Alternatives
Alternatives to LeanDose
LeanDose scores 66/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
LeanDose at a glance
- Semaglutide
- $159For the first month (starting dose, compounded; refill price not published)
- Tirzepatide
- $279For the first month (starting dose, compounded; refill price not published)
- Coverage
- 17 states (published list)
- Brand-name GLP-1s
- No, compounded only
- Oral option
- No
- Pricing verified
- October 2026
2 of the 8 programs below list semaglutide for less than LeanDose's $159 a month. 5 of the 8 list tirzepatide for less than its $279 a month.
LeanDose is a compounded-GLP-1 telehealth service with a named compounding pharmacy partner (Striker Pharmacy) and a real LegitScript certification, serving a specific 17-state list.
Best for: Shoppers in one of its 17 served states who don't mind an undisclosed price increase after month one.
What LeanDose does well
- Names its actual compounding pharmacy (Striker Pharmacy) unlike most competitors
- Real LegitScript certification badge with verifiable link
- Explicit published states-served list
- Offers both injectable semaglutide and tirzepatide
Why readers look for an alternative
- Headline prices are explicitly 'first month' only -- ongoing renewal price is never disclosed
- Only serves 17 states
- No named medical director
- A similar web address is a parked page, so make sure you're on LeanDose's real site before you enter details
- 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 LeanDose: $60/mo less for semaglutide · $130/mo less for tirzepatide
- 02C67/ 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
Compared with LeanDose: $140/mo more for semaglutide · $120/mo more for tirzepatide
- 03C67/ 100Index
Auren Rx
Auren Rx sells compounded semaglutide at $179 a month and tirzepatide at $259 with no commitment, or $149 and $229 on subscribe and save, with the visit, medication and shipping in one price.
- Sema
- $179/moCompounded, month to month; $149/mo on subscribe and save
- Tirz
- $259/moCompounded, month to month; $229/mo on subscribe and save
- Coverage
- Not published
- Brand
- Compounded
Compared with LeanDose: $20/mo more for semaglutide · $20/mo less for tirzepatide
- 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 LeanDose: $10/mo more for semaglutide · $110/mo less for tirzepatide · offers an oral option
- 05C66/ 100Index
WeightRx
WeightRx is a telehealth provider publishing compounded semaglutide at $250/mo and compounded tirzepatide at $83/mo.
- Sema
- $250/moCompounded
- Tirz
- $83/mo'As low as', plan length not published, compounded
- Coverage
- Multi-state
- Brand
- Compounded
Compared with LeanDose: $91/mo more for semaglutide · $196/mo less for tirzepatide
- 06C66/ 100Index
Good Girl Rx
Good Girl Rx (Good Girl LLC) offers compounded semaglutide and tirzepatide in injectable, microdose, and oral dissolving tablet (ODT) formats.
- Sema
- $79/moMicrodose tier, 12-month plan, compounded
- Tirz
- $139/moMicrodose tier, 12-month plan, compounded
- Coverage
- All 50 states
- Brand
- Yes
Compared with LeanDose: $80/mo less for semaglutide · $140/mo less for tirzepatide · also lists brand-name GLP-1s · offers an oral option
Regulatory note: the FDA issued a warning letter to Good Girl LLC dba GoodGirlRX in February 2026. We still list and link to Good Girl Rx; you should know the letter is on the public record before you decide.
- 07C66/ 100Index
iThriveMD
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.
- Sema
- $299 every 28 daysAll doses, compounded; first cycle $199
- Tirz
- $399 every 28 daysAll doses, compounded; first cycle $299
- Coverage
- 2 states (CA, AZ)
- Brand
- Compounded
Compared with LeanDose: $140/mo more for semaglutide · $120/mo more for tirzepatide
- 08C66/ 100Index
Peptivo
Peptivo is a well-documented telehealth GLP-1 and peptide-wellness platform with four named compounding pharmacies, a named Chief Medical Innovation Officer and pharmacy-operations VP, nationwide 50-state shipping.
- Sema
- $179/moCompounded medication, consultation, shipping and support included
- Tirz
- $279/moCompounded medication, consultation, shipping and support included
- Coverage
- Multi-state
- Brand
- Yes
Compared with LeanDose: $20/mo more for semaglutide · also lists brand-name GLP-1s
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.