Telos Rx
Ranked #5 · Grade B
Rx-Readiness86:100
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.
Pepti
Ranked #21 · Grade C
Rx-Readiness77:100
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.
Teleios Health
Ranked #108 · Grade C
Rx-Readiness62:100
A genuinely flat $99/month for either molecule, including consults and shipping per its own FAQ — undercut by a stale $139 figure still live in the page's meta description and a clinical-review team ('Lion MD') it shares with at least one other provider on this roster.
VitaStir
Ranked #193 · Grade C
Rx-Readiness55:100
One-time 30-day kits — as low as $99 for a single-dose-vial option, or $125-145 for the larger HomeKit — with a fully async physician review and a full refund if not approved, but no stated time-to-first-dose and no state list.
LumiMeds
Ranked #104 · Grade C
Rx-Readiness62:100
A named-Medical-Director program licensed in all 50 states, from $99/mo semaglutide and $183/mo tirzepatide, with no membership required — but it carries a 2025 FDA warning letter over how it described its compounded medication, and both prices are 'From' starting prices rather than a guaranteed working-dose rate.
Jyra Health
Ranked #137 · Grade C
Rx-Readiness60:100
One of the lowest disclosed GLP-1 starting prices in this round — from $99/mo semaglutide, $133/mo tirzepatide — with an explicit no-membership, no-hidden-fee claim, though the real ongoing rate at a working dose isn't confirmed.
Sunlight
Ranked #128 · Grade C
Rx-Readiness61:100
A flat $88/mo semaglutide and $157/mo tirzepatide with named medical groups and pharmacies behind it — the cheapest sticker in this batch, but a video visit is required and cancellation is by email, not a dashboard toggle.
FitFlow
Ranked #23 · Grade C
Rx-Readiness76:100
Flat at every dose - $99 semaglutide, $134 tirzepatide, all fifty states - which makes the annual math trivial. The site never names its operating company.
Nu Image Medical
Ranked #171 · Grade C
Rx-Readiness57:100
One of the network's longer-established telehealth operators (since 2008) — as low as $99/mo semaglutide, $269/mo tirzepatide — though state coverage isn't itemized beyond a 'trusted nationwide' claim.