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Alternatives · ranked for speed
MD Exam lands at #294 on our ranking with a Rx-Readiness Score of 40/100. 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.
Our #1 pick
The shortlist pick: one flat price that doesn't climb as your dose does, both molecules on a single plan, and a nationwide async intake you can finish on a break.
Ranked #120 · Grade C
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.
Ranked #19 · Grade C
Flat at every dose - $99 semaglutide, $134 tirzepatide, all fifty states - which makes the annual math trivial. The site never names its operating company.
Ranked #34 · Grade C
A fully itemized pricing table — as low as $96/mo semaglutide or $142/mo tirzepatide on the annual plan — from the same medical group behind Cora Health, another new addition this batch.
Ranked #66 · Grade C
A clean, all-inclusive flat-price shop — $179/mo semaglutide, $249/mo tirzepatide, unlimited follow-ups included — with no brand-name fallback and no published time-to-first-dose.
Ranked #26 · Grade C
The most transparently tiered pricing found in this batch — as low as $99/mo semaglutide or $135/mo tirzepatide on the annual plan, with every tier itemized publicly — from a platform with a thin 36-review Trustpilot count so far.
Ranked #107 · Grade C
A flat 'For As Low As $25/Week' (about $100/mo) plan for either molecule, built around a named 503B pharmacy partner and included dietitian coaching — genuinely distinctive disclosure for the price, but it never says which states it reaches.
Ranked #53 · Grade C
One of the most transparently priced compounded shops in this batch — $230/mo semaglutide or $330/mo tirzepatide month-to-month, down to $120/mo and $170/mo on the annual plan, with an explicit no-membership-fee guarantee.
Ranked #36 · Grade C
FDA warning letter #721472 (Feb. 2026), which names newself.com. A flat, dose-independent price for both molecules — $99.97/mo semaglutide, $144.49/mo tirzepatide, same price at every dose — nationwide, though it requires 3 months upfront.
Ranked #133 · Grade C
Flat and cheap, and almost entirely silent about everything else. Read live on 2026-08-26, compounded semaglutide is $129 a month and compounded tirzepatide $169, unchanged since early August, with no membership and a flat-rate promise the site puts in its own words: unlike clinics that raise fees when doses increase, it keeps one rate for every dosage tier. That is a genuinely good structure and the reason two of its factor scores are high. The rest of the record is built on absences, and we checked them by sweeping the whole homepage: no state list, no shipping or approval window, no cancellation or refund policy, no pregnancy or breastfeeding guidance, and no legal entity anywhere beyond a copyright line. One more thing to hold in view — this is a general online pharmacy rather than a GLP-1 specialist, with erectile-dysfunction pills, migraine and asthma prescriptions and a longevity line sharing the same catalog, so the cheapest number on the page is often not a weight-loss number at all.
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.