Best-value alternatives
Alternatives to Fresh Day Meds
Fresh Day Meds scores 70/100 on our Cost-Efficiency Index (ranked #87 of 539). 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
- 02C70/ 100Index
Bionomy Health
Ranked #86Bionomy Health is a physician-led, direct-to-consumer men's telehealth service selling compounded GLP-1 weight-loss medication alongside testosterone, peptides and longevity protocols.
- Sema
- $189/mo (starting dose, compounded)
- Tirz
- $249/mo (compounded)
- Coverage
- 48 states
- Brand
- Compounded
- 03C70/ 100Index
altRX
Ranked #85altRx is a compounded GLP-1 telehealth platform run through Usable Health, PC and its affiliated medical practices, offering semaglutide and tirzepatide at a flat 'same price at every dose' rate with no membership fee.
- Sema
- $89/mo (all doses, promotional rate, plus a separate fee, compounded)
- Tirz
- $149/mo (all doses, promotional rate, compounded)
- Coverage
- Multi-state
- Brand
- Yes
Regulatory note: the FDA issued a warning letter to Trinity HealthCare Supply, LLC dba altRx in June 2026. We still list and link to altRX; you should know the letter is on the public record before you decide.
- 04C71/ 100Index
Goldspan Health
Ranked #84Goldspan 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 days month-to-month (13 charges a year, not 12)
- Tirz
- $299 every 28 days month-to-month (13 charges a year, not 12)
- Coverage
- All 50 states
- Brand
- Compounded
- 05C71/ 100Index
Rivo Health
Ranked #83Rivo 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/mo (starting dose, annual plan, compounded oral)
- Tirz
- $199/mo (starting dose, annual plan, compounded oral)
- Coverage
- All 50 states
- Brand
- Compounded
- 06C71/ 100Index
Queen RX
Ranked #82Queen RX sells one flat bundle covering whichever of semaglutide, tirzepatide, or liraglutide a patient is prescribed: $299 as a one-time purchase for a virtual consult, 3 months of medication, and supplies.
- Sema
- $100/mo (starting dose, bundle, compounded)
- Tirz
- $100/mo (bundle, compounded)
- Coverage
- 45 states
- Brand
- Compounded
- 07C71/ 100Index
GOAL.MD
Ranked #81GOAL.MD (goal.md) is a physician-run telehealth weight-loss practice, led by Chief Physician Dr. Michael Mimlitz, MD.
- Sema
- $199/mo (promotional rate, compounded)
- Tirz
- $299/mo (compounded)
- Coverage
- All 50 states
- Brand
- Yes
- 08C71/ 100Index
Apex MD
Ranked #80Apex 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/mo (all doses, bundle, compounded)
- Tirz
- $399/mo (all doses, bundle, compounded)
- Coverage
- All 50 states
- Brand
- Compounded
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.