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.
Gala Health
Ranked #6 · Grade B
Rx-Readiness85:100
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included partner if you can live with a yearly plan and a pharmacy it doesn't name.
yourEra
Ranked #110 · Grade C
Rx-Readiness62:100
Both prices came down since our last check: read live on 2026-08-26 the catalog reads from $79 a month for compounded semaglutide and from $159 for tirzepatide, against $99 and $169 in July. Same price at every dose is stated beside them, so titrating up does not raise the bill — but from is a floor and no ceiling or dose ladder is published anywhere. One question this record used to leave open is now answered on the site itself: yourEra says its clinician network is licensed in all 50 states, and repeats it in a badge and in its own founding story. The single price covers the telehealth visit, the medication, injection supplies, dose adjustments, unlimited messaging and shipping. Two things belong on your list before you pay. The refund policy stops refunds the moment the pharmacy begins preparing your order, whether or not it has shipped. And the Terms require you to have a device with a working video camera, which is the closest the site comes to telling you whether a live visit is part of this.
Trimi Health
Ranked #3 · Grade B+
Rx-Readiness88:100
The price-first partner: some of the lowest flat, all-inclusive compounded pricing we track, nationwide and async — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.
WeightlessRx
Ranked #74 · Grade C
Rx-Readiness66:100
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.
Lean Meds
Ranked #51 · Grade C
Rx-Readiness69:100
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.
Gimme Care
Ranked #70 · Grade C
Rx-Readiness66:100
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.
AurenRx
Ranked #4 · Grade B
Rx-Readiness86:100
AurenRx names both the practice that prescribes and the pharmacy that compounds, with addresses — Wasef Health, PC c/o Michael Wasef MD in Pinellas Park, Florida, and VialsRX in Houston, Texas — and the prescriber's details match the federal NPI registry exactly. It charges the same for either molecule, which is genuinely unusual: $259 a month on a recurring plan or $299 with no commitment, for semaglutide or tirzepatide alike, plus a low-and-slow microdose track at $229/$250. Everything is included in that price, the online visit is free, and the LegitScript badge it displays is real. The problem is its own front page. AurenRx advertises its GLP-1 and Microdose programs at 'from $129/mo' on the homepage, while the cheapest thing you can actually buy on the product page is $229 — nothing costs $129. That is not a promotion that expired or a plan you have to hunt for; it is roughly half the real price, sitting on the page most readers see first.
The Edit
Ranked #11 · Grade B−
Rx-Readiness82:100
The Edit is one of the very few providers on this page that names both the medical practice writing your prescription and the pharmacy compounding it — Arora Health & Aesthetics, LLC and The Pharmacy Hub — rather than gesturing at 'licensed US providers'. Compounded semaglutide is $209 a month and tirzepatide $309, the same price at every dose, with the prescription, all injection supplies, the clinician visit and temperature-controlled two-day shipping inside that one number and no membership fee on top. First orders are $100 off, and three- and six-month plans bring the per-month equivalent down to $192 and $178 for semaglutide. It covers all 50 states and, unusually for this market, runs a complete Spanish-language version of the site rather than a machine-translated shim. The limits are real but narrow: it is compounded-only, so there is no FDA-approved Wegovy or Zepbound here, and there is no postpartum, breastfeeding or PCOS guidance anywhere on the site.