Best-value alternatives
Alternatives to Andrew Meds
Andrew Meds scores 70/100 on our Cost-Efficiency Index (ranked #83 of 529). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.
- Our #1 pick01A94/ 100Index
CoreAge Rx
Ranked #1Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
- 02C70/ 100Index
AHBARx
Ranked #82AHBARx sells compounded semaglutide at $249 and tirzepatide at $349 a month with the consultation and shipping folded into the figure, and shows both prices at checkout before you make an account.
- Sema
- $249/mo month-to-month (a $50 consultation and $25 shipping are inside the figure)
- Tirz
- $349/mo month-to-month (consultation and shipping included in the figure)
- Coverage
- All 50 states
- Brand
- Compounded
- 03C70/ 100Index
NuuVim
Ranked #81NuuVim is a Texas-based DTC telehealth program offering compounded semaglutide and tirzepatide in both injectable and oral forms — oral access is uncommon here — plus limited brand-name Ozempic and Zepbound.
- Sema
- $79/mo (all doses, 3-mo plan, new patients only, compounded)
- Tirz
- $133/mo (all doses, 3-mo plan, new patients only, compounded)
- Coverage
- Multi-state
- Brand
- Yes
- 04C70/ 100Index
Fresh Day Meds
Ranked #80Fresh Day Meds is a multi-category telehealth brand (weight loss, hair, testosterone, sexual wellness, longevity) selling compounded semaglutide and tirzepatide with no membership fee and free shipping.
- Sema
- $140/mo (compounded)
- Tirz
- $179/mo (compounded)
- Coverage
- All 50 states
- Brand
- Yes
- 05C70/ 100Index
Bionomy Health
Ranked #79Bionomy Health is a physician-led, direct-to-consumer men's telehealth service selling compounded GLP-1 weight-loss medication alongside testosterone, peptides and longevity protocols.
- Sema
- $189/mo (starting dose, compounded)
- Tirz
- $249/mo (compounded)
- Coverage
- 48 states
- Brand
- Compounded
- 06C70/ 100Index
altRX
Ranked #78altRx is a compounded GLP-1 telehealth platform run through Usable Health, PC and its affiliated medical practices, offering semaglutide and tirzepatide at a flat 'same price at every dose' rate with no membership fee.
- Sema
- $89/mo (all doses, promotional rate, plus a separate fee, compounded)
- Tirz
- $149/mo (all doses, promotional rate, compounded)
- Coverage
- Multi-state
- Brand
- Yes
Regulatory note: the FDA issued a warning letter to Trinity HealthCare Supply, LLC dba altRx in June 2026. We still list and link to altRX; you should know the letter is on the public record before you decide.
- 07C71/ 100Index
Goldspan Health
Ranked #77Goldspan Health sells compounded semaglutide at $229 and tirzepatide at $299 every 28 days, with daily sublingual and low-dose versions of both at lower prices, through a storefront operated by a different company.
- Sema
- $229 every 28 days month-to-month (13 charges a year, not 12)
- Tirz
- $299 every 28 days month-to-month (13 charges a year, not 12)
- Coverage
- All 50 states
- Brand
- Compounded
- 08C71/ 100Index
Rivo Health
Ranked #76Rivo Health is a large nationwide GLP-1 telehealth program (115,000+ members claimed, Trustpilot 4.7) whose advertised $149/mo semaglutide and $199/mo tirzepatide are the 12-month annual-plan rate, not month-to-month.
- Sema
- $149/mo (starting dose, annual plan, compounded oral)
- Tirz
- $199/mo (starting dose, annual plan, compounded oral)
- Coverage
- All 50 states
- Brand
- Compounded
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.