What is the cheapest alternative to Ozempic?

Compounded semaglutide is usually the lowest cash price, since branded Ozempic runs over $1,000/mo without insurance. It isn't FDA-approved, though, and availability tightened in 2025 — weigh clinician oversight and a named pharmacy against price alone. See our cheapest-semaglutide comparison.

Is tirzepatide a better alternative than Ozempic?

In a head-to-head trial, tirzepatide (Zepbound/Mounjaro) produced more weight loss than semaglutide (Ozempic's molecule). Whether it's 'better' for you depends on tolerability, cost, and access — but it's the strongest alternative on efficacy.

Can I switch from Ozempic to a compounded version?

Many people do for cost reasons, but compounded semaglutide is not FDA-approved or therapeutically identical, and dosing may differ. Do it under a clinician's guidance rather than switching on your own, and confirm the medication source.

What is the cheapest alternative to Ozempic?

Compounded semaglutide is usually the lowest cash price, since branded Ozempic runs over $1,000/mo without insurance. It isn't FDA-approved, though, and availability tightened in 2025 — weigh clinician oversight and a named pharmacy against price alone. See our cheapest-semaglutide comparison.

Is tirzepatide a better alternative than Ozempic?

In a head-to-head trial, tirzepatide (Zepbound/Mounjaro) produced more weight loss than semaglutide (Ozempic's molecule). Whether it's 'better' for you depends on tolerability, cost, and access — but it's the strongest alternative on efficacy.

Can I switch from Ozempic to a compounded version?

Many people do for cost reasons, but compounded semaglutide is not FDA-approved or therapeutically identical, and dosing may differ. Do it under a clinician's guidance rather than switching on your own, and confirm the medication source.

Alternatives to Ozempic

Ozempic alternatives

Ozempic is branded semaglutide — approved for type 2 diabetes, expensive, and often hard to get for weight loss. If you’re looking for an alternative, the realistic options are compounded semaglutide (the same molecule, cheaper, not FDA-approved), tirzepatide (Zepbound/Mounjaro, often more weight loss), or getting branded semaglutide through insurance. Here’s who offers what.

By Julian RothResearch & data

73 providers comparedReviewed against our editorial methodologyUpdated August 2026

Disclosure: Aminoscope is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.

The shortlist

73 providers, side by side

Providers here offer semaglutide — Ozempic's molecule — in compounded or branded form; several also carry tirzepatide as a stronger alternative. Order puts our partners first; access notes appear only where a provider publishes them.

Sort

Provider	Access	Medications	Insurance	Visit	Go
Enhance MDPartner Editorial pick Read review →	From $99/mo	SemaglutideTirzepatide	Cash-pay	Async	Check availability
HealthRXPartner Low-cost, overnight Read review →	Compounded semaglutide from $99/mo (12-mo), tirzepatide from $179/mo	SemaglutideTirzepatide	Cash-pay	Async	Check availability
FoundPartner Insurance-friendly Read review →	From $49/mo	SemaglutideTirzepatide+1	Insurance	—	Check availability
yourEraPartner Best value Read review →	From $99/mo	SemaglutideTirzepatide	Cash-pay	Async	Check availability
Breeze MedsPartner Names its pharmacy Read review →	From ~$179/mo	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Bodybuilding Health+Partner Fitness-oriented Read review →	From ~$179/mo	SemaglutideTirzepatide	Cash-pay	Async	Check availability
Synergy RxPartner Integrated pharmacy Read review →	Not published up front	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Gala HealthPartner Guided program Read review →	Compounded tirzepatide from $179/mo (12-mo), microdosing from $149/mo; Ozempic $1,299/mo	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Direct MedsPartner Simple cash-pay Read review →	Not published up front	SemaglutideTirzepatide	Cash-pay	Async	Check availability
Strut HealthPartner One-stop telehealth Read review →	Not published up front	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
CoreAge RxPartner Flat dosing price, vague sourcing Read review →	Semaglutide from $99/mo, tirzepatide from $149/mo — same price at every dose; 50 states listed	SemaglutideTirzepatide	Cash-pay	—	Check availability
Oak LongevityPartner Longevity bundle Read review →	From ~$133/mo, no membership fee	SemaglutideTirzepatide	Cash-pay	Async	Check availability
CareBareRXPartner Oral option, inclusive Read review →	From ~$199/mo, no insurance required	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
SnagRxPartner Names its pharmacies Read review →	List $299/mo semaglutide, $399 tirzepatide; $69/$119 promotional	Compounded semaglutideCompounded tirzepatide	Cash-pay	—	Check availability
He & She MDPartner Flat dosing, prepay headline Read review →	Semaglutide $199/mo month-to-month ($99 only on a $1,188 annual prepay); tirzepatide $299/$159; states not published	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
HumeCare+Partner Lean-mass tracking, price behind a quiz Read review →	$199/mo semaglutide (injection or oral), $299/mo tirzepatide — month to month, shown only after a medical questionnaire	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Try AgelessPartner Most formats Read review →	From ~$119/mo intro (semaglutide injection)	SemaglutideTirzepatide	Cash-pay	Async	Check availability
SkinnyRxPartner Cancel anytime Read review →	From ~$199/mo, cancel anytime	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Peter MDPartner Men's-health one-stop Read review →	One-account men's-health telehealth	SemaglutideTirzepatide	Cash-pay	Async	Check availability
MadeMedPartner GLP-1 + NAD⁺ Read review →	One-account telehealth (GLP-1 + longevity)	SemaglutideTirzepatide	Cash-pay	Async	Check availability
ShedPartner Widest formats Read review →	Compounded GLP-1 from ~$199/mo	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Live VitalPartner Deep peptide menu Read review →	From $99–$299/mo depending on protocol, quoted on 10-week protocol plans	SemaglutideTirzepatide	Cash-pay	Async	Check availability
Trimi HealthPartner Low-cost, deep guides Read review →	Compounded GLP-1 from ~$99/mo, all 50 states	SemaglutideTirzepatide+2	Cash-pay	Async	Check availability
Telos RXPartner Needle-free option Read review →	Compounded; first month semaglutide ~$49, tirzepatide ~$99	SemaglutideTirzepatide	Cash-pay	Async	Check availability
Pallas HealthPartner Flat dose pricing, verifiable doctors Read review →	Semaglutide $139 first month then $597 per 12 weeks ($199/mo avg); tirzepatide $179 then $897 per 12 weeks ($299/mo avg) — flat at every dose, billed quarterly; 50 states	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
MEDGmPartner Membership math unclear Read review →	Compounded injections from $179/mo, tablets from $249; brand-name via a membership plus drug cost	Compounded semaglutideBrand Zepbound / Wegovy / Ozempic	Cash-pay	QuizAsync	Check availability
Sprout Health Named pharmacies Read review →	Semaglutide ~$249/mo, tirzepatide ~$299/mo	SemaglutideTirzepatide	Cash-pay	QuizAsync	Check availability
Yucca Health Fast, 50-state Read review →	Semaglutide from ~$146/mo (6-month plan)	SemaglutideTirzepatide	Cash-pay	Async	Check availability
Sesame Cash-pay marketplace Read review →	Cash-pay, no insurance required	SemaglutideTirzepatide+2	Cash-pay	Video	Check availability
Wellorithm Coached program Read review →	From ~$147/mo, no insurance required	SemaglutideTirzepatide	Cash-pay	Async	Check availability
RxSpan MD Most rigorous Read review →	Compounded semaglutide from $249/mo; brand GLP-1 priced separately	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Superior Remedies Microdose program published Read review →	From $149/mo, published as limited-time; $0 if not approved	Compounded semaglutideCompounded tirzepatide	Cash-pay	Quiz	Check availability
Novi All-in pricing Read review →	Semaglutide from ~$174/mo, tirzepatide from ~$283/mo (3-month commitment)	SemaglutideTirzepatide	Cash-pay	Async	Check availability
FeelGood Injection + oral Read review →	Compounded injections from ~$149/mo	SemaglutideTirzepatide+1	Cash-pay	Async	Check availability
Ro Polished, insurance help Read review →	Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 medication billed separately	SemaglutideTirzepatide+1	Insurance	VideoAsync	Check availability
Hims & Hers Mainstream, app-first Read review →	From $149/mo for medication plus a required membership ($39 first month, then $149/mo) — about $298/mo all-in	SemaglutideTirzepatide	Cash-pay	VideoAsync	Check availability
Henry Meds Flat-fee, simple Read review →	From $179/mo, all-in — visits, medication, supplies and shipping included	SemaglutideTirzepatide	Cash-pay	Async	Check availability
Mochi Health Titration-focused Read review →	Compounded semaglutide advertised from $60 (was $99), tirzepatide from $90 (was $199); ongoing rate not stated	SemaglutideTirzepatide+1	Insurance	Video	Check availability
LifeMD Bundled primary care Read review →	Wegovy from $149/mo (pill) or $199 (pen), plus a separate $149/mo program fee — $39 in month one	Branded	Insurance	Video	Check availability
Form Health Dietitian-led Read review →	Self-pay $299/mo covering clinician and dietitian visits; labs and medication billed separately	Branded	Insurance	Video	Check availability
PlushCare Branded via insurance Read review →	$19.99/mo membership plus $129 per visit without insurance (a copay with it) — medication billed separately	Branded	Insurance	Video	Check availability
Nolu Compounded, cash-pay, named pharmacies Read review →	From $249 per 4-week cycle (marketed as "/mo") for semaglutide; tirzepatide $339, oral semaglutide $279. No membership fee. FSA/HSA eligible. Cash-pay only — no insurance billing.	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
Glam Health Headline price misleads Read review →	True pay-as-you-go price is $310/mo (tirzepatide) or $250/mo (semaglutide); the homepage's lower headline figure is the per-month average of a 3-month prepaid low-dose plan ($525 or $447 upfront), not the standing rate.	Compounded tirzepatide + B12Compounded semaglutide + B12	Cash-pay	QuizAsync	Check availability
FORM Broad menu, verify pricing Read review →	Compounded semaglutide from $299/mo, tirzepatide from $399/mo, oral tablet (ODT) versions from $215/mo; branded Wegovy/Zepbound listed at $95/mo "membership" — that figure does not appear to include the medication's own cost. Microdose tirzepatide pricing is inconsistent site-wide ($199 vs $299/mo); confirm at checkout.	Compounded semaglutideCompounded tirzepatide+2	Cash-pay	QuizAsync	Check availability
CeliaRx Read review →	One-time SKU checkout, not a monthly subscription — semaglutide ODT tablets from $199, injectable semaglutide/B12 from $399; tirzepatide ODT from $299, injectable tirzepatide/B12 from $699. $55 video consult (credited to your first order if approved, refunded if not) required before any fulfillment.	Compounded semaglutideCompounded tirzepatide	Cash-pay	Video	Check availability
EdgeRx Compounded, flat monthly pricing Read review →	5-minute async questionnaire, physician review within 24 hours, no video visit required. Semaglutide $229/mo, tirzepatide $299/mo, both formulated with glycine and B12. Cash-pay only; HSA/FSA reimbursable via Truemed with no guarantee of eligibility. Not available in Arkansas, Indiana, Minnesota, or South Carolina.	Compounded semaglutide + glycine/B12Compounded tirzepatide + glycine/B12	Cash-pay	QuizAsync	Check availability
the edit. Fully disclosed care chain Read review →	Semaglutide $209/mo, tirzepatide $309/mo after a lower first month; visit and refills included, no membership fee; 50 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Trellis Vitality Flat price at every dose Read review →	Semaglutide $150/mo, tirzepatide $199/mo — same price at every dose, less on 3- or 6-month plans; 50 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Pepti Every route, priced openly Read review →	Semaglutide injection $99/mo, tirzepatide $199/mo, oral routes $249–$399; cash-pay, HSA/FSA; 36 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Rehydra+ Wellness Entry price rises with dose Read review →	Dose-tiered: semaglutide $119/$169/$229, tirzepatide $169/$289/$419 — the entry price is the lowest dose only; 20 states, not listed	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
AurenRx Real price is double the badge Read review →	$259/mo subscribed, $299 month-to-month — against a site-wide “from $129/mo” badge no plan we could select matched; 50 states	Compounded semaglutide + glycine/B12Compounded tirzepatide + glycine/B12	Cash-pay	QuizAsync	Check availability
Vyvron Banner price isn't in the catalog Read review →	Semaglutide $249, tirzepatide $339, microdose $179 — per 4 weeks, 13 charges a year. The “$149 founding rate” matches no product.	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Lighter You Coaching included, headline off Read review →	Semaglutide $249, tirzepatide $339, microdose $179 — per 4 weeks, 13 charges a year. The “$99” banner is an ED tablet.	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
AHBARx Honest prepay arithmetic Read review →	Semaglutide $249/mo, tirzepatide $349/mo; 3- and 6-month blocks shown. All 50 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Alinwell Priced only after intake Read review →	Homepage badges semaglutide from $149/mo, tirzepatide $199/mo; program pages publish no price	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Andrew Meds Prepay ladder, fully shown Read review →	Semaglutide $199/mo month-to-month down to $149 on 12 months; tirzepatide $299 to $229. 44 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsyncVideo	Check availability
Bayan Health Cheapest entry, widest menu Read review →	Microdose semaglutide $99/mo, tirzepatide $119; standard $129/$149; oral tablets $169/$199	Compounded semaglutideCompounded tirzepatide+1	Cash-pay	QuizAsync	Check availability
Believe Health GLP-1 price not published Read review →	No GLP-1 price published on the public site; peptides and NAD+ are priced. 50-state care	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Clume Health Names pharmacies with addresses Read review →	GLP-1 and microdose programs from $199/mo; cellular optimization from $159/mo. All 50 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Collective Cheapest, membership required Read review →	Semaglutide $59/mo and tirzepatide $69/mo plus a mandatory $199/year membership (21-day trial)	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Goldspan Health Well sourced, nothing priced Read review →	No price published anywhere on the public site; quiz-gated. 503A/503B only, Quest labs, 50 states	Compounded semaglutideCompounded tirzepatide	—	Quiz	Check availability
Lean Meds Flat price, coach included Read review →	From $49/mo, same price every month at every dose; 1:1 care coach included. OpenLoop clinicians	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizVideo	Check availability
Longevixx Two entry prices, one page Read review →	Advertised from $149/mo in one band and $129/mo in another; program pages carry no price. 50 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Magnolia Regenerative Medicine Cheap, pharmacy unnamed Read review →	Semaglutide+B12 from $99/mo, tirzepatide+B12 from $179/mo; monthly and quarterly options	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Mondae Headline matches checkout Read review →	Semaglutide $87/mo month-to-month or $75 on 3 months; tirzepatide $126 and $124. Flat at every dose	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
NEUVÉ Health Every route priced Read review →	Semaglutide $138–$217/mo and tirzepatide $160–$324 by route and dose; labs itemized from $45	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizVideo	Check availability
Nex Gen Health Rx Banner and catalog disagree Read review →	Homepage says semaglutide $99/mo and tirzepatide $149; its own product rail says $190 and $239	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizVideo	Check availability
Nova All-in price quoted Read review →	Semaglutide from $198/mo and tirzepatide $210/mo, both including the $99/mo membership. 49 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Oria Meds Pharmacy named with address Read review →	Compounded GLP-1 from $149/mo, dual GIP/GLP-1 from $249/mo; free shipping. All 50 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
RENN Health One bill, operator unnamed Read review →	Semaglutide as low as $149/mo, tirzepatide $199; 3- and 6-month bundles. All 50 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
SexyMD Headline is the 48-week rate Read review →	GLP-1 $269/mo month-to-month down to $199 at 48 weeks; GLP-1+GIP $369 down to $299. All 50 states	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability
Solaya MD Care chain named, no price Read review →	No price published anywhere on the public site. Arora Health & Aesthetics, LLC, all 50 states	Compounded semaglutideCompounded tirzepatide	—	QuizAsync	Check availability
VevaRX Discloses well, prices badly Read review →	Semaglutide $189/mo or $399 per 3 months ($133/mo); its own page text quotes different figures	Compounded semaglutideCompounded tirzepatide	Cash-pay	QuizAsync	Check availability

Enhance MDPartnerEditorial pick
Lab-guided treatment under ongoing physician oversight
Access
From $99/mo
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
HealthRXPartnerLow-cost, overnight
Low-cost compounded GLP-1 with overnight shipping and physician review
Access
Compounded semaglutide from $99/mo (12-mo), tirzepatide from $179/mo
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
FoundPartnerInsurance-friendly
Putting insurance benefits toward GLP-1 treatment
Access
From $49/mo
Insurance
Insurance
Medications
SemaglutideTirzepatideBranded
Visit
—
Check availability
yourEraPartnerBest value
A low-cost entry point into compounded GLP-1 treatment
Access
From $99/mo
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
Breeze MedsPartnerNames its pharmacy
Compounded GLP-1 with named-pharmacy transparency
Access
From ~$179/mo
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
Bodybuilding Health+PartnerFitness-oriented
Pairing GLP-1 with strength training, NAD⁺ and sermorelin
Access
From ~$179/mo
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
Synergy RxPartnerIntegrated pharmacy
Compounded GLP-1 access with integrated pharmacy fulfillment
Access
Not published up front
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
Gala HealthPartnerGuided program
A guided, program-style GLP-1 weight-care experience
Access
Compounded tirzepatide from $179/mo (12-mo), microdosing from $149/mo; Ozempic $1,299/mo
Insurance
Cash-pay
Medications
SemaglutideTirzepatideBranded
Visit
Async
Check availability
Direct MedsPartnerSimple cash-pay
Straightforward compounded GLP-1 without an insurance requirement
Access
Not published up front
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
Strut HealthPartnerOne-stop telehealth
A general telehealth that covers GLP-1 alongside other everyday care
Access
Not published up front
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
CoreAge RxPartnerFlat dosing price, vague sourcing
Flat pricing that does not climb as your dose titrates up
Access
Semaglutide from $99/mo, tirzepatide from $149/mo — same price at every dose; 50 states listed
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
—
Check availability
Oak LongevityPartnerLongevity bundle
Low-cost compounded GLP-1 bundled with a longevity stack
Access
From ~$133/mo, no membership fee
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
CareBareRXPartnerOral option, inclusive
Inclusive, no-insurance telehealth with oral and injectable GLP-1 options
Access
From ~$199/mo, no insurance required
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
SnagRxPartnerNames its pharmacies
Naming the pharmacies that actually fill the prescription
Access
List $299/mo semaglutide, $399 tirzepatide; $69/$119 promotional
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
—
Check availability
He & She MDPartnerFlat dosing, prepay headline
Flat per-dose GLP-1 pricing across injectable and oral, if you read the ladder before the banner
Access
Semaglutide $199/mo month-to-month ($99 only on a $1,188 annual prepay); tirzepatide $299/$159; states not published
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
QuizAsync
Check availability
HumeCare+PartnerLean-mass tracking, price behind a quiz
Tracking lean mass rather than scale weight, if you read the guarantee terms first
Access
$199/mo semaglutide (injection or oral), $299/mo tirzepatide — month to month, shown only after a medical questionnaire
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatide
Visit
QuizAsync
Check availability
Try AgelessPartnerMost formats
The widest choice of compounded formats (injection, troche, drops) at a low intro price
Access
From ~$119/mo intro (semaglutide injection)
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
SkinnyRxPartnerCancel anytime
Straightforward compounded GLP-1 access with cancel-anytime flexibility
Access
From ~$199/mo, cancel anytime
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
Peter MDPartnerMen's-health one-stop
GLP-1 from a men's-health provider that also covers TRT and longevity
Access
One-account men's-health telehealth
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
MadeMedPartnerGLP-1 + NAD⁺
GLP-1 paired with NAD⁺ and sermorelin under one account
Access
One-account telehealth (GLP-1 + longevity)
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
ShedPartnerWidest formats
The widest range of GLP-1 formats (injection, drops, lozenges, microdose)
Access
Compounded GLP-1 from ~$199/mo
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral
Visit
Async
Check availability
Live VitalPartnerDeep peptide menu
Pairing a GLP-1 with a wider peptide and longevity protocol
Access
From $99–$299/mo depending on protocol, quoted on 10-week protocol plans
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
Trimi HealthPartnerLow-cost, deep guides
Low-cost compounded GLP-1 with thorough dosing guidance
Access
Compounded GLP-1 from ~$99/mo, all 50 states
Insurance
Cash-pay
Medications
SemaglutideTirzepatideBranded+1
Visit
Async
Check availability
Telos RXPartnerNeedle-free option
Choice of GLP-1 formats, including needle-free sublingual tirzepatide
Access
Compounded; first month semaglutide ~$49, tirzepatide ~$99
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
Pallas HealthPartnerFlat dose pricing, verifiable doctors
Buyers who want one flat price at every dose, or a route to brand-name Wegovy, Ozempic, Zepbound or Mounjaro
Access
Semaglutide $139 first month then $597 per 12 weeks ($199/mo avg); tirzepatide $179 then $897 per 12 weeks ($299/mo avg) — flat at every dose, billed quarterly; 50 states
Insurance
Cash-pay
Medications
Compounded semaglutideCompounded tirzepatideBrand Wegovy / Ozempic / Zepbound / Mounjaro
Visit
QuizAsync
Check availability
MEDGmPartnerMembership math unclear
Readers who want compounded and brand-name GLP-1 routes presented side by side
Access
Compounded injections from $179/mo, tablets from $249; brand-name via a membership plus drug cost
Insurance
Cash-pay
Medications
Compounded semaglutideBrand Zepbound / Wegovy / Ozempic
Visit
QuizAsync
Check availability
Sprout HealthNamed pharmacies
Compounded GLP-1 with named-pharmacy and LegitScript transparency
Access
Semaglutide ~$249/mo, tirzepatide ~$299/mo
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
QuizAsync
Check availability
Yucca HealthFast, 50-state
Compounded GLP-1 with nationwide coverage and a 24-hour provider review
Access
Semaglutide from ~$146/mo (6-month plan)
Insurance
Cash-pay
Medications
SemaglutideTirzepatide
Visit
Async
Check availability
SesameCash-pay marketplace
Booking a chosen clinician at upfront cash prices, no membership
Access
Cash-pay, no insurance required
Insurance
Cash-pay
Medications
SemaglutideTirzepatideOral+1
Visit
Video
Check availability
WellorithmCoached program
A structured, coached GLP-1 weight-loss program
Access
From ~$147/mo, no insurance required
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SemaglutideTirzepatide
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RxSpan MDMost rigorous
Branded and compounded GLP-1 under named physician oversight
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Compounded semaglutide from $249/mo; brand GLP-1 priced separately
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SemaglutideTirzepatideBranded
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Superior RemediesMicrodose program published
A published microdose program with nothing charged unless you are approved
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From $149/mo, published as limited-time; $0 if not approved
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Medications
Compounded semaglutideCompounded tirzepatide
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NoviAll-in pricing
All-in transparent pricing with clinician support and shipping included
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Semaglutide from ~$174/mo, tirzepatide from ~$283/mo (3-month commitment)
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SemaglutideTirzepatide
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FeelGoodInjection + oral
Compounded GLP-1 with both injection and oral-tablet options
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Compounded injections from ~$149/mo
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SemaglutideTirzepatideOral
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RoPolished, insurance help
A polished, well-resourced end-to-end program
Access
Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 medication billed separately
Insurance
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Medications
SemaglutideTirzepatideBranded
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Hims & HersMainstream, app-first
An app-first experience from a mainstream brand
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From $149/mo for medication plus a required membership ($39 first month, then $149/mo) — about $298/mo all-in
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SemaglutideTirzepatide
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Henry MedsFlat-fee, simple
Simple flat-fee compounded access without insurance
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From $179/mo, all-in — visits, medication, supplies and shipping included
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Medications
SemaglutideTirzepatide
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Mochi HealthTitration-focused
A clinician-led, titration-focused program
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Compounded semaglutide advertised from $60 (was $99), tirzepatide from $90 (was $199); ongoing rate not stated
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SemaglutideTirzepatideBranded
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LifeMDBundled primary care
Bundling weight care with general telehealth
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Wegovy from $149/mo (pill) or $199 (pen), plus a separate $149/mo program fee — $39 in month one
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Medications
Branded
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Form HealthDietitian-led
A more medical, dietitian-supported approach
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Self-pay $299/mo covering clinician and dietitian visits; labs and medication billed separately
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Medications
Branded
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PlushCareBranded via insurance
Branded GLP-1s billed through insurance
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$19.99/mo membership plus $129 per visit without insurance (a copay with it) — medication billed separately
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Branded
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NoluCompounded, cash-pay, named pharmacies
Compounded GLP-1 injections or a daily oral pill
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From $249 per 4-week cycle (marketed as "/mo") for semaglutide; tirzepatide $339, oral semaglutide $279. No membership fee. FSA/HSA eligible. Cash-pay only — no insurance billing.
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Medications
Compounded semaglutideCompounded tirzepatideCompounded oral semaglutide
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Glam HealthHeadline price misleads
Compounded tirzepatide or semaglutide with a home injection kit
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True pay-as-you-go price is $310/mo (tirzepatide) or $250/mo (semaglutide); the homepage's lower headline figure is the per-month average of a 3-month prepaid low-dose plan ($525 or $447 upfront), not the standing rate.
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Medications
Compounded tirzepatide + B12Compounded semaglutide + B12
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FORMBroad menu, verify pricing
Comparing compounded and branded GLP-1 options in one place
Access
Compounded semaglutide from $299/mo, tirzepatide from $399/mo, oral tablet (ODT) versions from $215/mo; branded Wegovy/Zepbound listed at $95/mo "membership" — that figure does not appear to include the medication's own cost. Microdose tirzepatide pricing is inconsistent site-wide ($199 vs $299/mo); confirm at checkout.
Insurance
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Medications
Compounded semaglutideCompounded tirzepatideWegovy (semaglutide)+1
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CeliaRx—
Buyers who want a-la-carte GLP-1 dosing without committing to a subscription plan
Access
One-time SKU checkout, not a monthly subscription — semaglutide ODT tablets from $199, injectable semaglutide/B12 from $399; tirzepatide ODT from $299, injectable tirzepatide/B12 from $699. $55 video consult (credited to your first order if approved, refunded if not) required before any fulfillment.
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Medications
Compounded semaglutideCompounded tirzepatide
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EdgeRxCompounded, flat monthly pricing
Men already using EdgeRx's other peptide protocols who want GLP-1 folded into the same subscription
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5-minute async questionnaire, physician review within 24 hours, no video visit required. Semaglutide $229/mo, tirzepatide $299/mo, both formulated with glycine and B12. Cash-pay only; HSA/FSA reimbursable via Truemed with no guarantee of eligibility. Not available in Arkansas, Indiana, Minnesota, or South Carolina.
Insurance
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Medications
Compounded semaglutide + glycine/B12Compounded tirzepatide + glycine/B12
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the edit.Fully disclosed care chain
Buyers who want the practice, pharmacy and management company all named before they pay
Access
Semaglutide $209/mo, tirzepatide $309/mo after a lower first month; visit and refills included, no membership fee; 50 states
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Compounded semaglutideCompounded tirzepatide
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Trellis VitalityFlat price at every dose
Buyers who want one flat GLP-1 price at every dose, from a named pharmacy
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Semaglutide $150/mo, tirzepatide $199/mo — same price at every dose, less on 3- or 6-month plans; 50 states
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Compounded semaglutideCompounded tirzepatide
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PeptiEvery route, priced openly
Buyers who want the widest set of GLP-1 routes with a price published against each
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Semaglutide injection $99/mo, tirzepatide $199/mo, oral routes $249–$399; cash-pay, HSA/FSA; 36 states
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Compounded semaglutideCompounded tirzepatide
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Rehydra+ WellnessEntry price rises with dose
Buyers who want a low entry dose and accept the price rising as they titrate
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Dose-tiered: semaglutide $119/$169/$229, tirzepatide $169/$289/$419 — the entry price is the lowest dose only; 20 states, not listed
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Compounded semaglutideCompounded tirzepatide
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AurenRxReal price is double the badge
Buyers who want a named pharmacy and will read past the advertised headline price
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$259/mo subscribed, $299 month-to-month — against a site-wide “from $129/mo” badge no plan we could select matched; 50 states
Insurance
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Medications
Compounded semaglutide + glycine/B12Compounded tirzepatide + glycine/B12
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VyvronBanner price isn't in the catalog
Buyers comparing microdose GLP-1 options who will price off the intake, not the banner
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Semaglutide $249, tirzepatide $339, microdose $179 — per 4 weeks, 13 charges a year. The “$149 founding rate” matches no product.
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Compounded semaglutideCompounded tirzepatide
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Lighter YouCoaching included, headline off
Buyers who want dietitian visits and coaching bundled into a GLP-1 plan
Access
Semaglutide $249, tirzepatide $339, microdose $179 — per 4 weeks, 13 charges a year. The “$99” banner is an ED tablet.
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Compounded semaglutideCompounded tirzepatide
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AHBARxHonest prepay arithmetic
A straightforward monthly GLP-1 price with the prepay math shown honestly beside it
Access
Semaglutide $249/mo, tirzepatide $349/mo; 3- and 6-month blocks shown. All 50 states
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Compounded semaglutideCompounded tirzepatide
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AlinwellPriced only after intake
Women who want a GLP-1 program framed for them, with batch-level certificates published
Access
Homepage badges semaglutide from $149/mo, tirzepatide $199/mo; program pages publish no price
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Compounded semaglutideCompounded tirzepatide
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Andrew MedsPrepay ladder, fully shown
Anyone who wants the prepay ladder and its true monthly cost published on one page
Access
Semaglutide $199/mo month-to-month down to $149 on 12 months; tirzepatide $299 to $229. 44 states
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Compounded semaglutideCompounded tirzepatide
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Bayan HealthCheapest entry, widest menu
Readers who want a microdose entry point and their lab work priced in the same catalog
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Microdose semaglutide $99/mo, tirzepatide $119; standard $129/$149; oral tablets $169/$199
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Medications
Compounded semaglutideCompounded tirzepatideRetatrutide / orforglipron / cagrilintide
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Believe HealthGLP-1 price not published
Readers comparing the three storefronts that share this catalog on care model, not price
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No GLP-1 price published on the public site; peptides and NAD+ are priced. 50-state care
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Compounded semaglutideCompounded tirzepatide
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Clume HealthNames pharmacies with addresses
Buyers who want the dispensing pharmacy named with a verifiable address before they order
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GLP-1 and microdose programs from $199/mo; cellular optimization from $159/mo. All 50 states
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Compounded semaglutideCompounded tirzepatide
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CollectiveCheapest, membership required
The lowest all-in GLP-1 cost on this board, if you will actually keep the annual membership
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Semaglutide $59/mo and tirzepatide $69/mo plus a mandatory $199/year membership (21-day trial)
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Compounded semaglutideCompounded tirzepatide
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Goldspan HealthWell sourced, nothing priced
Readers who weigh 503A/503B sourcing and a B12-or-glycine choice above seeing a price first
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No price published anywhere on the public site; quiz-gated. 503A/503B only, Quest labs, 50 states
Insurance
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Compounded semaglutideCompounded tirzepatide
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Lean MedsFlat price, coach included
A flat, low monthly price with a care coach included and the clinical operator named
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From $49/mo, same price every month at every dose; 1:1 care coach included. OpenLoop clinicians
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Compounded semaglutideCompounded tirzepatide
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LongevixxTwo entry prices, one page
Readers who want GLP-1 inside a longevity program and will confirm the price at assessment
Access
Advertised from $149/mo in one band and $129/mo in another; program pages carry no price. 50 states
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Compounded semaglutideCompounded tirzepatide
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Magnolia Regenerative MedicineCheap, pharmacy unnamed
A low-cost GLP-1 bought alongside a deep, cheap peptide and hormone menu
Access
Semaglutide+B12 from $99/mo, tirzepatide+B12 from $179/mo; monthly and quarterly options
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Compounded semaglutideCompounded tirzepatide
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MondaeHeadline matches checkout
Buyers who want a low, honest month-to-month price with the compounding source named
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Semaglutide $87/mo month-to-month or $75 on 3 months; tirzepatide $126 and $124. Flat at every dose
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Compounded semaglutideCompounded tirzepatide
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NEUVÉ HealthEvery route priced
Readers comparing injection against sublingual, and microdose against standard, on price
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Semaglutide $138–$217/mo and tirzepatide $160–$324 by route and dose; labs itemized from $45
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Compounded semaglutideCompounded tirzepatide
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Nex Gen Health RxBanner and catalog disagree
Buyers who want the 503A pharmacy named and the prepay total shown, not a monthly average
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Homepage says semaglutide $99/mo and tirzepatide $149; its own product rail says $190 and $239
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Compounded semaglutideCompounded tirzepatide
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NovaAll-in price quoted
Readers who want the membership included in the quoted price rather than added at checkout
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Semaglutide from $198/mo and tirzepatide $210/mo, both including the $99/mo membership. 49 states
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Compounded semaglutideCompounded tirzepatide
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Oria MedsPharmacy named with address
A simple two-product menu where both the prescriber network and the pharmacy are named
Access
Compounded GLP-1 from $149/mo, dual GIP/GLP-1 from $249/mo; free shipping. All 50 states
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Compounded semaglutideCompounded tirzepatide
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RENN HealthOne bill, operator unnamed
One subscription and one care team across GLP-1, NAD+ and testosterone
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Semaglutide as low as $149/mo, tirzepatide $199; 3- and 6-month bundles. All 50 states
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Compounded semaglutideCompounded tirzepatide
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SexyMDHeadline is the 48-week rate
Readers who will commit to a long plan and want the whole ladder published before they do
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GLP-1 $269/mo month-to-month down to $199 at 48 weeks; GLP-1+GIP $369 down to $299. All 50 states
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Compounded semaglutideCompounded tirzepatide
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Solaya MDCare chain named, no price
Readers who want the medical group named and are willing to start an assessment to see a price
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No price published anywhere on the public site. Arora Health & Aesthetics, LLC, all 50 states
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Compounded semaglutideCompounded tirzepatide
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VevaRXDiscloses well, prices badly
Buyers who value a named pharmacy and will verify the actual charge at checkout
Access
Semaglutide $189/mo or $399 per 3 months ($133/mo); its own page text quotes different figures
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Compounded semaglutideCompounded tirzepatide
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We never show a fabricated price or rating. Facts are shown only where a provider publishes them.

What's actually a good alternative to Ozempic?

People look for Ozempic alternatives for three reasons: cost (branded pens run over $1,000/mo without coverage), access (Ozempic is indicated for diabetes, so weight-loss prescriptions can be harder), and availability. The honest options:

Compounded semaglutide is the same molecule at a lower cash price, but it is not FDA-approved and not therapeutically equivalent to Ozempic — and 2025 FDA changes narrowed when it can be compounded, so confirm current availability. Tirzepatide (branded Zepbound/Mounjaro, or compounded) is a dual GIP/GLP-1 that outperformed semaglutide on weight loss head-to-head — see tirzepatide vs semaglutide. And branded Wegovy (semaglutide, approved for weight loss) via insurance is worth pricing if a provider works with your plan.

How we judge providers

Pricing transparency — is the all-in monthly cost clear, or does a low headline hide consults, labs, and medication fees?
Clinical oversight — real clinician review and dose titration, not a rubber-stamp questionnaire.
Branded vs compounded clarity — does the provider tell you plainly which you’re getting? (It matters — see our compounded-vs-branded explainer.)
Honest insurance handling — straight answers about what is and isn’t covered.

We never show a fabricated price or rating, and access notes appear only where a provider publishes them. Pricing and availability change often — confirm current details on the provider’s own site.

Keep comparing

Compare the routes directly: compounded semaglutide providers, tirzepatide providers, or the cheapest semaglutide if price is the point. See also Wegovy alternatives and the full GLP-1 roundup.

Common questions

What is the cheapest alternative to Ozempic?: Compounded semaglutide is usually the lowest cash price, since branded Ozempic runs over $1,000/mo without insurance. It isn't FDA-approved, though, and availability tightened in 2025 — weigh clinician oversight and a named pharmacy against price alone. See our cheapest-semaglutide comparison.
Is tirzepatide a better alternative than Ozempic?: In a head-to-head trial, tirzepatide (Zepbound/Mounjaro) produced more weight loss than semaglutide (Ozempic's molecule). Whether it's 'better' for you depends on tolerability, cost, and access — but it's the strongest alternative on efficacy.
Can I switch from Ozempic to a compounded version?: Many people do for cost reasons, but compounded semaglutide is not FDA-approved or therapeutically identical, and dosing may differ. Do it under a clinician's guidance rather than switching on your own, and confirm the medication source.