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Alternatives · ranked for speed

Alternatives to Solaya MD

Solaya MD lands at #272 on our ranking with a Rx-Readiness Score of 47/100. 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.

Top alternative

Ranked #20 · Grade C

Live Vital

$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.

Semaglutide
$299 total for a 10-week protocol
Tirzepatide
$549 total for a 10-week protocol
Coverage
All 50 states
Brand-name
Compounded only

More alternatives, in ranking order

SnagRx

Ranked #44 · Grade C

Compounded semaglutide at $69 a month and tirzepatide at $119, one flat price that SnagRx says covers the medication, the supplies, the doctor review and shipping, with no membership fee and cancellation by email or phone. Both figures are advertised against struck-through list prices of $299 and $399 under a live countdown clock, and the promise to lock that rate for life is marketing rather than a published term. It ships from licensed US pharmacies it never names, and publishes no list of the states it serves.

Get Relief Rx

Ranked #115 · Grade C

A sublingual (under-the-tongue), not injectable, GLP-1 program — $189/mo semaglutide and $319/mo tirzepatide on a 6-month prepay plan, $209/mo and $359/mo on a shorter 2-month plan — serving 34 states plus DC.

Lean Meds

Ranked #51 · Grade C

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.

WeightlessRx

Ranked #74 · Grade C

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.

Trinity Meds

Ranked #67 · Grade C

$99 semaglutide, $149 tirzepatide, flat at every dose, all 50 states. Renewal prices match advertised prices in the checkout data, so the no-price-rise claim holds. A plan month is four weeks; the '12-month' plan at $999 is 48 weeks. Same operator as Lean Meds, altRx and NextMeds — one company, four storefronts — and that operator holds FDA letter 728236, still open.

OnlineSemaglutide.org

Ranked #148 · Grade C

Names four specific 503A compounding pharmacy partners directly — from $150/mo semaglutide, $241/mo tirzepatide on a 6-month plan, available as injection, drops, or pills — though state coverage isn't published.

Gimme Care

Ranked #70 · Grade C

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.

AskRx

Ranked #46 · Grade C

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.

Andrew Meds

Ranked #28 · Grade C

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.

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.

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