Best-value alternatives
Alternatives to bmiMD
bmiMD scores 82/100 on our Cost-Efficiency Index (ranked #24 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
- 02B−80/ 100Index
Care Bare Rx
Ranked #23A LegitScript-certified, HIPAA-compliant multi-service platform bundling weight loss with hair, TRT, sexual health and NAD+ — both oral (Rybelsus, oral tirzepatide) and injectable compounded routes, real brand Ozempic from ~$705/mo, and coverage across all 50 states plus Puerto Rico, but the 3-month plan is a real trap: it costs more per month than either month-to-month or the 6-month plan.
- Sema
- $199/mo month-to-month ($185/mo only on a 12-month prepay; the 3-month tier is dearer at $249/mo)
- Tirz
- $299/mo month-to-month ($293/mo only on a 12-month prepay; the 3-month tier is dearer at $356/mo)
- Coverage
- Multi-state
- Brand
- Yes
- 03B83/ 100Index
Hims & Hers
Ranked #22Nationwide reach and a slick app at a mid-market semaglutide price — but an undisclosed tirzepatide price leaves part of the value equation blank.
- Sema
- $199/mo
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Compounded
Regulatory note: the FDA issued a warning letter to Hims & Hers Health, Inc. dba Hims in September 2025. We still list and link to Hims & Hers; you should know the letter is on the public record before you decide.
- 04B84/ 100Index
Lean Meds
Ranked #21Lean Meds charges $79 a month for compounded semaglutide and $109 for tirzepatide, flat at every dose, names the four pharmacies that fill the prescriptions, and advertises a $49 figure that is really its twelve-month rate.
- Sema
- $79/mo month-to-month, flat at every dose (the advertised $49 is the 12-month plan)
- Tirz
- $109/mo month-to-month, flat at every dose (the advertised $95 is the 12-month plan)
- Coverage
- All 50 states
- Brand
- Compounded
- 05B84/ 100Index
Ro
Ranked #20The widest formulary — brand-name and oral access, with a named CMO — but the $149/mo (or $74/mo prepaid annual) membership fee is separate from the drug's own opaque, insurance-dependent price.
- Sema
- Not disclosed (drug); $149/mo Ro Body membership separately
- Tirz
- Not disclosed (drug); $149/mo Ro Body membership separately
- Coverage
- Multi-state
- Brand
- Yes
- 06B84/ 100Index
Alan Meds
Ranked #19Rock-bottom $99 semaglutide with an oral option and all-50 access — strong on price, but not LegitScript-verified.
- Sema
- $99/mo
- Tirz
- $145/mo
- Coverage
- All 50 states
- Brand
- Compounded
Regulatory note: the FDA issued a warning letter to Alan Health Technologies Inc. dba Alan in February 2026. We still list and link to Alan Meds; you should know the letter is on the public record before you decide.
- 07B85/ 100Index
PepHaūs
Ranked #18Mid-market $152/$246 pricing on both molecules, all-50 and LegitScript-verified — a clean, verified nationwide option that trades rock-bottom cost for a dependable pharmacy.
- Sema
- $152/mo
- Tirz
- $246/mo
- Coverage
- All 50 states
- Brand
- Compounded
- 08B85/ 100Index
AgelessRx
Ranked #17The lowest published semaglutide cost among our partners, with some brand-name access — but an undisclosed tirzepatide price leaves a hole in the value model.
- Sema
- $139/mo
- Tirz
- Not disclosed
- Coverage
- Not disclosed
- Brand
- Yes
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.