Pallas Health reviews

Pallas's standard compounded and brand-name plans bill every four weeks rather than monthly, so a year on one is thirteen charges and not twelve. Your refundable window closes the moment the prescription is issued, and even before then Pallas's own pages differ on whether a refund is paid in full or net of fees.

What does a year on the compounded plans actually cost?

The compounded semaglutide plan runs $199 with medication, the consultation and shipping inside the price. Compounded tirzepatide is $299 on the same terms. Both are billed every four weeks, which means thirteen charges across a year rather than twelve.

First months are discounted on both. Semaglutide starts at $139, and tirzepatide at $179. The number to plan around is the ongoing one in each case, because the renewal is at the standard plan price every billing period, anchored to the date your prescription was issued.

Is the annual plan worth paying up front?

Paid yearly, semaglutide works out to $139 a month on a 12-month term, for a total of $1,668. Tirzepatide paid yearly is $239 a month, totaling $2,868. Both annual plans include medication, consultation and shipping, same as the four-week versions.

The discount is real, and so is the exposure. Once medication has been dispensed and shipped, the order can't be returned or refunded, except where the law requires it or where the damaged-shipment or six-month terms apply. We'd take the four-week billing for the first cycle, see the shipment arrive, and decide about the year after that.

Pallas also says there are no contracts and no lock-in, and that you can pause or cancel anytime. The paid-yearly plans are listed with a 12-month term, though. Ask which statement governs before you pay for a year at once.

The annual term doesn't clearly buy you protection from a mid-term increase: Pallas reserves the right to change subscription prices with at least 30 days' notice, effective at the start of the next billing cycle after the notice.

Will a cancellation get your money back in full?

It depends which of Pallas's statements you read, and the ladder turns on one event: the prescription being issued. Before that point, one statement is that you can cancel, nothing has been charged, and anything that was comes back in full with no fees. If you're not approved, nothing is charged and anything already taken is refunded in full.

Pallas's terms say something different. For a customer-initiated cancellation where a payment qualifies for a refund, purchases made on or after July 14, 2026 are refunded net of the third-party payment-processing costs on that payment and "a $5 processing fee per refunded payment". Earlier purchases follow the policy in effect when they were made. So Pallas's own pages differ: one says in full with no fees, the other says net of processing costs and a fee. Ask Pallas which applies to your purchase before you pay.

After the prescription is issued, the order is final. Canceling stops future charges, but the cycle you're in is neither prorated nor refunded. Cancellation itself is free and takes effect at the end of the current billing period, through the account portal or by contacting Pallas. You keep access through the end of the paid period, and you can pause instead of canceling. The plan renews every four weeks until you cancel, and by subscribing you authorize Pallas to charge your payment method on each cycle until then. So the worst-case cost of changing your mind on a four-week compounded plan is one cycle, provided you cancel rather than let it renew.

There's a narrow shipping remedy. A damaged or compromised package reported within 24 hours of delivery is replaced or refunded by the pharmacy. That's a one-day window, so open the box the day it lands.

What does the six-month promise actually require?

Pallas calls it "The 6-month promise" and it has conditions attached on both sides. You need six continuous months on an active paid plan, doses on schedule, check-ins done, and both your starting weight and your six-month weight logged in the portal. If you're unhappy after the care team has had a chance to help, or you've lost no net weight, you request a refund of the plan payments you made in those six months within 30 days of the six-month mark. It's limited to one claim per patient.

Read it as a conditional refund rather than a guarantee, and read the logging requirement as a condition you control from the first day.

Does a higher dose cost more later?

Not on the compounded plans, and not on the brand-name ones either. Pallas states that a compounded plan costs the same at every dose, and that step-ups a clinician prescribes are included. It says the brand-name plans cost the same at every dose too. That is the strongest thing about this price list.

What do the brand-name plans and Foundayo cost?

Pallas lists its brand-name plans and Foundayo at cash prices, each with medication, consultation and shipping included. Mounjaro is $1,099 every four weeks, and Pallas lists no first-month price for it. Wegovy is $599 every four weeks after a first month of $499, and Zepbound is $599 after a first month of $499. Ozempic is $649 after a first month of $499. Foundayo is $499 after a first month of $299.

Each of these plans is billed every four weeks, so a year is thirteen charges and not twelve. Where a plan has a first-month price, it covers the first charge only. The figure to plan around is the four-week price, because the plan renews at the standard plan price every billing period. On Foundayo, Pallas says the first month is charged only once a clinician prescribes, and that the plan then renews every four weeks until you cancel.

None of it touches insurance. The service is cash-pay only and is not billed to insurance. If you have brand-name coverage worth using, this is a cash-only route, and the figures above are what you'd carry yourself.

What's behind the advertised entry price?

The landing page advertises a first month from a figure that matches the discounted semaglutide promo, with no ongoing month-to-month plan priced at that level. The yearly semaglutide plan does bill at that same monthly rate, but only against a 12-month term. So the headline is either a first month or a year's commitment, never a month-to-month price.

Is there a record to check before you pay?

Not much of one. Pallas has a Trustpilot rating, but it rests on so few reviews that it tells you almost nothing. Pallas's refund statements differ, and there's no review record showing what happens when a refund request or a damaged shipment actually gets filed. Availability is broad, at least: Pallas says it serves every state and Washington, D.C., and routes you to a clinician licensed where you live.

What we'd do first

Start on the four-week billing rather than the annual term, and set a calendar reminder ahead of each renewal, because the plan keeps charging until you cancel and the cycle you're in isn't refundable once the prescription has gone out. On a brand-name plan, budget around the four-week price rather than the first month.

Get the refund rule in writing before you pay, since the pages differ on whether it's in full or net of fees. If you're leaning toward a paid-yearly plan, get the cancel answer in writing too. If the six-month promise is part of why you're choosing Pallas, log your starting weight in the portal before the first shipment and keep the check-ins current from week one. And budget thirteen charges a year on any four-week plan, compounded or brand-name, not twelve — that difference is roughly a full extra month of cost that a monthly figure hides.