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Alternatives · ranked for speed

Alternatives to EllieMD

EllieMD lands at #300 on our ranking with a Rx-Readiness Score of 41/100. If it isn't the right fit, here are the strongest alternatives on our shortlist — scored on the same readiness rubric of speed to first dose, flat pricing, no-video signup, access, molecule choice and a clean off-ramp.

Top alternative

Ranked #63 · Grade C

HealthRX

From $133/mo semaglutide, $209/mo tirzepatide, all 50 states, and an explicit pregnancy/breastfeeding exclusion most competitors don't bother disclosing — the price just isn't flat, it's tiered by how many months you prepay.

Semaglutide
From $133/mo
Tirzepatide
From $209/mo
Coverage
All 50 states
Brand-name
Compounded only

More alternatives, in ranking order

Sesame Care

Ranked #43 · Grade C

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.

Live Vital

Ranked #20 · Grade C

$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.

yourEra

Ranked #110 · Grade C

Both prices came down since our last check: read live on 2026-08-26 the catalog reads from $79 a month for compounded semaglutide and from $159 for tirzepatide, against $99 and $169 in July. Same price at every dose is stated beside them, so titrating up does not raise the bill — but from is a floor and no ceiling or dose ladder is published anywhere. One question this record used to leave open is now answered on the site itself: yourEra says its clinician network is licensed in all 50 states, and repeats it in a badge and in its own founding story. The single price covers the telehealth visit, the medication, injection supplies, dose adjustments, unlimited messaging and shipping. Two things belong on your list before you pay. The refund policy stops refunds the moment the pharmacy begins preparing your order, whether or not it has shipped. And the Terms require you to have a device with a working video camera, which is the closest the site comes to telling you whether a live visit is part of this.

LillyDirect Foundayo

Ranked #119 · Grade C

Not a telehealth clinic at all — zero intake, zero video visit, because it's a manufacturer-direct pharmacy for Foundayo (orforglipron), priced on a four-tier dose ladder from $149/mo (0.8mg) through $199/mo (2.5mg) and $299/mo (5.5mg and 9mg) to $349/mo (14.5mg and 17.2mg) self-pay, that only fills a prescription your own doctor already wrote and sent to LillyDirect Pharmacy or a pharmacy of your choosing.

WeightlessRx

Ranked #74 · Grade C

A no-membership-fee, quarterly-billed program — $167/mo semaglutide, $267/mo tirzepatide — bundling a GLP-1 fitness app, meal plans, and 1-on-1 nutrition coaching that most compounded-only competitors don't offer. It also publishes its own named comparison against Ro, Mochi Health, TrimRx, and Hims, an unusually direct move for this category.

Maves

Ranked #202 · Grade C

An all-inclusive $89/mo semaglutide program, LegitScript-certified and licensed in all 50 states — undercut by a homepage that advertises a different $99 first-month figure for the same product, and a tirzepatide option that's listed but never separately priced.

Gimme Care

Ranked #70 · Grade C

A comprehensive-care shop that puts real numbers on the homepage: read live on 2026-08-26, compounded semaglutide is $160 a month or $130 on a three-month plan, tirzepatide $199 or $163, unchanged since early August. Its FAQ says that single figure covers medication, physician care, support, shipping and all supplies with no membership, and unlimited provider messaging is the thing it sells hardest — message your provider anytime, dose changes at no extra cost. Two answers here are better than most of this roster gives. It serves all fifty states and the District of Columbia. And it tells you exactly where a video visit is required rather than leaving it vague: most states can start without one, but Kansas, Louisiana, Mississippi, New Mexico and West Virginia need a brief video or audio visit first. One thing to pin down before you pay is the period — the plan selector says per month, while the refill schedule on the same page says shipped every 28 days, and thirteen refills a year is not the same bill as twelve.

Lean Meds

Ranked #51 · Grade C

Lean Meds bundles online care with medication when prescribed, but confirm the total commitment and allow at least 72 hours to cancel before renewal. Our August review linked the brand to Trinity HealthCare Supply, the recipient of an FDA warning letter concerning altRx; today’s Terms do not independently re-establish that ownership relationship.

Medro

Ranked #138 · Grade C

Both prices came down since our last check — read live on 2026-08-26 the product cards say compounded semaglutide from $99 a month and tirzepatide from $199, against $149 and $224 in mid-August, with microdose versions at $119 and $139 beside them. Still "from", and Medro is unusually candid about what that means: its own FAQ says starting-at pricing "reflects the lowest typical option" and that final cost varies by medication, dose, supply duration, partner pricing, availability and eligibility, while a footnote under the cards calls the pricing "illustrative". Two other things this record used to get wrong. The site does name its operating entity, Medro Health Technologies, Inc., in the Refund Policy, along with its clinical partner Arora Health & Aesthetics in Seattle and its pharmacy partner The Pharmacy Hub in Miami. And it does publish a cancellation policy — one that sits awkwardly against the FAQ, because the FAQ says there is no membership and nothing recurring to cancel while the Refund Policy describes a subscription charged the moment you finish the intake form, needing 72 hours' notice to stop, with no refund on cancellation.

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Rx-Readiness Score. Scores are our editorial judgment per the methodology. Not medical advice; see our disclosure.

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