Mochi Health vs. Ro for GLP-1 weight loss

Cost: membership plus medication

Both programs charge two separate bills: a membership for the medical care, and the medication itself.

Membership. Mochi lists $79 for one month, $207 for three, $354 for six or $588 for twelve months without insurance. If your insurance covers its provider visits, Mochi charges $119 for six months or $199 for twelve and bills the visits to your plan. Ro charges $39 for the first month, then $149 a month on a monthly plan, $99 a month prepaid quarterly, $89 a month prepaid twice a year or $74 a month prepaid annually.

Brand-name medication. Both list the same starting cash prices in October 2026: Wegovy pill and Foundayo from $149 a month, Wegovy pen from $199 and Zepbound from $299. These reflect manufacturer cash-pay programs, and prices rise as the dose increases.

Over a year on Wegovy pills at the starting dose, the membership is the only real difference: about $588 at Mochi without insurance against $888 a year at Ro on its cheapest annual plan, after a $39 first month. Mochi is cheaper still if your insurance covers its visits. Check the full dose price table on each site, since you’ll likely move up in dose.

Compounded vs. FDA-approved medication

This is the biggest difference between the two.

Mochi sells compounded semaglutide from $60 a month and compounded tirzepatide from $90 a month, priced by dose. Compounded drugs are made by pharmacies and are not FDA approved, which means FDA has not reviewed them for safety, effectiveness or quality. FDA has warned about unapproved GLP-1 products and, after the national shortages of semaglutide and tirzepatide ended, clarified the narrower conditions under which compounders can still make these drugs.

Eli Lilly sued Mochi in April 2025 and Novo Nordisk in August 2025, both in federal court in Northern California, over compounded copies of their drugs. Both cases are pending. We found no FDA warning letter to Mochi as of October 12, 2026.

Ro lists only FDA-approved GLP-1s on its weight loss pages: Wegovy pill and pen, Foundayo, Zepbound, and Ozempic and Saxenda through insurance or cash pay. If you want to avoid compounded medication entirely, Ro removes that choice from the table.

Talk to the prescribing clinician about the difference before you choose a lower-cost compounded option.

Using insurance

Insurance can apply in two places: the provider visits and the medication.

Mochi is unusual in billing its provider visits to many insurers, with your copay shown first. That is what makes its $199 annual insured membership possible. For brand-name drugs, coverage depends on your plan’s formulary and any prior authorization rules.

Ro doesn’t bill the membership to insurance, but it offers a free check of your coverage for select GLP-1 medications and can route prescriptions through insurance where they are covered.

Many plans exclude weight loss drugs, and some cover a GLP-1 only for type 2 diabetes or with a documented BMI and related conditions. Medicare Part D has historically excluded drugs used only for weight loss. If you have coverage, the out-of-pocket cost for a covered drug can be far below either program’s cash price, so check your plan first. If you don’t, the cash prices on both sites are now similar, and the membership fee is the deciding cost.

Customer service and complaints

Mochi has been BBB accredited since August 24, 2026, with an A rating, but it has drawn 1,418 BBB complaints in the last three years, mostly about support and refills. Its Trustpilot rating is 4.5 out of 5 from about 19,300 reviews; the company invites customers to review there. Mochi does not refund prescription medication once it’s sent to the pharmacy, and membership refunds are at its discretion, so read the terms before prepaying for a long plan.

Ro refunds the $39 first month if a provider finds you aren’t eligible for GLP-1s. Its other refund terms are in its Returns and Refunds policy. We couldn’t verify Ro’s current BBB rating or complaint count for this comparison.

For either program, the practical risks are the same: refill delays, dose changes that move you into a higher price tier, and prepaid memberships that are hard to recover if you stop. Starting on a shorter plan costs more per month but limits what you lose if the program doesn’t suit you.