Alternatives
Alternatives to Alloy
Alloy scores 77/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Alloy at a glance
- Semaglutide
- $169/moStarting dose, compounded
- Tirzepatide
- $199/moStarting dose, compounded
- Coverage
- 48 states; compounded options restricted in 4 more states and DC
- Brand-name GLP-1s
- Yes
- Oral option
- Yes
- Pricing verified
- October 2026
2 of the 8 programs below list semaglutide for less than Alloy's $169 a month. 3 of the 8 list tirzepatide for less than its $199 a month.
Alloy is a telehealth platform built around women's midlife health (menopause hormone therapy, skincare, sexual health) that also runs a dedicated Weight Care line offering both FDA-approved brand GLP-1s (Zepbound, Wegovy) and compounded alternatives (semaglutide, tirzepatide, liraglutide).
Best for: Women who want menopause care and GLP-1 weight management under the same physician and don't mind a recurring care fee.
What Alloy does well
- 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
- Wegovy pen starts at $199 and Wegovy pill at $149 before the care fee
Why readers look for an alternative
- 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
- Starting drug prices can rise with the prescribed dose; request the maintenance price
- Compounded medications are not FDA-approved
- Partner01A94/ 100Index
CoreAge Rx
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Alloy: $70/mo less for semaglutide · $50/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 02C78/ 100Index
Amble
Amble is a managed-services telehealth platform (by its own terms, not itself a medical facility or pharmacy) selling compounded semaglutide and tirzepatide at IDENTICAL prices on a commitment-length pricing table: $179/mo with no commitment.
- Sema
- $179/moAll doses, compounded
- Tirz
- $179/moAll doses, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Alloy: $10/mo more for semaglutide · $20/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 03C78/ 100Index
Elara Health and Wellness
Elara Health and Wellness (run by JTE Medical, LLC; clinical care by OpenLoop Healthcare Partners, PC) sells a compounded GLP-1 program billed every 4 weeks that bundles medication, quarterly labs, coaching and shipping, at the same price at every dose.
- Sema
- $249Every 4 weeks (same price at every dose, compounded, labs and coaching included; $179 every 4 weeks with 52 weeks prepaid; oral tablet $279)
- Tirz
- $339Every 4 weeks (same price at every dose, compounded, labs and coaching included; $269 every 4 weeks with 52 weeks prepaid)
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Alloy: $80/mo more for semaglutide · $140/mo more for tirzepatide · compounded only, no brand-name GLP-1s
- 04C78/ 100Index
Blue Haven RX
Blue Haven Rx connects patients with Wasef Health and Beluga Health clinicians. Its FAQ lists $179 semaglutide and $259 tirzepatide monthly, while lower homepage prices need plan and renewal confirmation.
- Sema
- $179/moFAQ standing rate, all doses, compounded; homepage $149 on 3-month start
- Tirz
- $259/moFAQ standing rate, all doses, compounded; homepage card $179
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Alloy: $10/mo more for semaglutide · $60/mo more for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 05C78/ 100Index
Open Water Rx
Open Water Rx offers compounded injections at $169 monthly for semaglutide or $219 for tirzepatide, with clinical review, medication if prescribed, shipping and follow-up included. Enrollment uses its Surfbound Health brand.
- Sema
- $169/moAll doses, monthly compounded injection program
- Tirz
- $219/moAll doses, monthly compounded injection program
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Alloy: $20/mo more for tirzepatide · compounded only, no brand-name GLP-1s
- 06C78/ 100Index
10rx
10rx is a GLP-1 and peptide weight-loss telehealth service founded by Dr. Michael Wasef, MD, built around a flat quarterly (3-month) prepay pricing model rather than a monthly subscription.
- Sema
- $99.67/moEquivalent ($299 paid quarterly, compounded; same price across strengths)
- Tirz
- $149.67/moEquivalent ($449 paid quarterly, compounded; same price across strengths)
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Alloy: $69.33/mo less for semaglutide · $49.33/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 07C78/ 100Index
TeleClinic
TeleClinic's standard rate is $199 a month for compounded semaglutide and $299 for tirzepatide, locked as your dose rises, after a $79 or $149 first month; Rush Pharmacy fills every order.
- Sema
- $199/moCompounded, standard monthly rate, same at every dose; $79 first month
- Tirz
- $299/moCompounded, standard monthly rate, same at every dose; $149 first month
- Coverage
- 47 states
- Brand
- Compounded
Compared with Alloy: $30/mo more for semaglutide · $100/mo more for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 08C77/ 100Index
FitFlow
FitFlow Health is an online-only, LegitScript-certified platform selling compounded semaglutide and tirzepatide, with care from the Wasef Health medical group and lower monthly rates on longer prepaid plans.
- Sema
- $175/moBilled monthly, compounded; $99/mo on the 12-month plan, $1,188 up front
- Tirz
- $235/moBilled monthly, compounded; $134/mo on the 12-month plan, $1,608 up front
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Alloy: $6/mo more for semaglutide · $36/mo more for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.