Rift

What it is

Offers compounded semaglutide and compounded tirzepatide after an online questionnaire and consult.

Says it works with US-licensed 503A and 503B compounding pharmacies and shows no hidden fees or subscriptions.

Sells compounded NAD+ (1,000 mg vials), sermorelin, glutathione, MIC+B12 and a Lipo-Mino-C blend, plus compounded tirzepatide and semaglutide.

Patients complete an online questionnaire reviewed by independent, state-licensed providers; prescriptions go to 503A/503B compounding pharmacies (The Pharmacy Hub for its NAD+).

Monthly and 12-week plans are offered.

Prescribes: Compounded semaglutide and tirzepatide injections. Compounded NAD+, sermorelin, glutathione and B-vitamin injections (not FDA-approved), plus compounded GLP-1 drugs.

What it costs

Insurance: Insurance not mentioned on the homepage.

Prices change often. Check joinrift.com before you sign up.

Pros and cons

What users say

Common themes in public posts on Reddit, Trustpilot, the Better Business Bureau and app stores, summarised and linked. Individual experiences vary.

• Rift is heavily discussed in r/tirzepatidecompound in 2026, and many posts praise fast approvals and delivery (in one case about 30 hours from order to door), cold arrival, sturdy packaging and a choice of pharmacies.34
• Members frequently cite Rift's flat multi-month prices (for example about $479-$499 for three months, with limited-time offers lower) as good value per milligram.356
• Negative threads report reduced effect after switching from brand-name medication or with a particular pharmacy's product, double billing, and particles reported in one compounding pharmacy's vial lot that Rift supplied.78910
• When a member threatened to cancel over a two-day prescription wait in September 2026, most replies said Rift is among the faster telehealths and that order volumes were up across providers.11
• Most Trustpilot reviewers praise fast shipping, clear pricing and cold, well-packed shipments.2
• Two low-rated reviews mention shipments stopping without notice, early refills and app problems.2
• Reddit users who stack longevity injections say Rift has the cheapest 30 mL glutathione and Lipo-Mino, and some moved their NAD+ and glutathione orders to Rift from other telehealths for price.141516
• Some users credit NAD+ from Rift with easing fatigue while on tirzepatide (individual reports, not evidence of effect).18
• During October 2026 reports of particles in tirzepatide vials from the Hyalo pharmacy, users said Rift asked for photos and video before refunding.17
• Trustpilot reviewers mostly praise fast shipping and clear pricing; the few critical reviews mention stopped shipments and double billing.2