Alternatives
Alternatives to Aspire Health
Aspire Health scores 71/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Aspire Health at a glance
- Semaglutide
- $129Per vial at 0.25–0.5 mg (a 5–10 week supply, compounded with B3; plus the required $49/mo care fee; $159–$189 per vial at 1–2.4 mg; brand Wegovy $199–$399 for a 4-week supply)
- Tirzepatide
- $149 per 4 weeksAt 2.5 mg (compounded with B3; plus the required $49/mo care fee; $249–$299 per vial at 5–15 mg; brand Zepbound $299–$449 for a 4-week supply)
- Coverage
- 30 states
- Brand-name GLP-1s
- Yes
- Oral option
- No
- Pricing verified
- October 2026
1 of the 8 programs below lists semaglutide for less than Aspire Health's $129 a month. 0 of the 8 list tirzepatide for less than its $149 a month.
Aspire Health is a Nebraska-founded telehealth practice that prescribes compounded semaglutide and tirzepatide (made with B3) and brand-name Wegovy and Zepbound, with a published dose-by-dose price list and a named PA/NP team.
Best for: Shoppers in its 30 states who want compounded or brand-name GLP-1s with a full price list up front and a small, named clinical team.
What Aspire Health does well
- Both compounded and brand-name options (Wegovy and Zepbound), each priced dose by dose before you book
- Free first consultation, and you pay only if you decide to move forward
- Lab orders with interpretation are part of the monthly care; the labs themselves can be billed to insurance
- Named clinical team: founded by Jenni Haan, MPAS, PA-C, with credentialed NPs and PAs
- Names its pharmacies: Strive Pharmacy, Boudreaux's New Drug Store and Rush Pharmacy
- HSA/FSA accepted; Cherry financing available
Why readers look for an alternative
- The $49/mo care fee is billed on top of the medication (its FAQ still says $75/mo for the program, so confirm the fee before you enroll)
- The price rises with your dose, and a vial lasts anywhere from four to ten weeks, so the monthly cost depends on your dose
- Lab costs aren't included in the care fee
- All medication sales are final once shipped; consultation fees and partial months aren't refunded
- Serves 30 states, so check the map before booking
- 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 Aspire Health: $30/mo less for semaglutide · compounded only, no brand-name GLP-1s
- 02C72/ 100Index
Rixa Health
Rixa Health is a telehealth GLP-1 clinic led by Timothy Scott, D.O., selling compounded semaglutide and tirzepatide as injections or dissolving tablets at published all-inclusive prices per 4 weeks.
- Sema
- $195 per 4 weeksStarting dose, all-inclusive, compounded
- Tirz
- $280 per 4 weeksStarting dose, all-inclusive, compounded
- Coverage
- 45 states
- Brand
- Compounded
Compared with Aspire Health: $66/mo more for semaglutide · $131/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option
- 03C71/ 100Index
Navio MD
Navio MD lists compounded tirzepatide from $189 monthly and brand-name Zepbound from $445, with fulfillment through The Pharmacy Hub.
- Sema
- Not currently listed; confirm availability
- Tirz
- $189/moStarting dose, compounded
- Coverage
- 48 states
- Brand
- Yes
Compared with Aspire Health: $40/mo more for tirzepatide
- 04C71/ 100Index
Apex MD
Apex MD is a nationwide telehealth platform selling compounded semaglutide and tirzepatide bundled with NAD, B-12, and L-carnitine (not single-ingredient GLP-1) at a flat $299/mo and $399/mo month-to-month respectively.
- Sema
- $299/moAll doses, bundle, compounded
- Tirz
- $399/moAll doses, bundle, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Aspire Health: $170/mo more for semaglutide · $250/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option
- 05C71/ 100Index
Queen RX
Queen RX sells separate semaglutide and tirzepatide starter and maintenance packs. Each prepaid purchase includes a consultation, 12 weeks of compounded medication and supplies.
- Sema
- $133 per 4 weeksMaintenance, compounded; $399 prepaid for 12 weeks
- Tirz
- $199.67 per 4 weeksMaintenance, compounded; $599 prepaid for 12 weeks
- Coverage
- 44 states
- Brand
- Compounded
Compared with Aspire Health: $4/mo more for semaglutide · $50.67/mo more for tirzepatide · compounded only, no brand-name GLP-1s
- 06C71/ 100Index
Rivo Health
Rivo 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/moStarting dose, annual plan, compounded injection or oral
- Tirz
- $199/moStarting dose, annual plan, compounded injection or oral
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Aspire Health: $20/mo more for semaglutide · $50/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option
- 07C71/ 100Index
EllieMD
EllieMD offers standard compounded GLP-1 weight care alongside a separate microdose program. Standard injection plans start with twelve weeks prepaid: $717 for semaglutide and $897 for tirzepatide.
- Sema
- $239 per 4 weeksAll doses, $717 for 12 weeks prepaid, compounded
- Tirz
- $299 per 4 weeksAll doses, $897 for 12 weeks prepaid, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Aspire Health: $110/mo more for semaglutide · $150/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option
- 08C71/ 100Index
PrideRx
PrideRx is a telehealth membership service that prescribes brand-name Zepbound and the Wegovy and Foundayo pills, with the medication shipped and billed separately by LillyDirect or NovoCare.
- Sema
- $248/moWegovy pill 1.5 mg starter dose, brand-name, month-to-month; $149 drug from NovoCare plus the $99/mo membership, $25 the first month
- Tirz
- $398/moZepbound KwikPen 2.5 mg starter dose, brand-name, month-to-month; $299 drug from LillyDirect plus the $99/mo membership, $25 the first month
- Coverage
- All 50 states
- Brand
- Yes
Compared with Aspire Health: $119/mo more for semaglutide · $249/mo more for tirzepatide · offers an 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.