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Provider review

He & She MD Review: “To Start” Means Six Months, Not One

He & She MD advertises semaglutide from $834 and tirzepatide from $1,194 — but those are SIX-MONTH terms sold as “to start”, and the footnote under each card says the plan then renews at $1,194 and $1,734 for the next six. The company discloses all of it. It just puts the disclosure at the bottom of the page and the flattering number on the card.

By Marla Whitfield, Pricing Editor

Disclosure: Some links on this site are affiliate or referral links. If you start a treatment or buy a product through them, we may earn a commission at no additional cost to you. Read our full disclosure.

The money verdict

Cheap if you prepay a year on the treatments page and expensive if you take the offer on the homepage — the same semaglutide is $1,188 a year one way and $2,388 the other.

Worth it if

  • You are ready to pay for twelve months up front, which is where this company's genuinely low prices live
  • You want the price to stay flat as your dose is titrated upward
  • You are comparing on total cost and will read a footnote before you buy

Look elsewhere if

  • You want to try a GLP-1 for one month — the shortest term sold here is six
  • You need to know which company you are contracting with, because the terms name no legal entity
  • You would take “$139 to start” at face value
Cheapest — Semaglutide

$1,194/cycle

States served

No exclusions disclosed

Billing cycle

Every 6 months (2×/yr)

At a glance

$834/cycle

Advertised

the first-cycle rate

$1,194/cycle

Walk-away

vs. advertised

$2,388

Year at this price

$1,194 × 2

The same Semaglutide price, three ways

The short bar is the number He & She MD leads with. It lasts one cycle.

Advertised

first cycle only

$834

Walk-away

every cycle after

$1,194

Ready to check He & She MD’s current price?

Prices may change.

Best for: You are ready to pay for twelve months up front, which is where this company's genuinely low prices live Skip it if: You want to try a GLP-1 for one month — the shortest term sold here is six

Visit He & She MD

Pricing, per compound

Everything He & She MD sells, cheapest year first. “Advertised” is the price it leads with; “Walk-away” is what you pay if you stop after one cycle.

ProviderAdvertisedWalk-awayYear at this price
Semaglutide — compounded injection

The card reads “$139 to start”. Footnote 2 on the same page: you pay $139 a month for the FIRST SIX MONTHS — $834 in total — and the plan then renews at $1,194 for each six months after, which the company itself converts to $199 a month. There is no one-month option to fall back to. A separate page, /weight-loss/, sells the same injection at “$99/month*” where the asterisk reads “Price for purchase of 12 months supply” — $1,188 for a year, against $2,388 a year on this plan.

$834.00/cycle$1,194.00/cycle$2,388.00

$1,194.00 × 2 six-month terms

Semaglutide — oral

“$199 to start” against a struck-through $239. Footnote 3: $199 a month for six months, $1,194, then $1,434 per six months — $239 a month. The oral route costs more per year than the injection on the same plan, which is the reverse of the assumption most readers arrive with.

$1,194.00/cycle$1,434.00/cycle$2,868.00

$1,434.00 × 2 six-month terms

Tirzepatide — compounded injection

Advertised “$199 to start” against a struck-through $289. Footnote 1: $199 a month for the first six months, $1,194 in total, renewing at $1,734 per six months — $289 a month by the company's own arithmetic. /weight-loss/ lists the same injection at “$159/month*” on a 12-month prepay, which is $1,908 for the year against $3,468.

$1,194.00/cycle$1,734.00/cycle$3,468.00

$1,734.00 × 2 six-month terms

The year at this dose — 12 payments, or 13 where a seller bills every four weeks. Several charge more as you move to a higher dose; where they publish that, the row says so.

Every figure above was read on heandshemd.com, one product at a time. Check the current price before you buy.

See He & She MD’s prices

How this compares

Pros and cons

Pros

  • Every headline price has a footnote, and the footnotes are specific: they name the term, the total, and the renewal figure rather than gesturing at “terms apply”.
  • The price does not change as your dose goes up, which removes the commonest hidden escalation in compounded GLP-1 pricing.
  • A 12-month prepay at $99 a month for compounded semaglutide is genuinely cheap for this category, and it is published rather than hidden behind a quiz.
  • No membership or consultation fee is charged on top of the medication price.
  • Both the injection and the oral route are priced openly, so the comparison can be made before signing up.

Cons

  • “To start” reads as a first month and means six.
  • The same semaglutide injection costs $1,188 a year on the treatments page and $2,388 a year on the homepage plan — a reader who lands on the wrong page pays double.
  • There is no monthly option anywhere we could find, so there is no way to stop after one cycle short of six months.
  • The Terms of Service name no corporate entity, no registered address and no state of incorporation beyond a Delaware choice-of-law clause.
  • The site claims “FDA-regulated pharmacies” in its own feature list while its medication disclaimer says the products are “not reviewed by the FDA for safety, efficacy, or quality”.
  • The oral routes cost more per year than the injections, which the layout does not make obvious.

How we verified this

What we checked

  • Every price read off heandshemd.com — 3 products, checked one at a time
  • The billing cycle taken from the company's own terms, not assumed from the price
  • States, inclusions and cancellation terms read on the company's own pages
  • Screened against the FDA's live warning-letter index

What to double-check before you buy

  • Prices may change. Confirm before you buy.

Key terms

Show definitions
Walk-away price
What one cycle costs at the ongoing rate with no commitment — what you actually pay if you stop after month one.
Year at this price
The walk-away price multiplied by however many times a year it's actually billed. ⚠ It's the year at THIS dose — several sellers charge more as you move up, and most don't publish the ladder.
Compounded
Made to order by a pharmacy from raw ingredients, rather than dispensed as an FDA-approved, mass-manufactured product.

Bottom line

Budget $2,388 a year if you take the homepage offer for semaglutide, or $1,188 if you prepay twelve months on the treatments page — same drug, same company, twice the money. The trap is the word “start”: it buys six months, not one, and nothing on the card says so.

Visit He & She MD

Frequently asked questions

What does He & She MD actually cost?

It depends which page you buy from, and the gap is large. The homepage sells six-month terms: semaglutide injection at $139 a month for the first six months ($834), renewing at $1,194 per six months — $2,388 a year. The treatments page sells the same injection at $99 a month on a twelve-month prepay, which is $1,188 for the year. Tirzepatide injection is $1,194 for the first six months and $1,734 per six months after, or $159 a month on the twelve-month prepay.

Is “$139 to start” a first-month price?

No, and this is the single thing worth knowing before you buy. Footnote 2 on the homepage says you pay that rate “for the first 6 months”, so the smallest amount you can spend is $834, and the plan then renews at $1,194 for each six months after that. The card shows the monthly figure and the word “start”; the term length is only in the footnote.

Can I pay monthly?

Not that we could find. Every plan published on the site is a six-month term or a twelve-month prepay, and the footnotes describe renewals in six-month blocks. That matters for a class of drug people commonly stop early because of side effects or cost — there is no one-month rung to stop at.

Who am I buying from?

The site does not say. The Terms of Service introduce the operator only as “He and She MD, and their respective affiliates”, with no company type, no registered address and Delaware chosen as governing law. The same terms state that using the service means accepting Bask Health Inc's platform, so the telehealth software is licensed from a third party. That is normal in this category; the absence of a named contracting entity is less so.

Are its pharmacies FDA-regulated?

The site says both things. Its feature list claims “FDA-regulated pharmacies”, and its medication disclaimer says the products are “produced in USP-compliant, state-regulated pharmacies but not reviewed by the FDA for safety, efficacy, or quality”. The second sentence is the accurate one: compounding pharmacies are licensed and inspected by state boards, and compounded drugs are not FDA-approved.

Sources

Every price above was checked against He & She MD’s own pricing page — never a third-party aggregator:

Show every source link

Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.