Provider comparison

Surfbound Health vs Avono Health

Avono Health publishes more than one price list. Only the standard-dose injection figures belong in a comparison like this one, and even those are published as a standard-dose rate rather than a flat price.

Provider pages read 30 Oct 2026Rechecked monthly

Short answer

Is Surfbound Health or Avono Health cheaper for compounded GLP-1 injections?

On tirzepatide the recorded monthly charges are $219 at Surfbound Health and $299 at Avono Health. $80 a month lower at Surfbound Health, about 27% less than $299. On semaglutide the recorded monthly charges are $169 at Surfbound Health and $219 at Avono Health. $50 a month lower at Surfbound Health, about 23% less than $219.

Avono Health sells compounded tirzepatide and compounded semaglutide as standard-dose injections, and it prices an oral format separately. This page compares the injection figures only, because an oral tablet price is not an injectable price: mixing the two would understate whichever one a reader actually needs.

On the injection figures, Surfbound Health holds the lower recorded monthly charge on both molecules, and the gap on tirzepatide is the larger of the two. Neither program bills a separate membership, clinician or shipping fee on these plans, so the charge is the whole recurring price on each side and nothing sits underneath it to add in later.

Avono Health’s figures carry a qualifier worth reading carefully. Both its tirzepatide and its semaglutide record are standard-dose rates, and the provider prices by dose, so the published amount is the price at the standard dose rather than a charge that holds across the range. That is not a criticism of the price. It is a limit on what the number can be used for, and it is why both figures here are labelled rather than treated as flat rates.

The oral line is the other thing to know. Both molecules have an oral format at a higher published amount, recorded as its own product. If a prescriber recommends the oral route instead of an injection, neither figure in this comparison applies, and this page says so rather than letting a reader assume the injectable price covers both.

Common ownership, disclosed before the comparison

Surfbound Health is operated by the company that operates this guide

GLP1 Buyer Guide and Surfbound Health are both owned by Open Water Rx LLC. When this guide names Surfbound Health, it is naming a program the guide’s own owner also runs and earns from, so we state that commercial interest wherever a Surfbound option appears, not only on the disclosures page.

Both programs on this page are recorded on the same fields from their own published pages, and the lower figure is named on each molecule whoever publishes it. Avono Health is not connected to this guide in any way. Full ownership, advertising and placement statement.

The monthly price, molecule by molecule

These are the standard-dose injectable charges for one billing period. Avono Health records no membership, clinician or shipping fee on its plans, and Surfbound Health records no separate membership fee either. Where a program prices by dose, the figure is its standard-dose rate rather than a charge that holds at every dose.

Recorded standard monthly charge for one injectable plan, including every mandatory recurring fee. Each figure carries the date the provider page behind it was checked.
Medication	Surfbound Health	Avono Health	Difference
TirzepatideCompounded injectable	$219a month · checked October 22, 2026	$299a month · checked October 27, 2026	Lower at Surfbound Health$80 a month lower at Surfbound Health, about 27% less than $299.
SemaglutideCompounded injectable	$169a month · checked October 22, 2026	$219a month · checked October 27, 2026	Lower at Surfbound Health$50 a month lower at Surfbound Health, about 23% less than $219.

Kept out of that table on purpose: Avono Health’s oral format on both molecules, which is a separate product at a separate price, and any longer term either program publishes. An oral price is not an injectable price, and a prepaid term is not a monthly charge, so neither belongs in a monthly injection comparison.

The two charges do not cover the same length of time: Surfbound Health bills every 28 days, while Avono Health bills once a month. A four-week cycle repeats more often in a year than a calendar month does, so the recorded gap between the two charges is not a like-for-like monthly saving, and no annual total is printed here because neither program bills one.

What the charge includes, and how you leave

The dose and formulation rows matter most here, because the two programs publish their prices on different bases and one of them sells a second format of the same molecule. Each row prints the recorded field rather than a summary of it.

Program terms as recorded from each provider's own pages. Where a program sells two molecules, both are named rather than merged into one figure.
Field	Surfbound Health	Avono Health
Membership fee	$0: no separate membership fee	$0: no separate membership fee
Included services	Provider review, prescribed medication and shipping.	Provider review, medication if prescribed, supplies and shipping.
Required or separate fees	No separate membership fee. No laboratory services are provided or billed.	No additional fees recorded.
Dose increases	One price across the doses listed; no advertised dose-based increase. Recorded doses: Same published price at each prescribed dose; numeric range not established	Tirzepatide: The recorded charge steps up with the dose. The published dose range is not established. · Semaglutide: One price across the doses listed; no advertised dose-based increase. The published dose range is not established.
Billing interval	Every 28 days.	Monthly billing.
Commitment	No long-term commitment and no minimum term. Recurring billing applies until you cancel, so the plan can be stopped before the next renewal. The published Refund Policy and Terms were re-checked on October 26, 2026.	No stated minimum term. Recurring billing applies until you cancel.
Cancellation	Cancel in the patient portal with no required advance notice and no cancellation fee; the published Refund Policy and Terms were re-checked on October 26, 2026. Cancellation stops future orders, not orders the pharmacy has already processed.	Cancel before the next renewal to stop future charges.
Refund conditions	No charge if declined; any amount collected for a declined order is refunded. Pharmacy-processed orders are nonrefundable, subject to policy exceptions.	Not established.
Dispensing pharmacy	Section 503A compounding pharmacy recorded. Surfbound Health publicly identifies several independent pharmacy partners, including Emerald Compounding Pharmacy. The specific pharmacy fulfilling an individual prescription is determined through the prescription and fulfillment process.	Not established. No dispensing facility is recorded for this program on the pages we read, so no pharmacy is attributed here.

Membership fee. A separate membership is a recurring charge billed on top of the medication. Zero means the program states no separate membership fee, which is not the same fact as an unrecorded amount.

Included services. The services the program states are inside the single charge, in the provider’s own wording.

Required or separate fees. Read from each program’s published terms. Where a fee is conditional or charged once, the record names it here rather than folding it into the charge.

Dose increases. A flat price is a claim that the charge does not rise as the dose increases. It is only established across the doses each program publishes, so the recorded ladder or dose scope is stated beside it.

Billing interval. The interval the provider actually bills on, recorded on each offer and not inferred from the medication supply. A 28-day cycle is not a calendar month, and neither is converted into the other.

Commitment. What the plan records about a minimum term, in the program’s own words. A recurring charge on its own proves neither a minimum term nor the absence of one.

Cancellation. Cancelling stops future orders. It does not reverse an order the pharmacy has already processed on either program.

Refund conditions. A refund is a different question from a cancellation: cancelling stops future charges, while a refund depends on what has already been paid, prepared or shipped. Where a program records a processing charge against a cancellation, it appears here.

Dispensing pharmacy. A pharmacy category describes how a compounded product is regulated. It does not identify the named facility filling a specific order, and it says nothing about the price.

Billing basis, Surfbound Health. Owner-confirmed on October 22, 2026 and corrected on November 11, 2026: billed every 28 days, not once a calendar month.

Billing basis, Avono Health. Provider states monthly billing; no fixed day count is published.

Two price lists, one comparison

The recorded gap is straightforward. What needs care is which figure is being compared, because this program prices by dose and by format, and only one of those lists is comparable here.

Where Avono Health does better

Prices compounded tirzepatide and compounded semaglutide injections with no membership, clinician or shipping fee added on top.
Records its figure as a standard-dose rate rather than presenting it as a charge that holds at every dose.
Carries a re-read dated October 27, 2026 on both molecules, which is the date printed beside those figures.
Includes the provider review, supplies and shipping inside the charge, so there is no second recurring line to add.

Where Surfbound Health does better

Holds the lower standard-dose monthly charge on both molecules, and the gap on tirzepatide is the larger of the two.
Publishes one flat charge with no advertised dose-based increase, so the amount does not move when the prescription does.
Records cancellation in the patient portal with no required advance notice and no cancellation fee.
Records a refund cutoff in a published policy, rather than leaving the position after a payment unstated.
Records a Section 503A dispensing category for its product, so the regulatory route behind the compounded preparation is documented.

Where the two are level. Both publish per-molecule figures rather than one range across both products, both include the review and shipping inside the charge, and both keep an oral format out of the injectable price. On supply they are not level: Surfbound Health records a 28-day supply per charge, while Avono Health does not publish the days of medication a charge buys. Neither publishes the full dose range its figure covers, so the two records are incomplete on different fields.

Both programs also carry a place in the buyer guide index, read from that index rather than assigned here: Surfbound Health at rank 1 with 94.3 out of 100, and Avono Health at rank 7 with 86.8 out of 100. No position or score was changed for this page.

What would change the answer. Avono Health was re-read on October 27, 2026, and the standard-dose tiers are what that read established. A figure is accurate to its check date: a re-read can move an amount, and a dose tier can be added above the standard one recorded here.

What value does not mean. This is a comparison of price and program terms. It is not a clinical comparison, neither program is claimed to work better than the other, and whether a compounded medication is appropriate is a decision for a licensed prescriber.

The tirzepatide row is the one to watch. Where both programs price both molecules, it carries the larger charge of the two, so a change there moves the monthly bill further than the same change would on the other molecule.

What this comparison does not establish

Avono Health prices by dose, so its recorded figure is the standard-dose rate rather than a charge that holds at every dose, and the tiers above the standard one are not recorded on this page.

Avono Health does not publish the days of medication per charge, where Surfbound Health records a 28-day supply, and neither program publishes the full dose range its figure covers, so both claims stop where each published list stops.

Neither record establishes a general post-order refund entitlement, and neither names the specific dispensing pharmacy behind an individual order.

Both products are compounded preparations, which are not FDA-approved and are not generic versions of any brand-name medication.

Compounded and brand-name products appear together because buyers compare them. They can share an active ingredient; they are not the same product. Compounded medications are not FDA-approved and are not generic versions of the brand-name medications.

How these figures were checked

A dose-based price is recorded as a dose-based price and never promoted into a flat rate. An oral format is recorded as its own product with its own evidence, so no injectable comparison on this page borrows an oral amount or the reverse.

Each program’s own pricing page was read for this comparison. Every figure below keeps the check date printed beside it rather than a single freshness badge for the page. A recorded figure is kept until a re-read replaces it, and a replaced figure keeps the date of the reading it came from instead of being quietly overwritten.

Read the field definitions on program cost research, the sourcing rule on how we compare, and the full monthly comparison ledger for the same fields across every recorded program.