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WeighLab

Alternatives

Alternatives to AlyveRx

AlyveRx scores 64/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the AlyveRx review →CoreAge Rx vs AlyveRx →

AlyveRx at a glance

Semaglutide
$183/moStarting dose, compounded
Tirzepatide
$283/mo'Starting at'; the site banner says $329/month, compounded
Coverage
Coverage not published
Brand-name GLP-1s
Yes
Oral option
Yes
Pricing verified
October 2026

5 of the 8 programs below list semaglutide for less than AlyveRx's $183 a month. 6 of the 8 list tirzepatide for less than its $283 a month.

AlyveRx (Alyve) is a telehealth platform selling compounded semaglutide and tirzepatide in both standard injection and proprietary PermeAct sublingual-drop form, plus brand Ozempic, Wegovy.

Best for: Shoppers who specifically want a needle-free sublingual GLP-1 option alongside standard injections on the same platform.

What AlyveRx does well

  • Offers a genuinely needle-free sublingual delivery option (PermeAct) for both semaglutide and tirzepatide, not just injections
  • Also carries brand-name Ozempic, Wegovy, and Mounjaro for patients who want an FDA-approved product
  • All four price points (injection and drops, both drugs) are published upfront on the homepage before intake

Why readers look for an alternative

  • The $249/mo tirzepatide figure you may see quoted is the sublingual-drops price, not the standard injection ($283/mo), so confirm which form a price refers to
  • Sublingual PermeAct absorption relies on the company's own proprietary technology claims and is not FDA-reviewed for weight-loss efficacy
  • No compounding pharmacy or medical director is publicly named
  • No LegitScript certification, and state availability isn't published
  • The tirzepatide injection is listed 'From $283/mo', but the site-wide banner and the page title say $329 a month, and no page explains the difference
  • Its terms of service still carry unfilled template placeholders, including '[SUPPORT EMAIL]' and '[GOVERNING STATE]'
  1. Partner
    01A

    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 AlyveRx: $84/mo less for semaglutide · $134/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option

    Visit CoreAge Rx CoreAge Rx vs AlyveRx →
  2. 02C

    Fidelity Medical Clinic

    Fidelity Medical Clinic is a Tampa, Florida medical practice (400 N Ashley Dr) that also runs a telehealth compounded-GLP-1 program for semaglutide and tirzepatide, injectable or oral.

    Sema
    $199 per 4 weeksMaintenance order, consult and shipping included, compounded; $99 for the first 2-month order of 8 doses, then $199 for a 5-week step-up order
    Tirz
    $349 per 4 weeksMaintenance order, consult and shipping included, compounded; $349 for the first 2-month order of 8 doses and for the 7-week step-up order
    Coverage
    1 state
    Brand
    Compounded

    Compared with AlyveRx: $16/mo more for semaglutide · $66/mo more for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Fidelity Medical Clinic Fidelity Medical Clinic vs AlyveRx →
  3. 03C

    Bliv

    Bliv is a telehealth provider selling personalized compounded GLP-1 programs.

    Sema
    $116/moAs low as, varies by plan and eligibility, compounded
    Tirz
    $199/moAs low as, varies by plan and eligibility, compounded
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with AlyveRx: $67/mo less for semaglutide · $84/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option

    Visit Bliv Bliv vs AlyveRx →

    Regulatory note: the FDA issued a warning letter to Bliv Wellness LLC dba Bliv in February 2026. We still list and link to Bliv; you should know the letter is on the public record before you decide.

  4. 04C

    AskRx

    AskRx offers physician-guided prescriptions for brand-name Wegovy, Zepbound and Foundayo, with a $100 monthly care fee and medication billed separately.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    All 50 states
    Brand
    Yes
    Visit AskRx AskRx vs AlyveRx →
  5. 05C

    Harmony Wellness Clinic

    Harmony Wellness Clinic is a nurse-practitioner-led telehealth practice with dose-level GLP-1 pricing and a published network covering 35 states and Washington, D.C.

    Sema
    $200/moCompounded
    Tirz
    $250/moCompounded
    Coverage
    35 states plus DC
    Brand
    Compounded

    Compared with AlyveRx: $17/mo more for semaglutide · $33/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option

    Visit Harmony Wellness Clinic Harmony Wellness Clinic vs AlyveRx →
  6. 06C

    Zenbody

    Zenbody lists compounded semaglutide from $149 and tirzepatide from $179 a month as weekly injections, or from $199 and $299 as daily tablets, but those are first-month starting-dose prices and the rate after month one isn't shown until checkout.

    Sema
    $149/moStarting-dose intro price for the injection, compounded; oral tablet from $199
    Tirz
    $179/moStarting-dose intro price for the injection, compounded; oral tablet from $299
    Coverage
    Not published
    Brand
    Compounded

    Compared with AlyveRx: $34/mo less for semaglutide · $104/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Zenbody Zenbody vs AlyveRx →
  7. 07C

    Vital Step

    Vital Step advertises compounded semaglutide "as low as $161" and tirzepatide "as low as $198" a month as injections or daily tablets, but the plan and the regular monthly price only appear once you've done the intake.

    Sema
    $161/moLowest advertised rate, compounded; the plan behind it and the regular monthly price appear only after the intake
    Tirz
    $198/moLowest advertised rate, compounded; the regular monthly price appears only after the intake
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with AlyveRx: $22/mo less for semaglutide · $85/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Vital Step Vital Step vs AlyveRx →
  8. 08C

    Enhanced

    Enhanced sells compounded semaglutide from $89 a month and tirzepatide from $129, with the medication, clinician and follow-ups included, plus lower-priced microdose plans.

    Sema
    $89/moStarting price, compounded
    Tirz
    $129/moStarting price, compounded
    Coverage
    Not published
    Brand
    Compounded

    Compared with AlyveRx: $94/mo less for semaglutide · $154/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option

    Visit Enhanced Enhanced vs AlyveRx →

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.

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