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Alternatives

Alternatives to DrBrainRx

DrBrainRx scores 70/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

DrBrainRx at a glance

Semaglutide
$154/moAll doses: $129 medication plus the $25 monthly care fee, compounded
Tirzepatide
$274/moAll doses up to 15 mg: $249 medication plus the $25 monthly care fee, compounded
Coverage
Coverage not published
Brand-name GLP-1s
Yes
Oral option
No
Pricing verified
October 2026

3 of the 8 programs below list semaglutide for less than DrBrainRx's $154 a month. 4 of the 8 list tirzepatide for less than its $274 a month.

DrBrainRx is a compounded-GLP-1 telehealth platform founded and medically directed by Dr. Sara Siavoshi, a board-certified neurologist and obesity-medicine specialist.

Best for: Shoppers who want one compounded price at every dose, pay per refill, and don't mind a $25 monthly care fee on top of the medication.

What DrBrainRx does well

  • Named, credentialed medical director (Dr. Sara Siavoshi, board-certified neurologist and obesity-medicine specialist), not an anonymous provider pool
  • One medication price at every dose ($129 semaglutide, $249 tirzepatide up to 15 mg), with no upcharge as you titrate up
  • Refills are explicitly patient-initiated and never auto-charged — a real anti-dark-pattern commitment
  • Also brokers brand-name Lilly Direct Zepbound for shoppers who want FDA-approved product on the same platform

Why readers look for an alternative

  • The $129/$249 medication prices don't include the $25 monthly care fee every compounded patient pays, so the real monthly cost is $154/$274
  • No compounding pharmacy named beyond a generic 'USP-certified pharmacies in the U.S.' reference
  • It doesn't list the states it serves, so check yours before you start
  • Its homepage and FAQ quote different Zepbound vial prices ($299 vs $349 at 2.5 mg), so confirm the figure before you order
  • No lab-testing or Certificate of Analysis disclosure beyond a generic mention that lab slips may be issued
  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 DrBrainRx: $55/mo less for semaglutide · $125/mo less for tirzepatide · compounded only, no brand-name GLP-1s

  2. 02C

    Willow

    Partner

    Willow is a direct-to-consumer telehealth provider offering compounded semaglutide and tirzepatide in both injectable and oral-tablet form at identical prices per format.

    Sema
    $299/moCompounded, month to month
    Tirz
    $399/moCompounded, month to month
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with DrBrainRx: $145/mo more for semaglutide · $125/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

  3. 03C

    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 DrBrainRx: $21/mo less for semaglutide · $74.33/mo less for tirzepatide · compounded only, no brand-name GLP-1s

  4. 04C

    Rex MD

    Rex MD offers a $349 monthly Wegovy pill plan including provider care, alongside separately billed brand-name injection options.

    Sema
    $349/moBrand Wegovy pill, all titration doses; provider care included
    Tirz
    $424/moBrand Zepbound, plus a separate fee
    Coverage
    All 50 states
    Brand
    Yes

    Compared with DrBrainRx: $195/mo more for semaglutide · $150/mo more for tirzepatide · offers an oral option

  5. 05C

    Aspire Health

    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.

    Sema
    $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)
    Tirz
    $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
    Yes

    Compared with DrBrainRx: $25/mo less for semaglutide · $125/mo less for tirzepatide

  6. 06C

    Goldspan Health

    Goldspan Health sells compounded semaglutide at $229 and tirzepatide at $299 every 28 days, with daily sublingual and low-dose versions of both at lower prices, through a storefront operated by a different company.

    Sema
    $229 every 28 daysMonth-to-month (13 charges a year, not 12)
    Tirz
    $299 every 28 daysMonth-to-month (13 charges a year, not 12)
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with DrBrainRx: $75/mo more for semaglutide · $25/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

  7. 07C

    Neuvé Health

    Neuvé Health offers standard and microdose GLP-1 injections and oral rapid-dissolve tablets, with medication and clinician review included in its displayed treatment prices.

    Sema
    $219/monthStandard compounded injection; first month $189; labs extra
    Tirz
    $349/monthStandard compounded injection; first month $299; labs extra
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with DrBrainRx: $65/mo more for semaglutide · $75/mo more for tirzepatide · compounded only, no brand-name GLP-1s · offers an oral option

  8. 08C

    Kina

    Kina is a menopause-first telehealth platform that also genuinely prescribes GLP-1s for weight management, led by a named clinical lead, Dr. Shannon Arora, PharmD.

    Sema
    $199/moFlex Dose injection, same price at every dose, compounded; first month $169; dissolving tablet $279/mo
    Tirz
    $249/moInjection, same price at every dose, compounded; first month $169; sublingual drops $229/mo
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with DrBrainRx: $45/mo more for semaglutide · $25/mo less for tirzepatide · compounded only, no brand-name GLP-1s · 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.

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