Every price comparison assumes the seller can ship to the reader, and that assumption is doing more work than it looks. Supply is not spread evenly across the country, and at the thin end it is not really a market at all — which changes how much of the national price distribution any given reader can reach.
The distribution of choice
Across the 52 jurisdictions where at least one seller on this desk records coverage, the median has 146 sellers offering compounded semaglutide by injection. The widest are TX (167), FL (167), CO (162), AZ (161), VA (156). The thinnest are PR (2), DC (33), MS (123), AK (129), AR (129).
The gap between the top and the bottom of that list is not a matter of a few sellers. A reader in TX is choosing among 167 options; a reader in PR is choosing among 2. The published national range for this molecule runs from $69 to $449, and almost none of that range is reachable from the thin end.
What thin coverage does to price
It removes the bottom of the distribution first. The cheapest sellers on this desk tend to be the narrowest — a service operating in a handful of states has less licensing overhead and less to lose from a low headline. A reader in a well-covered state can shop the whole curve; a reader in a thin one is choosing from whatever reaches them, which is usually the larger, dearer end — and dearer sellers are no likelier to answer the dose question.
Checking your own state
The cheapest-in-your-state tool gives the lowest billed figure actually reachable in each jurisdiction, with how many sellers record coverage there. It is the version of a price table that accounts for whether the seller can ship to you, which is the only version worth acting on. Check it against what a headline leaves out before treating any figure as final.
Counts are computed from this site’s own records at build time, most recently read September 2026.