Aquivia Health review
Aquivia Health’s public pricing page lists compounded semaglutide at $249 and tirzepatide at $339 every four weeks. Its homepage announces an expansion into manufacturing with Commonwealth Sterile Solutions; the consumer pricing page remains live.
- Pricing grade
- BMinor gap
- Pricing
- See every price ↓
- Price comparison
- $249
- per four-week shipment of semaglutide, with no annual prepayment
- FDA warning letter
- None found
Pricing transparency · How we grade · How we verify prices
The default view is the year-up-front tier. Buying four weeks at a time is seventy dollars more per shipment, and the 52-week option is one payment of $2,327.
- Coverage not verified
The verdict
A real pricing page with the amount billed printed on it, and published cash prices for the brand drugs. Read the unit carefully: prices are per four-week shipment. A full year contains thirteen shipments; longer plans are paid up front.
Quick facts
Key facts
- Compounded semaglutide, every four weeks
- $249
- Compounded semaglutide, 52 weeks
- $179 a shipment, one payment of $2,327
- Compounded tirzepatide, every four weeks
- $339
- Compounded tirzepatide, 52 weeks
- $269 a shipment, one payment of $3,497
- Ozempic
- $1,299 per four-week fill
- Zepbound
- $1,399 per four-week fill
- Billing unit
- Every four weeks — thirteen shipments a year
- Legal entity
- Aquivia Health, LLC, Chester, Virginia
- States served
- Not disclosed
Pros and cons
What we like
- Publishes prices and public plan selectors for its compounded products.
- Prints the one-time payment beside the per-shipment rate on the long plans.
- Publishes cash prices for brand Ozempic and Zepbound, which most sellers will not.
- States what the price includes — provider visit, titration, supplies, labs, coaching and shipping.
- Names the legal entity and a postal address in its privacy policy.
What could be better
- Prices are per four-week shipment: thirteen shipments a year, with longer plans paid up front.
- The standard compounded injection cards default to the 52-week tier, requiring the largest upfront payment.
- Public prices do not confirm eligibility or enrollment availability; we did not enter the form or checkout.
- No state list, count or exclusion list appears anywhere.
- No individual compounding pharmacy is named, only the 503A category.
What it is
Aquivia Health’s official homepage says that on October 1, 2026, it announced an expansion from clinician-led telehealth into sterile compounding and pharmaceutical manufacturing with Commonwealth Sterile Solutions. Its consumer pricing page remains live, with public plan selectors and a Commonwealth Sterile Solutions footer. This announcement does not establish that consumer services have closed.
The public four-week controls showed semaglutide at $249 billed every four weeks and tirzepatide at $339 billed every four weeks. We did not enter an eligibility form, intake, checkout or payment flow, so publication of these prices does not verify enrollment availability or individual eligibility. The summer promotion still displayed on the page expired on August 31, 2026; it is not treated as a current discount.
Aquivia Health’s consumer pricing page lists compounded semaglutide and tirzepatide, standard and microdosed, with brand Ozempic and Zepbound alongside. The privacy policy we reviewed named Aquivia Health, LLC at an address in Chester, Virginia. The site describes medication as shipping from licensed 503A compounding pharmacies; that description is not independent license verification.
Its pricing page displays six product cards, with public plan selectors on the compounded products and stated inclusions such as the provider visit, dose titration, supplies and labs, care coaching and shipping.
Every price we found at Aquivia Health
| Plan | Advertised | Published price |
|---|---|---|
| Compounded tirzepatide, billed every four weeksPublic 4 Weeks option. Billed every four weeks, not per calendar month; enrollment was not tested. | not published | $339 |
| Compounded semaglutide, billed every four weeksThe shortest term. Ships every four weeks, so thirteen of these fall in a year. | not published | $249 |
| Compounded semaglutide, 52 weeks$179 a shipment requires one payment of $2,327 for thirteen shipments; $249 is the four-week rate. | $179 | $249 |
| Compounded tirzepatide, 52 weeksOne payment of $3,497 covering thirteen shipments. | not published | $269 |
| Ozempic, brandPer four-week fill, branded, through the company's pharmacy network. | not published | $1,299 |
| Zepbound, brandPer four-week fill, branded. | not published | $1,399 |
What it actually costs at Aquivia Health
Every figure here is per shipment, and shipments come every four weeks. A year contains thirteen shipments, not twelve. Four-week plans bill each shipment; prepaid plans collect the stated total up front.
The shortest term for compounded semaglutide is $249, written as “billed every 4 weeks”. The public four-week tirzepatide option shows $339 billed every four weeks. The standard compounded injection cards open on the 52-week option instead, at $179 a shipment, and print what that actually is: a one-time payment of $2,327 covering thirteen shipments. Tirzepatide's 52-week option is $269 a shipment, or $3,497 once. The microdose products are $169 a shipment on the twelve-week plan, a one-time $507.
The brand prices are the unusual part. Ozempic is listed at $1,299 a four-week fill and Zepbound at $1,399, plainly, on the same page as everything else. Most sellers we review will not put a number on a brand GLP-1 at all, and a reader comparing cash prices against a pharmacy counter now has something to compare — which is the whole point of setting a brand price against a compounded one.
The standard compounded injection cards default to a year paid up front. Their lower per-shipment figures require the full annual payment.
Who it's wrong for
- Anyone budgeting in calendar months. Thirteen four-week shipments a year is not twelve monthly payments.
- Anyone comparing headline figures across sellers. The standard compounded injection cards default to the 52-week tier.
- Anyone who needs confirmation of enrollment availability before budgeting. We verified public prices, not eligibility or acceptance into care.
- Anyone who needs to know their state. No list, count or exclusion appears anywhere on the site.
Medications available
- Compounded semaglutideCompounded$249 every four weeks
$179 a shipment on a 52-week plan paid once.
- Compounded tirzepatideCompounded$269 a shipment on a 52-week plan
The public four-week option shows $339 billed every four weeks.
- OzempicBrand$1,299 per four-week fill
- ZepboundBrand$1,399 per four-week fill
Is Aquivia Health legit?
Aquivia Health is operated by Aquivia Health, LLC, 12750 Jefferson Davis Highway #322, Chester, VA 23831, according to its privacy policy.
No FDA warning letters found
Pharmacy, prescribers and safety checks
- Legal entityAquivia Health, LLC
- Postal addressChester, Virginia, in the privacy policy
- Pharmacy namedNot disclosed — described only as licensed 503A compounding pharmacies
- Drug formCompounded, with brand Ozempic and Zepbound offered separately
- States servedNot disclosed
Common questions
How much does Aquivia Health cost a month?
The shortest compounded semaglutide term is $249 billed every four weeks. That is not a calendar month: shipments arrive every four weeks, which is thirteen charges across a year.
What does the cheapest Aquivia plan actually cost up front?
The 52-week semaglutide plan works out at $179 a shipment and the card states the one-time payment behind it, $2,327. The equivalent tirzepatide plan is $269 a shipment and $3,497 once.
Does Aquivia Health publish brand-name prices?
Yes. Its pricing page lists Ozempic at $1,299 and Zepbound at $1,399 per four-week fill, which is unusual — most compounded sellers decline to put a figure on the brand drugs at all.
Which states does Aquivia Health serve?
It does not publish a list, a count or an exclusion list on any page we read. Its eligibility check asks for a state of residence, but a form field is not a statement of where the company is licensed.
Why we gave Aquivia Health a B
Read the full grading rationale
Aquivia Health prints the one-time payment beside the per-shipment rate ($2,327 for thirteen semaglutide shipments, $3,497 for tirzepatide) and publishes cash prices for brand drugs, $1,299 a fill for Ozempic and $1,399 for Zepbound. The shortest compounded semaglutide term is $249 "billed every 4 weeks". What keeps it from an A: a year contains thirteen four-week shipments, and the standard compounded injection cards default to the 52-week prepaid tier. Longer plans collect their stated total up front. No state list is published.
Read the evidence
How we reviewed Aquivia Health
We read Aquivia Health's pricing page, homepage, FAQ, about page, terms and conditions and privacy policy in full.
The standard compounded injection cards open on the 52-week plan; selecting four weeks shows the four-week price.
Where each price comes from
- Pricing page
SEMAGLUTIDE Compounded GLP-1 4 Weeks 12 Weeks 24 Weeks 52 Weeks $249 billed every 4 weeks Injection • Ships every 4 weeks $249 billed every 4 weeks Licensed provider visit & dose titration. Supplies and labs included Ships every 4 weeks Free Care Coaching Free Shipping No hidden fees Get Started
- Pricing page
$339 billed every 4 weeks
Alternatives to Aquivia Health
| Provider | Grade | Published price context |
|---|---|---|
| Enhance MD | BMinor gap | Monthly medication total not confirmed — publishes $189 for compounded tirzepatide microdose, three-month plan |
| 10rx | BMinor gap | Monthly medication total not confirmed — publishes $299 for semaglutide, quarterly plan |
| Actin | BMinor gap | From $169/mo for semaglutide |
| AgelessRx | CCaveat | From $159/mo for tirzepatide |
| AHBARx | BMinor gap | From $249/mo for semaglutide |