Semaglutide + B12
GLP-1 · longest track record, lowest price
from $129/mo on a 6-month plan
Online in Washington · WA
GLP-1 weight loss in Washington, 100% online.
From Seattle to Spokane and the towns on both sides of the Cascades, Washingtonians can start GLP-1 care online. A U.S.-licensed clinician who can treat patients in Washington reviews your questionnaire, and if treatment is right for you, it ships to your door.
See if you qualify from $129/mo on a 6-month plan
Can I get semaglutide or tirzepatide online in Washington?
Yes. Rovymi offers clinician-guided GLP-1 weight-loss care everywhere in Washington, including Seattle, Spokane, Tacoma and smaller towns. Instead of searching for weight loss injections near you, you answer a 5-minute health questionnaire online. A U.S.-licensed clinician who can treat patients in Washington reviews it and decides whether compounded semaglutide (from $129/mo) or tirzepatide (from $179/mo) is right for you. If it is, a state-licensed pharmacy ships it to your door. No insurance needed.
- Where
- All of Washington
- Plans from
- $129/mo
- Clinician review
- Online, U.S.-licensed
- Insurance
- Not needed
Why online, in Washington
Care that comes to you.
About 31 in 100 Washington adults live with obesity, according to the CDC's 2025 data. From Puget Sound commutes to farm towns east of the mountains, online care fits around your day: you message your care team when it suits you, and your clinician adjusts your plan as you go.
How it works
From questionnaire to doorstep, anywhere in Washington.
- 1
Answer online
A 5-minute health questionnaire from your phone or computer. No waiting room.
- 2
Clinician review
A U.S.-licensed clinician who can treat patients in Washington reviews your history. Depending on state rules and your health, they may schedule a short video visit.
- 3
Pharmacy prepares it
If prescribed, Perfect RX (injections) and Vios (tablets) compounds your medication for you.
- 4
Delivered and supported
Free, discreet shipping, plus unlimited messages with your care team as your dose changes.
Your options
Two weekly medications. One clear price.
Same price at every dose. Compounded medications are not FDA-approved and are not the same as brand-name products.
Make it work in Washington
Local ways to keep moving.
Medication quiets the noise around food. Walking, protein and water make the change last. A few ideas close to home:
Green Lake Park
Seattle
A flat, paved 2.8-mile loop around the lake, easy to start and stop anywhere.
Burke-Gilman Trail
Seattle
A nearly level former rail line from Ballard past the University of Washington toward Lake Washington.
Spokane River Centennial Trail
Spokane
A paved trail along the Spokane River that runs through Riverfront Park downtown.
Eat well
Salmon and apples
Baked or grilled salmon with roasted vegetables is a protein-first dinner that sits well when your appetite is smaller. A sliced Washington apple with a spoonful of peanut butter makes an easy snack.
Local weather
West of the Cascades, fall through spring is cool, gray and damp, so a good rain jacket keeps walks going. East of the mountains, places like Spokane and the Tri-Cities get hot, dry summers where it pays to carry water.
Where we ship
Serving all of Washington.
- Seattle
- Spokane
- Tacoma
- Vancouver
- Bellevue
- Everett
and every other city and town in Washington.
Washington questions
Before you start.
With Rovymi, compounded semaglutide with B12 costs $129/mo on the 6-month plan (billed $774 upfront) or $279 month to month. Tirzepatide is from $179/mo. The price is the same in every state and at every dose, and it includes your clinician review, medication, supplies, shipping and messaging.
Still wondering? Rovy, your care concierge, can help once you start.Start the questionnaire
No. Rovymi is self-pay, so you don't need insurance and we don't bill it. You see the full price before you start.
Still wondering? Rovy, your care concierge, can help once you start.Start the questionnaire
Online, without visiting a local clinic. With Rovymi, a U.S.-licensed clinician who can treat patients in Washington reviews your health questionnaire. If treatment is prescribed, a state-licensed pharmacy (Perfect RX (injections) and Vios (tablets)) prepares your medication and it ships to your door anywhere in Washington, including Seattle and Spokane.
Still wondering? Rovy, your care concierge, can help once you start.Start the questionnaire
It depends on the state program and your plan, and coverage rules change often, so ask your Washington Medicaid plan about brand-name options. Rovymi doesn't bill Medicaid or insurance: it's self-pay, and you see the full price before you start.
Still wondering? Rovy, your care concierge, can help once you start.Start the questionnaire
A U.S.-licensed physician or nurse practitioner who can treat patients in Washington reviews your questionnaire and decides whether treatment is safe and appropriate. Prescriptions are never guaranteed.
Still wondering? Rovy, your care concierge, can help once you start.Start the questionnaire
Your medication ships free in discreet packaging to your address anywhere in Washington, with tracking. Your care team can help if anything goes wrong with a delivery.
Still wondering? Rovy, your care concierge, can help once you start.Start the questionnaire
No. Compounded semaglutide is prepared by a state-licensed pharmacy for you on a clinician's prescription. It is not FDA-approved, it is not a generic, and it is not the same as Ozempic® or Wegovy®. Brand-name medicines were studied in large clinical trials; compounded versions were not.
Still wondering? Rovy, your care concierge, can help once you start.Start the questionnaire
It's usually considered for adults with a BMI of 30 or more, or 27 or more with a weight-related condition such as high blood pressure, type 2 diabetes or sleep apnea. It's not for people who are pregnant or breastfeeding, or who have a personal or family history of medullary thyroid cancer or MEN 2. Your clinician makes the final decision.
Still wondering? Rovy, your care concierge, can help once you start.Start the questionnaire
Important Safety Information
Warning: possible thyroid tumors, including cancer. In studies in rodents, tirzepatide and semaglutide caused thyroid C-cell tumors. It is not known whether they cause these tumors in people. Do not use GLP-1 medication if you or a family member has ever had medullary thyroid carcinoma (MTC) or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your clinician about a lump or swelling in your neck, trouble swallowing, hoarseness or shortness of breath.
Do not use if you are pregnant, planning to become pregnant or breastfeeding, or if you have had a serious allergic reaction to tirzepatide, semaglutide or any ingredient.
Serious side effects can include pancreatitis, gallbladder problems, low blood sugar, kidney problems, serious allergic reactions, vision changes in people with diabetes, and mood changes. Common side effects include nausea, diarrhea, vomiting and constipation. Compounded medications are not FDA-approved. Read the full Important Safety Information.
Start your plan in Washington.
Answer a few questions online. A licensed clinician reviews them and, if it's right for you, your treatment ships to your door.
See if you qualify