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WeighLab

Alloy vs Ascend Vitality

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Alloy

Provider comparison

Women who want menopause care and GLP-1 weight management under the same physician and don't mind a recurring care fee.

Semaglutide / month
$169/moStarting dose, compounded
Tirzepatide / month
$199/moStarting dose, compounded
Index 77/100 · Grade CChecked October 2026

Ascend Vitality

Provider comparison

Cash-pay shoppers who want compounded semaglutide as an injection or a daily tablet, month to month, with no membership fee.

Semaglutide / month
$199/mo1-month plan, compounded
Tirzepatide / month
$249/mo1-month plan, compounded
Index 77/100 · Grade CChecked October 2026

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Both score 77/100 on the Cost-Efficiency Index. There is no score winner; compare the treatment you need, billing terms and state availability.

Check the difference in state access

Alloy
48 states; compounded options restricted in 4 more states and DC
Ascend Vitality
All 50 states

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Alloy

Ascend Vitality

Semaglutide / month
Alloy: $169/moStarting dose, compounded
Ascend Vitality: $199/mo1-month plan, compounded
Tirzepatide / month
Alloy: $199/moStarting dose, compounded
Ascend Vitality: $249/mo1-month plan, compounded
Semaglutide / year (modeled)
Alloy: $2,028
Ascend Vitality: $2,388
Tirzepatide / year (modeled)
Alloy: $2,388
Ascend Vitality: $2,988
State availability
Alloy: 48 states; compounded options restricted in 4 more states and DC
Ascend Vitality: All 50 states
Oral / sublingual option listed
Alloy: Yes
Ascend Vitality: Yes
Brand-name access listed
Alloy: Yes
Ascend Vitality: Not confirmed
Provider facts checked
Alloy: October 2026
Ascend Vitality: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Alloy

Women who want menopause care and GLP-1 weight management under the same physician and don't mind a recurring care fee.

Reasons to consider it

  • Brand and compounded medication options are listed with published starting prices
  • The $99 care fee includes physician messaging, dose adjustments and delivery
  • Menopause-trained physicians can coordinate weight care with hormone therapy

What to weigh up

  • Medication starting prices exclude the $99 monthly care fee; the ongoing combined floor is $169 for compounded semaglutide and $199 for compounded tirzepatide
  • The first-month care discount applies once; month two returns to the full $99 fee
  • Weight care excludes Louisiana and Mississippi; compounded options also exclude Alabama, Arkansas, California, Nevada and DC

Ascend Vitality

Cash-pay shoppers who want compounded semaglutide as an injection or a daily tablet, month to month, with no membership fee.

Reasons to consider it

  • Publishes month-to-month prices: semaglutide injections or tablets $199 and tirzepatide $249 a month, with no membership fee
  • Semaglutide comes as a weekly injection or a daily tablet
  • Three-month plans cut the first three months to $297 for semaglutide injections and $447 for tirzepatide

What to weigh up

  • The three-month prices are for your first three months only, and the site doesn't say what the renewal costs
  • No named medical director or prescriber, and the compounding pharmacies aren't named
  • All sales are final, with no refunds once the evaluation is done

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

AlloyAscend Vitality
Normalized Cost/Month
Alloy:
71/100
Ascend Vitality:
67/100
Price Transparency
Alloy:
78/100
Ascend Vitality:
86/100
Nationwide Access
Alloy:
78/100
Ascend Vitality:
86/100
Formulation Options
Alloy:
95/100
Ascend Vitality:
77/100
Clinical Oversight
Alloy:
87/100
Ascend Vitality:
74/100
Contract Flexibility
Alloy:
55/100
Ascend Vitality:
73/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.