How Much Does Semaglutide Cost in San Antonio?

Brand-name semaglutide (Wegovy, Ozempic) and tirzepatide (Zepbound, Mounjaro) are manufactured by the original pharmaceutical companies. Without insurance coverage, list pricing in Texas commonly lands between $900 and $1,400 per month. With commercial insurance coverage and a documented indication, patient cost can drop dramatically — sometimes to a copay under $100.

Compounded semaglutide is prepared by a licensed compounding pharmacy for an individual patient. It typically costs $250 to $600 per month depending on dose and the clinic's program structure. Because dosing and supervision requirements are identical, the difference in your monthly total mostly reflects the medication source, not the level of care.

A monthly GLP-1 program price is only comparable if you know what it covers. At minimum it should include the medication itself, the physician visit and good-faith examination, the titration schedule, all follow-up visits during the month, and direct access for side-effect management between visits.

Programs quoting a very low headline price often exclude the initial consultation, charge separately for every follow-up, or lock you into a long prepaid contract. Ask for the twelve-month total, not the introductory month.

Across San Antonio, a physician-supervised compounded semaglutide program generally runs $300 to $600 per month all-inclusive. Tirzepatide programs sit higher, commonly $450 to $800 per month, because the medication cost is higher at equivalent dosing stages.

Baseline labs, when clinically indicated, add $75 to $200 once at the start. Many patients also budget for a body-composition baseline, which is optional but useful for tracking whether the weight lost is fat rather than lean mass.

GLP-1 therapy fails for two common reasons: dose escalation that is too aggressive, causing patients to abandon treatment during the nausea phase, and no plan for protecting lean muscle mass, causing weight to return quickly after discontinuation. Both are supervision problems, not medication problems.

A program that prescribes without labs, without a real medical intake, and without scheduled follow-up will look cheap for two months and then cost you the entire investment when you stop. Prescribing a GLP-1 in Texas requires a physician-patient relationship and a good-faith examination — that is a legal requirement, not a premium feature.

Who prescribes and who monitors — a physician, or a delegated staff member? Which pharmacy compounds the medication, and is it a licensed 503A or 503B facility? What is the titration schedule, and what happens if I do not tolerate an increase? What is the plan for maintenance once I reach my goal weight?

At THEIA, our medical weight loss program in Stone Oak is physician-supervised from intake through maintenance, with pricing quoted as a single monthly figure that includes visits, monitoring and medication.