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Alternatives

Alternatives to Aquivia Health

Aquivia Health scores 55/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the Aquivia Health review →CoreAge Rx vs Aquivia Health →

Aquivia Health at a glance

Semaglutide
$249 per 4 weeksCompounded; $179 per shipment on a 52-week plan paid up front
Tirzepatide
$339 per 4 weeksCompounded; $269 per shipment on a 52-week plan paid up front
Coverage
Coverage not published
Brand-name GLP-1s
Yes
Oral option
No
Pricing verified
October 2026

4 of the 8 programs below list semaglutide for less than Aquivia Health's $249 a month. 2 of the 8 list tirzepatide for less than its $339 a month.

Aquivia Health is a clinician-led, self-pay telehealth platform offering compounded GLP-1 therapy with the option to step up to branded Ozempic or Zepbound.

Best for: Shoppers who want clinician-reviewed compounded GLP-1s with the option to move up to brand-name Ozempic or Zepbound.

What Aquivia Health does well

  • Clinical care provided by Open Loop Healthcare Partners, PC — a reused, verified MSO network
  • Named leadership: Steven Bishop MD (CMO), Phillip Gray PharmD (Chief Pharmacist), Tom Foster (President)
  • Publishes every plan price: compounded semaglutide is $249 and tirzepatide $339 per 4 weeks, less on 12-, 24- and 52-week plans, with Ozempic at $1,299 and Zepbound at $1,399 per fill
  • Both compounded and branded GLP-1s offered side by side — unusual for a compounded provider
  • Self-pay model with no insurance required and no separate consultation fee

Why readers look for an alternative

  • Billed every 4 weeks, so a year is 13 charges, and the cheapest rates ($179 and $269 a shipment) need a 52-week plan paid in one $2,327 or $3,497 payment; the '$149/mo' and '$179/mo' cards above the plans carry an asterisk the page never explains
  • No public list of states served — you must complete intake to learn if your state qualifies
  • No named 503A compounding pharmacy partner, limiting licensure verification
  • No LegitScript, PCAB, or BBB trust badges visible
  • Brand confusion: site schema names 'CatalystMD' while the customer-facing brand is Aquivia Health
  • The pricing page still advertises a 25%-off summer promotion that ended August 31, 2026
  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 Aquivia Health: $150/mo less for semaglutide · $190/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit CoreAge Rx CoreAge Rx vs Aquivia Health →
  2. 02C

    Framework

    Framework offers doctor-guided compounded GLP-1 plans with nutrition support, while the medication price appears after intake.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Aquivia Health: compounded only, no brand-name GLP-1s

    Visit Framework Framework vs Aquivia Health →
  3. 03C

    24hrDOC

    24hrDOC is a cash-pay telehealth service for common conditions that also advertises compounded semaglutide, $299 for the injection and $309 for the oral form, with a 6-month subscription recommended.

    Sema
    $299Compounded injection; billing period not stated, 6-month subscription recommended
    Tirz
    Not disclosed
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Aquivia Health: $50/mo more for semaglutide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit 24hrDOC 24hrDOC vs Aquivia Health →

    Regulatory note: the FDA issued a warning letter to 24HrDoc, Inc. dba 24HrDoc in February 2026. We still list and link to 24hrDOC; you should know the letter is on the public record before you decide.

  4. 04C

    Boston Medical Group

    Boston Medical Group is an established medical group running a 12-week compounded GLP-1 weight-loss program.

    Sema
    $199/moStarting strength, rising with dose, compounded
    Tirz
    Not disclosed
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Aquivia Health: $50/mo less for semaglutide · compounded only, no brand-name GLP-1s

    Visit Boston Medical Group Boston Medical Group vs Aquivia Health →
  5. 05C

    Vita Bella

    Vita Bella is a broad multi-category telehealth platform bundling GLP-1 weight loss with hormone therapy, sexual wellness, and anti-aging treatments under one $129/mo membership.

    Sema
    $109/moPlus a separate fee, compounded
    Tirz
    $159/moPlus a separate fee, compounded
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Aquivia Health: $140/mo less for semaglutide · $180/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Vita Bella Vita Bella vs Aquivia Health →
  6. 06C

    Bioverse

    Bioverse is a GLP-1 telehealth brand serving 18 named states, with compounded semaglutide from $129 a month on a 6-month plan paid upfront and compounded tirzepatide from $399.

    Sema
    $129/moStarting dose, 6-month plan paid upfront, compounded
    Tirz
    $399/moStarting price, compounded
    Coverage
    18 states
    Brand
    Yes

    Compared with Aquivia Health: $120/mo less for semaglutide · $60/mo more for tirzepatide

    Visit Bioverse Bioverse vs Aquivia Health →

    Regulatory note: the FDA issued a warning letter to Bioverse, Inc. dba Bioverse in September 2025. We still list and link to Bioverse; you should know the letter is on the public record before you decide.

  7. 07C

    AM Rx

    AM Rx is a telehealth platform operated by FitRX, selling compounded semaglutide and tirzepatide as all-in monthly bundles ($297 and $449 after a cheaper first month), with insurance help for brand-name drugs.

    Sema
    $297/moMonth-to-month bundle with medication included, after a $217 first month; doses above standard titration may cost more, compounded
    Tirz
    $449/moMonth-to-month bundle with medication included, after a $349 first month; doses above standard titration may cost more, compounded
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Aquivia Health: $48/mo more for semaglutide · $110/mo more for tirzepatide

    Visit AM Rx AM Rx vs Aquivia Health →

    Regulatory note: the FDA issued a warning letter to FitRX, LLC dba AM RX in June 2026. We still list and link to AM Rx; you should know the letter is on the public record before you decide.

  8. 08C

    FormidableMD

    FormidableMD is a physician-led telehealth practice serving Florida, Georgia, New York and New Jersey, with medication billed separately from consultation and follow-up visits.

    Sema
    $169Per prescription (1 mg; supply length unspecified, compounded)
    Tirz
    $199Per prescription (10 mg; supply length unspecified, compounded)
    Coverage
    Multi-state
    Brand
    Yes
    Visit FormidableMD FormidableMD vs Aquivia Health →

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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