Oak review

A cash-pay GLP-1 program with month-to-month and multi-month plans, no membership fee, and unusually detailed written cancellation terms, including a charge on discounted plans that you should understand before you choose one.

See Oak's current pricing Affiliate link.

Who it is for, and who it is not

A good fit if you are paying cash, want to start month to month and move to a longer plan once you know the medication suits you, and value written rules about what happens when you cancel.

Not a fit if you want a price that stays the same as your dose rises (see SnagRx or HealthRX), if you have insurance that might cover a brand-name GLP-1 (see Found), or if any of the conditions in guide F apply.

How it works

You answer an online questionnaire; Oak says no video call is required. A licensed provider reviews it, and Oak states that approval can happen the same day. Oak's terms say it is not itself a medical group: prescriptions come from independent U.S.-based physicians and nurse practitioners it contracts with. If your state requires a live visit before prescribing, ask Oak whether it offers one. Approved medication ships free with tracking, and Oak states that health coaching and care-team access are included.

The medications

Oak offers compounded semaglutide and compounded tirzepatide as injections, and states that brand-name GLP-1s are also available. Compounded medications are not FDA-approved, and trial results for brand-name products have not been established for compounded versions; guide B explains what that means and how to check the pharmacy that fills yours.

What it costs

Oak publishes more than one figure, so it helps to know which is which. Its main site lists about $190 a month with no membership fee. The offer page we link to advertises plans from about $104 a month, with the lowest rates on its longer packages (Oak offers 1-, 3-, 6-, and 12-month plans). Neither figure is broken down by medication or dose on the public pages we reviewed.

Two lines in Oak's terms matter most. First, the subscription fee may change with your dosage, prescription, or form of product, so the starting price may not be your month-four price. Ask for the price at your likely maintenance dose before you pay, and compare programs on that number. Second, plans renew automatically until you cancel. If a low rate is on a 12-month plan, find out whether it is billed up front. Shipping is free, and Oak says HSA or FSA cards may be used, though confirming eligibility is up to you. Prices checked October 2026; confirm on the checkout page. Our cost guide shows the method.

Cancellation and refunds

Oak's written terms are more detailed than most, which is a point in its favor. The key rules:

• If a provider does not approve you, Oak states that any card authorization is released and anything collected is refunded in full.
• Once a provider approves an order, whether your first order or a refill, it is final: it ships and is not refunded. To stop a refill, cancel before the provider approves it.
• You can cancel anytime through the patient portal or by email; Oak says it aims to process cancellations within 24 hours.
• Cancelling a multi-month plan early costs you the discount. You pay back the difference between the plan rate and the month-to-month rate for each month you received. Oak's own example: on a $209-a-month 12-month plan where month-to-month is $299, cancelling after six months costs $540.
• If your provider stops or changes treatment for medical reasons, Oak states that no early cancellation charge applies.

That last rule is a meaningful protection that many programs do not put in writing. The discount payback is the trade-off: a longer plan is only cheaper if you finish it or a clinician ends it. If you are just starting, month-to-month is the lower-risk choice.

States

Oak describes its program as available in all 50 states. Rules on compounded GLP-1 medication differ by state and change, so confirm your state during the questionnaire.

What we could not confirm

• The medical group the prescribing providers belong to, and where they are licensed: not published on the public pages we reviewed; ask before you pay.
• The pharmacy's name and whether it is a 503A pharmacy or 503B facility: not published on the public pages we reviewed; ask before you pay.
• Prices by medication and dose, including which medication the advertised rates refer to: not published on the public pages we reviewed; ask before you pay.
• LegitScript certification: not published on the public pages we reviewed; ask before you pay.

The checklist result

Against our published checklist, Oak passes on disclosing compounded medication, no membership fee, a refund if you are not approved, published cancellation terms with no penalty when treatment is stopped for medical reasons, and included coaching. Its gaps are the medical group and pharmacy, prices that are not published by dose and can rise as your dose increases, and the discount payback on early cancellation of multi-month plans. Ask about all three before you pay.

Your first month with Oak

Start month to month. Your first dose will be the lowest one; many people notice a smaller appetite and some feel mild nausea for a day or two. Keep a short weekly note of weight, doses, and side effects, and use the coaching to set up protein and resistance-exercise habits early, which help protect muscle as you lose weight. Before your first dose increase, ask what your price will be at the new dose. If nausea is bad enough that you are not eating or drinking, contact the care team the same day.

Questions to ask Oak before you pay

• What is my monthly price for this medication at the dose I am likely to reach?
• Which pharmacy fills my prescription, and is it 503A or 503B?
• Which medical group do the prescribing providers belong to, and where are they licensed?
• On a multi-month plan, exactly what would I owe if I cancelled after three months?

How it compares

If a price that does not change with dose is your priority, SnagRx and HealthRX both state flat pricing. Oak's strengths are flexible plan lengths, included coaching, and written terms that protect you if a clinician stops treatment. If you have insurance or Medicare, check Found first. Everything is side by side on the compare page.

See Oak's current pricing Affiliate link.