Orlistat Price: What It Costs and What’s Included in Eden’s Approach

Wondering how much Orlistat costs? Compare prescription vs OTC pricing, and learn how Eden may incorporate it into care plans guided by licensed healthcare providers, without separate pharmacy markups.

Key takeaways
  • Orlistat is FDA-approved for weight loss and is available as both a prescription (Xenical) and an OTC (Alli) medication.
  • Pricing varies significantly: OTC versions range from $40–$70/month, while prescription Xenical may cost $90–$160/month.
  • Licensed healthcare providers on the Eden platform may prescribe compounded formulations that contain Orlistat along with other ingredients, without requiring separate pharmacy billing or coupons.
  • Licensed healthcare providers may prescribe compounded formulations that include Orlistat as part of a flat-rate care plan that covers clinical oversight, personalized dosing, and delivery. These compounded medications are prepared by licensed compounding pharmacies and are not reviewed or approved by the FDA.

What Is Orlistat?

Orlistat is a medication that works by inhibiting the activity of enzymes (lipases) involved in the digestion of dietary fat. Reducing the breakdown and absorption of fat in the gastrointestinal tract may help limit the calories absorbed from fat in meals. The unabsorbed fat is then eliminated through the digestive system.

Orlistat is FDA-approved for weight loss and weight management under two brand names:

  • Xenical® (prescription strength, 120 mg)
  • Alli® (over-the-counter, 60 mg)

When taken as directed alongside a reduced-fat, calorie-controlled diet, Orlistat has been shown to support modest weight loss and improve certain metabolic health markers. Like all medications, effectiveness and tolerance can vary by individual.

Note: To reduce gastrointestinal side effects such as oily stools or increased bowel urgency, Orlistat should be taken with a nutritionally balanced, lower-fat diet.

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What Does Orlistat Cost?

Orlistat’s cost depends on dosage, formulation, and how it is obtained:

Type Dose Est. Monthly Cost Notes
Alli® (OTC) 60 mg $40–$70 Available without a prescription
Xenical® (Rx) 120 mg $90–$160 May be covered by insurance; requires prescription
Compounded formulations 20–60 mg May be included in flat-rate care plan Prescribed by licensed healthcare providers and prepared by licensed compounding pharmacies

Compounded formulations that include Orlistat are not sold as stand-alone medications. Instead, they may be prescribed as part of a broader care plan designed by a licensed healthcare provider. These care plans often include personalized dose adjustments, clinical oversight, and home delivery of medications prepared by licensed compounding pharmacies.

Because these compounded products are not commercially manufactured or FDA-approved as fixed-dose combinations, their cost is not billed on a per-drug basis. Instead, they are integrated into Eden’s flat-rate subscription model, which includes the services and support provided throughout the treatment process.

Eden’s Approach: Flat Pricing, No Pharmacy Markups

Licensed healthcare providers on the Eden platform may design care plans that include compounded formulations tailored to individual needs. These plans are offered through a flat-rate subscription model—typically $246 to $296 per quarter—that covers:

  • Clinical evaluation by a licensed healthcare provider
  • Personalized dose titration and formulation planning
  • Prescriptions for compounded medications, such as those that may contain Orlistat, LDN, inositol, acarbose, or B12
  • Home delivery from licensed compounding pharmacies
  • Ongoing messaging and support from your healthcare provider

This approach is designed to simplify access by removing the need for separate pharmacy billing, manufacturer coupons, or insurance prior authorizations.

Please note: Compounded medications are custom-prepared based on an individual prescription. While they may include ingredients that are FDA-approved in commercially manufactured drugs, the compounded formulations have not been reviewed or approved by the FDA.

Why Some People Prefer Compounded Orlistat

Licensed healthcare providers may recommend compounded formulations that include Orlistat when appropriate for a patient’s goals and medical history. These formulations may offer potential advantages for certain individuals, including:

  • Customized dosing: Licensed healthcare providers may prescribe lower or adjustable doses that align with a person’s gastrointestinal tolerance or nutritional goals.
  • Simplified regimens: Some compounded preparations may combine multiple ingredients, such as Orlistat, inositol, or acarbose, into fewer capsules to streamline daily use.
  • Flexible formulation: Doses and ingredient combinations can be tailored to individual responses over time under the supervision of a licensed healthcare provider.

While Orlistat is FDA-approved in its branded forms (Xenical® and Alli®), compounded formulations that contain Orlistat and additional ingredients are prepared by licensed compounding pharmacies and have not been reviewed or approved by the FDA. These customized medications are prescribed based on individual clinical assessments and are not intended as a substitute for FDA-approved drug products.

Disclaimer

Orlistat is FDA-approved for weight loss and weight management when used as Xenical® (120 mg) or Alli® (60 mg). Compounded formulations that contain Orlistat and other ingredients are prepared by licensed compounding pharmacies based on a licensed healthcare provider’s clinical judgment. These customized medications have not been reviewed or approved by the U.S. Food and Drug Administration (FDA) and are not commercially manufactured.

Eden is a telehealth platform that connects individuals with licensed healthcare providers. Eden does not dispense medications. All prescriptions are issued by independent providers and filled by third-party compounding pharmacies. Individual results may vary. Use of any medication should be discussed with a licensed healthcare provider.

Interested in a non-stimulant, personalized approach to metabolic health?

Take the Eden provider assessment to determine if you’re eligible for a care plan guided by a licensed healthcare provider.

Disclaimer: The FDA does not approve compounded medications for safety, quality, or manufacturing. Prescriptions and a medical evaluation are required for certain products. The information provided on this blog is for general informational purposes only. It is not intended as a substitute for professional advice from a qualified healthcare professional and should not be relied upon as personal health advice. The information contained in this blog is not meant to diagnose, treat, cure, or prevent any disease. Readers are advised to consult with a qualified healthcare professional for any medical concerns, including side effects. Use of this blog's information is at your own risk. The blog owner is not responsible for any adverse effects or consequences resulting from the use of any suggestions or information provided in this blog.

Frequently asked questions

Is Alli® covered by insurance?

No. Because Alli® is an over-the-counter medication, it is typically not eligible for insurance reimbursement.

Can Xenical® be more affordable with coupons or discount programs?

 Possibly. Prescription discount programs like GoodRx may reduce the out-of-pocket cost of Xenical® to around $80–$100 per month. This requires a prescription from a licensed healthcare provider and coordination with a participating retail pharmacy.

Are compounded formulations containing Orlistat less expensive?

For some individuals, yes, especially if they are prescribed multiple ingredients in a single compounded formulation. The flat-rate care model used on the Eden platform includes provider care, formulation planning, and home delivery, which may offer a more predictable and streamlined experience. Pricing is not based on individual drug costs, and compounded medications are prepared by third-party compounding pharmacies.

Are compounded medications FDA-approved?

No. While some ingredients used in compounding (such as Orlistat) may be FDA-approved in commercially manufactured drugs, the compounded formulations are not reviewed or approved by the FDA. These are prepared by licensed compounding pharmacies based on individual prescriptions from licensed healthcare providers.

Does Eden dispense medication?

No. Eden is a telehealth platform that connects individuals with licensed healthcare providers. Any medications prescribed are fulfilled independently by third-party, licensed compounding pharmacies.

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