Greeley's wide city-state obesity gap, a February 2026 low-income HPSA, two endocrinologists for a 360,000-person metro, and one published local price around $300 a month.
Greeley's crude adult obesity prevalence is 35.1% in CDC PLACES (BRFSS 2023 data year) 1 against Colorado's statewide BRFSS estimate of 24.9% 2. Those two are not measured the same way: PLACES is a small-area model and BRFSS-direct is a state survey, so read the roughly ten-point gap as directional, not as a precise delta.
Weld County's economy runs on meatpacking, agriculture, and logistics, and Greeley's 114,363 residents sit inside a 360,216-person metro with a 10.3% uninsured rate and a $69,881 median household income 3456.
Greeley's safety-net primary care runs through two HRSA-designated FQHCs: Sunrise Community Health, with five or more sites inside Greeley city limits, and Salud Family Health, serving Weld County from Fort Lupton, Brighton, Fort Morgan, and Commerce City. Both typically accept Medicaid and CHP+ on a sliding scale.
They are working against a fresh designation. "LI Greeley," a Low-Income Population Primary Care HPSA, was designated February 19, 2026: score 14, designated population 46,981, population-to-provider ratio 6,289:1, with 14.4% of that population below the poverty line 7. The overlapping "LI Greeley Downtown" designation (score 16, population 34,683, ratio 5,733:1) is Proposed For Withdrawal in the same update, consistent with consolidation rather than improvement, and the county-wide "LI-Weld County" designation was formally withdrawn in 2024 7.
Health First Colorado (Colorado Medicaid) does not cover GLP-1s prescribed solely for weight loss: its Preferred Drug List, effective July 1, 2026, states that prior authorization for those prescriptions will not be approved 13. Wegovy and Zepbound can be approved only for narrower reasons — established cardiovascular disease or moderate-to-severe obstructive sleep apnea. GLP-1 coverage for type 2 diabetes is separate.
NOCO Healthcare at 1130 38th Ave Unit A publishes a self-pay price for its Semaglutide Clinic Program: approximately $300/month for the once-weekly injectable if insurance will not cover it, confirmed verbatim against the live page. Tirzepatide is offered as an alternative with no separate price quoted anywhere on the site 9.
RN MediSpa at 4895 W. 10th Street Unit A builds GLP-1 "metabolic restoration" on compounded semaglutide, tirzepatide, and retatrutide blends inside a 12-month "Year of Transformation" annual membership, and publishes no price anywhere, including on its dedicated GLP-1 page 10. Good Day Pharmacy's Greeley location, one of eight Northern Colorado sites, compounds oral semaglutide and injectable tirzepatide and semaglutide formulations, requires a prescription, and keeps its provider pricing resources password-protected 11.
Astra's price is national and identical everywhere it is licensed: $68/month for compounded semaglutide and $118/month for compounded tirzepatide, both on 12-month plans billed annually at $816 and $1,416. There is no Greeley rate, no local discount, and no consult required to find out the number.
NPPES registry data checked August 28, 2026 finds exactly two individually licensed physicians with a Greeley practice address and a primary taxonomy of Internal Medicine, Endocrinology, Diabetes & Metabolism: Richard Millstein, D.O. and James Speed 8. Zero physicians with a Greeley address are registered under the Obesity Medicine taxonomy. One bariatric-medicine-certified family physician, Anna Wilkins, MD, holds three Greeley practice addresses, which suggests medical weight management here runs through family medicine rather than a distinct specialty clinic 8.
For a metro of 360,000-plus, that is a thin bench. The fuller endocrinology and bariatric-surgery programs are at UCHealth Poudre Valley Hospital in Fort Collins, about 30 minutes north, or in the Denver metro, roughly 55 to 65 minutes south. For a Greeley shift worker, that drive is the actual barrier.
Telehealth removes the local-appointment bottleneck: no Fort Collins drive, no Denver drive, no waiting list at one of two practices. Astra serves all 50 states, including Colorado.
Astra treats patients in Colorado through state-licensed physicians.
Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. A licensed physician decides whether treatment is appropriate for you.
Monthly self-pay prices published by local providers, compared with Astra's online programs and the manufacturers' own self-pay prices for brand-name drugs. Compounded and brand-name medications are different products; compounded medications are not FDA-approved.
| Provider | Per month | Basis | Source |
|---|---|---|---|
| NOCO Healthcare — semaglutide | $300 | per month, approximate, self-pay | source, checked 2026-08-28 |
| Astra — compounded semaglutide | $68 | per month, 12-month plan | program page |
| Astra — compounded tirzepatide | $118 | per month, 12-month plan | program page |
| Wegovy pen — NovoCare self-pay | $349 | per month, standard price | price index |
| Zepbound® — LillyDirect self-pay | $299–$449 | per month, by dose | price index |
Yes — online, for patients in Colorado. Astra has two current promo codes:
Code
Compounded tirzepatide: code NEWSTART — $100 off. $109/mo instead of $118/mo on the 12-month plan ($1,316 billed once instead of $1,416).
Apply NEWSTART automatically →Code
Compounded semaglutide: code Sema NewStart — $30 off. Applied at checkout; plans start at $68/mo on the 12-month plan ($816 billed once) before the discount.
Apply Sema NewStart automatically →Click a button to start with the code already applied, or type the code during checkout. NEWSTART applies to the 12-month compounded tirzepatide plan. Plans are billed upfront, renew automatically and can be cancelled any time. A licensed physician decides whether treatment is appropriate; a visit does not guarantee a prescription. Compounded medications are not FDA-approved. Subscription terms · Refund policy. Last verified 2026-10-01.
All Astra promo codes · Semaglutide coupon guide · Tirzepatide coupon guide
Locally, only one of the three Greeley-based clinics checked publishes a self-pay price: NOCO Healthcare's Semaglutide Clinic Program runs about $300/month (checked 2026-08-28). RN MediSpa and the Greeley location of Good Day Pharmacy both offer compounded GLP-1 programs but don't publish a price anywhere on their sites — you have to book a consult, or already hold a prescription, to find out. Astra's national price is $68/month for semaglutide on a 12-month plan, the same in Greeley as everywhere else Astra operates.
Where a real number exists, yes: NOCO Healthcare's published self-pay semaglutide price (about $300/month) is roughly 4.4x Astra's $68/month semaglutide price on a 12-month plan. The other two Greeley providers checked, RN MediSpa and Good Day Pharmacy, don't publish pricing, so a direct comparison isn't possible there — the honest finding is that Greeley's local self-pay GLP-1 market is largely price-opaque outside NOCO. Astra's $68/mo semaglutide and $118/mo tirzepatide prices are set nationally and don't change by city.
Yes. Greeley carries an active HRSA Primary Care HPSA called "LI Greeley," newly designated February 19, 2026, covering a low-income population of 46,981 at a 6,289:1 population-to-provider ratio, with 14.4% of that population below the poverty line. A prior overlapping designation, "LI Greeley Downtown," is marked proposed for withdrawal as of the same update, consistent with consolidation into the new designation. Sunrise Community Health, an FQHC with 5+ sites inside Greeley, carries its own separate Primary Care HPSA designation.
CDC PLACES puts Greeley's crude obesity prevalence at 35.1% (2023 data year) — about 10 points above Colorado's statewide BRFSS direct-survey estimate of 24.9% for the same year. Some of that gap likely reflects real local factors — Weld County's meatpacking, agriculture, and logistics economy skews toward physically demanding, lower-wage work with less flexible access to preventive care — but PLACES (a small-area model) and BRFSS-direct (a state survey) measure prevalence differently, so the raw point gap is directional, not a precise city-vs-state delta.
Very few. NPPES registry data (checked 2026-08-28) finds just 2 individually licensed endocrinologists with a practice address inside Greeley — Richard Millstein, D.O. and James Speed — serving a metro of 360,000+ people. Zero physicians in Greeley are registered under the specific Obesity Medicine taxonomy; medical weight management appears to run mostly through primary and family-medicine practices instead. Telehealth GLP-1 care, like Astra's, doesn't require a local endocrinology appointment to get started.
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Educational information, not medical advice. Treatment requires evaluation by a licensed physician.