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Telehealth Graded

Balanced Hormone Health review

Balanced Hormone Health advertises semaglutide at $85 a month, then says in its own asterisk that it does not sell by the duration of time. It sells vials, from $215.

Pricing grade
CCaveat
Price comparison
Not established
FDA warning letter
None found

Pricing transparency · How we grade · How we verify prices

  • Coverage not verified

The verdict

A per-month headline on a product the seller says is not sold by the month. The vial tables underneath it are unusually complete.

Quick facts

Key facts

Advertised semaglutide
$85 a month, asterisked twice
Cheapest semaglutide vial
$215 for 5 mg with B12
Cheapest tirzepatide vial
$575 for 60 mg
Testosterone therapy
$124 a month, two-month package only
Sold by
Total mg per vial, not by month, per the seller
States served
Not published on any page we read

Pros and cons

What we like

  • The pharmacy packages are published in full, priced both per milligram and as a total, so the vial cost is checkable before signing up.
  • The seller states plainly that it does not sell by duration, which is an honest description of how a compounded vial actually works.
  • The testosterone page names its two-month package requirement in the same sentence as the price.
  • The legal entity and a street address are published in the site footer.

What could be better

  • Both GLP-1 pages headline a per-month figure for a product the same page says is not sold by the month.
  • The advertised $85 does not correspond to any vial price on the page beneath it.
  • The packages are numbered rather than named, so the compounding pharmacy behind each is not identifiable.
  • No state coverage list appears anywhere.

What it is

An Iowa telehealth and hormone practice selling compounded semaglutide and tirzepatide by the vial, alongside bioidentical hormone therapy for women, testosterone for men, and a couple of lipotropic products. Compounded is not the branded drug, and the pharmacy packages here differ by what the drug is compounded with — sterile water, B12, B6, B3 or glycine.

Every price we found at Balanced Hormone Health

PlanAdvertisedPublished price
Compounded semaglutide, 5 mg vial with B12Pharmacy package #1, priced at $43 per mg. Supply length depends on the prescribed dose.not published$215 per 5 mg vial
Compounded semaglutide, advertised headlinePrinted as a per-month rate with an asterisk stating the seller does not sell by duration.$85not published
Compounded tirzepatide, 60 mg vialPharmacy package #1, priced at $9.58 per mg.not published$575 per 60 mg vial
Testosterone replacement therapyTwo-month supply required; $248 for two months, per the page.not published$124

What it actually costs at Balanced Hormone Health

The semaglutide page reads "Starting at $85/month*" and the asterisk under it says two things: priced per total mg per vial, and "BHH does not sell by the duration of time." The tirzepatide page does the same at $144.

What is actually for sale is vials. Five pharmacy packages per drug, each priced per milligram and as a total: semaglutide from $215 for a 5 mg vial with B12 up to $570 for 20 mg, and tirzepatide from $575 for 60 mg. How long a vial lasts depends on the dose a provider prescribes, which is exactly why the seller says it does not sell by time — and exactly why a per-month headline on top of that is hard to check. A price ladder that moves with the dose is a different shape of question from a plan length.

The hormone side is clearer than the GLP-1 side. Testosterone replacement is $124 a month and the page says outright that it is only available as a two-month package, which is the kind of qualifier most sellers leave out.

Who it's wrong for

Anyone who wants to know what a month costs before they start. The honest answer here is that the seller cannot tell you until a dose is set, and it says so — but not before the headline has already told you $85. KERNX publishes a price for every weekly dose instead if you want the dose question answered in advance.

  • Wanting a state list: no coverage list appears on the seven pages or the seven legal pages we read.
  • Wanting a named compounding pharmacy: the packages are numbered rather than named.

Medications available

  • Compounded semaglutideCompounded
    From $215 a vial
  • Compounded tirzepatideCompounded
    From $575 a vial
  • Testosterone replacement therapyCompounded
    $248 per required two-month purchase

    Advertised as $124 per month equivalent; two months must be purchased together.

Is Balanced Hormone Health legit?

Balanced Hormone Health is operated by Balanced Hormone Health and Wellness, LLC, 1902 Oak St., P.O. Box 592, Granger, IA 50109, according to its site footer.

No FDA warning letters found

Pharmacy, prescribers and safety checks

  • Drug formCompounded, sold by total milligrams per vial
  • Pharmacy namedNo. Packages are numbered rather than named.
  • How it is soldBy the vial. The seller states it does not sell by duration of time.
  • States servedNot published
  • FDA warning letterNone found (checked October 2026)

Common questions

How much does Balanced Hormone Health charge for semaglutide?

By the vial rather than by the month. The cheapest package is $215 for a 5 mg vial with B12, rising to $570 for 20 mg. The $85 figure in the headline is a per-month estimate the same page says is priced per total mg per vial.

Why does the price say per month if it is sold by the vial?

The page does not explain that. Its own asterisk states the price is per total mg per vial and that the company does not sell by the duration of time, which makes the per-month headline an estimate rather than a charge.

What does tirzepatide cost here?

The cheapest published vial is $575 for 60 mg with sterile water, at $9.58 per milligram. Five packages are listed, differing by what the drug is compounded with, and each shows both the per-milligram and the total price.

Which states does Balanced Hormone Health serve?

It does not publish a list. We read seven pages plus seven legal and support pages, and found no coverage list, so eligibility is confirmed during the consultation.

Why we gave Balanced Hormone Health a C

Read the full grading rationale

The semaglutide page advertises "Starting at $85/month*" while its own asterisk says the company does not sell by the month. What it actually sells is vials, priced in full — from $215 for a 5 mg semaglutide vial and from $575 for 60 mg of tirzepatide — and how long a vial lasts depends on your prescribed dose. The monthly headline and vial invoice use different units; this is not evidence of a recurring price increase. The unclear relationship between them limits cost transparency. The company publishes an Iowa street address; no state coverage list is published.

Read the evidence

How we reviewed Balanced Hormone Health

Every price here was read from the seller's own drug and hormone pages and quoted word for word.

We show the advertised per-month figure beside the vial prices, because the seller's own asterisk says they are not the same kind of number.

Where each price comes from
  • Glp 1 plus page
    orms Help Center Check Hormone Levels Refills Semaglutide Customized Compounded Medical Weight Loss In Stock GLP-1 Starting at $85/month* *priced per total mg per vial *BHH does not sell by the duration of time Prescription GLP-1 Plus Personalized Plans Online medical support All-inclusive package – you pay for the treatment, we cover the rest.
  • Glp 1 gip page
    orms Help Center Check Hormone Levels Refills Tirzepatide Customized Compounded Medical Weight Loss In Stock GLP-1+GIP Starting at $144/month* *priced per total mg per vial *BHH does not sell by the duration of time Prescription GLP-1+GIP Personalized Plans Online medical support All-inclusive package – you pay for the treatment, we cover the rest.
  • Trt page
    a personalized TRT plan designed just for you. Schedule A Free Consult Pricing Medication & Dosage Frequency & Supply Cost Notes/Indication TRT + natural testosterone booster - (Vial of testosterone cypionate + 16 capsules of natural testosterone booster) 2-month supply required $124/month ($248 for 2 months) Must purchase 2 months at a time Pricing Common Benefits Included with your purchase Everything is included in the price! *BHH sells by the vial/capsule not the durat

Alternatives to Balanced Hormone Health

ProviderGradePublished price context
10rxBMinor gapMonthly medication total not confirmed — publishes $299 for semaglutide, quarterly plan
ActinBMinor gapFrom $169/mo for semaglutide
AgelessRxCCaveatFrom $159/mo for tirzepatide
AHBARxBMinor gapFrom $249/mo for semaglutide
Alan MedsBMinor gapFrom $315/mo for semaglutide