Live Vital
Ranked #20 · Grade C
Rx-Readiness77:100
$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.
bmiMD
Ranked #26 · Grade C
Rx-Readiness75:100
All fifty states, $159/mo with no commitment, and usually same-day review. But one homepage strikes the same product through from two different “regular” prices, and canceling is email-only.
ShedRx
Ranked #17 · Grade C
Rx-Readiness79:100
The widest menu on this list — injections, lozenges, drops and a brand-name lane — with a flat price that genuinely holds as your dose climbs. The catch is the exit: every plan locks you in for two months.
GOAL.MD
Ranked #38 · Grade C
Rx-Readiness71:100
The number on the page is a prepay. Read live on 2026-08-26, GOAL.MD's semaglutide page leads with $99 a month and its tirzepatide page with $159 — and both are 12-month prepaid equivalents, $1,188 and $1,908 handed over up front. Month to month, the same two medications are $179 and $249. The site does say so, in the same sentence, but second. Everything around that pricing is unusually clean for this roster: a named physician with a searchable NPI rather than an anonymous clinical network, "No Auto-Billing. Ever." with a stated check-in before every renewal, a 3-minute online medical visit with no video call mentioned anywhere in the copy, and a published timeline — physician decision in about 24 hours, free shipping in 2–3 days. Two corrections to make if you are comparing: it serves 48 states rather than the whole country, and its brand-name lane is a forwarding service where you pay GOAL.MD $95 a month for supervision and the manufacturer program directly for the drug.
Lemonaid Health
Ranked #51 · Grade C
Rx-Readiness69:100
No scheduled video visit, but no published turnaround time either — a $49/mo membership plus medication billed separately lands around $348/mo all-in for either molecule.
Dr. Medical Health
Ranked #22 · Grade C
Rx-Readiness76:100
Compounded semaglutide at $199 a month and tirzepatide at $299, the same price at every dose, and the daily tablet costs the same as the injection on both — all of it on an open pricing page you reach without a quiz. Brand-name prices are published too, which is rare: Wegovy $999, Ozempic $899, Mounjaro $999, cash. Two things to know before you enter a card. The badge at the top of every page says no subscription, and its own FAQ then asks whether you can cancel your subscription and tells you to call before your next billing date — so it does recur, whatever the badge says. And nothing anywhere on the site says how many weeks of medication one $199 charge actually buys. It ships to all 50 states, and it carries a June 2026 FDA warning letter for false or misleading claims, which it has since fixed.
Zappy Health
Ranked #92 · Grade C
Rx-Readiness64:100
$249 semaglutide, $349 tirzepatide, month to month, flat at every dose. Those are the only recurring rates. The cheaper tiers are prepayment — '$159/mo' is $477 once, three months shipped together, select states only. Brand Wegovy and Zepbound available as a $99 care fee, drug billed separately. FDA letter 717991 from February 2026, still open; the cited claims have been removed from the site.
Vaylen
Ranked #80 · Grade C
Rx-Readiness65:100
A rare compounded-plus-brand shop with five real price points disclosed up front — $179/mo compounded semaglutide up to $1,086/mo brand Zepbound — though the oral tablet's exact molecule split isn't fully clear.
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.