Ro started in 2017 as Roman, a sexual-health brand, and has since become one of the broadest direct-to-consumer menus in American telehealth. It is privately held, so unlike Hims there are no annual reports to read — what is public is what Ro chooses to publish, plus the third-party review and accreditation records.

What it chose to publish, unusually, is the whole dose ladder. Every other provider in this market quotes a single figure with the word “from” in front of it. Ro prints what each rung costs. That is worth something, and it is also the thing that makes this page longer than the others.

Priced by dose, and the dose is meant to climb

GLP-1 treatment escalates. You start low to build tolerance and move up over the first months toward a maintenance dose. On a flat-rate plan that is invisible. Here it is on the invoice.

Tirzepatide runs $299 at the 2.5 mg starting rung, $399 at 5 mg, and $449 from 7.5 mg through 15 mg. Add the membership and the all-in figure moves from $448 in month one to $598 by the time you are at a therapeutic dose. Semaglutide is flatter — $349 at every dose from 0.25 to 2.4 mg, with a separate $399 rung for the 7.2 mg high-dose pen.

Neither of those is the number in the advertising, which brings us to the second thing worth knowing.

The $199 figure has fine print

Ro advertises semaglutide from $199 a month. That price is real, and it applies to the 0.25 and 0.5 mg doses — the rungs you pass through on the way up, not the ones you stay on. It also has a sign-up deadline of 31 December 2026 attached.

Ro states elsewhere that it charges the same as LillyDirect, NovoCare and TrumpRx. At $349 that is exactly true. At $199 it is not, because the manufacturers’ own programs do not run that promotion. Both statements sit on the same site.

None of this is hidden — it is printed, which is more than most of this market manages. It just is not what the banner says.

The membership, and the one genuinely useful tool

The membership is separate from the medication, as it is at Hims: $39 to start, then $149 a month, falling to $74 a month if you prepay a year. Ro does not publish what medication costs on the twelve-month plan, so we do not quote a combined annual figure.

The insurance checker is the piece worth singling out. Branded GLP-1 is the only category in this market where a health plan sometimes pays, and Ro is the only provider we cover that lets you find out before you have an account. Running it takes a minute and can change the entire calculation.

Here is every plan, what the price covers, and what it does not.