RECOMMENDED - Tuyo Health is a promising newer provider with excellent early customer feedback, competitive pricing, and included labs. Best for Spanish-speaking patients, those in covered states wanting budget-friendly GLP-1 access with physician-led care. The limited review volume and newer company status means some uncertainty remains, but all available indicators are positive.
Drugs: Compounded semaglutide and tirzepatide, plus branded Wegovy and Zepbound. Regular Monthly Price: $199/month. Lowest Monthly Price: $155/month.
Tuyo Health launched in 2024 as a budget-friendly telehealth platform with competitive GLP-1 pricing. Their compounded semaglutide at $155/month and tirzepatide at $279/month include quarterly lab work, shipping, and unlimited provider messaging—a significant value advantage over competitors who charge separately for labs.
The company stands out for bilingual English/Spanish care designed for Hispanic communities and is led by Dr. German Echeverry, a UCSF-trained anesthesiologist. Tuyo maintains an A- BBB rating and LegitScript certification, with transparent pricing and no hidden fees.
As a newer provider founded in 2024, Tuyo has limited review history making long-term reliability difficult to assess. The service is currently available in 20 states, with branded medications requiring either insurance coverage or a $99/month membership fee for cash-pay patients.
Spanish-speaking patients or those wanting bilingual care, budget-conscious users seeking competitive GLP-1 pricing with included labs, patients who value direct provider access and personalized attention from a physician-led company
Those who prefer established providers with extensive review histories, users who need service in states beyond the 20 currently covered, patients seeking FDA-approved branded medications without insurance
Competitive pricing ($155/month semaglutide, $279/month tirzepatide) with included quarterly labs, LegitScript certification, A- BBB rating, bilingual care, direct access to physician CEO
Very limited review volume (45 Trustpilot reviews) makes long-term reliability difficult to assess, coverage limited to 20 states, newer company founded in 2024
Regular Price
$155/month
Dosing: Weekly injection, standard dose escalation protocol
Included: Medication, injection supplies, shipping, provider consultations, quarterly lab work
NOT FDA-approved. Prepared by licensed 503A compounding pharmacies. All batches third-party tested for potency, strength, and quality. Same price regardless of dose.
Regular Price
$279/month
Dosing: Weekly injection, standard dose escalation protocol
Included: Medication, injection supplies, shipping, provider consultations, quarterly lab work
NOT FDA-approved. Compounded tirzepatide for stronger appetite control and weight loss. Same price regardless of dose.
Regular Price
$25/month
Dosing: Weekly injection per FDA labeling
Included: FDA-approved medication, shipping, consultations, lab work every 6 months
Requires insurance coverage for $25/month pricing. Cash pay option at $499/month plus $99 membership fee.
Regular Price
$25/month
Dosing: Weekly injection per FDA labeling
Included: FDA-approved medication, shipping, consultations, lab work every 6 months
Requires insurance coverage for $25/month pricing. Cash pay option at $399/month plus $99 membership fee.
| Product | Regular Price | Promo Price | State Variations |
|---|---|---|---|
| Compounded Semaglutide | $155/month | Same price all doses | Available in 20 states |
| Compounded Tirzepatide | $279/month | Same price all doses | Available in 20 states |
| Wegovy (with insurance) | $25/month | Insurance required | Available where Tuyo operates |
| Zepbound (with insurance) | $25/month | Insurance required | Available where Tuyo operates |
| Annual Subscription | $119.99/year ($9.99/month) | Optional membership | All states |
Initial Consultation
Included in medication cost
Lab Work (Quarterly)
Included in compounded medication plans. A major differentiator from competitors.
Shipping
Same week delivery in discreet packaging
Provider Messaging
24/7 messaging with providers
Annual Subscription (Optional)
Includes unlimited messaging, $20 off primary care visits, 1 free consultation/year, 1 free routine lab exam ($99 value), 20% off additional bloodwork
Branded Medication Membership
Required for branded medications without insurance
$155/month semaglutide is among lowest market prices. Labs included quarterly - competitors typically charge $50-100 extra.
Impact: Significant cost savings, especially for patients who would otherwise pay separately for required lab work
4.6/5 Trustpilot rating with 94% 5-star reviews. Zero BBB complaints. A- BBB rating.
Impact: High likelihood of positive experience based on early customer feedback
Multiple reviews mention CEO Dr. Echeverry by name, describing him as 'personally attentive', 'knowledgeable', 'patient'
Impact: Direct access to qualified physicians rather than just NPs or algorithms
First fully bilingual (English/Spanish) direct-to-consumer telehealth company in US, specifically designed for Hispanic communities
Impact: Better communication and cultural competence for Spanish-speaking patients
LegitScript certification verified on website - meets healthcare advertising and transparency standards
Impact: Verification that company meets legitimate telehealth operational standards
Only 45 Trustpilot reviews - statistically insufficient for reliable long-term assessment
Impact: More uncertainty about long-term reliability compared to established providers with thousands of reviews
Only available in 20 states vs competitors serving 49-50 states
Impact: Many potential customers cannot access service
Founded 2024, BBB file opened January 2025 - very short operating history
Impact: Less track record to evaluate compared to established telehealth providers
Received FDA warning letter September 2025 for marketing claims - part of 50+ company action
Impact: Indicates company was using marketing language FDA considers misleading, though this was common across the industry
MEDVi serves 49 states, Henry Meds serves 48 states. If you're not in Tuyo's 20-state coverage area, these providers offer similar services with broader reach.
Both have substantially more customer reviews providing statistical reliability. MEDVi offers similar pricing, Fridays includes coaching.
Both offer FDA-approved brand-name medications (Wegovy, Zepbound) with insurance options. Higher cost but regulatory certainty.
Both include registered dietitian coaching, lifestyle support, and comprehensive programs. Better for patients wanting more than just medication.
DirectMeds offers slightly lower semaglutide pricing but has worse reviews (3.5/5) and 'RECOMMENDED WITH RESERVATIONS' rating. Tuyo's $155 with better reviews and included labs may be better value.
Create an account and complete 5-minute online health questionnaire
Share medical history and goals with licensed provider
Provider confidentially reviews information and creates personalized plan
If state requires video/audio visit, schedule online consultation
Prescription sent to licensed compounding pharmacy
Medication shipped to door in discreet packaging, typically same week
Time to First Prescription
Most customers report receiving medication within the same week of approval. Fast turnaround praised in reviews.
Consultation Format
Asynchronous evaluation via questionnaire for most states. Synchronous video/audio consultation required in states with telemedicine laws requiring real-time consultation. 24/7 messaging with providers throughout treatment.
Provider Type
Board-certified physicians and nurse practitioners licensed in patient's state. Leadership includes board-certified physicians from UCSF, Columbia, and other top medical schools.
Video Option
Required in certain states per telemedicine regulations. Not required in most states - asynchronous evaluation is standard.
"The process was super easy, and the doctor was incredibly caring. He asked me thoughtful questions and took his time to understand my needs and explain how long everything would realistically take."
— Trustpilot review, December 2025
Quality Concerns: No quality complaints found in reviews. Zero BBB complaints filed. Only negative Trustpilot review (1 star) involved an order fulfillment issue, not medication quality.
4.6/5 stars (Excellent)
45 reviews
94% 5-star reviews, 4% 1-star reviews. Claimed profile with active company responses. Review volume is LOW - limits statistical reliability.
A- rating
0 complaints
NOT BBB Accredited. A- rating based on short operating history. Zero complaints filed.
"About 4 months ago I decided to look into online providers after I had spent about a year trying to get the semaglutide shot through my insurance. Tuyo's team has been so helpful and attentive from the moment I signed up. Dr. Echeverry was so patient answering my millions of questions, and has followed up with me consistently throughout this process."
— Trustpilot, 5-star review, March 2025
Order Fulfillment
"Got robbed $100. Got charged $100 for an offered service that was never delivered. Got the wrong order, then got in contact a couple of times to make it right, no answer."
— Trustpilot, 1-star review, December 2025
Pricing Concerns
"My second three month prescription went up 43% in cost. Secondly the cost went up almost $200 from the quote I approved. I give high marks to Kellie the NP and Samuel the customer service rep. They both were very helpful, professional and respectful of my concerns."
— Trustpilot, 2-star review, June 2025
866-642-8054 - phone support available
support@tuyohealth.com
Online chat available through website and patient portal
Patient portal for messaging providers, tracking progress, managing orders
Customer reviews analysis (Trustpilot)
Best Case
Same-day response, some patients report immediate attention from Dr. Echeverry personally
Typical
Quick responses praised in reviews - 'fast service and counseling', 'quick to respond with any of my concerns'
Worst Case
One complaint about order fulfillment issue and difficulty getting response, but company typically engages
Medical safety risk is low. LegitScript certification, physician leadership, and third-party testing provide meaningful quality assurance. No safety complaints in any review source.
Financial risk is low based on available data. Zero BBB complaints is unusual and positive. One Trustpilot complaint about pricing was responded to by company.
Service risk is low-moderate. Current customer feedback is excellent but limited volume. Main risk is uncertainty from short operating history rather than documented problems.
Auto-Renewal
Monthly subscription model. Billing cycle details not prominently displayed on website.
Billing Transparency
Pricing clearly displayed: $155/mo semaglutide, $279/mo tirzepatide. One customer reported unexpected price increase on second prescription, but this was addressed by customer service.
Payment Methods
Credit card, HSA, FSA eligible (submit receipt for reimbursement)
Financing
No financing options mentioned. Monthly payment only.
State Restrictions
Service limited to 20 states: AZ, CA, CO, FL, GA, IL, IN, MN, MO, NV, NJ, NY, NC, OH, OR, PA, TN, TX, VA, WI
State-Specific Requirements
Video/audio consultations required in states with synchronous telemedicine requirements
Pharmacy Board Actions
No pharmacy board actions identified
Excellent pricing ($155/mo semaglutide) with included labs provides outstanding value vs competitors
4.6/5 Trustpilot with 94% 5-star reviews and A- BBB rating with zero complaints - though limited volume
Physician-led company, LegitScript certified, third-party tested medications, quarterly labs included
Excellent reviews praising responsive support and personal attention from Dr. Echeverry
Newer company (2024) with limited reviews - excellent early signals but insufficient data for full confidence
Limited to 20 states (vs 49-50 for competitors) restricts access for many potential customers
Tuyo Health offers compelling value with $155/month semaglutide including labs, a 4.6/5 Trustpilot rating, and A- BBB rating with zero complaints. The physician-led company provides personalized attention that larger providers often lack. While the limited 45-review volume and 20-state coverage are constraints, early adopters in covered states should find Tuyo to be an excellent option - especially for Spanish-speaking patients seeking bilingual care.
Best Alternative: MEDVi — MEDVi offers similar compounded GLP-1 medications with 49-state coverage and 8,172+ reviews providing more statistical reliability. Pricing is higher ($299-399/month refills) but includes a 5-month money-back guarantee. Better choice for those wanting more established track record or needing service outside Tuyo's 20-state coverage.
Others: Fridays Health ($249/month with RD coaching and 4,000+ reviews), Henry Meds ($297/month with 48-state coverage but F BBB rating), DirectMeds ($147/month lowest price but 3.5/5 rating)
We verified: LegitScript certification status (verified January 2026), Trustpilot 4.6/5 rating from 45 reviews (directly accessed January 25, 2026), BBB A- rating and 0 complaints (accessed January 25, 2026), FDA Warning Letter September 2025 (verified via FDA database), Pricing information ($155 semaglutide, $279 tirzepatide) via company website, State availability - 20 states (verified via website), Company leadership (Dr. German Echeverry, UCSF MD).
We could not verify: Specific pharmacy partners (not named on website), Exact medication potency (would require lab testing), Total customer count vs review volume, Long-term reliability (company founded 2024), Cancellation/refund policy details (not prominently displayed).
This review is based on publicly available information including customer reviews on Trustpilot (accessed January 25, 2026), BBB data (accessed January 25, 2026), FDA Warning Letters database, LegitScript certification records, company website content, and news articles.
This review is for informational purposes only and does not constitute medical advice. GLP-1 medications have risks and side effects. Consult with a qualified healthcare provider before starting any weight loss medication. Individual medical needs and reactions vary. Compounded medications are NOT FDA-approved.
AllGLP1.com may earn affiliate commissions from providers recommended in this review. This does not influence our factual findings. We maintain editorial independence - our assessments are based on verified evidence regardless of affiliate relationships.
