When am I charged?

Published September 15, 2026. Updated September 15, 2026. Describes the process as it works today.

Quick answer

Nothing is charged at checkout. Your card is verified with a $0 authorization, and the first-month price ($179 on Essential, $339 on Performance) is charged only after a licensed physician reviews your file and approves treatment. If treatment is not approved, you are not charged anything, including the $20 medical consultation fee.

The order of events

You complete the online medical assessment and, if you choose to enroll, enter a payment card at checkout. The card is verified with a $0 authorization: no money moves.

A physician licensed in your state reviews your file. Where your state's telehealth rules require it, or where the physician decides it is needed, the review includes a phone or video visit.

Only if the physician approves treatment is the first-month price charged. That price already includes the $20 medical consultation fee, which is collected on a pass-through basis for the physician who reviewed your file.

What each plan costs

Essential (compounded semaglutide injection): $179 your first month, then $299 every 30 days. Performance (compounded tirzepatide injection): $339 your first month, then $439 every 30 days.

Each price includes the physician review, the medication, shipping and messaging with your care team. There is no separate membership fee.

Frequently asked questions

Is anything charged when I enter my card?
No. The card is verified with a $0 authorization at checkout. The first-month price is charged only after a licensed physician approves treatment.
What if the physician does not approve treatment?
You are not charged. There is no refund to wait for because no payment was taken; the $20 medical consultation fee is part of the first-month price and is charged only on approval.
Is the $20 consultation fee extra?
No. The $20 medical consultation fee is included in the first-month price and is collected on a pass-through basis for the reviewing physician. It is not a Majesta Health service charge.
Is there a membership fee on top of the medication price?
No. The listed price includes the physician review, the medication, shipping and care-team messaging.

Questions not answered here: email support@majestahealth.com. Full policies: Billing Policy, Terms of Service, State availability.

Compounded medications are not FDA-approved as final products and are not generic versions of, equivalent to, or interchangeable with any FDA-approved medication. Compounded GLP-1 medications are prepared by state-licensed compounding pharmacies based on a physician's prescription for an individual patient. Ozempic®, Wegovy®, Mounjaro®, and Zepbound® are registered trademarks of their respective manufacturers, which are not affiliated with and do not endorse Majesta Health. Those are separate FDA-approved products that we do not sell, and they are named here only to make that distinction clear. Results may vary. Not a substitute for professional medical advice.

Medication is prescribed only if a licensed physician determines it is appropriate.