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.
Sprout Health
Ranked #52 · Grade C
Rx-Readiness69:100
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.
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.
Idgie Health
Ranked #14 · Grade B−
Rx-Readiness80:100
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.
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.
Revel Health
Ranked #88 · Grade C
Rx-Readiness64:100
$199 semaglutide, $249 tirzepatide, flat at every dose, billed on a genuine calendar month. The $99 and $149 on the homepage are first-order only — budget the full rate from month two. Oral dissolving tablets at $149 and $199 if you want to skip the needle. Subscription is mandatory on every GLP-1 despite a one-time option in the FAQ, and the injectables are not in the catalog: you reach them through the quiz or a direct link.
Andrew Meds
Ranked #28 · Grade C
Rx-Readiness74:100
The complete ladder is on the page before any intake, which almost nothing else here does: semaglutide $199 a month, $549 for three months, $999 for six, $1,788 for twelve; tirzepatide $299, $797, $1,494, $2,748. Read the long tiers correctly — each is a single upfront charge rather than a smaller monthly bill, so the advertised $149 means paying a full year before the first box ships. Disclosure is above average where it counts. Andrew Meds LLC is named with a Houston address, and the practice that writes the prescription is named separately as Dr Tel X in Kennewick, Washington. Coverage is all fifty states and DC, enumerated rather than claimed, and there is an oral tirzepatide alongside the injections. The gaps: the compounding pharmacy is never named, no time to first dose is published, and a period you have partly used is not refunded.
Edessa
Ranked #61 · Grade C
Rx-Readiness67:100
Three formats with a complete plan table and a 24-hour review claim. The money-back guarantee has no written conditions, no states are listed, and the homepage promises weekly fat loss.
RX Bella
Ranked #89 · Grade C
Rx-Readiness64:100
Flat prices right on the homepage, $249 and $299, with no surcharge as your dose climbs. Canceling wants thirty days' notice, and the site is the same compiled app as two other GLP-1 brands.