Alternatives to Claya

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.

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.

The lowest advertised flat rate on this roster — $79/mo semaglutide, $129/mo tirzepatide, fully async — but no stated time-to-first-dose, and the price rides on a 'locked forever' promo that real Trustpilot reviews say hasn't always held.

$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.

If injections are the blocker, this is the one to look at: DoctorAdam sells GLP-1s only as daily oral tablets, with no injectable in the catalog at all. Semaglutide tablets from $129 a month, tirzepatide tablets from $199, all fifty states, flat monthly pricing with no hidden fees. It also names its clinicians and publishes an Anaheim address. One caution when reading the grid: NAD+ injections carry the same $129 and sit near the semaglutide card.

A twenty-year weight-loss operator rather than a telehealth startup, selling compounded semaglutide at $149 a month to month and tirzepatide at $239, medication and clinical care in one price with no separate membership fee. The cheaper $116 and $159 figures it leads with are three-month plans, and there is a catch its own FAQ spells out: those plans bill every ten weeks, not every twelve. That is 5.2 charges a year instead of 4, which turns an advertised $116 a month into roughly $151 a calendar month. Read it as a real discount, just a smaller one than the number suggests. It ships to all 50 states, holds a BMI floor of 26, and excludes anyone pregnant or breastfeeding.

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.

Four formats with the full plan table, a two-business-day shipping commitment, and both the pharmacy and the prescribing physician named with addresses. All sales are final, though.

A granular GLP-1 menu — microdose from $129/mo, semaglutide from $149/mo, tirzepatide from $249/mo, plus an exclusive combined 'GLP-Squared' injection — all stated as all-inclusive, though the site doesn't itemize exactly what that covers.