Alternatives
Alternatives to iThriveMD
iThriveMD scores 66/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
iThriveMD at a glance
- Semaglutide
- $299 every 28 daysAll doses, compounded; first cycle $199
- Tirzepatide
- $399 every 28 daysAll doses, compounded; first cycle $299
- Coverage
- 2 states (CA, AZ)
- Brand-name GLP-1s
- No, compounded only
- Oral option
- No
- Pricing verified
- October 2026
7 of the 8 programs below list semaglutide for less than iThriveMD's $299 a month. 7 of the 8 list tirzepatide for less than its $399 a month.
iThriveMD offers compounded GLP-1 care through clinics and telehealth in California and Arizona, with all-dose prices billed every 28 days and separate prepaid options.
Best for: Patients in California or Arizona who want clinic access, laboratory testing and ongoing coaching alongside their prescription.
What iThriveMD does well
- Names physician founder Samir Damani, MD, and its clinical team
- Publishes the same price at every dose for each injection program
- Offers a monthly option without a long-term commitment
- Includes clinical oversight, coaching and follow-up consultations
Why readers look for an alternative
- Standing charges are $299/$399 every 28 days after the $199/$299 first-cycle promotion; continuous treatment has 13 billing cycles a year
- Optional discounted longer plans require paying for 12, 24 or 48 weeks up front
- No dispensing pharmacy is named behind the certified-facility claim
- Subscription purchases are non-refundable
- Standing tirzepatide costs $100 per cycle more than semaglutide
- Partner01A94/ 100Index
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 iThriveMD: $200/mo less for semaglutide · $250/mo less for tirzepatide
- 02C67/ 100Index
Actin
Actin is a multi-condition telehealth platform that sells compounded semaglutide and tirzepatide at published one-, three- and six-month rates with no membership fee, prescribed through Beluga Health and filled by three named pharmacies.
- Sema
- $169/moMonth-to-month (compounded; $143/mo on a 3-month plan, $116/mo on a 6-month plan; no membership fee)
- Tirz
- $269/moMonth-to-month (compounded; $209/mo on a 3-month plan, $166/mo on a 6-month plan; no membership fee)
- Coverage
- Multi-state
- Brand
- Compounded
Compared with iThriveMD: $130/mo less for semaglutide · $130/mo less for tirzepatide
- 03C67/ 100Index
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
- 04C67/ 100Index
Lighter You
Lighter You lists compounded semaglutide and tirzepatide injections starting at $169 a month and GLP-1 tablets from $249, but its "start for just $99" banner matches no plan it lists.
- Sema
- $169/moStarting price, compounded
- Tirz
- $169/moStarting price, compounded
- Coverage
- Not published
- Brand
- Compounded
Compared with iThriveMD: $130/mo less for semaglutide · $230/mo less for tirzepatide · offers an oral option
- 05C66/ 100Index
BiltRx
BiltRx is a US health-optimization telehealth platform spanning men's health, women's health, aesthetics and weight loss that offers compounded and brand-name GLP-1 medications.
- Sema
- $81/mo+ $9.99/mo required membership (compounded; consultation and shipping extra)
- Tirz
- $129/mo+ $9.99/mo required membership (compounded; consultation and shipping extra)
- Coverage
- Multi-state
- Brand
- Yes
Compared with iThriveMD: $218/mo less for semaglutide · $270/mo less for tirzepatide · also lists brand-name GLP-1s
- 06C66/ 100Index
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 iThriveMD: $160/mo less for semaglutide · $210/mo less for tirzepatide
- 07C66/ 100Index
Factor Health MD
Factor Health MD is a compounded-GLP-1 and general telehealth clinic (LegitScript-certified per its footer badge, based in St. Petersburg, FL) offering semaglutide and tirzepatide.
- Sema
- $99.99/moAll doses, monthly plan with a 3-month minimum, compounded; $79.99/mo on a 12-month plan
- Tirz
- $189.99/moAll doses, monthly plan with a 3-month minimum, compounded; $149.99/mo on a 12-month plan
- Coverage
- Multi-state
- Brand
- Compounded
Compared with iThriveMD: $199.01/mo less for semaglutide · $209.01/mo less for tirzepatide
- 08C66/ 100Index
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 iThriveMD: $200/mo less for semaglutide · $230/mo less for tirzepatide
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.