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Ranked #16 for women · Grade B−

Pallas Health review

Names its six dispensing pharmacies and two NPI-verified physicians — disclosure few rows here offer — and then sells the whole thing on a single 12-week prepay whose advertised “$199/mo average” is that prepay divided by three, with no monthly rung to pick instead.

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Semaglutide
$199/mo average — Pallas's own figure for $597 billed every 12 weeks, which is its only cadence; $139 covers the first 4 weeks, after which the next charge is $597 in one payment
Tirzepatide
$299/mo average — Pallas's own figure for $897 billed every 12 weeks, which is its only cadence; $179 covers the first 4 weeks, after which the next charge is $897 in one payment
Coverage
All 50 states and Washington D.C. — asynchronous in 43; Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, West Virginia and D.C. require one video visit
Brand-name
Yes

The Luna Fit scorecard

Pallas Health scored on our six women's-health factors. See the methodology.

PCOS & hormonal suitability74/100
Clinical oversight & labs85/100
Price transparency78/100
Nationwide access94/100
Ongoing support78/100
Cancellation fairness84/100

What we like

  • Names all six dispensing pharmacies in public — Belmar, Strive, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills — with the 503A and 503B distinction explained, where almost everything else in this category names none
  • Names two prescribing physicians with their NPI numbers and links out to the NPPES registry so you can check them yourself: Dr. Ana Lisa Carr, MD (family medicine, NPI-verified, licensed in 15 states) and Dr. Kelly Tenbrink, MD (emergency medicine, NPI-verified, Tennessee and Florida). Pallas additionally claims obesity and addiction medicine board certifications for Dr. Carr, which NPPES does not carry either way
  • The advertised price is the checkout price — the homepage FAQ, the landing pages, the treatment pages and the live funnel all state the same four figures, and no different number appears at payment
  • Publishes its coverage precisely instead of as a blanket promise: all 50 states and D.C., fully asynchronous in 43, with the eight jurisdictions that require a video visit named one by one, and a shipping-state eligibility guard in the checkout itself
  • Leaving is self-serve and free — a cancellation portal at pallashealth.co/portal, a pre-renewal email reminder, no minimum term, at least 30 days' notice before any price change, and a full refund if a clinician declines you. LegitScript Healthcare Merchant Certified (seal 49989444), and clean against FDA's live warning-letter index under both its own name and its operator's

The caveats

  • There is no month-to-month rung. The funnel renders no cadence selector at all: semaglutide is $139 for the first four weeks and then $597 billed every 12 weeks, so the second charge is $597 in one payment four weeks after the first — tirzepatide, $179 then $897 — and the advertised “$199/mo average” is that 12-week prepay divided by three rather than a price anyone is billed
  • Twelve weeks is not three months. On Pallas's own published renewal terms the charge recurs every 84 days — 4.35 times a year, not four — so semaglutide's first year is $139 + 4×$597 = $2,527, or $210.58/mo, and the steady state is $2,596 a year, about $216/mo, against $199 advertised. Tirzepatide runs $3,767 in year one ($313.92/mo) and about $3,900 a year after (~$325/mo) against $299. The advertised average understates the ongoing rate by roughly 8.7%
  • No women's-health program of any kind. Pallas's own women's-health category exists only as “coming soon”; there is no PCOS track, no perimenopause track and no cycle-aware protocol, and neither named physician is an OB-GYN or a women's-health specialist. What is on offer here is a general compounded GLP-1 program, and it should be read as one
  • One of the six named pharmacies, Belmar, received an FDA warning letter issued 31 March 2023 (posted 18 April 2023), addressed to “Belmar Pharma Solutions, Drug Depot, LLC., dba APS Pharmacy”, over compounding practices — and FDA closed that letter out on 30 October 2023. Pallas itself carries no warning letter
  • Only two clinicians are named across the whole site, and the footer's “Provider directory” link resolves to a section naming the same two. The actual prescribing network — Lion MD's affiliated professional corporations — is not published, and Pallas states that it is a technology platform and does not employ medical providers
  • The headline numbers are intro rates, and the sitewide “Up to $120 off your first month” banner is a discount rather than a price. Read the money terms before paying: $5 is deducted from each refunded payment for purchases made on or after 14 July 2026 (never on clinician-declined or unfulfilled orders, which refund in full), and the $60 visit deposit can be retained if you neither attend nor reschedule the required video visit in the eight jurisdictions that need one — otherwise it is refunded and credited to the first order
  • Cash-pay only, with no insurance ever accepted, and brand-name at $1,069–$1,349/mo (Zepbound, Ozempic, Wegovy, Mounjaro) is far above what an insured patient pays. The compounded semaglutide and tirzepatide are not FDA-approved and are not generic equivalents, which Pallas does disclose properly
  • Several things a buyer would want are simply not published: whether baseline or follow-up lab work is included or charged extra, and whether the price rises with dose (there is no pre-purchase dose selector). The footer states that some site content is AI-generated with no warranty of accuracy, so its blog is not a source for a clinical claim; the advertised “4.8” rating carries no published source; and the before-and-after “Verified Customer” stories carry Pallas's own caveat that individuals shown may be actors or models

The bottom line

Best for: Readers who want a general compounded GLP-1 program with unusually specific disclosure about who prescribes and who dispenses, and who can absorb a $597 charge four weeks after the $139 one — not readers looking for PCOS or perimenopause care, which Pallas does not offer. Names its six dispensing pharmacies and two NPI-verified physicians — disclosure few rows here offer — and then sells the whole thing on a single 12-week prepay whose advertised “$199/mo average” is that prepay divided by three, with no monthly rung to pick instead.

Ranked #16 of 65 providers we reviewed for women — see our #1 pick, CoreAge Rx, for comparison. PCOS & hormonal suitability is where Pallas Health scores lowest, at 74/100. If that is your sticking point, start with our ranked shortlist of Pallas Health alternatives.

Compare with other providers

All 64 other providers we've reviewed for women, in our overall ranking order. One of those comparisons is written out in full: Pallas Health against CoreAge Rx, factor by factor, 11 points apart on the Luna Fit Score. Directly below Pallas Health sits Vytora Health at #17 with 87/100 — see the alternatives to Vytora Health we rank for women if that is the band you are shopping in.

Pricing, states and verification reflect Pallas Health's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on Pallas Health's site. Not medical advice; see our disclosure.

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