Pricing · Care · FlexibilityReview dates vary by provider
Belle vs. Elara: pricing, care and plan details
Compare the details
The Belle approach
Belle ★
Compounded Tirzepatide & Semaglutide
4.5 ★★★★★1,367 Trustpilot reviews
Belle leads on 6 of 9 categories below
Elara
Compounded semaglutide & tirzepatide
Only 2 Trustpilot reviews; no meaningful independent rating
Good to knowBilled every 4 weeks: 13 charges a year.
Pricing
Semaglutide
$199/mo
All doses · flat rate
As low as $109/mo on an annual plan
$249 per 4 weeks
Injectable, same price at every dose, billed every 4 weeks (13 charges a year). Oral semaglutide is $279 per 4 weeks
$179 per 4 weeks on a 52-week prepaid plan ($2,327 upfront)
Tirzepatide
$249/mo
All doses · flat rate
As low as $179/mo on an annual plan
$339 per 4 weeks
Injectable, same price at every dose, billed every 4 weeks (13 charges a year)
$269 per 4 weeks on a 52-week prepaid plan ($3,497 upfront)
Multi-Month Plans
1-, 2-, 6- & 12-month plans
Annual plans: $109/mo semaglutide or $179/mo tirzepatide
4-week rolling plus 12-, 24- and 52-week prepaid
Longer plans are paid upfront; ending one early reprices care already received at the shorter plan rate
Membership Fee
None, all-in pricing
No hidden fees on top of your medication
None
No separate membership; billed every 4 weeks
Care Team & Support
Medical Team
In-house doctors & staff
The medical team is employed directly by Belle, not contracted out to a third-party network
OpenLoop affiliated medical groups
Terms: independent practitioners contracted or employed with affiliated medical groups
Dietitian / Nutritionist
Included in every plan
Dedicated dietitian and nutritionist access
Certified health coaches (not RDs)
Health coaches covering nutrition and behavior change are included; described as "certified health coaches," not registered dietitians
How You Reach the Care Team
Clinical, provider & support calls
Easily accessible booking links, with same-day appointments available for all three call types.
Messages; replies can take a business day
Provider reviews prescriptions and performs dose adjustments; direct scheduling of calls not clearly disclosed on website
Care Between Refills
Optional welcome call, plus check-ins by call or text
Book an optional welcome call when you join. After that, request a check-in call anytime, and short check-in texts ask how things are going and watch for side effects.
Quarterly labs + physician dose reviews
Quarterly metabolic labs included; ongoing physician dose reviews; lab reviews at 90-day intervals built into the program
Pharmacy & Flexibility
Compounding Pharmacy
Licensed 503A & 503B pharmacies
Both FDA-registered pharmacy types for quality and compliance
503A pharmacies named; no 503B
Named 503A partners: RedRock Pharmacy, Health Warehouse, Precision Compounding Pharmacy, Triad Rx; no 503B outsourcing facility disclosed
Cancellation Policy
Cancel anytime, no hassle
No long-term lock-in, no cancellation fees, no runaround
Monthly/quarterly: cancel anytime via portal
Monthly and quarterly plans can be cancelled anytime via account portal; annual plan has 12-month commitment; dispensed medication is non-refundable
Shipment Control
Full control: pause, delay, or cancel
Manage your shipments on your schedule, no questions asked
Pause or skip options not disclosed
Specific options to pause, delay, or skip shipments not disclosed on reviewed pages

Comparison notes

Elara charges $249 and $339 every 4 weeks, 13 charges a year, against $199 and $249 a month at Belle. Lower rates require prepaying up to 52 weeks. Providers come through OpenLoop rather than an in-house team, and with only 2 Trustpilot reviews there is no real track record to check. Belle charges $199 and $249 a month with an in-house medical team, dietitian access and a 4.5 rating built on 1,367 reviews.
Start with Belle

Cancel anytime. No membership fee. In-house doctors from day one.

Sources and review status

Provider sources reviewed . Pricing, membership, medical team, plan lengths and Trustpilot rechecked from public pricing, product, FAQ and terms pages; no checkout or independent service audit. Trustpilot rating checked on the same date.

The Belle Community

Stay connected with the Belle Community.

Weekly groups, nutrition guidance and an active community to connect with between appointments.

Belle clinicians participate weekly, sharing education and answering member questions.

Explore the Belle Community

Free to join. Open to anyone 18 and older.

An educational and peer-support space. For personal medical advice, contact your care team.

Why you can trust this guide

No spin. Just sources.

Belle publishes this guide and is a provider in every comparison. This is not an independent ranking or a treatment recommendation.

Compare the same medication, formulation, dose, plan length and billing schedule. Introductory prices, annual monthly equivalents and brand-name medication plus membership are labeled separately. An unknown detail is not a missing service.

For support, compare who responds, how you book a live follow-up, and when an appointment is available. An advertised messaging channel does not establish a response time. Competitor support descriptions are labeled as provider-advertised, historical or not verified; actual service availability and response times have not been independently tested.