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Telehealth Graded

Lttl review

BMinor gap

Graded on whether a price is published, checkable, and still true at month two — how we grade · how we verify prices

Read on the provider's own published pages.

Lttl's product page says compounded semaglutide starts at $89. Its plans page says that is the twelve-month rate and a cancellable month is $99 — and prints the annual bill too.

What they advertise, what you pay
$89
the figure the semaglutide product page headlines
$99
the cancellable four-week auto-refill, which is what a month actually costs
+$10 a month

The headline is the twelve-month rate. The difference is only ten dollars a month, which is a smaller penalty for flexibility than almost anyone else on this roster charges.

  • Advertised $89, actually $99
  • Month-to-month price published
  • States not published
  • FDA warning letters: 0 of 0 matched
  • Prices read September 2026
Pages we read1

Read first-hand, not from a feed.

Priced plans checked4

Distinct plans priced.

Advertised-vs-actual gap+$10/mo

Added by the time you're billed.

See current pricing at Lttl

This link pays us nothing. It's here because the price is checkable.

The verdict

BMinor gap

The most complete price disclosure in this batch sits on one page, and the rest of the site quotes the cheapest rung off it without the term. The spread is small, which is itself unusual: committing to a year saves ten dollars a month, not eighty.

See Lttl's plans

This link pays us nothing. It's here because the price is checkable.

Quick facts

Key facts

Compounded semaglutide, monthly auto-refill
$99, cancel anytime
Compounded semaglutide, twelve months
$89 a month
Compounded tirzepatide, monthly auto-refill
$149, cancel anytime
Compounded tirzepatide, twelve months
$139 a month
Billed amount shown
Yes — the plan card states the annual charge
Legal entity
The Commerce Group Holdings, LLC
Governing law
Delaware, with JAMS arbitration
States served
Claims all 50 plus D.C., then qualifies it; names none
Verified How we grade

Pros and cons

What we like

  • Publishes four supply lengths per drug with the per-month rate on each.
  • Prints the amount actually billed, not only the per-month working.
  • Labels the shortest plan “Cancel anytime” on the card itself.
  • Charges only ten dollars a month more for the cancellable plan than the twelve-month one.
  • Names the operating company and the governing law in its terms.

What could be better

  • Product pages headline the twelve-month rate as a starting price with no term named.
  • A sitewide banner advertises a first-month discount on top, with no stated relationship to the plan rates.
  • The company publishes no address of its own; the addresses in its terms are pharmacies.
  • The state claim is a count, and its own next sentence says some services may not be available in all of them.

What it is

Lttl sells compounded semaglutide and tirzepatide, a microdosing track, and a longevity line running to sermorelin, NAD+ in three formats, glutathione, L-carnitine and methylene blue. The operating company, named in its terms, is The Commerce Group Holdings, LLC, under Delaware law with JAMS arbitration.

Its plans page is built as a two-step chooser: pick the treatment, then pick the supply length. That is a control a reader has to operate, but it is the company's own control and what it reveals is a genuine comparison table rather than a lead-capture form.

Every price we found

PlanAdvertisedWhat you actually payThe gapRead on
Compounded semaglutide, monthly auto-refillA four-week supply, cancellable, against a struck $249.not published$99not comparableSeptember 2026
Compounded semaglutide, twelve-month supply$89 a month is the twelve-month rate, billed as $1,068 annually; $99 is the cancellable monthly rate.$89$99
+$10
September 2026
Compounded tirzepatide, monthly auto-refillA four-week supply, cancellable, against a struck $339.not published$149not comparableSeptember 2026
Compounded tirzepatide, twelve-month supply$139 a month is the twelve-month rate, billed as $1,668 annually; $149 is the cancellable monthly rate.$139$149
+$10
September 2026
Compare Lttl's current plans

This link pays us nothing. It's here because the price is checkable.

What it actually costs

Four supply lengths per drug, each with its per-month rate and — rarest of all on this roster — the amount actually billed: “Billed as: $1,068 annually” beside the $89 figure.

Compounded semaglutide runs $99 a month on a four-week auto-refill the card labels “Cancel anytime”, then $96 at three months, $93 at six and $89 at twelve. Tirzepatide runs $149, $146, $143 and $139. The struck comparison prices are $249 and $339.

Look at the spread rather than the floor. Ten dollars a month separates the cancellable plan from the twelve-month commitment on semaglutide, and the same on tirzepatide. On most of this roster the commitment discount is the entire pricing strategy, and the month-to-month rate is punished to make it work. Here it is not, which means a reader who wants to try one month is not being charged a penalty for caution — the usual arrangement is a subscription priced to make leaving expensive.

The product pages headline “Starting at $89” and “Starting at $139” — the twelve-month rates — without saying so, and a sitewide banner offers up to $140 off a first month on top.

Who it's wrong for

  • Anyone who reads only the product page. Its headline figure is the twelve-month rate with no term attached.
  • Anyone who needs to know their state is served. The terms claim all fifty plus Washington, D.C., then qualify it in the next sentence and never name one.
  • Anyone who wants a company address. The three addresses in its terms belong to pharmacies, not to Lttl.
  • Anyone trying to price the longevity line. Those products are listed by name on the plans page with no figures attached to them there.

Medications available

  • Compounded semaglutide injectionCompounded
    $99 a month, cancellable

    Down to $89 a month on a twelve-month supply.

  • Compounded tirzepatide injectionCompounded
    $149 a month, cancellable

    Down to $139 a month on a twelve-month supply.

Is Lttl legit?

Lttl is operated by The Commerce Group Holdings, LLC. We read that off the company’s own terms of service on September 2026.

0 of 0 matched screened against the FDA warning-letter database .
What that meansA known-positive control passed in the same run, so a real match would have surfaced. A letter would be worth knowing about; it would not by itself disqualify a seller.

Pharmacy, prescribers and safety checks

  • Legal entityThe Commerce Group Holdings, LLC
  • Governing lawDelaware, with JAMS arbitration
  • Company addressNot disclosed; the addresses in its terms are pharmacies
  • Drug formCompounded in FDA-registered facilities, not FDA-approved, which the footer states
  • States servedA count, qualified by its own next sentence

Common questions

How much does Lttl cost per month?

Compounded semaglutide is $99 a month on a cancellable four-week auto-refill and compounded tirzepatide is $149. Committing to twelve months brings those to $89 and $139.

Is the Lttl $89 price a monthly price?

It is the per-month rate on a twelve-month supply, and the plan card states the annual charge of $1,068 beside it. The rate you can cancel out of is $99.

Does Lttl publish what it actually bills you?

Yes, for the plan selected. The card carries a line reading “Billed as” with the annual figure, which is something most sellers on this roster leave the reader to work out.

Which states does Lttl serve?

Its terms say services are currently offered in all fifty states plus Washington, D.C., and then say some services may not be available in all of them. No state is ever named, so this is a count rather than a list.

Why we gave Lttl a B

Read the full grading rationale

Lttl's plans page is the most complete piece of price disclosure in this lane: four supply lengths for each drug, each with its per-month rate, and — rarest of all — the amount actually charged, written as "Billed as: $1,668 annually" beside the figure it works out to. Compounded semaglutide runs $99 a month on a cancellable four-week auto-refill down to $89 on a year; tirzepatide runs $149 down to $139. The spread is unusually narrow, which means the commitment buys less here than it does elsewhere and the month-to-month option is not being punished. The page's own heading is "Compounded GLP-1, priced honestly", and on that page it earns it. What keeps it at B is what the rest of the site does with those numbers: the semaglutide product page headlines "Starting at $89 - Semaglutide" and the tirzepatide page "Starting at $139", each of which is the twelve-month rate presented as a starting price with no term attached, and a sitewide banner offers "Up to $140 off your first month" on top. Its terms name The Commerce Group Holdings, LLC and choose Delaware law but give no company address; the three addresses printed there are pharmacies. The state claim is a count — "Currently offering services in all 50 states plus Washington D.C." — immediately qualified by "Some services may not be available in all 50 states", and no state is ever named.

0 of 0 matched FDA warning-letter screen by entity domain; no company postal address is published to screen against. Positive and negative controls passed in the same run. The weaker kind of absence. The only postal addresses this company publishes belong to pharmacies, not to itself, so the screen ran on the domain alone and the address half of the match could never have run.
What that meansScreening is by entity — the company’s own domain plus the address it publishes — never by brand name, because a brand name matches every namesake. Where a company publishes no address, the address half of that match is never exercised, and the result is recorded as the weaker kind of absence rather than a clean record. A known-positive control passed in the same run, so a real match would have surfaced. A letter would be worth knowing about; it would not by itself disqualify a seller.

How we reviewed Lttl

  • We read the plans page, both weight-loss product pages, the insurance and pricing page and the terms of service in full on 2026-09-12.
  • Before reading anything we ran a nonsense path on the same host in the same session. It returned HTTP 404 with a 2,687-character page, distinct from every real page.
  • The semaglutide ladder is behind the plans page's own treatment selector, which opens on tirzepatide. We clicked it on a fresh load and confirmed the panel changed: a different badge, a different struck price and four different figures. Both ladders are quoted from the revealed visible text, not from hidden markup.
  • The FDA warning-letter screen ran on the company's own domain with a known-positive and a known-negative control passing in the same run. Lttl publishes no address of its own, so the address half of the match could never have run.
The page we read — all on
  • Plans page
    Choose your supply MOST AFFORDABLE Supply Price Savings 12 Month Supply 52-Week Supply $89/mo $249 Save $1,920 6 Month Supply 24-Week Supply $93/mo $249 Save $936 3 Month Supply 12-Week Supply $96/mo $249 Save $459 Monthly Auto-Refill 4-Week Supply · Cancel anytime $99/mo $249 Save $150 As low as $89/mo Billed as: $1,068 annually
See current pricing at Lttl

This link pays us nothing. It's here because the price is checkable.

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