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Alternatives

Alternatives to Brightmeds

Brightmeds scores 82/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the Brightmeds review →CoreAge Rx vs Brightmeds →

Brightmeds at a glance

Semaglutide
$129/moCompounded, month to month, same price at every dose; $99/mo on a 3-month pack billed $297
Tirzepatide
$149/moCompounded, month to month, same price at every dose; $119/mo on a 3-month pack billed $357
Coverage
38 states + DC
Brand-name GLP-1s
Yes
Oral option
No
Pricing verified
October 2026

4 of the 8 programs below list semaglutide for less than Brightmeds's $129 a month. 1 of the 8 lists tirzepatide for less than its $149 a month.

Brightmeds sells compounded semaglutide at $129 a month and tirzepatide at $149 month to month, the same at every dose, or $99 and $119 a month if you prepay a three-month pack.

Best for: Shoppers who want a low flat price at every dose on compounded semaglutide or tirzepatide, with the option to save more on a three-month pack.

What Brightmeds does well

  • Month-to-month prices of $129 for semaglutide and $149 for tirzepatide are on the pricing page, and the price stays the same as your dose goes up
  • A three-month pack lowers that to $99 and $119 a month, and you can choose month to month instead
  • Medication, clinician visits, dose adjustments and shipping are included, with no membership, consultation or lab fee
  • Full refund if a clinician finds you ineligible, plus a conditional six-month money-back guarantee for new customers who meet its weight-loss and check-in terms
  • Brand Zepbound is available through LillyDirect for a $100 consult fee, with the medication billed separately

Why readers look for an alternative

  • The advertised GLP-1 prices apply only in 38 states and D.C.; if you are already on a GLP-1 or transferring a prescription, you must contact support for pricing
  • Its terms say fees are otherwise non-refundable, and month-to-month plans renew automatically until you cancel
  • The terms list 47 states while the pricing page lists 38 and D.C., so confirm your state before you start
  • The six-month guarantee has strict conditions, including monthly weigh-in uploads, coaching sessions and a starting BMI above 30
  • Compounded semaglutide and tirzepatide are not FDA-approved products
  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 Brightmeds: $30/mo less for semaglutide · compounded only, no brand-name GLP-1s

    Visit CoreAge Rx CoreAge Rx vs Brightmeds →
  2. 02B−

    Sprout Health

    Partner

    Sprout charges $149 every four weeks for compounded semaglutide and $199 for tirzepatide, or $99 and $149 a month if you prepay a full year.

    Sema
    $149 per 4 weeks$99/mo on a prepaid 12-month plan
    Tirz
    $199 per 4 weeks$149/mo on a prepaid 12-month plan
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with Brightmeds: $20/mo more for semaglutide · $50/mo more for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Sprout Health Sprout Health vs Brightmeds →

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

  3. 03B−

    No BS RX

    Twenty-four prices on one public page, four dispensing pharmacies named with street addresses, and a no-intro-rate promise the arithmetic on its own page supports.

    Sema
    $179/moMonth-to-month; a separate low-dose program runs $140
    Tirz
    $249/moMonth-to-month; a separate low-dose program runs $140
    Coverage
    Not disclosed
    Brand
    Compounded

    Compared with Brightmeds: $50/mo more for semaglutide · $100/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit No BS RX No BS RX vs Brightmeds →
  4. 04B−

    PlexusDx

    PlexusDx is a nationwide compounded-GLP-1 telehealth platform offering both semaglutide (injection or oral tablet) and tirzepatide from published starting prices, LegitScript certified.

    Sema
    $149/moAll doses, compounded
    Tirz
    $249/moAll doses, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Brightmeds: $20/mo more for semaglutide · $100/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

    Visit PlexusDx PlexusDx vs Brightmeds →
  5. 05B−

    Live Vital

    A very low $99 semaglutide nationwide, with tirzepatide disclosed too — cheap and all-50, but without LegitScript verification.

    Sema
    $99/mo
    Tirz
    $183/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Brightmeds: $30/mo less for semaglutide · $34/mo more for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Live Vital Live Vital vs Brightmeds →
  6. 06B

    Yucca Health

    Yucca Health charges $146 a month for compounded semaglutide and $258 for tirzepatide with no commitment, the same at every dose, and refunds six months of payments if you follow the plan and don't lose weight.

    Sema
    $146/moMonth to month, same price at every dose, compounded
    Tirz
    $258/moMonth to month, same price at every dose, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Brightmeds: $17/mo more for semaglutide · $109/mo more for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Yucca Health Yucca Health vs Brightmeds →
  7. 07B

    Sunlight

    Sunlight lists compounded semaglutide from $88 a month and tirzepatide from $157, with visits and shipping included, but canceling after a clinician has reviewed your intake costs an $80 fee.

    Sema
    $88/moStarting price, flat monthly, compounded
    Tirz
    $157/moStarting price, flat monthly, compounded
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Brightmeds: $41/mo less for semaglutide · $8/mo more for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Sunlight Sunlight vs Brightmeds →
  8. 08B

    Lean Meds

    Lean 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/moMonth-to-month, flat at every dose (the advertised $49 is the 12-month plan)
    Tirz
    $109/moMonth-to-month, flat at every dose (the advertised $95 is the 12-month plan)
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with Brightmeds: $50/mo less for semaglutide · $40/mo less for tirzepatide · compounded only, no brand-name GLP-1s

    Visit Lean Meds Lean Meds vs Brightmeds →

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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