Skip to content
WorkingMomRx
Menu

Day one · Updated August 2026

Fastest GLP-1 to start, by the clock

Of the 312 providers we score, 54 reach 70 out of 100 on time to first dose; the roster median is 55. The gap has nothing to do with the medicine. It is whatever sits between your signup and a package on the porch — an appointment on a clinician's calendar, a lab draw, a pharmacy queue, or a state the provider is not licensed in. This board ranks the 54 that clear the bar, fastest first, and tells you which of those four is slowing the rest.

The short answer

CoreAge Rx is the fastest realistic start here — same week, and 95/100 on the clock, the highest sub-score on the roster. One thing to check before you assume the provider is the bottleneck: only 26 of the 54 ranked below confirm all 50 states, so where you live can cost you more days than the signup does.

Heads up: some links below are affiliate links — assume any provider we list may compensate us, at no cost to you. It never buys a better score, but the providers we work with are listed first. See our affiliate disclosure.

The ranking

54 providers, ordered by this board's own metric. Providers we work with are listed first. The Rx-Readiness Score is on every row, and the board's key metric — time to first dose — charted on each row.

  1. #1

    CoreAge Rx

    Top pick

    The shortlist pick: one flat price that doesn't climb as your dose does, both molecules on a single plan, and a nationwide async intake you can finish on a break.

    Time to first doseSame week
    Semaglutide:
    $99/mo
    Pricing:
    Flat
    First dose:
    Same week
    See CoreAge Rx CoreAge Rx review →
  2. #2

    Telos Rx

    Fastest runner-up

    A fast, fully async start with a needle-free sublingual tirzepatide option and — a genuine upgrade since our last check — flat pricing stated in writing. The catch is a state list it still won't publish.

    Time to first doseDays
    Semaglutide:
    $99/mo (flat)
    Pricing:
    Flat
    First dose:
    Days
    See Telos Rx Telos Rx review →
  3. #3

    Pallas Health

    Pallas Health removes the two things that usually cost a working parent the most time: it publishes every price before intake, and it runs care asynchronously in 43 of 50 states, so there's no video appointment to wedge into a workday. Compounded semaglutide averages about $199 a month and tirzepatide $299, and unusually the genuine FDA-approved pens sit alongside them — Zepbound $1,069, Ozempic $1,299, Wegovy and Mounjaro $1,349 — all cash-pay from the same clinician. The price is flat at every dose, so a titration never produces a surprise bill, and the plan figure already contains the clinician, dose adjustments, check-ins and messaging with no membership fee. Its cancellation terms are unusually concrete: cancel free through the portal, keep access to the end of the paid period, full refund if a clinician declines you, and a $5 processing fee on a qualifying refund. The trade-offs are that billing lands every 12 weeks in $597 and $897 blocks rather than monthly, the compounding pharmacy is never named, and insurance is never billed.

    Time to first doseAsync in 43 states
    Semaglutide:
    $199/mo
    Pricing:
    Flat
    First dose:
    Async in 43 states
    See Pallas Health Pallas Health review →
  4. #4

    Trimi Health

    The price-first partner: some of the lowest flat, all-inclusive compounded pricing we track, nationwide and async — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.

    Time to first doseDays
    Semaglutide:
    $175/mo
    Pricing:
    Flat
    First dose:
    Days
    See Trimi Health Trimi Health review →
  5. #5

    Oak

    Async-first compounded GLP-1 with a rarity for this list — free health coaching — at a flat one-price-all-doses rate. Fast and friendly up front; the strict, non-refundable fine print is the trade-off.

    Time to first doseDays
    Semaglutide:
    $119/mo
    Pricing:
    Flat
    First dose:
    Days
    See Oak Oak review →
  6. #6

    Strut Health

    The async, needle-optional value play: oral or injectable semaglutide and tirzepatide from a low starting price, no video visit, ~3 days to a script — listed with its February 2026 FDA warning letter in plain view.

    Time to first doseDays
    Semaglutide:
    $149/mo (injectable) · $99/mo (oral lozenge)
    Pricing:
    Scales with dose
    First dose:
    Days
    See Strut Health Strut Health review →
  7. #7

    Direct Meds

    Async, fast, and all-inclusive on paper — read live on 26 August 2026 its weight-loss page starts sublingual semaglutide at $249 a month and the injection at $297, with medication, nurse support, shipping and follow-ups bundled into one rate and no membership on top. The intake is a quiz with no appointment, approval is stated in hours and shipping in one business day, which is exactly the shape a working mother wants. Two things sit against that. The page promises "Cancel Anytime" three times over, while its own Terms of Sale say a prescription order generally cannot be canceled more than 24 hours after you place it, that medication already received is not refunded, and that a returned medication carries a $35 disposal fee — the marketing and the contract are not saying the same thing. And it carries an FDA warning letter dated 9 September 2025 over marketing compounded GLP-1s as containing the same active ingredient as the branded drugs. No tirzepatide price is published on any public page any more, no compounding pharmacy is named, and no state list exists — though it does name thirteen executives including its Chief Medical Officer, which is more disclosure than most of this list offers.

    Time to first doseApproved within hours, ships in 1 business day
    Semaglutide:
    $297/mo for the injection, all-inclusive
    Pricing:
    Tiered by format and plan length
    First dose:
    Approved within hours, ships in 1 business day
    See Direct Meds Direct Meds review →
  8. #8

    Gala Health

    A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included partner if you can live with a yearly plan and a pharmacy it doesn't name.

    Time to first doseDays
    Semaglutide:
    $179/mo
    Pricing:
    Flat
    First dose:
    Days
    See Gala Health Gala Health review →
  9. #9

    RxSpan MD

    RxSpan MD is a genuinely well-disclosed service wrapped in marketing that undercuts it. The disclosure: four compounding pharmacies named with phone numbers, two lead physicians named with NPI numbers that verify as active MDs, flat pricing posted before any intake, both compounded and real FDA-approved brand GLP-1s on one platform, and oral capsules for anyone who won't inject. Compounded semaglutide is $249 a month and tirzepatide $329, with brand Zepbound at $1,069, Ozempic at $1,299 and Wegovy at $1,349. The marketing is the problem. Its testimonials still name a different company — one patient describes what she 'expected from CareGLP' — and the doctors quoted in them are not the clinicians the same page names as its medical team. The homepage is built around a board-certified plastic surgeon who founded the practice but is licensed in California only and isn't the prescriber. Its compounded prices also sit above the roster median, and the oral capsules cost the same or more than the injections.

    Time to first doseOften approved on assessment alone
    Semaglutide:
    $249/mo
    Pricing:
    Flat
    First dose:
    Often approved on assessment alone
    See RxSpan MD RxSpan MD review →
  10. #10

    Try Ageless

    Try Ageless is built the way a time-poor patient would design it: the entire price list is public before any intake, the assessment is asynchronous with no required video visit, and pricing is flat at every dose so a titration never triggers a surprise bill. Month to month it is $279 for compounded semaglutide and $349 for tirzepatide, both including B12 and all injection supplies; sublingual tirzepatide drops are $199. The catch is the headline — the product cards lead with '$199/mo' and '$249/mo', which are yearly prepays of $2,388 and $2,988 divided by twelve. It names its prescriber (Wasef Health, PC, with Michael Wasef, MD, NPI 1417261926, active internal medicine) and its compounding pharmacy (The Pharmacy Hub LLC, NPI 1316684616, also active), both of which verify in the federal registry — genuinely above average disclosure. But the terms of use publish no cancellation policy, no refund policy and no auto-renew disclosure despite 'cancel anytime' marketing, and no state list exists anywhere on the site.

    Time to first doseAsync review, no published turnaround
    Semaglutide:
    $279/mo
    Pricing:
    Flat
    First dose:
    Async review, no published turnaround
    See Try Ageless Try Ageless review →
  11. #11

    ShedRx

    The widest menu on this list — injections, lozenges, drops and a brand-name lane — with a flat price that genuinely holds as your dose climbs. The catch is the exit: every plan locks you in for two months.

    Time to first doseAbout a week
    Semaglutide:
    $199/mo
    Pricing:
    Flat
    First dose:
    About a week
    See ShedRx ShedRx review →
  12. #12

    Lttl

    Compounded semaglutide from $129 a month and tirzepatide from $199, held at the same price at every dose, plus a separate microdose line from $109 for anyone who wants a gentler metabolic effect rather than maximum weight loss. Lttl covers all 50 states and Washington D.C., says it prescribes and ships within 48 hours, and attributes compounding to U.S.A.-licensed pharmacies it does not name. The catalog runs well past weight loss into NAD+, sermorelin, glutathione and B12 from $79, so read the longevity menu as a separate business from the GLP-1 you came for. Prices are published as starting points rather than a single rate, and the first-order discount of up to $140 is promotional.

    Time to first doseDays
    Semaglutide:
    From $129/mo (floor)
    Pricing:
    Flat
    First dose:
    Days
    See Lttl Lttl review →
  13. #13

    Willow

    The async standout: no video visit, no quiz wall, prices posted in the open, and needle-free tablets alongside the injections — but the headline price is a starting dose, not a flat rate, and only 36 states are in.

    Time to first doseAbout a week
    Semaglutide:
    $299/mo
    Pricing:
    Scales with dose
    First dose:
    About a week
    See Willow Willow review →
  14. #14

    Bodybuilding Health+

    Bodybuilding Health+ does the disclosure part better than most of this market and the branding part more loosely. It names four compounding pharmacies outright with phone numbers, and it names two lead physicians with their NPI numbers — both of whom check out as active MDs in the federal registry. Pricing is flat at every dose and public before any intake: $179 a month for compounded semaglutide and $209 for tirzepatide, dropping to $139 and $159 only if you buy a year up front. The looser part is the name. The operator is Dynamo Group LLC of Boca Raton, not Bodybuilding.com, and the 'trusted by millions since 1999' line on the page is the licensor's heritage rather than the clinic's. It's compounded-only, so there's no FDA-approved Wegovy or Zepbound route, the bundle discounts come with no published refund terms, and a prominent '4.8 (200+ reviews)' badge sits above a Trustpilot widget I couldn't verify because Trustpilot blocks automated checks.

    Time to first doseAsync intake, no published turnaround
    Semaglutide:
    $179/mo
    Pricing:
    Flat
    First dose:
    Async intake, no published turnaround
    See Bodybuilding Health+ Bodybuilding Health+ review →
  15. #15

    Found

    The insurance-and-brand specialist: real Wegovy and Zepbound access with the paperwork handled, one flat compounded price for either molecule, and an oral pill — priced by plan, billed every four weeks, and thin on state disclosure.

    Time to first doseAbout a week
    Semaglutide:
    $299/mo
    Pricing:
    Tiered
    First dose:
    About a week
    See Found Found review →
  16. #16

    SnagRx

    Compounded semaglutide at $69 a month and tirzepatide at $119, one flat price that SnagRx says covers the medication, the supplies, the doctor review and shipping, with no membership fee and cancellation by email or phone. Both figures are advertised against struck-through list prices of $299 and $399 under a live countdown clock, and the promise to lock that rate for life is marketing rather than a published term. It ships from licensed US pharmacies it never names, and publishes no list of the states it serves.

    Time to first doseDays
    Semaglutide:
    $69/mo (was $299)
    Pricing:
    Flat
    First dose:
    Days
    See SnagRx SnagRx review →
  17. #17

    CareBareRX

    Both molecules now have confirmed, tiered pricing — $199-249/mo semaglutide, $299-356/mo tirzepatide, depending on plan length — found by walking the actual intake, since the public pages still carry no price at all.

    Time to first doseAbout a week
    Semaglutide:
    $199/mo month-to-month ($185/mo on the 12-month plan)
    Pricing:
    Tiered by plan length
    First dose:
    About a week
    See CareBareRX CareBareRX review →
  18. #18

    Live Vital

    $99/mo semaglutide, $183/mo tirzepatide, all 50 states, a named physician personally reviewing every intake, and a real 5-7 day timeline — on a broader peptide platform where GLP-1 pricing is genuinely invisible unless you know to pull the page's own data bundle.

    Time to first dose5-7 days total (24-48hr provider review)
    Semaglutide:
    $99/mo
    Pricing:
    Flat
    First dose:
    5-7 days total (24-48hr provider review)
    See Live Vital Live Vital review →
  19. #19

    Sesame Care

    The brand-access marketplace: real FDA-approved pens and oral options with insurance-style navigation — but a required video visit, a 28-day billing cycle, and prices that sit well above the compounded field.

    Time to first doseAbout a week
    Semaglutide:
    $349/mo
    Pricing:
    Tiered
    First dose:
    About a week
    See Sesame Care Sesame Care review →
  20. #20

    Sprout Health

    Flat pricing that genuinely holds through titration, and a needle-free tablet — undercut by an open FDA warning letter, an F at the BBB, and a checkout that takes your money before a clinician has looked at you.

    Time to first dose1–2 weeks
    Semaglutide:
    $299/mo
    Pricing:
    Flat
    First dose:
    1–2 weeks
    See Sprout Health Sprout Health review →
  21. #21

    Heally

    Two of the three things this record used to say were unknown are now answered, and the answers change the picture. Read live on 2026-08-26, Heally's own semaglutide page prices its program from $149 a month — and the same page says which form that buys: "the semaglutide pill (once daily, from $149 per month, no needles) or the semaglutide pen for injections", with no price given for the pen. It also says it serves all fifty states, with 250,000 patients treated. What has not changed is the tirzepatide line: "From $299/mo" still carries a NEW PATIENT OFFER badge directly above it and the renewal rate appears nowhere, so the only tirzepatide number you can see is the one that expires. The rest is unusually reader-friendly: no membership and no subscription ever, a free doctor consultation, pay only when you order, delay a refill any time, and delivery within 24 to 48 hours of approval. The trade is time — a 15-minute telehealth appointment is part of the path rather than optional. Heally is also a broad marketplace rather than a GLP-1 shop, with longevity protocols, hormone therapy and lab panels on the same menu.

    Time to first doseSame-day appointment, delivery in 24–48 hours after approval
    Semaglutide:
    From $149/mo for the oral pill
    Pricing:
    Pay per order, no membership; the tirzepatide figure is an introductory rate
    First dose:
    Same-day appointment, delivery in 24–48 hours after approval
    See Heally Heally review →
  22. #22

    KERNX Health

    This record changed completely between checks, and mostly for the better. The founding-member framing that dominated it a week ago is gone: read live on 2026-08-26 KERNX simply says "Semaglutide starts at $129/month and Tirzepatide starts at $229/month. Pricing varies by prescribed dose. No membership fee. No required 3 month plan." What has not gone is the cost outside those figures, and KERNX is unusually straight about it — a provider consultation fee applies when treatment is approved, at $25 for a message-based review, $35 for a standard live visit or $60 for a complex live visit. Two more things this record previously had wrong. It does say where it operates: licensed providers in all 50 states, repeated in its banner and its FAQ. And it publishes a real timeline: a free five-minute assessment, provider review typically within 24 hours, pharmacy processing 1–2 business days and transit 2–3, so most first orders arrive within three to five business days of approval. It also says nothing is charged until a provider approves you.

    Time to first dose3–5 business days after approval, per its own FAQ
    Semaglutide:
    From $129/mo, consult fee extra
    Pricing:
    Starting rate that varies by dose, plus a separate consultation fee
    First dose:
    3–5 business days after approval, per its own FAQ
    See KERNX Health KERNX Health review →
  23. #23

    Green Cap Health

    For a Texas mom short on time this is genuinely fast — same-day provider review, then one to three business days to the door, both published on its own page rather than implied. The pricing picture is also better than this record previously showed. Read live on 2026-08-26, the pricing page states the standing month-to-month rate outright: $179 a month for compounded semaglutide at any dose, free shipping, cancel anytime with no minimum term, dropping to $149 on a three-month plan or $129 on six — and both longer plans are billed as monthly charges rather than taken as one upfront hit, which the site sells hard as "No $600–$800 upfront cost." Every tier includes a monthly one-to-one provider call, a nutrition guide and a meal plan. Two things to keep straight. The $79 in the marketing is a first-month figure, and the pricing page quotes a different first-month figure again at $89.50 with a code. And this is a Texas practice — its pharmacy and providers are licensed in Texas and nowhere else, which ends it for everyone in the other forty-nine states.

    Time to first doseSame-day review, then 1–3 business days
    Semaglutide:
    $179/mo month-to-month
    Pricing:
    One rate at every dose, three plan lengths, all billed monthly
    First dose:
    Same-day review, then 1–3 business days
    See Green Cap Health Green Cap Health review →
  24. #24

    TelePeptide

    The homepage and the pricing page tell different stories, and the pricing page is the kinder one. Every figure on the homepage carries the words "with annual prepay" — semaglutide starting at $169 a month, tirzepatide at $214 — which reads as though a year up front is the only way in. Open the full pricing table and each program has four tiers, the first labeled "Monthly · No commitment": semaglutide is $199 a month with nothing prepaid, tirzepatide $249. The prepay tiers are real savings rather than a gate — $2,028 buys a year of semaglutide at an effective $169. Everything is inside the figure: clinician evaluation, prescription, medication and shipping, with no separate consult fee. Nothing is charged unless a clinician prescribes; the card is authorized at intake as a hold, and if you are not prescribed you pay nothing. Review is typically within five hours and shipping three to five days. Coverage is 48 states plus DC, with Alaska and Mississippi named as the exclusions.

    Time to first doseClinician review in ~5 hours, shipping in 3–5 days
    Semaglutide:
    $199/mo month-to-month
    Pricing:
    Four tiers per program, from month-to-month down to annual prepay
    First dose:
    Clinician review in ~5 hours, shipping in 3–5 days
    See TelePeptide TelePeptide review →
  25. #25

    Hims & Hers

    The posted price is half the bill, and the site says so itself. Read live on 26 August 2026, the weight-loss catalog is ten FDA-approved brand listings — Wegovy as a pill and a pen, Zepbound as a vial and a KwikPen, Ozempic in both forms, Mounjaro, and two new oral tablets in the Ozempic Pill and Foundayo — and every single one carries the same footnote: the figure covers medication only, and a membership at $39 for the first month then $149 a month is required and billed separately. So the $149 Wegovy Pill is really about $298 a month and the $299 Zepbound vial is about $448. That membership is not nothing — 24/7 messaging with licensed providers, monthly care-team follow-ups, a smart scale and named in-house clinicians — but it is $1,788 a year on top of the drug. One oddity to open before you buy: Mounjaro and one of two Zepbound listings are posted at a flat $1,899 a month on the same page as Zepbound vials at $299, and nothing explains the gap. Its FAQ asks whether video visits are required and whether all states are served, but keeps both answers inside collapsed panels, so neither could be verified. It carries two FDA warning letters dated 9 September 2025 over the compounded-semaglutide business it has since left behind entirely.

    Time to first dose"As soon as this week", per its own membership page
    Semaglutide:
    $149/mo for the Wegovy Pill, medication only
    Pricing:
    Posted per product, plus a required membership
    First dose:
    "As soon as this week", per its own membership page
    See Hims & Hers Hims & Hers review →
  26. #26

    RxPros

    The flat-price claim is real and the term is the problem. Read live on 2026-08-26, RxPros holds one price across every dose — 0.5mg to 2.5mg semaglutide, 2.5mg to 15mg tirzepatide — with the doctor visit, medication and overnight shipping inside it and no membership fee. But four different figures per molecule appear on that one homepage, and the only place the site attaches a term to any of them is its comparison table, which labels the cheapest pair Paid Annually. The Returns page is where this record changed most. Cancellation through the dashboard is available only after a three-month minimum has been concluded; every order ships as three months of medication up front; canceling in writing before your consultation costs a $99 administrative fee; and once the consultation is complete the order is final and non-cancellable regardless of shipment status. Early cancellation costs the full retail price of what is left on the commitment, an unwarranted chargeback costs $199, and an unpaid balance can go to collections with a 50% surcharge.

    Time to first doseApproval in 24 hours, delivery in as little as 3 days
    Semaglutide:
    $134.99/mo
    Pricing:
    Flat across doses, but sold on a three-month minimum term
    First dose:
    Approval in 24 hours, delivery in as little as 3 days
    See RxPros RxPros review →
  27. #27

    AurenRx

    AurenRx names both the practice that prescribes and the pharmacy that compounds, with addresses — Wasef Health, PC c/o Michael Wasef MD in Pinellas Park, Florida, and VialsRX in Houston, Texas — and the prescriber's details match the federal NPI registry exactly. It charges the same for either molecule, which is genuinely unusual: $259 a month on a recurring plan or $299 with no commitment, for semaglutide or tirzepatide alike, plus a low-and-slow microdose track at $229/$250. Everything is included in that price, the online visit is free, and the LegitScript badge it displays is real. The problem is its own front page. AurenRx advertises its GLP-1 and Microdose programs at 'from $129/mo' on the homepage, while the cheapest thing you can actually buy on the product page is $229 — nothing costs $129. That is not a promotion that expired or a plan you have to hunt for; it is roughly half the real price, sitting on the page most readers see first.

    Time to first doseFree online visit
    Semaglutide:
    $259/mo
    Pricing:
    Flat
    First dose:
    Free online visit
    See AurenRx AurenRx review →
  28. #28

    Noom Med

    The habit-plus-medication route: Noom bolts a prescriber onto its behavior-change app, runs mostly async, and will chase brand-name coverage through insurance — but it won't tell you which molecule you're getting or your true quarterly total up front.

    Time to first doseAbout a week
    Semaglutide:
    $249–299/mo (molecule not itemized; $199 microdose tier)
    Pricing:
    Tiered
    First dose:
    About a week
    See Noom Med Noom Med review →
  29. #29

    GOAL.MD

    The number on the page is a prepay. Read live on 2026-08-26, GOAL.MD's semaglutide page leads with $99 a month and its tirzepatide page with $159 — and both are 12-month prepaid equivalents, $1,188 and $1,908 handed over up front. Month to month, the same two medications are $179 and $249. The site does say so, in the same sentence, but second. Everything around that pricing is unusually clean for this roster: a named physician with a searchable NPI rather than an anonymous clinical network, "No Auto-Billing. Ever." with a stated check-in before every renewal, a 3-minute online medical visit with no video call mentioned anywhere in the copy, and a published timeline — physician decision in about 24 hours, free shipping in 2–3 days. Two corrections to make if you are comparing: it serves 48 states rather than the whole country, and its brand-name lane is a forwarding service where you pay GOAL.MD $95 a month for supervision and the manufacturer program directly for the drug.

    Time to first dosePhysician decision in ~24 hours, ships free in 2–3 days
    Semaglutide:
    $179/mo month-to-month
    Pricing:
    Four prepay tiers — the advertised rate is the 12-month prepay
    First dose:
    Physician decision in ~24 hours, ships free in 2–3 days
    See GOAL.MD GOAL.MD review →
  30. #30

    NavioMD

    A same-day-provider-access platform offering compounded tirzepatide from $189/mo alongside brand-name Ozempic/Zepbound/Mounjaro access — but no compounded semaglutide option, so semaglutide-specific readers pay brand-name prices starting at $345/mo.

    Time to first doseSame day (instant provider match, per the site)
    Semaglutide:
    Ozempic® from $345/mo
    Pricing:
    Tiered
    First dose:
    Same day (instant provider match, per the site)
    See NavioMD NavioMD review →
  31. #31

    Effecty

    The widest menu on the board — compounded, oral and four brand pens, all on a chat visit with no camera — sold behind a pricing page that quotes you a monthly figure for a plan you have to pay for a year in advance.

    Time to first doseAbout a week (site conflicts)
    Semaglutide:
    $195/mo
    Pricing:
    Flat by dose; cheaper tiers prepaid
    First dose:
    About a week (site conflicts)
    See Effecty Effecty review →
  32. #32

    Pepti

    Pepti publishes the lowest semaglutide price in this entire roster — $99 a month, flat at every titration dose, with the medication, physician review, shipping, refill management and unlimited messaging with your prescribing doctor all inside it. Tirzepatide is $199 on the same all-in, flat-at-every-dose basis. That number is low enough to deserve skepticism, so it is worth saying exactly where it comes from: Pepti states it on a dedicated cost page, repeats it in its FAQ ('we keep pricing flat and transparent at $99/mo all-in'), and prices the comparison against Hims, Henry Meds and Mochi on the same page. It names two prescribing physicians and says its medication is compounded by FDA-registered 503A or 503B pharmacies, though it never names which. The real limits are reach and format: it ships to 36 states rather than 50, it is cash-pay only and bills no insurance, and its needle-free oral GLP-1/GIP drops cost $349 — well above its own injection.

    Time to first dosePhysician review, async
    Semaglutide:
    $99/mo
    Pricing:
    Flat
    First dose:
    Physician review, async
    See Pepti Pepti review →
  33. #33

    Dr. Medical Health

    Compounded semaglutide at $199 a month and tirzepatide at $299, the same price at every dose, and the daily tablet costs the same as the injection on both — all of it on an open pricing page you reach without a quiz. Brand-name prices are published too, which is rare: Wegovy $999, Ozempic $899, Mounjaro $999, cash. Two things to know before you enter a card. The badge at the top of every page says no subscription, and its own FAQ then asks whether you can cancel your subscription and tells you to call before your next billing date — so it does recur, whatever the badge says. And nothing anywhere on the site says how many weeks of medication one $199 charge actually buys. It ships to all 50 states, and it carries a June 2026 FDA warning letter for false or misleading claims, which it has since fixed.

    Time to first doseDays
    Semaglutide:
    $199/mo, same price at every dose
    Pricing:
    Flat
    First dose:
    Days
    See Dr. Medical Health Dr. Medical Health review →
  34. #34

    NewSelf

    FDA warning letter #721472 (Feb. 2026), which names newself.com. A flat, dose-independent price for both molecules — $99.97/mo semaglutide, $144.49/mo tirzepatide, same price at every dose — nationwide, though it requires 3 months upfront.

    Time to first doseAs little as 4 days
    Semaglutide:
    $99.97/mo
    Pricing:
    Flat
    First dose:
    As little as 4 days
    See NewSelf NewSelf review →
  35. #35

    Spry

    $199/mo semaglutide, $299/mo tirzepatide, three named co-founders, no contracts, a claimed ~24-hour NP review, and no live video visit described anywhere in the flow — undercut by an on-site 'FDA Approved' badge that overstates what's actually true about compounded GLP-1s, plus no pharmacy named and no state list disclosed. That combination — real speed and a named founding team, next to an overstated regulatory badge and thin disclosure elsewhere — is why Spry lands in the middle of the pack rather than near the top on this site's Rx-Readiness scorecard.

    Time to first dose~24 hours (NP review, per Spry's own claim)
    Semaglutide:
    $199/mo
    Pricing:
    Flat
    First dose:
    ~24 hours (NP review, per Spry's own claim)
    See Spry Spry review →
  36. #36

    RxPepsDirect

    You cannot budget this one in advance, and that is a deliberate feature rather than an oversight. RxPepsDirect charges a flat $39 per visit for the provider review and the script; the medication is billed straight to you by Optimal Balance Pharmacy at wholesale with no markup — "typical pharmacy bill: $25 to $200" — plus $15 for FedEx overnight. No subscription, no tiers, no membership, and one visit covers up to three peptides. The trade is transparency of margin against certainty of total.

    Time to first doseFedEx overnight from the pharmacy
    Semaglutide:
    $39 visit fee; the medication is billed separately at wholesale
    Pricing:
    $39 flat visit fee; medication billed at wholesale by the pharmacy
    First dose:
    FedEx overnight from the pharmacy
    See RxPepsDirect RxPepsDirect review →
  37. #37

    The Edit

    The Edit is one of the very few providers on this page that names both the medical practice writing your prescription and the pharmacy compounding it — Arora Health & Aesthetics, LLC and The Pharmacy Hub — rather than gesturing at 'licensed US providers'. Compounded semaglutide is $209 a month and tirzepatide $309, the same price at every dose, with the prescription, all injection supplies, the clinician visit and temperature-controlled two-day shipping inside that one number and no membership fee on top. First orders are $100 off, and three- and six-month plans bring the per-month equivalent down to $192 and $178 for semaglutide. It covers all 50 states and, unusually for this market, runs a complete Spanish-language version of the site rather than a machine-translated shim. The limits are real but narrow: it is compounded-only, so there is no FDA-approved Wegovy or Zepbound here, and there is no postpartum, breastfeeding or PCOS guidance anywhere on the site.

    Time to first doseClinician review, no published turnaround
    Semaglutide:
    $209/mo
    Pricing:
    Flat
    First dose:
    Clinician review, no published turnaround
    See The Edit The Edit review →
  38. #38

    Trellis Vitality

    Trellis Vitality is the cheapest genuinely-disclosed option on this page: $150 a month for compounded semaglutide and $199 for tirzepatide, month to month, with every dosage available at the same price and no membership fee, no consult fee and a $0 assessment. Commit for three or six months and those fall to $140/$133 and $189/$179. It names the pharmacy that compounds the medication — Vials Rx, described as a US state-licensed, cGMP-compliant facility — which is the disclosure most of its cheaper competitors skip, and it covers all 50 states with board-certified clinicians reviewing intake. The caveats are about what it doesn't sell and doesn't say. There is no FDA-approved brand option, no oral formulation, and none of its pricing appears on the homepage at all — you have to reach the GLP-1 product page to find a single number, which makes it look more opaque than it actually is. There is also no postpartum, breastfeeding or PCOS content anywhere.

    Time to first dose$0 assessment, clinician review
    Semaglutide:
    $150/mo
    Pricing:
    Flat
    First dose:
    $0 assessment, clinician review
    See Trellis Vitality Trellis Vitality review →
  39. #39

    Clinic Secret

    Convert before comparing: "Starting at $49/week" is about $212 a month, and the page never does that arithmetic. The claim worth pausing on is "20% Avg body weight lost", positioned in the statistics strip beside "10K+ Active members" as though it were a measured cohort average. Roughly 20% is tirzepatide's result at its top dose in a controlled trial; no telehealth service has published anything comparable.

    Time to first doseDelivered in 3 days or less, per the site
    Semaglutide:
    $212/mo, billed as $49/week
    Pricing:
    Billed weekly
    First dose:
    Delivered in 3 days or less, per the site
    See Clinic Secret Clinic Secret review →
  40. #40

    Florida Weight Loss MD

    A surgical practice rather than a telehealth brand: a Hollywood, Florida bariatric center with a named surgeon, offering sleeves and bypasses alongside the injections, and same-day appointments. Semaglutide is $69 a week or $179 a month; tirzepatide starts at $279. Two things to price carefully. The package labels overstate their own length — "2.5-Month (10 Weeks)" is 2.3 months — and the practice markets retatrutide, which is not approved anywhere for anything.

    Time to first doseSame-day appointments available
    Semaglutide:
    $179/mo for the monthly program
    Pricing:
    Weekly, monthly or multi-week package
    First dose:
    Same-day appointments available
    See Florida Weight Loss MD Florida Weight Loss MD review →
  41. #41

    Rivo Health

    The prices hold up: $149 a month for compounded semaglutide, $199 for tirzepatide, each as an injection or an oral, with free 24-hour shipping. The claims around them do not. "SAVE 58%" sits above a drop from $279 to $149, which is 47%. And the same product card carries the line "Fridays™ Membership Included ($0)" — the trademarked membership of an entirely different company. Use the numbers; treat every badge on the page as decoration.

    Time to first doseFree 24-hour shipping, per the site
    Semaglutide:
    Starting at $149/mo
    Pricing:
    Annual-plan pricing, with the month-to-month rate shown struck through
    First dose:
    Free 24-hour shipping, per the site
    See Rivo Health Rivo Health review →
  42. #42

    Cora Health

    The most transparently tiered pricing found in this batch — as low as $99/mo semaglutide or $135/mo tirzepatide on the annual plan, with every tier itemized publicly — from a platform with a thin 36-review Trustpilot count so far.

    Time to first doseProvider review in about 24 hours
    Semaglutide:
    $175/mo month-to-month ($99/mo on the annual plan)
    Pricing:
    Tiered by plan length
    First dose:
    Provider review in about 24 hours
    See Cora Health Cora Health review →
  43. #43

    Sequence by WeightWatchers

    The insurance-and-brand heavyweight: a WeightWatchers-run membership that routes you toward FDA-approved product and insurance coverage, with a video visit required in some states — the membership fee and the medication bill are two separate charges.

    Time to first dose1–2 weeks
    Semaglutide:
    $74–84/mo membership + medication billed separately
    Pricing:
    Tiered
    First dose:
    1–2 weeks
    See Sequence by WeightWatchers Sequence by WeightWatchers review →
  44. #44

    SurpassMD

    $114 is the lowest semaglutide figure on this page, and it comes with a condition SurpassMD prints only in its FAQ: the price applies "for eligible patients with a promotion". The standing rate is published nowhere, which makes budgeting past the first cycle guesswork. What is solid: all fifty states plus DC, 503A compounding, cold-chain shipping within 48 hours of approval, HSA and FSA accepted, cancel anytime. There is an oral semaglutide as well, with no price attached.

    Time to first doseShips within 48 hours of approval
    Semaglutide:
    As low as $114/mo, promotional
    Pricing:
    Promotional pricing only; no standing rate published
    First dose:
    Ships within 48 hours of approval
    See SurpassMD SurpassMD review →
  45. #45

    Harper Meds

    From $149 semaglutide, $196 tirzepatide, one bundled price, flat at every dose. Two conditions the cards do not carry: the price buys four weeks, not a month, and it requires a three-month plan — that qualifier appears only in the intake API. No month-to-month rate is reachable without an account. FDA letter 728281 from June 2026, still open, and the cited 'FDA-Approved' claim is still live on an indexable page.

    Time to first dosePrescribed within 12 hours (its own claim)
    Semaglutide:
    From $149 per 4 weeks (floor)
    Pricing:
    Starting price only
    First dose:
    Prescribed within 12 hours (its own claim)
    See Harper Meds Harper Meds review →
  46. #46

    Ondra Health

    A fully itemized pricing table — as low as $96/mo semaglutide or $142/mo tirzepatide on the annual plan — from the same medical group behind Cora Health, another new addition this batch.

    Time to first doseProvider reply in under 24 hours
    Semaglutide:
    $149/mo month-to-month ($96/mo on the 12-month plan)
    Pricing:
    Tiered by plan length
    First dose:
    Provider reply in under 24 hours
    See Ondra Health Ondra Health review →
  47. #47

    Eden

    FDA warning letter #728279 (Jun. 2026), which names tryeden.com. Read live on 2026-08-26, the GLP-1 page prices compounded semaglutide at $99 a month and compounded tirzepatide at $199 — and the asterisk under both figures is the part that changes the math. It reads: price includes medication only, an active Eden Membership is required at $39 for the first month and $99 a month thereafter, and medication is not available without a membership. So this is two line items, not one, and the second one is not next to the number on the page. What Eden does give you is range: brand Zepbound, Ozempic and Mounjaro at $1,399 a month and Wegovy at $1,695, each on its own product page marked In Stock, alongside the compounded lane. It says it serves GLP-1 programs in all fifty states, and its "same price at every dose" policy means titrating up does not raise the medication line. Cancellation is self-serve in the portal, though the Terms want 48 hours' notice before a renewal and make charges non-refundable once an order is fulfilled.

    Time to first doseSame-day visits advertised; no shipping window published
    Semaglutide:
    $99/mo medication, membership required
    Pricing:
    Same price at every dose, plus a required monthly membership
    First dose:
    Same-day visits advertised; no shipping window published
    See Eden Eden review →
  48. #48

    Ro

    Ro runs two meters and only one of them is the price you see first. The Ro Body membership is $39 for a first month and then $149 a month if you stay month to month, falling to $99, $89 or $74 only if you prepay three, six or twelve months up front. The medication is billed separately, and Ro's own FAQ says so: the cost of GLP-1 medication is not included in the membership cost. On the medication side it publishes a genuinely detailed cash ladder — $349 a month for the Wegovy pen at maintenance doses and $399 at the 7.2 mg high dose, $299 for Zepbound at 2.5 mg climbing to $449 from 7.5 mg up, and $149 for the daily Wegovy pill at its starting dose. Everything here is FDA-approved brand product rather than compounded, which is the real reason to look at Ro and also the reason nothing on the menu is cheap. Two of the advertised rates are limited-time offers with sign-up deadlines printed on the page. It publishes something most of this roster does not — a stated turnaround, with eligibility answered within 2 days and a first cash-pay dose in under a week — but it publishes no state list anywhere we could find, and it never says whether the intake is asynchronous or needs a scheduled video visit.

    Time to first doseEligibility answer within 2 days; first dose in under a week paying cash
    Semaglutide:
    $349/mo Wegovy pen, membership billed separately
    Pricing:
    Membership on one meter, medication on another
    First dose:
    Eligibility answer within 2 days; first dose in under a week paying cash
    See Ro Ro review →
  49. #49

    Omnia TeleHealth

    Budget this one as a visit, not a prescription. "$39 for most visits, and $69 for weight loss consultations" is the whole of its published pricing; no medication cost appears anywhere. It is a primary-care telehealth practice covering seventy-odd conditions across seventeen states, with same-day appointments Monday to Saturday — useful, but not a GLP-1 program.

    Time to first doseSame-day appointments available
    Semaglutide:
    No medication price published; $69 is the consultation fee
    Pricing:
    Per-visit fee; medication billed elsewhere
    First dose:
    Same-day appointments available
    See Omnia TeleHealth Omnia TeleHealth review →
  50. #50

    BetterMe Rx

    The best-documented supply chain on this board — seven pharmacies with addresses and phone numbers — attached to a shop that will not show you a single price until you have started a medical intake.

    Time to first dose24h review; transit not published
    Semaglutide:
    $205/mo (quiz-gated)
    Pricing:
    Flat by dose; no public price
    First dose:
    24h review; transit not published
    See BetterMe Rx BetterMe Rx review →
  51. #51

    Prime Health

    Compounded semaglutide at $299 and tirzepatide at $399, quoted as a monthly program but sold as a FOUR-WEEK supply — a distinction that costs you an extra cycle roughly every year and is easy to miss because the site itself writes it as per month. The price is reachable without finishing the quiz, but only inside a collapsed FAQ rather than on any pricing page. Prime Health is a platform rather than a practice: it states plainly that it does not provide medical services, with clinicians supplied through the OpenLoop professional corporations, and its own copy still refers in places to the Remedy Meds platform it is built on. It covers every state except Louisiana and backs the program with a stated money-back guarantee tied to losing at least 10% of body weight in four months.

    Time to first doseNot published
    Semaglutide:
    $299 per 4-week supply
    Pricing:
    Flat
    First dose:
    Not published
    See Prime Health Prime Health review →
  52. #52

    Welling Health

    Compounded semaglutide at $190 a month and tirzepatide at $275, the same price at every dose, medication and clinician access included — and then something no one else here does: the price drops the longer you stay consistent. Its own pricing page publishes the whole ladder, 10% off at a ten-day streak, 20% at twenty, 30% at thirty, which takes semaglutide down to $133 and tirzepatide to $192. Two things to weigh. The $190 and $275 are what you actually start on, so treat the low numbers as a discount you have to earn and keep. And nowhere on that page does it say what counts as a streak or what breaks one, which is the first thing worth asking.

    Time to first doseNot published
    Semaglutide:
    $190/mo standard, before streak discounts
    Pricing:
    Flat, with a behavioral discount ladder
    First dose:
    Not published
    See Welling Health Welling Health review →
  53. #53

    Belle Health

    Flat-rate pricing with a real dietitian included ($119/mo semaglutide, from $175/mo tirzepatide) from a nine-year-old operator — carrying an open FDA warning letter over how it described its own compounded products.

    Time to first dose5-minute screening
    Semaglutide:
    $119/mo flat, all doses
    Pricing:
    Flat
    First dose:
    5-minute screening
    See Belle Health Belle Health review →
  54. #54

    Rehydra+ Wellness

    Rehydra+ Wellness is the one provider added here that charges more as your dose goes up, and it is unusually open about it: its storefront publishes a complete dose-by-duration matrix, so you can see before signing up that compounded semaglutide runs $149 for four weeks at the 0.25 mg starting dose and $289 at 2.5 mg, while tirzepatide runs $219 at 2.5 mg and $649 at 15 mg. That transparency is genuinely useful, and it also means the entry price is the least representative number on the page — if you titrate to an effective dose, your cost roughly doubles. Six-month tier plans bring the per-month figure down to $119 and $169, but they are six-month commitments rather than rolling plans. It is a small San Antonio operation founded in 2023, offering a free 15-minute telehealth call and free shipping. The two real gaps: it names no pharmacy and no individual clinician, and its own pages disagree on coverage — the weight-loss landing page says 19 states and lists 19, while the homepage says 20.

    Time to first doseFree 15-minute telehealth call
    Semaglutide:
    $149/mo
    Pricing:
    Scales with dose
    First dose:
    Free 15-minute telehealth call
    See Rehydra+ Wellness Rehydra+ Wellness review →

Below the speed bar

258 of the 312 providers we score sit under 70/100 on time to first dose, so they are not ranked on a board about the clock — a speed ranking that runs to #312 is not a speed ranking. Slow is not the same as bad, and several of these are strong on price or on coverage, which is what the other boards are for. Each one is linked below with its own speed score and whatever turnaround it publishes, in the same order the ranking above would have continued.

At a glance

Provider
1. CoreAge RxSame week · 95 · A$99/mo
2. Telos RxDays · 86 · B$99/mo (flat)
3. Pallas HealthAsync in 43 states · 89 · B+$199/mo
4. Trimi HealthDays · 88 · B+$175/mo
5. OakDays · 83 · B$119/mo
6. Strut HealthDays · 81 · B−$149/mo (injectable) · $99/mo (oral lozenge)
7. Direct MedsApproved within hours, ships in 1 business day · 75 · C$297/mo for the injection, all-inclusive
8. Gala HealthDays · 85 · B$179/mo
9. RxSpan MDOften approved on assessment alone · 82 · B−$249/mo
10. Try AgelessAsync review, no published turnaround · 76 · C$279/mo
11. ShedRxAbout a week · 79 · C$199/mo
12. LttlDays · 76 · CFrom $129/mo (floor)
13. WillowAbout a week · 72 · C$299/mo
14. Bodybuilding Health+Async intake, no published turnaround · 79 · C$179/mo
15. FoundAbout a week · 71 · C$299/mo
16. SnagRxDays · 70 · C$69/mo (was $299)
17. CareBareRXAbout a week · 69 · C$199/mo month-to-month ($185/mo on the 12-month plan)
18. Live Vital5-7 days total (24-48hr provider review) · 77 · C$99/mo
19. Sesame CareAbout a week · 70 · C$349/mo
20. Sprout Health1–2 weeks · 69 · C$299/mo
21. HeallySame-day appointment, delivery in 24–48 hours after approval · 61 · CFrom $149/mo for the oral pill
22. KERNX Health3–5 business days after approval, per its own FAQ · 68 · CFrom $129/mo, consult fee extra
23. Green Cap HealthSame-day review, then 1–3 business days · 56 · C$179/mo month-to-month
24. TelePeptideClinician review in ~5 hours, shipping in 3–5 days · 72 · C$199/mo month-to-month
25. Hims & Hers"As soon as this week", per its own membership page · 69 · C$149/mo for the Wegovy Pill, medication only
26. RxProsApproval in 24 hours, delivery in as little as 3 days · 56 · C$134.99/mo
27. AurenRxFree online visit · 86 · B$259/mo
28. Noom MedAbout a week · 74 · C$249–299/mo (molecule not itemized; $199 microdose tier)
29. GOAL.MDPhysician decision in ~24 hours, ships free in 2–3 days · 71 · C$179/mo month-to-month
30. NavioMDSame day (instant provider match, per the site) · 61 · COzempic® from $345/mo
31. EffectyAbout a week (site conflicts) · 78 · C$195/mo
32. PeptiPhysician review, async · 77 · C$99/mo
33. Dr. Medical HealthDays · 76 · C$199/mo, same price at every dose
34. NewSelfAs little as 4 days · 70 · C$99.97/mo
35. Spry~24 hours (NP review, per Spry's own claim) · 69 · C$199/mo
36. RxPepsDirectFedEx overnight from the pharmacy · 57 · C$39 visit fee; the medication is billed separately at wholesale
37. The EditClinician review, no published turnaround · 82 · B−$209/mo
38. Trellis Vitality$0 assessment, clinician review · 81 · B−$150/mo
39. Clinic SecretDelivered in 3 days or less, per the site · 61 · C$212/mo, billed as $49/week
40. Florida Weight Loss MDSame-day appointments available · 56 · C$179/mo for the monthly program
41. Rivo HealthFree 24-hour shipping, per the site · 50 · CStarting at $149/mo
42. Cora HealthProvider review in about 24 hours · 72 · C$175/mo month-to-month ($99/mo on the annual plan)
43. Sequence by WeightWatchers1–2 weeks · 73 · C$74–84/mo membership + medication billed separately
44. SurpassMDShips within 48 hours of approval · 64 · CAs low as $114/mo, promotional
45. Harper MedsPrescribed within 12 hours (its own claim) · 58 · CFrom $149 per 4 weeks (floor)
46. Ondra HealthProvider reply in under 24 hours · 71 · C$149/mo month-to-month ($96/mo on the 12-month plan)
47. EdenSame-day visits advertised; no shipping window published · 65 · C$99/mo medication, membership required
48. RoEligibility answer within 2 days; first dose in under a week paying cash · 53 · C$349/mo Wegovy pen, membership billed separately
49. Omnia TeleHealthSame-day appointments available · 48 · CNo medication price published; $69 is the consultation fee
50. BetterMe Rx24h review; transit not published · 71 · C$205/mo (quiz-gated)
51. Prime HealthNot published · 67 · C$299 per 4-week supply
52. Welling HealthNot published · 67 · C$190/mo standard, before streak discounts
53. Belle Health5-minute screening · 65 · C$119/mo flat, all doses
54. Rehydra+ WellnessFree 15-minute telehealth call · 61 · C$149/mo

Answered

How many days is a fast start, in practice?
Days, not weeks — but only when four things line up at once: the intake is reviewed without an appointment, no bloodwork has to come back before the pharmacy will fill, the pharmacy dispatches in the same week it approves, and the provider is licensed where you live. Miss any one of them and the calendar, not the clinician, decides. The 54 providers ranked here score 70/100 or better on that combination.
Which of the four things usually holds it up?
State licensing is the one readers underestimate. A booked video visit adds whatever the next mutual opening is; required labs add a draw plus a turnaround; a pharmacy backlog adds days you cannot see from outside. But a provider that does not serve your state adds infinity, and it is the only one of the four you can check in ten seconds before you start filling anything in.
Does where I live change how fast I can start?
Yes, and more than most people expect. Only 100 of the 312 providers on this roster confirm all 50 states; the rest either publish a shorter list or publish none at all. Confirm your state on the provider's own site first — a fast provider you cannot legally use is slower than a middling one you can.
What should I have ready to avoid losing a day?
A clear, unexpired photo ID that matches your shipping name; your current height and weight; a list of the medications and supplements you take; and any lab work from the past six months as a file on your phone. Providers that ask for labs will usually accept recent results rather than ordering their own, which is the single biggest day-saver available to you.

Keep going: the full fastest-start guide · which providers ship fastest · what a year actually costs · compare any two providers.

CoreAge Rx leads on the Rx-Readiness Score. Assume any provider we list may compensate us — the ones we work with are listed first (disclosure). Informational only, not medical advice; compounded medications are not FDA-approved brand products (medical disclaimer).

Keep exploring

Other ranked boards worth your time

One roster, five different questions — what a year costs, how fast you can start, what the intake asks before you commit, how easily you can stop, and which providers hold up across all six factors.