Alternatives
Alternatives to Knownwell
Knownwell scores 77/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Knownwell at a glance
- Semaglutide
- $149/moBrand Wegovy pill, 1.5 mg starting dose, visits billed separately; Wegovy pen $349/mo, new patients $199/mo for the first 2 months
- Tirzepatide
- $299/moBrand Zepbound vial or KwikPen, 2.5 mg starting dose, visits billed separately
- Coverage
- All 50 states
- Brand-name GLP-1s
- Yes
- Oral option
- Yes
- Pricing verified
- October 2026
3 of the 8 programs below list semaglutide for less than Knownwell's $149 a month. 7 of the 8 list tirzepatide for less than its $299 a month.
Knownwell is a weight-inclusive metabolic and primary-care company co-founded by obesity-medicine specialist Dr. Angela Fitch (Chief Medical Officer) and Brooke Boyarsky Pratt.
Best for: Insured shoppers who want an obesity-medicine specialist overseeing brand-name GLP-1 care, with published self-pay drug prices as a fallback.
What Knownwell does well
- Co-founded and clinically led by Dr. Angela Fitch, a named, credentialed obesity-medicine specialist (Chief Medical Officer)
- Prescribes branded FDA-approved GLP-1s across the current class (Wegovy, Zepbound, Ozempic, Saxenda) plus orforglipron/Foundayo
- Publishes a self-pay price for every drug and dose, from $149 a month for the Wegovy pill
- No membership or sign-up fees, per its FAQ; you pay only for your visits
- In-person clinics in California, Georgia, Illinois, Massachusetts and New York, plus a nationwide virtual clinic
Why readers look for an alternative
- Brand-name only, and the price rises with the dose: the Wegovy pill runs $149 to $299 a month, the Wegovy pen $349, and Zepbound $299 to $449
- Those are medication prices; without insurance, knownwell's own visits cost $299 for the first and $149 for each follow-up
- In-person care is limited to five states (Texas has primary care in Plano only), so most of the country can only use the virtual clinic
- The insurance-first setup means a self-pay shopper still has to book a visit before learning the full cost
- 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 Knownwell: $50/mo less for semaglutide · $150/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 02C78/ 100Index
TeleClinic
TeleClinic's standard rate is $199 a month for compounded semaglutide and $299 for tirzepatide, locked as your dose rises, after a $79 or $149 first month; Rush Pharmacy fills every order.
- Sema
- $199/moCompounded, standard monthly rate, same at every dose; $79 first month
- Tirz
- $299/moCompounded, standard monthly rate, same at every dose; $149 first month
- Coverage
- 47 states
- Brand
- Compounded
Compared with Knownwell: $50/mo more for semaglutide · compounded only, no brand-name GLP-1s · no oral option
- 03C78/ 100Index
Sipra
Sipra's shortest GLP-1 plan is three months paid up front: $189 a month for compounded semaglutide and $249 for tirzepatide, the same at every dose, with nothing charged until a physician approves.
- Sema
- $189/mo3-month plan, $567 charged up front, same price at every dose, compounded
- Tirz
- $249/mo3-month plan, $747 charged up front, same price at every dose, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Knownwell: $40/mo more for semaglutide · $50/mo less for tirzepatide · compounded only, no brand-name GLP-1s
- 04C77/ 100Index
PreventiveMD
PreventiveMD is a physician-guided telehealth platform for GLP-1 weight loss and peptide therapy, offering compounded semaglutide from $83/mo all-in and compounded tirzepatide from $97/mo all-in.
- Sema
- $83/moAs low as, term not published, all-in, compounded
- Tirz
- $97/moAs low as, term not published, all-in, compounded
- Coverage
- 36 states
- Brand
- Yes
Compared with Knownwell: $66/mo less for semaglutide · $202/mo less for tirzepatide · no oral option
- 05C77/ 100Index
OnlyRx
OnlyRx is a 50-state GLP-1 telehealth marketplace offering compounded semaglutide (injection or oral/ODT) and tirzepatide (injection or oral/ODT).
- Sema
- $179/moStarting dose, compounded
- Tirz
- $249/moStarting dose, compounded
- Coverage
- All 50 states
- Brand
- Yes
Compared with Knownwell: $30/mo more for semaglutide · $50/mo less for tirzepatide
- 06C77/ 100Index
FitFlow
FitFlow Health is an online-only, LegitScript-certified platform selling compounded semaglutide and tirzepatide, with care from the Wasef Health medical group and lower monthly rates on longer prepaid plans.
- Sema
- $175/moBilled monthly, compounded; $99/mo on the 12-month plan, $1,188 up front
- Tirz
- $235/moBilled monthly, compounded; $134/mo on the 12-month plan, $1,608 up front
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Knownwell: $26/mo more for semaglutide · $64/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 07C77/ 100Index
Alloy
Alloy is a telehealth platform built around women's midlife health (menopause hormone therapy, skincare, sexual health) that also runs a dedicated Weight Care line offering both FDA-approved brand GLP-1s (Zepbound, Wegovy) and compounded alternatives (semaglutide, tirzepatide, liraglutide).
- Sema
- $169/moStarting dose, compounded
- Tirz
- $199/moStarting dose, compounded
- Coverage
- Multi-state
- Brand
- Yes
Compared with Knownwell: $20/mo more for semaglutide · $100/mo less for tirzepatide
- 08C77/ 100Index
Coivas
Coivas is a telehealth platform whose clinical provider is Beluga Health, selling compounded semaglutide from $119 a month and tirzepatide from $199 a month in all 50 states, with no membership fee.
- Sema
- $119/moStarting price during a fall sale, compounded
- Tirz
- $199/moStarting price, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Knownwell: $30/mo less for semaglutide · $100/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no 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.