Alternatives to Rixa Health

The brand-access marketplace: real FDA-approved pens and oral options with insurance-style navigation — but a required video visit, a 28-day billing cycle, and prices that sit well above the compounded field.

From $133/mo semaglutide, $209/mo tirzepatide, all 50 states, and an explicit pregnancy/breastfeeding exclusion most competitors don't bother disclosing — the price just isn't flat, it's tiered by how many months you prepay.

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.

AskRx solves the pricing question most of this page leaves open, and creates a different one. Its care fee is itemized in its own footnote — $90/month physician visit, $10/month fulfilment, $100 total — and the medication is billed separately through its own pharmacy, at cost, with both halves shown at checkout. If you have ever wondered how much of a blended monthly price is the drug and how much is margin, this is the provider that answers it. It is FDA-approved only ('No compounded meds'), so the options are the Wegovy pen, the Wegovy pill, Zepbound in pen or KwikPen form, and Foundayo, the oral tirzepatide. All 50 states, board-certified physicians with obesity-medicine training, unlimited messaging, monthly titration, cancel anytime. Two logistics notes that matter on a workday. First, $100 is a floor: no medication price is published, so your real monthly total is unknown until checkout and depends on coverage. Second — and read this one if scheduling is your constraint — 'video visits available in select states' means the async route is not universal here, so confirm your own state before assuming you can do this without a call.

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.

Not a telehealth clinic at all — zero intake, zero video visit, because it's a manufacturer-direct pharmacy for Foundayo (orforglipron), priced on a four-tier dose ladder from $149/mo (0.8mg) through $199/mo (2.5mg) and $299/mo (5.5mg and 9mg) to $349/mo (14.5mg and 17.2mg) self-pay, that only fills a prescription your own doctor already wrote and sent to LillyDirect Pharmacy or a pharmacy of your choosing.

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 microdose-or-full-strength compounded shop — starting at $149/mo semaglutide, $249/mo tirzepatide — with a 4.9-star Google rating and a stated 15,000+ clients served, though the compounding pharmacy itself isn't named on the site.

Compounded semaglutide at $299 and tirzepatide at $399, quoted as a monthly program but sold as a FOUR-WEEK supply — a distinction that costs you an extra cycle roughly every year and is easy to miss because the site itself writes it as per month. The price is reachable without finishing the quiz, but only inside a collapsed FAQ rather than on any pricing page. Prime Health is a platform rather than a practice: it states plainly that it does not provide medical services, with clinicians supplied through the OpenLoop professional corporations, and its own copy still refers in places to the Remedy Meds platform it is built on. It covers every state except Louisiana and backs the program with a stated money-back guarantee tied to losing at least 10% of body weight in four months.