Ro Review
Ro’s Body program pairs brand GLP-1s with an insurance concierge and ongoing coaching. The first month is listed at $45, then $145 per month for membership. Medication is billed separately.
If insurance will not cooperate, Ro offers cash options such as Lilly’s Zepbound single-dose vials via LillyDirect, with widely published self-pay prices that make budgeting easier.
About Ro
Best for people who want brand-name GLP-1s, insurance help, or a predictable cash path through LillyDirect vials.
Why it's for you
- Transparent membership fees: $45 for the first month, then $145 per month while medication costs remain separate.
- Insurance concierge submits paperwork, monitors appeals, and keeps you updated through a step-by-step flow.
- Integrated Zepbound vial cash option at $349–$499 for most doses with a 45-day refill price hold on higher doses.
- Realistic timeline expectations: less than a week to start on cash pay, around two weeks when insurance approvals are required.
- Public GLP-1 supply tracker highlights dose availability so you know what to expect before visiting the pharmacy.
Why it's not for you
- Membership does not include medication cost; branded pens remain expensive without insurance coverage.
- Prescription products are final sale and cannot be returned once dispensed.
- Terms of use include binding arbitration and a class-action waiver.
- Compounded GLP-1 use is tightly limited now that the FDA lists semaglutide shortages as resolved.
Pricing and plans
Ro prices the Body program in two parts. Membership runs $45 for the first month and $145 per month after that, covering clinical care, insurance work, and coaching. Brand GLP-1 medication is billed separately through your pharmacy or a cash program.
Cash route for Zepbound. When coverage fails, Ro routes members to LillyDirect for self-pay vials. Typical pricing falls between $349 and $499 per four-week supply. Higher maintenance doses can remain at $499 when you refill within 45 days; outside that window, pricing increases.
How brand pricing compares. Ro’s Wegovy explainer reminds members that retail cash prices for branded pens remain high, which is why the LillyDirect vial path appeals to many cash-pay patients.
How it works and timing
Complete the online intake, meet with a clinician, and receive a prescription if appropriate. Ro’s published timeline says you can begin in under a week when paying cash, or about two weeks when using insurance because of prior-authorization and pharmacy processing steps.
Availability signals. Ro maintains a public GLP-1 supply tracker that highlights which brand doses are widely available so you know what to expect before visiting the pharmacy.
Compounded medications
Ro’s model focuses on FDA-approved brands such as Wegovy, Ozempic, Zepbound, and Mounjaro. Compounded GLP-1s were once a shortage fallback, but now that the FDA lists those shortages as resolved, compounded options are tightly limited by federal and state rules as well as clinical appropriateness.
Privacy, pharmacy, and terms
Privacy. Ro publishes an updated Privacy Policy and Consumer Health Data Privacy Policy that outline how data is used and how to submit access or deletion requests.
Returns. Prescription medications are final sale, which is standard but important if a shipment has already been dispensed.
Terms to read. The terms of use include binding arbitration and a class-action waiver, so review them before you enroll if you are sensitive to dispute resolution clauses.
FAQ
How much does the membership cost? $45 for the first month and $145 per month afterward, with medication billed separately.
What are the Zepbound cash prices? Most doses range from $349 to $499 per month, with a 45-day refill price hold for higher doses.
How fast can I start? Cash paths can begin in under a week; insurance routes average about two weeks after approvals.
Do they offer compounded GLP-1s? Only in limited situations given current FDA guidance; expect a brand-first approach.
Are prescriptions refundable? No. Prescription products are final sale according to Ro’s pharmacy and terms.
Which medications does Ro prescribe? Wegovy, Zepbound, and when clinically appropriate Ozempic or Mounjaro off-label for weight management.
Bottom line

Keith Murphy
Senior Editor
For people who want branded GLP-1s with real insurance advocacy and a predictable cash fallback, Ro Body is a strong contender. Membership handles the paperwork, coaching, and progress tracking, while the LillyDirect vial path cushions the budget if your plan refuses to pay.
Just review the arbitration clause, map your exact vial cost before the first refill, and set reminders for the 45-day cash window so you keep the lower pricing.
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