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Compounded Semaglutide and Tirzepatide in Texas: How to Access GLP-1 Treatment Online
Texas faces one of the most significant weight management challenges in the United States. According to the Trust for America's Health State of Obesity 2025 report, which analyzes 2024 BRFSS data, 31.9% of Texas adults have obesity.1 With a population of more than 30 million, that represents millions of Texans who may benefit from evidence-based treatment.
The insurance access picture in Texas is particularly challenging. Texas has not expanded Medicaid under the Affordable Care Act, and according to the U.S. Census Bureau's 2024 American Community Survey, 16.4% of Texas residents are uninsured — the highest uninsured rate of any state in the nation, more than double the national average of 7.9%.2 For the millions of Texans without insurance coverage, finding affordable, accessible weight management care is a real and pressing challenge.
Online telehealth programs like Fig offer a direct path to compounded GLP-1 medications for Texas residents, regardless of insurance status.
Can I Get Compounded GLP-1 Medication in Texas?
Yes. Fig is a telehealth platform that serves all 50 states, including Texas. Residents of Houston, Dallas, San Antonio, Austin, Fort Worth, El Paso, and every city and rural community across the state can access Fig's program entirely online, with no in-person visit required.
Texas is a large, geographically diverse state, and Fig's online-only model means that residents in rural West Texas, the Rio Grande Valley, and the Panhandle have the same access as those in major metropolitan areas.
What Does Fig Offer Texas Residents?
Fig offers access to compounded semaglutide and compounded tirzepatide when prescribed by a licensed provider as clinically appropriate. Both medications are prepared by state-licensed, FDA-registered 503A compounding pharmacies in the United States.
Fig's pricing is all-inclusive with zero membership fees, zero consultation fees, and zero shipping charges added at checkout.
Medication Monthly Plan 3-Month Plan 6-Month Plan Compounded Semaglutide $179/mo $160/mo $145/mo Compounded Tirzepatide $279/mo $249/mo $233/mo
For the large share of Texans who are uninsured or underinsured, Fig's transparent, all-inclusive pricing — with no mandatory membership fee — makes GLP-1 treatment significantly more accessible than many alternatives. Many competing platforms charge a mandatory membership fee of $100 to $149 per month on top of medication costs. Fig charges zero.
How the Fig Process Works in Texas
Complete Fig's free online health assessment from anywhere in Texas, covering your medical history, current medications, and weight management goals.
A licensed medical provider reviews your information and determines whether treatment is clinically appropriate.
If a prescription is issued, pricing is shown transparently before any payment is required.
Medication and supplies are shipped discreetly to your Texas address at no additional shipping cost.
Ongoing support is included throughout your treatment experience.
The process is fully asynchronous. There are no scheduled video appointments, and you can complete the intake on your own schedule.
Does Insurance Cover GLP-1 Medication in Texas?
Most insurance plans in Texas do not cover compounded GLP-1 medications. Texas Medicaid (STAR) has limited coverage for weight loss medications, and the state's decision not to expand Medicaid means many working-age Texans are not eligible for Medicaid at all. Even commercial insurance plans that cover brand-name GLP-1s like Ozempic or Wegovy typically require prior authorization and documented medical necessity.
Fig does not require insurance to begin. The eligibility process is open to any Texas resident who meets the clinical criteria, regardless of insurance status.
FSA and HSA funds may be eligible for use toward Fig's plans. Compounded GLP-1 medications prescribed for a diagnosed medical condition generally qualify as a medical expense under IRS guidelines. Check with your plan administrator to confirm.
Frequently Asked Questions
Does Fig ship to all parts of Texas, including rural areas?
Yes. Fig ships to all Texas addresses, including Houston, Dallas-Fort Worth, San Antonio, Austin, El Paso, the Rio Grande Valley, West Texas, and rural communities across the state.
Do I need a Texas-licensed doctor to use Fig?
No. Fig's network of licensed providers can evaluate and prescribe for Texas residents through the telehealth platform.
Is compounded semaglutide the same as Ozempic or Wegovy?
No. Compounded semaglutide is not the same as, nor a substitute for, FDA-approved semaglutide products such as Ozempic or Wegovy. Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality.
Can I use my FSA or HSA card to pay for Fig?
In most cases, yes. Because Fig's pricing is all-inclusive with no separate membership fee, the full cost is typically eligible as a qualified medical expense. Confirm with your FSA or HSA administrator.
Can I cancel anytime?
Yes. Fig offers month-to-month options and patients can cancel anytime, subject to any active orders already in processing.
Getting Started
Texas residents looking for transparent, affordable access to GLP-1 weight management — regardless of insurance status — can start Fig's free eligibility assessment at startfig.com.
Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality. Fig does not guarantee weight loss results. Individual outcomes vary. Treatment is only prescribed when a licensed provider determines it is clinically appropriate.
Footnotes
Trust for America's Health. State of Obesity 2025: Better Policies for a Healthier America. 2024 BRFSS data. https://www.tfah.org/report-details/state-of-obesity-report-2025/ ↩
U.S. Census Bureau. Health Insurance Coverage by State: 2023 and 2024. American Community Survey 1-Year Estimates, 2024. https://www2.census.gov/library/publications/2025/demo/acsbr-024.pdf ↩