our computed score, 7.7/10, never invented stars.
The short answer
Is Lttl worth it?
- Rank by price
- Off the board
- Our score
- 7.7/10
- Membership
- None
- States
- 50 of 50
In short
As of October 2026, Lttl costs $89 a month on a 12-month plan for compounded semaglutide, all in. Its published plans run from $89 to $149 a month, and every one is read off Lttl's own site.
Is Lttl legit? The short answer
Lttl is a real telehealth business, operated by The Commerce Group Holdings, LLC according to its own terms. Prescriptions are written by licensed prescribers it does not name and filled by one of 4 pharmacies it names (RedRock Compounding Pharmacy, Health Warehouse, Precision Compounding Pharmacy or Triad Rx). We found no FDA warning letter naming it in FDA's GLP-1 letters (checked Oct 14, 2026).
Key takeaways
- 1Compounded Semaglutide: $89 a month on a 12-month plan, $93 for 6 months, $96 for 3 months, $99 month to month
- 2Compounded Tirzepatide: $139 a month on a 12-month plan, $143 for 6 months, $146 for 3 months, $149 month to month
- 3The headline price needs 12 months paid up front: $1,068 on day one.
About Lttl
Lttl (lttl.com) is an online program run by The Commerce Group Holdings, LLC that sells compounded semaglutide and tirzepatide at one price at every dose, with longer supplies costing less a month. It also sells microdose GLP-1 plans and longevity products such as NAD+ and sermorelin. Its terms name four partner pharmacies and say it serves all 50 states plus DC.
Pros and cons
Why people pick it
- Semaglutide from $89/mo on a 12-month supply, $99 month to month
- One price at every dose, with no membership fee and free shipping
- Its terms name four partner pharmacies
Worth knowing
- The lowest rates need a 3-, 6- or 12-month supply
- Medication is not refundable once the pharmacy has processed the order
- Compounded medications are not FDA-approved
Lttl at a glance
Verdict: Best for cost-minded buyers who want compounded semaglutide or tirzepatide at one price at every dose. Not for you if you want to pay through insurance, or you want an FDA-approved brand drug.
- Price
- $89/mo all in
- Commitment
- 12-month plan$1,068 up front
- Fees
- No membershipconsultation: included
- Insurance
- Cash only
- Availability
- All 50 states
- Clinical oversight
- Independent U.S.-licensed clinicians and a care team by email and patient portal
- Reviews
- No Trustpilot profile
- Cancellation
- Cancel anytimeshipping included
- FDA record
- No warning letter in our register
Red flags and things to check
- The headline price needs a 12-month plan, $1,068 up front.
- No public Trustpilot profile we could find.
Every value is read from Lttl’s own site or its public Trustpilot page. How we verify
Price and plans
What Lttl costs, plan by plan
- From
- $89/mo
- Plans read
- 8
- Due on day one
- $1,068
The price
| Dose | |||
|---|---|---|---|
| Compounded Semaglutideinjection | n/a | monthly | $99/mo |
| Compounded Semaglutideinjection | n/a | 3-month | $96/mo |
| Compounded Semaglutideinjection | n/a | 6-month | $93/mo |
| Compounded Semaglutideinjection | n/a | 12-month | $89/mo |
| Compounded Tirzepatideinjection | n/a | monthly | $149/mo |
| Compounded Tirzepatideinjection | n/a | 3-month | $146/mo |
| Compounded Tirzepatideinjection | n/a | 6-month | $143/mo |
| Compounded Tirzepatideinjection | n/a | 12-month | $139/mo |
no separate membership fee
Price log
Price log
Every dated check of Lttl’s advertised entry price since we started tracking.
| Date | Entry price (USD/mo) | Observation |
|---|---|---|
| 2026-10-30 | $89 | verified check |
Where it sits in the market
Where it sits in the market
Cheaper than
80% of programs
Vs. board average
44% below ($158)
Advertised price
$89
Lttl by plan length
The lowest price Lttl publishes on each plan, all in per month, what you pay on day one, and what twelve months at that price come to.
| Plan | Lowest-priced medication | Per month | Due up front | 12 months |
|---|---|---|---|---|
| Month to month | Compounded Semaglutide | $99 | $99 | $1,188 |
| 3 months | Compounded Semaglutide | $96 | $288 | $1,152 |
| 6 months | Compounded Semaglutide | $93 | $558 | $1,116 |
| 12 months | Compounded Semaglutide | $89 | $1,068 | $1,068 |
First year, at the least: $1,068, on the 12-month plan for Compounded Semaglutide. That assumes the entry price every month; most programs charge more as the dose rises, so read it as a floor, not a quote.
Fine print we found
Fine print we found
What Lttl’s own pages say past the headline price, quoted as published, with where and when we read it.
The $89/mo headline needs a 12-month plan: $1,068 leaves your account on day one.
“Semaglutide Injectable ... 12 Month Supply 52-Week Supply $89/mo ... Billed as: $1,068 annually”
lttl.com · read 30 Oct 2026
Advertised offer: Up to $140 off the first month, applied automatically. Applies as the seller states it, usually to the first order only.
“Up to $140 off your first month · Code auto-applied”
lttl.com · read 30 Oct 2026
What they sell
Every product on Lttl’s menu, each verified on their site with the price we found.
InjectionCompounded SemaglutideSemaglutidefrom $89/mo4 plan lengths↓ $8 since February 2026
InjectionCompounded TirzepatideTirzepatidefrom $139/mo4 plan lengths↓ $12 since March 2026Who runs it
The company, the doctors and the pharmacy behind Lttl
- Quotes on file
- 19
- Pharmacy
- Named
- FDA letters
- None
- LegitScript
- Certified
Who runs Lttl
The company behind the site, the clinicians who prescribe, and the pharmacy that fills the order, each taken from Lttl’s own pages and quoted.
- OperatorOn their site
Lttl (lttl.com) is owned and run by The Commerce Group Holdings, LLC, according to its terms of service (effective May 12, 2026).
Their words: 1 quote
“The Commerce Group Holdings, LLC (“Lttl,” “we,” “our,” or “us”) owns and operates lttl.com (the “Site”).”
Terms of Service · lttl.com · read Oct 30, 2026 - PrescribersOn their site
Independent networks of U.S.-licensed clinicians review the assessment and decide whether to prescribe. The site does not name the medical group.
Their words: 1 quote
“Clinical services are provided by independent networks of U.S.-licensed clinicians and providers who determine eligibility for treatment based on medical history and assessment responses.”
Site footer · lttl.com · read Oct 30, 2026 - PharmacyOn their site
The terms name four partner pharmacies with addresses. They do not say which one fills a given order, and a prescription can move between them.
Named: RedRock Compounding Pharmacy (St. George, UT); Health Warehouse (Florence, KY); Precision Compounding Pharmacy (Bellmore, NY); Triad Rx (Daphne, AL).
Their words: 4 quotes
“Partner Pharmacies RedRock Compounding Pharmacy”
Terms of Service, section 11 · lttl.com · read Oct 30, 2026 “7107 Industrial Rd, Florence, KY 41042 · 800-748-7001”
Terms of Service, section 11 · lttl.com · read Oct 30, 2026 “2657 Merrick Road, Bellmore, NY 11710 · 516-833-6262”
Terms of Service, section 11 · lttl.com · read Oct 30, 2026 “26258 Pollard Road, Daphne, AL 36526 · 251-380-7630”
Terms of Service, section 11 · lttl.com · read Oct 30, 2026
The public record
The public record
- FDA warning letters
None found. We hold every FDA warning letter that names semaglutide, tirzepatide or a GLP-1 drug, and none is addressed to Lttl or The Commerce Group Holdings, LLC (checked Oct 14, 2026).
- LegitScript
Certified, confirmed from LegitScript's own seal or checker rather than the seller's say-so (checked 2026-10-30).
Also on the record
Also on the record, and what we could not find
Not published, or not found on Lttl’s pages
- Which of the four pharmacies fills a given order
- The name of the medical group whose clinicians prescribe
- The cancellation cutoff before each renewal, which it says is shown at checkout
Ask before you pay
- Check whether the plan you pick is billed monthly or prepaid for 3, 6 or 12 months before you pay.
- Ask for the cancellation cutoff before each renewal; it is shown at checkout, not on the public pages.
- Ask which of the four partner pharmacies will fill your order.
Terms and insurance
Cancelling, refunds, shipping and insurance
- Cancelling
- Published
- Refunds
- Published
- Insurance
- Cash only
- Plan details
- 1 to know
Cancelling, refunds and the contract
What Lttl’s own terms say, in their words, so you know the exit before you pay.
- CancellingOn their site
Cancel by emailing hello@lttl.com at any time; that stops future shipments and charges. An order the pharmacy has already processed cannot be cancelled.
Their words: 1 quote
“You may cancel your subscription at any time by contacting our care team at hello@lttl.com. Cancellation stops future shipments and charges. Orders that have already been processed by the pharmacy cannot be canceled or refunded.”
Returns & Refunds · lttl.com · read Oct 30, 2026 - RefundsOn their site
Shipped medication is not refundable, even unopened. A full refund applies if a provider finds you medically ineligible at the first consultation. The refunds page says consultation fees are generally kept once a provider has reviewed your information.
Their words: 3 quotes
“prescription medications ... cannot be returned, resold, or refunded once they have shipped from the pharmacy.”
Returns & Refunds · lttl.com · read Oct 30, 2026 “A full refund will be issued if a Lttl-affiliated provider determines during the initial consultation that a patient is not medically eligible for treatment.”
Terms of Service · lttl.com · read Oct 30, 2026 “These fees are generally non-refundable once a provider has reviewed your information, regardless of whether a prescription is issued.”
Returns & Refunds · lttl.com · read Oct 30, 2026 - Billing and contractOn their site
Subscriptions renew automatically until cancelled; the billing cadence and the cancellation cutoff are shown at checkout. Disputes go to individual JAMS arbitration.
Their words: 2 quotes
“Subscription terms, billing cadence, and cancellation deadlines will be disclosed at checkout or in your account. To avoid renewal charges, you must cancel before the disclosed cutoff time prior to the renewal date.”
Terms of Service · lttl.com · read Oct 30, 2026 “the dispute will be resolved through individual, non-representative, binding arbitration”
Terms of Service · lttl.com · read Oct 30, 2026
Plan details in the fine print
Lines in Lttl’s terms, FAQ or checkout that change what you pay or how long you are committed. None of them is hidden, and all of them are easy to miss.
The lowest monthly rates are prepaid supplies: the $89 semaglutide rate is billed as $1,068 for 52 weeks, and the $139 tirzepatide rate as $1,668. Month to month, each charge is a 4-week supply.
Their words: 2 quotes
“12 Month Supply 52-Week Supply $89/mo ... Billed as: $1,068 annually”
Plans page · lttl.com · read Oct 30, 2026 “Monthly Auto-Refill 4-Week Supply · Cancel anytime”
Plans page · lttl.com · read Oct 30, 2026
Shipping, what is included, insurance
- ShippingOn their site
Shipping is free. Most orders leave the pharmacy within 2 to 5 business days of the prescription and arrive 3 to 7 business days later.
Their words: 2 quotes
“No contracts · Free shipping · Cancel anytime”
Semaglutide page · lttl.com · read Oct 30, 2026 “Standard shipping typically arrives within 3–7 business days after the order leaves the pharmacy.”
Shipping & Delivery · lttl.com · read Oct 30, 2026 - Included in the priceOn their site
The price covers the clinician assessment, ongoing access to the care team, the medication and cold-chain shipping, at the same price at every dose.
Their words: 2 quotes
“An asynchronous medical assessment reviewed by a U.S.-licensed provider Ongoing access to your care team for clinical questions Medication dispensed and shipped by a partner U.S. pharmacy”
Insurance & Pricing · lttl.com · read Oct 30, 2026 “Prescription & telemed visits included. No insurance required. Same price, every dose.”
Tirzepatide page · lttl.com · read Oct 30, 2026 - Insurance and HSA/FSAOn their site
Lttl does not bill insurance. HSA or FSA funds may be usable, depending on the plan.
Their words: 1 quote
“Lttl does not bill insurance.”
FAQ · lttl.com · read Oct 30, 2026
The trust check
The trust check
Trustpilot
No reviews yet
young brand; we check monthly
Prescribing model
Licensed providers
Independent U.S.-licensed clinicians and a care team by email and patient portal
On our tracker
Checked weekly
price verified 30 Oct 2026 · score 7.7/10 (how we score: /methodology#score)
Compounded GLP-1s are prescription medications prepared by licensed pharmacies; they are not FDA-approved products. We track prices and public records; talk to a clinician about care.
Coverage and insurance
Coverage & insurance
States
50 of 50
Insurance
Cash-pay only
Consultation
Included
Cancel
Anytime
Cancellation
Lttl advertises cancel-anytime with no lock-in.
Care & shipping
Consultation: Included. Independent U.S.-licensed clinicians and a care team by email and patient portal. Shipping is free.
The three ways people pay
Cash · this program
$89/mo
No insurance involved, no prior authorization. The price we re-check every week.
Brand via your insurance
$25–200/mo
Compounded plans like this one are never covered, but brand GLP-1s at a pharmacy can be, when your plan includes the weight-loss benefit.
- Plan-dependent
- Aetna, Anthem, BCBS, Cigna, Florida Blue, Highmark, Kaiser Permanente, UHC, CVS Caremark, Express Scripts, Optum Rx, FEHB
- Generally no
- Humana
- Excluded now
- Medi-Cal, Ambetter, Molina Healthcare
Medicare
~$50/mo
Covered brand GLP-1s through Medicare drug plans since July 2026. Compounded programs stay cash-pay.
Questions
Lttl, answered
Lttl: common questions
How much does Lttl cost?
Lttl starts at $89 a month all in on a 12-month plan ($1,068 paid up front), read off its own site on October 2026. Across the 8 plans we verified, prices run from $89 to $149 a month all in depending on the medication and plan length.
Does Lttl charge a membership fee?
No. We checked Lttl's own pricing and found no separate membership fee: the monthly price is the whole cost of the program.
Does Lttl's price go up with the dose?
Lttl says it does not: the advertised price applies at every dose. We quote that from their own pages and recheck it weekly.
Does Lttl take insurance?
No. Lttl is cash-pay only, which is normal for compounded GLP-1 programs. Brand GLP-1s can be covered through a pharmacy when your plan includes weight loss.
Can you cancel Lttl anytime?
Lttl advertises cancel-anytime with no lock-in. Its lowest price needs a 12-month plan, though, so check what a prepaid plan refunds before you commit. Cancel by emailing hello@lttl.com at any time; that stops future shipments and charges. An order the pharmacy has already processed cannot be cancelled.
What do reviews say about Lttl?
Lttl has no third-party review profile we could verify yet. We recheck Trustpilot monthly and will show real ratings once they exist, rather than inventing stars.
Is Lttl legit?
Lttl shows a LegitScript certification we could verify. Our full legitimacy check, from the prescribing model to the FDA record, is on the "Is Lttl legit?" page.
Who owns Lttl, and which pharmacy fills it?
Lttl (lttl.com) is owned and run by The Commerce Group Holdings, LLC, according to its terms of service (effective May 12, 2026). Independent networks of U.S.-licensed clinicians review the assessment and decide whether to prescribe. The site does not name the medical group. The terms name four partner pharmacies with addresses. They do not say which one fills a given order, and a prescription can move between them.
Has Lttl had an FDA warning letter?
Not that we found. We searched FDA's warning letters for every letter naming semaglutide, tirzepatide or GLP-1 drugs and none names Lttl or The Commerce Group Holdings, LLC (checked Oct 14, 2026).
Lttl vs Embody: which is cheaper?
Embody, today. It starts at $49 a month all in against $89 for Lttl, both read off their own sites (checked October 2026). Embody is the cheapest comparable program we track.
Alternatives
If Lttl is not the one
- Cheaper programs
- 5
Our pick, and who is cheaper than Lttl
Three programs to consider next
The three cheapest partner programs other than Lttl, in price order, all in per month.
If not Lttl
The cheapest todayEmbodyTrustpilot3.8 (9.1k reviews)from $49/moFull breakdown →
Best reviewedSkinnyRxTrustpilot4.8 (5.3k reviews)from $199/moFull breakdown →
Also tracked, no sign-up through us
Not a partner right now: AgelessRx, Breeze Meds, Care Bare Rx, Elevate Health, Fella Health, Fridays, He & She MD, Hers, Hims, Hone Health, Ivim Health, JRNYS, Maximus, Pallas Health, PeterMD, Remedy Meds, Ro, Telos Rx, Trimi, Yucca Health
How we know
Every check and every source behind this page
Why trust this page
- PricesRead from each seller’s own page and dated, weekly. 1 recorded checks of its prices since October 2026. How we verify
- OrderPrice only, all in. We earn a commission from some programs and it never moves a row. How we make money
- Written byJulian Caraulani, Founder, PriceTracker GLP-1.
References
- Lttl's own pricing page (Compounded Semaglutide, Compounded Tirzepatide), read October 2026