Pallas Health Review (2026): Pricing, App, Pharmacies & Is It Legit?

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Pallas Health is one of the newer names in online weight care, and it takes a different approach from most of the category. Instead of competing mainly on the lowest monthly number, it competes on disclosure: named supervising physicians, a published list of partner pharmacies, state-by-state rules on its site, and a free app for logging doses and daily habits. This review looks at whether that openness makes up for a higher ongoing price and a very short track record.

Quick verdict (TL;DR)

Rating: 3.8 / 5. Pallas does the trust basics better than most new entrants. It shows a LegitScript Healthcare Merchant certification, names its clinicians and pharmacies, doesn't charge at checkout until a clinician prescribes, and refunds you in full if you're declined. The companion app is a genuine extra. Two things keep it out of our top tier. First, the month-to-month price after the first month is high for compounded medication ($199 every 4 weeks for semaglutide, $299 for tirzepatide), and its lower annual pricing is still above the flat-rate leaders. Second, as a 2026 launch it has almost no independent reviews, so it's too early to judge delivery and support at scale.

This is not medical advice. Consult a licensed clinician before starting any prescription weight-loss medication or program.

What Pallas Health is

Pallas Health is a telehealth technology platform operated by Brentmoor, Inc., with a listed address in Newark, Delaware. Like most platforms in this space, it isn't the medical practice itself. Prescribing goes through Lion MD, a network of US-licensed clinicians, with CareValidate handling clinical operations and provider verification. Pallas names two supervising physicians on its clinical page: Dr. Ana Lisa Carr, MD (listed as board-certified in family, obesity and addiction medicine) and Dr. Kelly Tenbrink, MD (emergency medicine). It publishes their NPI numbers, which you can check in the federal NPPES registry.

The platform offers:

• Compounded weight-care medication (compounded semaglutide and compounded tirzepatide)
• Brand-name FDA-approved medications (Wegovy, Zepbound, Ozempic and Mounjaro, among others) at cash-pay pharmacy prices, for patients a clinician decides they suit
• NAD+ as a nasal spray or weekly injection, plus sermorelin, glutathione, prescription skincare and women's hormone therapy

Compounded is not FDA-approved. Pallas states this itself: compounded medications are not FDA-approved and are not generic versions of brand-name drugs. That applies to every compounded provider, not just Pallas. Our compounded vs branded explainer covers what it means in practice. Pallas also offers brand-name medication through the same platform, which many compounded-only competitors don't.

Pallas Health cost in 2026

Pallas's homepage listed these prices on 3 October 2026:

Treatment	First month	Then	Annual plan (average)
Compounded semaglutide	$139	$199 every 4 weeks	$139/month average
Compounded tirzepatide	$179	$299 every 4 weeks	$239/month average

Pallas says that price includes the clinician visit, follow-ups, dose adjustments, unlimited messaging, 24/7 support and free shipping. It also says there's no membership fee and that the price stays the same as your dose changes. Nothing is charged at checkout. You're billed only once a clinician prescribes.

Two things to watch:

1. The first-month price is an introductory rate. The number you'll actually live with is $199 or $299 every 4 weeks on the standard plan, or the annual-plan average. Compare providers on that number, not the first month.
2. The billing cadence has changed. Third-party reviews from August and September 2026 describe ongoing compounded billing as every 12 weeks ($597 for semaglutide, $897 for tirzepatide). The current homepage says every 4 weeks. Pallas's terms say billing recurs each period "anchored to the prescription date," and that prices can change with at least 30 days' notice. Confirm the cadence and amount at checkout.

NAD+ pricing, per Pallas's own press materials: $79 for the first month (nasal spray) or $89 (injection), then about $189 or $199 per month on average, billed in 12-week blocks. That's on the high side compared with other NAD+ telehealth offers.

The Pallas app

Pallas has a free companion app, "Pallas Protein & GLP-1 Tracker," on iOS and Android, with no subscription. According to its store listing and Pallas's site, you can use it to:

• Log doses and get dose and refill reminders
• Track protein, fiber, water and steps
• Log weight and mood, and note symptoms against dose changes
• Message your care team and track your order from the pharmacy to your door

It's a genuinely useful extra. Logging protein and side effects is the kind of routine clinicians encourage on these medications, and having it in the same place as your care team makes check-ins more concrete. It's also new: the app launched in mid-2026 and had very few store ratings when third-party reviewers checked.

How Pallas Health works, step by step

1. Online questionnaire covering health history, medications and goals.
2. Clinician review by a Lion MD clinician. In most states this is asynchronous. Pallas lists Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, West Virginia and Washington, D.C. as requiring a live video visit before prescribing.
3. Billing only after a prescription. If the clinician declines you, Pallas says any charges are refunded in full.
4. Pharmacy fulfillment. The prescription goes to one of the partner pharmacies Pallas names (Belmar, Strive, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills), each listed as a 503A pharmacy and/or 503B outsourcing facility. Shipping is free and discreet. Pallas's comparison pages say it typically takes 2–5 business days.
5. Ongoing care. Follow-ups, dose changes and messaging are included. You can manage refills, plan changes and cancellation yourself in a self-serve portal.

Is Pallas Health legit?

On the evidence available, yes: it's a properly structured, transparently disclosed telehealth platform. It has a named operating company, named supervising physicians with NPI numbers, named pharmacies, a published state list (all 50 states plus D.C.) and a LegitScript Healthcare Merchant certification. That's more disclosure than many larger brands offer.

What it doesn't have yet is a track record. Third-party reviewers report that its Trustpilot profile had zero reviews as of early September 2026, and that they found no BBB profile clearly tied to pallashealth.co. We also found no regulatory actions. "No complaints" partly reflects how new it is, so it isn't proof of good service yet.

One practical warning: pallashealth.com is a different company, a B2B health-tech consultancy in Denver. The consumer telehealth service is at pallashealth.co.

Refund terms are worth reading closely. You get a full refund if you cancel before a clinician approves you, or if you're declined. Once a prescription is written, that cycle's order is final. Plans started on or after 8 September 2026 also include a conditional six-month refund term, with eligibility rules set out in Pallas's terms. Read them before relying on it.

How Pallas Health compares

Provider	Compounded semaglutide	Compounded tirzepatide	Membership fee	Notable
Pallas Health	$139 first month, then $199 / 4 wks (annual avg $139)	$179 first month, then $299 / 4 wks (annual avg $239)	None	Named pharmacies + clinicians, free app, brand-name option
Trimi	$99/mo flat (annual)	$125/mo flat (annual)	None	Flat at every dose
altrx	From $89/mo (multi-month prepay)	From $129/mo	None	Lowest all-inclusive price
HealthRX	From $99/mo (12-mo plan)	From $179/mo (12-mo plan)	None	Named 503A pharmacy

On price, Pallas trails the field: even its annual-plan average is above Trimi's flat annual rate for both medications. Where it leads is disclosure, the app, and access to brand-name medication through the same platform. See our best telehealth weight-loss programs of 2026 for the full ranking.

Who should consider Pallas Health, and who should skip it

Consider Pallas if you want to know exactly which clinicians and pharmacies are involved, you'd use an app to log doses, protein and symptoms, or you want the option to move between compounded and brand-name medication without changing provider.

Skip Pallas if monthly cost is your main concern (Trimi and altrx are meaningfully cheaper), or you'd rather pick a provider with years of independent customer reviews behind it.

Pros and cons

Pros

• Names its supervising physicians (with NPIs), its prescriber network and six partner pharmacies
• LegitScript Healthcare Merchant certified; serves all 50 states plus D.C.
• No charge until a clinician prescribes; full refund if you're declined
• No membership fee; visits, dose changes, messaging and shipping included
• Free iOS/Android app for logging doses, protein and symptoms
• Brand-name FDA-approved medication available on the same platform

Cons

• Compounded medication is not FDA-approved
• High ongoing price after the introductory first month ($199 / $299 every 4 weeks)
• Billing cadence and amounts have changed since launch; confirm at checkout
• Very little independent customer feedback so far (new in 2026)
• Orders are final once a prescription is written
• NAD+ pricing is high compared with other providers

Frequently asked questions

Is Pallas Health legit? It's a real, LegitScript-certified platform operated by Brentmoor, Inc., with named clinicians and pharmacies. It's new, so independent customer reviews are scarce.

How much does Pallas Health cost? Compounded semaglutide is $139 for the first month, then $199 every 4 weeks, or a $139/month average on the annual plan. Compounded tirzepatide is $179, then $299 every 4 weeks, or a $239/month average on the annual plan. These are the prices listed on 3 October 2026.

Does Pallas Health have an app? Yes. "Pallas Protein & GLP-1 Tracker" is free on iOS and Android and covers dose logging, reminders, protein and hydration tracking, symptom notes and care-team messaging.

Does Pallas Health charge a membership fee? No. Pallas says the plan price includes clinician care and shipping.

Does Pallas Health take insurance? No. It's private pay only.

Bottom line

Pallas Health is built the way we'd like more new telehealth brands to be built. It's open about who prescribes, which pharmacies dispense and how billing works, it adds a free app that supports good daily habits, and you aren't charged unless you're prescribed. The trade-offs are cost and age: after the first month it's one of the pricier compounded options we track, and it hasn't been around long enough to have a customer-service record. If transparency and the app matter more to you than the lowest price, it's a reasonable choice. If price matters more, look at Trimi first. Either way, a licensed clinician should make the medical decision.