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WeighLab

Alternatives

Alternatives to Blue Sky MD

Blue Sky MD scores 66/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the Blue Sky MD review →CoreAge Rx vs Blue Sky MD →

Blue Sky MD at a glance

Semaglutide
$173.33/moEquivalent (weekly starting rate, in-office, compounded)
Tirzepatide
$260/moEquivalent (weekly starting rate, in-office, compounded)
Coverage
1 state
Brand-name GLP-1s
Yes
Oral option
No
Pricing verified
October 2026

4 of the 8 programs below list semaglutide for less than Blue Sky MD's $173.33 a month. 6 of the 8 list tirzepatide for less than its $260 a month.

Blue Sky MD is a physician-led medical weight-loss practice (founded 2008, LegitScript-certified, Medical Director Dr. David LaMond) with 7 physical clinics across North Carolina.

Best for: North Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.

What Blue Sky MD does well

  • Names medical director Dr. David LaMond and displays LegitScript certification
  • Offers brand-name Wegovy, Ozempic, Zepbound and Mounjaro as well as compounded options
  • Publishes weekly starting prices for in-office compounded treatment
  • North Carolina clinics provide visits, lab testing, nutrition guidance and coaching

Why readers look for an alternative

  • The published $40/$60 per-week price is explicitly labeled 'in-office' on the GLP-1 page, and that specific page never mentions telehealth at all — whether the rate applies to out-of-state or telehealth-only patients is unconfirmed
  • Geographic footprint is North Carolina only; no state-by-state telehealth coverage list is published
  • No compounding pharmacy is named anywhere on the site
  • Pricing is quoted per-week rather than per-month, and no higher-dose pricing is disclosed
  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 Blue Sky MD: $74.33/mo less for semaglutide · $111/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit CoreAge Rx CoreAge Rx vs Blue Sky MD →
  2. 02C

    Genesis Health

    Genesis Health offers compounded GLP-1 plans with public monthly prices and lower rates when several months are prepaid.

    Sema
    $175/moBilled monthly, compounded; lower quarterly, six-month and annual prepay rates
    Tirz
    $225/moBilled monthly, compounded; lower quarterly, six-month and annual prepay rates
    Coverage
    Multi-state
    Brand
    Yes

    Compared with Blue Sky MD: $1.67/mo more for semaglutide · $35/mo less for tirzepatide

    Visit Genesis Health Genesis Health vs Blue Sky MD →

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

  3. 03C

    LevelUp Rx

    LevelUp Rx publishes one-month compounded semaglutide at $149.97 and tirzepatide at $249.97, with optional six- and twelve-month prepaid plans and the same price at every dose.

    Sema
    $149.97/moAll doses, one-month compounded plan
    Tirz
    $249.97/moAll doses, one-month compounded plan
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Blue Sky MD: $23.36/mo less for semaglutide · $10.03/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit LevelUp Rx LevelUp Rx vs Blue Sky MD →
  4. 04C

    RX Bella

    Four routes priced from a floor on one page, a hero quoting the cheapest of them, and treatment pages that carry no price at all.

    Sema
    From $249/moFor the injection — a published floor, not a committed rate
    Tirz
    From $299/moFor the injection — the same floor treatment
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Blue Sky MD: $75.67/mo more for semaglutide · $39/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit RX Bella RX Bella vs Blue Sky MD →
  5. 05C

    MD Total Wellness

    MD Total Wellness is an in-person clinic in Brea, California, charging $299 a month for compounded semaglutide and $399 for tirzepatide at any dose, after a cheaper first month.

    Sema
    $299/moCompounded, any dose after a $199 first month
    Tirz
    $399/moCompounded, any dose after a $299 first month
    Coverage
    California only
    Brand
    Compounded

    Compared with Blue Sky MD: $125.67/mo more for semaglutide · $139/mo more for tirzepatide · compounded only, no brand-name GLP-1s

    Visit MD Total Wellness MD Total Wellness vs Blue Sky MD →
  6. 06C

    Auren Rx

    Auren Rx sells compounded semaglutide at $179 a month and tirzepatide at $259 with no commitment, or $149 and $229 on subscribe and save, with the visit, medication and shipping in one price.

    Sema
    $179/moCompounded, month to month; $149/mo on subscribe and save
    Tirz
    $259/moCompounded, month to month; $229/mo on subscribe and save
    Coverage
    Not published
    Brand
    Compounded

    Compared with Blue Sky MD: $5.67/mo more for semaglutide · $1/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Auren Rx Auren Rx vs Blue Sky MD →
  7. 07C

    Cielo

    Cielo is a compounded-GLP-1 telehealth service with one price at every dose: $139 a month for semaglutide and $189 for tirzepatide on the monthly plan, and less on 3-, 6- and 12-month plans.

    Sema
    $139/moAll doses, monthly plan, compounded; $99/mo on a 3-month plan, $89/mo on 6 months, $84/mo on 12 months
    Tirz
    $189/moAll doses, monthly plan, compounded; $149/mo on a 3-month plan, $129/mo on 6 months, $119/mo on 12 months
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Blue Sky MD: $34.33/mo less for semaglutide · $71/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Cielo Cielo vs Blue Sky MD →
  8. 08C

    Zeuss

    Zeuss (Zeuss LLC) sells compounded semaglutide and tirzepatide as one-time 60-day orders with no subscription, no auto-refill and no membership fee.

    Sema
    $99/moSold as a $198 60-day supply, compounded, no subscription
    Tirz
    $169/moSold as a $338 60-day supply, compounded, no subscription
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Blue Sky MD: $74.33/mo less for semaglutide · $91/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Zeuss Zeuss vs Blue Sky MD →

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

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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