Alternatives to LeanDose

$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.

A flat $239/mo semaglutide, $399/mo tirzepatide, no-video intake with free overnight shipping — but it's only live in 23 states, and most big population centers aren't on the list.

The lowest medication price on this roster, and a headline that still leaves out a required charge. Compounded semaglutide is $59 a month and tirzepatide $69, flat at every dose and cancellable at any time — both requiring a $199 annual membership the pricing line never mentions. Counted properly the first year is $907 for semaglutide, about $76 a month, and $1,027 for tirzepatide, about $86, which remains among the cheapest anywhere even after the fee. It is operated by Health For Everyone Inc., trading as CollectiveOS, and positioned on being brought to you by the founder of Thrive Market and on GLP-1s without the 500% markup. There is a 21-day free trial before the membership charge, after which the fee is non-refundable with no partial periods returned. The compounding pharmacies are never named, no state list is published, and no time to first dose is given.

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.

$99 semaglutide, $149 tirzepatide, flat at every dose, all 50 states. Renewal prices match advertised prices in the checkout data, so the no-price-rise claim holds. A plan month is four weeks; the '12-month' plan at $999 is 48 weeks. Same operator as Lean Meds, altRx and NextMeds — one company, four storefronts — and that operator holds FDA letter 728236, still open.

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.

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.

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.

A one-product shop — compounded tirzepatide microdosing only, $89 the first month then $199/mo all-in, no live video visit described anywhere in the flow, and unusually candid on-site that the trial evidence for microdosing specifically is thin — but there's no semaglutide option at all, and no individual physician, pharmacy, or state list named anywhere on the site checked.