Somira Health

What you're buying

Somira Health sells compounded semaglutide and compounded tirzepatide as weekly injections, with hormone therapy, men's health tablets and a metabolic shelf of sermorelin, NAD+ and a lipotropic injection alongside. It is a small operation and says so: founded by two disabled veterans, run as Somira Health LLC from a San Francisco mailing address, and stating plainly that it is not a medical provider and makes no clinical decisions.

The disclosure has improved markedly. The weight-loss cards name the compounder — VialsRX — and offer a choice of B12 or glycine as the co-formulation, which is a decision most sellers make for you. The FAQ names four partner pharmacies with addresses: F&F Pharmacies trading as Jungle Jim's Pharmacy in Fairfield, Ohio; GoGoMeds in Southgate, Kentucky; The Pharmacy Hub in Miami; and VialsRX, trading as BelieveRX, in Tomball, Texas. The prescribing group is named too — Arora Health & Aesthetics, LLC, in Seattle, with a compliance email. There is no brand-name lane and no oral GLP-1.

What it costs (and how it's billed)

Somira publishes both rungs of both products on the home page, in the same card, with no toggle to hunt for and no teaser. In August 2026, compounded semaglutide was $189.99 monthly or $409.99 every three months, which the card itself works out to $136.66 a month. Compounded tirzepatide was $239.99 monthly or $499.99 every three months, or $166.66 a month. Every price includes alcohol wipes and syringes, and the card states "no increase in price as you progress" — flat at every dose.

Tirzepatide has come down since we last looked. The month-to-month rate was $284.99 and the quarterly equivalent $221.66; today they are $239.99 and $166.66 a month, a drop of roughly a fifth on the monthly rung and a quarter on the quarterly one. One of the site's own published reviews corroborates a recent cut and mentions an owner contacting existing patients to apply it to their next refill, which is a decent thing to do and rare enough to note. That same review quotes the quarterly tirzepatide figure as $589.99 a quarter, which is not what the card says today — read the card, not the testimonial.

The refund page is where the good will stops, and it is worth reading before you order. "Once a prescription is approved and transmitted to a pharmacy for fulfillment, all charges are final and non-refundable," and that explicitly covers the medication, shipping, platform access fees and consultation fees. If a provider decides you are not eligible and no prescription has gone out, you get everything back. After transmission there is nothing, even if the pharmacy has not shipped. The cancellation window between paying and transmission is described only as "very limited" and varying with how quickly your intake is reviewed, and Somira asks you to text rather than email because "email requests may not be seen in time to stop pharmacy transmission." A refund policy that depends on how fast you can text is not a refund policy.

Who can order

The FAQ now answers this properly. Somira's affiliated prescribing providers are licensed in all 50 states, with the caveat that the service is available only where compliant pharmacy fulfillment also exists — so coverage is bounded by the pharmacy network rather than by the clinicians. Most states allow an asynchronous review with no live visit.

The exceptions are listed, which is the part we most wanted. Washington, D.C., Louisiana, Mississippi and Puerto Rico require a live phone appointment for both the initial intake and follow-ups. Arkansas, Georgia, New Mexico, Tennessee, Virginia and West Virginia require one for the initial intake but may allow asynchronous follow-ups. No minimum age or body mass index threshold is published anywhere.

How the intake works

You complete a secure intake, a licensed provider in your state reviews it, and if approved the prescription goes to one of the four pharmacies and ships. Speed is what Somira is praised for repeatedly in its own review wall — same-day prescriptions, overnight delivery arriving still cold — and the site sets that expectation with FAQ entries on overnight shipping and on what to do if the ice pack has melted.

Support is hello@somirahealth.com for general questions and support@somirahealth.com for patient issues, with text messaging as the preferred fast channel. Published support hours do not appear. Billing is self-pay by card, with FSA or HSA reimbursement possible depending on your plan, and the FAQ carries entries on stopping auto-renewals and canceling treatment. A $20 discount on a first order is offered with the code shown at the top of every page.

What we'd want changed

Define the cancellation window. "Very limited" and "varies depending on how quickly the intake is reviewed" is not a term a patient can act on, and Somira compounds it by admitting its own email inbox is too slow to catch an order in time. Give it a number — an hour, two hours — or hold every order for a fixed period before transmitting it.

Then publish the platform access fee. The refund page says Somira "may charge a platform access fee for non-clinical services" and that it is non-refundable, but no such fee appears on any pricing card, so a shopper reading "$189.99 monthly" cannot tell whether it is included. On a site whose entire pitch is "know what you're paying for," a fee that exists only in the refund policy is the wrong kind of surprise.

Bottom line

Somira has done the two things we ask small sellers to do: it named its pharmacies and its prescribing group, and it published the states that need a live visit. The prices are honest and fully visible — $189.99 monthly or $136.66 a month on a quarter for semaglutide, $239.99 monthly or $166.66 a month for tirzepatide, flat at every dose, syringes included — and tirzepatide has fallen since our last read rather than risen. The all-final refund rule and an undefined cancellation window are the real risks, so be sure before you submit.