All rankings on SemaglutideReview.com are based solely on independent editorial assessment.

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No paid placements or sponsored content.

| readers today —
Dr. Parmis
Medically Reviewed & Contributed By
Dr. Parmis
Medical Researcher  ·  Western University of Health and Sciences
Clinically Verified

Why We Published This

Most comparison sites in the healthcare and telehealth space do not publish their ranking methodology. This creates an obvious problem: readers cannot distinguish between genuinely independent editorial judgment and paid placement disguised as editorial content.

We believe the only way to credibly claim editorial independence is to publish the exact formula we use — weights, criteria, scoring rubrics, and the process by which scores change. If our formula is visible, readers, competitors, and providers can all verify whether our rankings are consistent with it.

This page is that complete record. It is updated every time the methodology changes, with a full version history at the bottom.

Core principle: Our editorial team scores providers using a fixed algorithm. Editors cannot see which providers participate in our referral network. No score can be changed without a documented, evidence-based reason logged in our internal audit trail.

How the 100-Point Score is Calculated

Every provider receives a score from 0–100 using the following weighted formula. Each component is scored on a 0–100 sub-scale, then multiplied by its weight. No curve, no override, no exceptions.

Final Score Formula — v4.2
Score = (Price × 0.25) + (Protocol × 0.25)
      + (Access × 0.20) + (Outcomes × 0.20)
      + (OpsTrans × 0.10)
All component scores range 0–100. Weights sum to 1.0. Formula applied identically to all providers.
Criterion Weight What We Measure Data Sources
Price Transparency 25% Is the full all-in monthly cost published before sign-up? Are dose escalation costs disclosed? Are cancellation fee structures clear? Provider website audit, mystery shopper sign-up flows, price change tracking
Clinical Protocols 25% Prescriber licensure and specialty, safety screening depth (contraindication checks, drug interactions), FDA-aligned dosing protocols, patient monitoring requirements Provider intake form review, prescriber credential verification, clinical protocol documentation requests
Prescriber Access 20% Time to first consultation, escalation pathway availability, synchronous vs. asynchronous options, response time to patient questions Secret shopper testing, verified patient reviews, timed consultation requests
Patient Outcomes 20% Published outcome data, 3rd-party review scores (weighted by recency), program retention rates, discontinuation support quality Provider-published data, Trustpilot/Google verified reviews, patient survey data
Operational Transparency 10% Cancellation policy clarity, refund availability, data privacy practices, complaint resolution, pharmacy accreditation disclosure Terms of service review, privacy policy analysis, BBB and state AG complaint records

What the Scores Mean

85–100
Top Tier
Exceptional clinical standards, fully transparent pricing, and strong patient outcome data. These providers set the standard for telehealth GLP-1 care.
65–84
Strong Performers
Solid clinical protocols with meaningful trade-offs. May excel in one area (e.g. price) while being weaker in another (e.g. labs or coaching).
0–64
Caution Advised
Meaningful gaps in clinical protocol, pricing transparency, or patient outcome data. We still list these providers for completeness, with clear warnings.

How We Gather Information

Mystery Shopper Audits

Our editorial team creates anonymous patient accounts on each provider platform at least once per quarter. We test the full intake flow — from initial screening questions through consultation request, pricing disclosure, and first medication shipment. This allows us to verify what providers claim on their marketing pages versus what the actual patient experience is.

Prescriber Verification

We verify prescriber license types through state medical board databases for the top 10 ranked providers. For providers claiming "MD prescribers," we sample prescriber names from platform profiles and check them against state licensure records. Any provider that cannot verify its prescriber claims on request receives an automatic 20-point deduction from its Clinical Protocols score.

Pharmacy Sourcing Verification

For providers offering compounded semaglutide, we require disclosed pharmacy names and verify them against the FDA's 503B outsourcing facility registry and/or PCAB accreditation records. Providers that refuse to name their compounding partner receive an automatic deduction in the Operational Transparency score.

Patient Review Integration

We pull verified patient reviews from Trustpilot, Google Business, and the BBB on a monthly basis. Reviews are weighted by recency (reviews in the past 12 months carry 3x more weight than older reviews). We cross-reference complaint patterns against our clinical protocol findings to identify systemic issues.

Our scoring is updated monthly. If a provider makes a significant policy change — raises prices without disclosure, changes prescriber protocols, or receives a meaningful increase in verified patient complaints — their score is re-evaluated within 30 days. All score changes are logged in the changelog below.

How We Prevent Bias

Editorial independence is not just a phrase we put in a header. The following structural policies are in place to prevent our monetization model from influencing our rankings:

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Blind Scoring Policy

Editors score providers without access to our referral partner list. The list of which providers pay us referral fees is maintained separately by our business team and is not visible to scoring editors.

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Evidence Log Requirement

Any change to a provider's score requires a documented evidence entry — a URL, screenshot, mystery shopper report, or verified data source. No score can be changed by editorial opinion alone.

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Flat Fee Model

We earn the same flat referral fee regardless of which provider a patient chooses. This eliminates the incentive to favor higher-revenue providers common in commission-based models.

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No Score-for-Pay

Providers cannot pay to improve their scores, have negative information removed, or be included in any "sponsored" placement. We do not accept payment from providers for any editorial content.

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Disclosure on Every Page

Our referral relationship is disclosed on every page of the site — not hidden in a footer note. Patients deserve to know how we generate revenue before relying on our rankings.

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Monthly Review Cycle

Every provider is re-evaluated monthly. Rankings are not set-and-forget. A provider that was #1 last month can fall if their pricing, protocols, or patient outcomes change.

How We Make Money

We believe the clearest sign of editorial integrity is transparency about revenue. Here is an explicit accounting of how SemaglutideReview.com generates income:

Our Referral Model — Full Disclosure

  • We earn a flat referral fee from some providers when a patient clicks through to their site and submits an inquiry.
  • This fee is the same for all participating providers — we do not earn more for sending patients to a higher-priced program.
  • Not all providers on this site are referral partners. We rank all 24 providers regardless of whether we earn from them.
  • Editors who write and score provider content cannot see which providers are referral partners.
  • We have never accepted payment to improve a score, remove negative information, or include a "sponsored" ranking.
  • We do not accept advertising, banner ads, sponsored content, or paid provider profiles of any kind.
Important: SemaglutideReview.com is not a medical provider and does not give medical advice. Our rankings are informational guides to help patients research their options, not prescriptions for which program to choose. Always consult a licensed healthcare provider before starting any GLP-1 medication.

What's Changing in the Semaglutide Market in 2026

Our methodology is not static — it adapts to reflect changes in the regulatory environment and market. Here are the key developments we're actively monitoring and incorporating into our scores:

Compounding Shortage Status

The FDA's semaglutide shortage designation has been contested by Novo Nordisk and is subject to ongoing administrative review. Our compounded semaglutide rankings are updated immediately if the shortage designation changes, as this directly affects the legal status of compounding programs. Providers offering compounded semaglutide outside of valid shortage authorization will be flagged with a warning in their profiles.

Medicare GLP-1 Bridge Legislation

Proposed legislation (the "Medicare Obesity Bridge Act") would cover GLP-1 medications for obesity under Part D. If passed, this would significantly impact pricing scores for providers with Medicare patient populations. We are tracking this bill and will update relevant provider profiles if it advances.

Oral Semaglutide (25mg) FDA Review

The FDA accepted a New Drug Application for oral semaglutide 25mg in 2025. If approved, this would be the first oral GLP-1 treatment for obesity. We will add oral semaglutide programs to our rankings within 90 days of FDA approval.

Orforglipron Approval Monitoring

Orforglipron (an oral GLP-1 from Eli Lilly) has its PDUFA date in April 2026. If approved, we will begin reviewing orforglipron providers under a new category while keeping this site focused on semaglutide-specific programs.

Methodology Changelog

Every change to our methodology or provider scores is recorded here with a date, description, and the evidence that justified the change.

Methodology & Score Changes — Most Recent First
Apr 14, 2026
Score update Hims/Hers score adjusted from 85 → 83 following confirmed exit from compounded semaglutide in some states. Price transparency sub-score reduced; Operational Transparency score reduced pending clarity on transition timeline for existing patients.
Apr 1, 2026
Policy Added Pharmacy Sourcing Verification requirement — providers must disclose compounding partner names or receive automatic deduction. Affects 7 mid-tier providers.
Mar 14, 2026
Score update Calibrate Clinical Protocol score increased from 22 → 24/25 following verification of expanded endocrinology prescriber network and new HbA1c monitoring requirement at 90-day mark.
Feb 28, 2026
Methodology Formula updated to v4.2 — Patient Outcomes sub-score weighting adjusted to give greater weight to recency of verified reviews (12-month window increased to 18-month window for established providers).
Feb 1, 2026
Score update Eden (Henry) score reduced from 72 → 63 following mystery shopper audit revealing inconsistent dosing information between intake questionnaire and consultation follow-up. Pending re-audit in 60 days.
Jan 15, 2026
Methodology Added compounding pharmacy accreditation (503B/PCAB) as a required data point for all compounded semaglutide providers. Three providers could not provide documentation and received maximum 15-point Operational Transparency deduction.

Corrections & Provider Updates

If you are a provider with evidence that your score is inaccurate, or a patient with a documented experience that contradicts our findings, we want to hear from you. All correction requests are reviewed by our editorial team within 14 business days.

To submit a correction, email editorial@semaglutidereveiw.com with:

1. The provider name and specific score component you believe is inaccurate
2. The evidence supporting your claim (links, screenshots, documents)
3. Your relationship to the provider (patient, employee, owner, or none)

We will investigate and either update the score with a logged reason, or reply with our reasoning for maintaining the current score. We publish all substantive correction outcomes in the changelog above.