How we grade
Five outcomes — A, B, C, F, or a dash. No half-letters, no decimals, and no score hiding underneath the letter. What a grade measures is the company: what it publishes, what it holds back, and what it actually charges you month to month.
Current as of October 2026, the date of the most recent price check on this site.The scale
| Grade | Companies carrying it |
|---|---|
| AVerified | 17 |
| BMinor gap | 91 |
| CCaveat | 151 |
| FPrice unclear | 23 |
| —Not disclosed | 2 |
That count reflects the reviews across the 284 companies published here, not a target we are working toward. It changes when reviews or prices are updated.
A dash is not a soft C. It means a company withheld something we needed to judge it, and we are not rounding that up to make a page look tidier. A company can climb out of a dash the day it publishes the thing it was holding back.
An F means you can’t tell from the company’s own pages which price you’ll pay: every figure is a floor, or the figures disagree and none is labeled as yours. It is not a judgment of the care or the medicine.
What the letter is actually measuring
Not the drug. Semaglutide is semaglutide whoever ships it, and we are not qualified to tell you otherwise. What varies between these companies is everything around the molecule, and that is what a grade is about:
- Whether the advertised price is the price. The headline number in this market is usually a prepaid annual rate divided by twelve. We grade against what you pay if you cancel after a month.
- How far in the real number is buried. A company that publishes its price on a pricing page is telling you something different from one that makes you finish an intake to find out.
- What it says about the parts that matter. Which pharmacy compounds it, who prescribes, which states it is licensed in, what happens to your money if you stop.
- What it does when you want to leave. Cancellation terms, refunds, and whether either is findable before you pay.
A high grade means a company was clear about its price and its terms on the day we read them. It is not a certification, not an endorsement, and not a statement that a medication is right for you. Our editorial policy lists the four things that will move a letter and the things that never will.
Color never carries a grade by itself
Every grade renders as the letter, the word, and a shape together, on purpose. We tested the palette as a set: under some forms of color blindness the amber we use for a caveat and the green we use for a pass sit too close to separate by hue, and red against amber is marginal even with full color vision. So the letter and the word carry the meaning, and the color only backs them up. If you cannot see it at all you lose nothing — more on that in our accessibility statement.
Who writes it
J. Merrick, pricing desk, writes every grade on this site along with the plain-English reason for it. One person, one standard, applied the same way to every company — which is the only way a grade means anything when you compare two reviews.
Nobody here holds a medical license, and we are not going to dress a pricing desk up as a clinic. What we do is read the pricing page and finish the signup ourselves, which is a real skill and not a medical credential. Whether a treatment suits you is a question for a clinician who knows your history, and it has nothing to do with what it costs.
For the other half of the method — where a number comes from and how it gets dated — see how we verify prices. If you think we graded a company wrong, tell us; we would rather fix it than defend it. Who we are is on about us, and how the site is funded is on the disclosure page.