Majesta Health vs Ro (Roman)
We respect Ro (Roman). This is an honest comparison - pricing, physician access, and what you actually get for your money. We don't pretend to win on every line. We win on the ones that matter most for your long-term outcome.
What you get with Majesta that you may not get elsewhere
One physician, every visit
You're paired with one US-licensed doctor who knows your history, watches your progress, and adjusts your dose. No rotating providers. No re-explaining yourself each refill.
Month 6 milestone month included
Clinical evidence shows the largest GLP-1 weight loss happens between months 6 and 9 of consistent treatment (STEP-1, NEJM 2021). After five consecutive paid monthly cycles, the medication for your sixth month is included at no additional charge as a clinical-milestone celebration. One-time benefit per patient. Subscription continues at the standard monthly rate from Month 7 unless canceled.
Unlimited messaging, included
Side effect questions, dose adjustments, food and lifestyle support - message your doctor anytime through the patient portal. Most replies within 24 hours.
No annual contract or upcharges
No 12-month prepay required for our base price. No paid coaching tier. No surprise renewal charges. Cancel anytime from your portal.
We're not the cheapest GLP-1 program on the market - a few competitors have lower headline prices for short commitment terms. We are built for people who want predictable monthly care from the same physician for the long-term, with our Month 6 milestone medication benefit baked in.
Side-by-side comparison
Pricing and feature data from publicly available sources, May 2026. We update regularly, if anything's outdated, message us.
| Feature | Ro (Roman) | Majesta Health |
|---|---|---|
| Sublingual semaglutide plan | Not offered | Express: $179 first month, $249/month |
| Compounded semaglutide injection (monthly) | $149 to $299 depending on commitment tier | Essential: $179 first month, $299/month |
| Compounded tirzepatide injection (monthly) | Higher tier when offered | Performance: $329 first month, $399/month |
| Month 6 included | No | Yes on every plan, after 5 paid months |
| Same physician each visit | Not guaranteed | Yes, always |
| Specialty focus | Multi-condition platform | GLP-1 weight loss only |
| Body Program coaching upsell | Available as add-on | Doctor access included, no separate coaching tier |
| Cancel anytime | Yes | Yes |
What Ro (Roman) is great at
We're not here to bash anyone. Ro (Roman) has real strengths.
- One of the largest US telehealth platforms with deep operational scale
- Strong compliance and well-established pharmacy network
- Body Program adds coaching and tracking integrations
- Lower introductory pricing for the membership tier
Where Majesta is the better fit
Where we're built different on purpose.
- Three doctor-guided plans (Express, Essential, Performance) from $179 first month, no commitment-tier pricing
- Same physician throughout your treatment. Ro can rotate providers in their pool
- Predictable price every month, no annual prepay required for our published rate
- Month 6 medication included on every plan is a structural benefit, not a one-time promo
- No paid coaching upsell tiers, full doctor access included in every plan
- Specialty focus on GLP-1 weight loss, not a multi-condition catalog
What's the same
- Both prescribe compounded semaglutide via US-licensed physicians
- Both work with state-licensed compounding pharmacies
- Both offer discreet shipping and HIPAA-compliant portals
Which is right for you?
Ro is excellent if you want one of the most established names in telehealth and a multi-condition platform, or if their introductory tiers fit your budget better. Majesta is a better fit if continuity with one physician matters more to you than platform breadth, and if a transparent month-to-month price with the Month 6 medication included benefit is worth more to you than chasing the lowest possible monthly number.
Frequently asked questions: Majesta vs Ro (Roman)
Is Majesta Health a legitimate alternative to Ro Body?
Yes. Majesta and Ro both connect patients with US-licensed physicians who prescribe compounded GLP-1 medications dispensed by state-licensed compounding pharmacies. Both use HIPAA-compliant patient portals and both let patients cancel at any time. The structural differences are that Majesta is specialty-focused on GLP-1 weight loss only, pairs you with one consistent physician throughout treatment, and includes Month 6 medication on every plan after five paid monthly cycles, while Ro is a multi-condition platform with optional Body Program coaching as a separate add-on.
How does Majesta pricing compare to Ro Body Program?
Ro Body advertises compounded semaglutide starting around $149 a month on certain commitment tiers, with the rate moving up to $199 or $299 on shorter commitment plans. Majesta Express (sublingual semaglutide) is $179 your first month and $249 a month after, Essential (semaglutide injection) is $179 first month and $299 a month after, and Performance (tirzepatide injection) is $329 first month and $399 a month after. The honest answer is that Ro can be slightly cheaper than Majesta on long commitment tiers for semaglutide injection. Majesta is competitive at entry pricing, simpler on month-to-month terms, and includes the Month 6 medication benefit that Ro does not.
Does Ro or Majesta have better physician access?
Both platforms use US-licensed physicians. Majesta pairs you with one physician who handles your full course of treatment, signs your refills, and adjusts your dose. Ro operates across many conditions on a larger provider network, and they do not guarantee the same physician across messages or refills. For long-term GLP-1 treatment with dose escalation and side effect management, continuity with one physician is often clinically valuable.
Can I get tirzepatide through Majesta if Ro does not offer it?
Yes. Majesta Performance plan provides compounded tirzepatide injection at $329 your first month and $399 a month after. Tirzepatide is the same active ingredient as Mounjaro and Zepbound, dispensed in compounded form by a state-licensed compounding pharmacy. Whether Ro currently offers compounded tirzepatide varies and may differ by state. Compounded medications are not FDA-approved as final products. The active pharmaceutical ingredient is FDA-registered.
Is Ro coaching worth it compared to Majesta direct doctor access?
Ro Body Program bundles coaching content and habit tracking into the membership. Majesta does not run a separate coaching tier. Our model gives you direct messaging access to your physician for dose adjustments, side effect management, and clinical questions, included in every plan. The honest answer is that coaching content can be valuable if you want structured weekly programming, and direct doctor access is more valuable if you prefer to spend your time talking to a physician rather than working through curriculum modules.
Reserve your founding-member spot
Start your 2-minute medical assessment. A real licensed doctor reviews your file.
Start Your Assessment