Alternatives
Alternatives to Lttl
Lttl scores 61/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Lttl at a glance
- Semaglutide
- $99 per 4 weeksCompounded, auto-refill
- Tirzepatide
- $149 per 4 weeksCompounded, auto-refill
- Coverage
- Coverage not published
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
1 of the 8 programs below lists semaglutide for less than Lttl's $99 a month. 0 of the 8 list tirzepatide for less than its $149 a month.
Lttl charges $99 every four weeks for compounded semaglutide and $149 for tirzepatide on a cancel-anytime auto-refill, with small discounts for longer supplies.
Best for: Shoppers who want a low price without prepaying, and who are fine with a refill that ships and bills every four weeks.
What Lttl does well
- Every medication and supply length is priced on its plans page before checkout
- Longer supplies trim the price only a little: semaglutide is $96, $93 or $89 per four weeks on 12-, 24- or 52-week supplies, so month to month costs you almost nothing extra
- Named medical advisory board (pharmacist, nurse practitioner, physical therapist) rather than zero disclosure
- Real LegitScript verification badge with a working certificate link
- Flat dose pricing — "Same price at every dose", so titrating up does not raise the monthly bill
- A needle-free route on semaglutide: an orally dissolving tablet
Why readers look for an alternative
- Billing is every four weeks, so a year is 13 charges: about $1,287 on semaglutide and $1,937 on tirzepatide
- The struck-through $249 and $339 beside each price are not a price anyone is quoted, so ignore the "savings" figures
- A first-month discount of up to $140 is applied automatically, so check what your second order costs
- No specific compounding pharmacy named — the site refers only to "a partner U.S. pharmacy"
- No states-served list published; eligibility depends on where unnamed "partner providers are licensed"
- Compounded only — no brand Wegovy, Ozempic, Zepbound or Mounjaro lane at any price
- 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 Lttl: no oral option
- 02C64/ 100Index
PauseRX
PauseRx offers compounded GLP-1 treatment with provider review, medication and shipping, and names Rush Pharmacy and Beluga Health as its care partners.
- Sema
- $199/moStarting price, compounded; confirm the dose and plan total
- Tirz
- $249/moStarting price, compounded; provider review and shipping included
- Coverage
- Multi-state
- Brand
- Yes
Compared with Lttl: $100/mo more for semaglutide · $100/mo more for tirzepatide · also lists brand-name GLP-1s · no oral option
- 03C64/ 100Index
StackMD
StackMD publishes a strength-based vial catalog for compounded GLP-1 injections, oral tablets and separate consultations for brand-name medication.
- Sema
- $125$225 per vial (compounded; monthly cost depends on the prescribed dose)
- Tirz
- $199$449 per vial (compounded; monthly cost depends on the prescribed dose)
- Coverage
- All 50 states
- Brand
- Yes
Compared with Lttl: also lists brand-name GLP-1s
- 04C64/ 100Index
Neo Soma Healthcare
Neo Soma Healthcare treats Texas patients through Dr. Stephen Bunker and names Strive Pharmacy. Semaglutide refills cost $199–$299 every four weeks, while tirzepatide refills start at $495 per four weeks.
- Sema
- $199Every 4 weeks (0.25–1 mg/week compounded; $299 at higher doses)
- Tirz
- $495Every 4 weeks starting refill rate (compounded; dose-specific price varies)
- Coverage
- Texas only
- Brand
- Compounded
Compared with Lttl: $100/mo more for semaglutide · $346/mo more for tirzepatide · no oral option
- 05C64/ 100Index
Trinity Meds
Trinity Meds is a LegitScript-certified, 50-state telehealth platform prescribing compounded semaglutide ($99/mo) and tirzepatide ($149/mo) through the OpenLoop Health provider network.
- Sema
- $99/moAll doses, month to month, compounded
- Tirz
- $149/moAll doses, month to month, compounded
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Lttl: no oral option
- 06C64/ 100Index
LIV by WellNow
LIV by WellNow is the online weight-loss program of WellNow Urgent Care, selling an all-inclusive compounded semaglutide membership from $195 a month in five states (IL, IN, MI, NY, PA).
- Sema
- $195/moAverage dose, compounded, includes medication and visits; $265/mo higher dose; $175/mo paid quarterly
- Tirz
- Not disclosed
- Coverage
- 5 states
- Brand
- Compounded
Compared with Lttl: $96/mo more for semaglutide · no oral option
- 07C64/ 100Index
Avono Health
Avono Health offers compounded semaglutide and tirzepatide as injections, capsules and orally dissolving tablets. Lower-dose injections cost $159 and $219 monthly; standard injections cost $219 and $299.
- Sema
- $159/moMicrodose injection, compounded; standard injection $219/mo
- Tirz
- $219/moMicrodose injection, compounded; standard injection $299/mo
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Lttl: $60/mo more for semaglutide · $70/mo more for tirzepatide
- 08C64/ 100Index
Novera MD
Novera MD lists compounded semaglutide starting at $94.31 a month and tirzepatide at $164.31, but it doesn't say what plan length those figures belong to or what a month costs on its own.
- Sema
- $94.31/moStarting price, plan length not shown before the intake, compounded
- Tirz
- $164.31/moStarting price, plan length not shown before the intake, compounded
- Coverage
- Not published
- Brand
- Compounded
Compared with Lttl: $5/mo less for semaglutide · $15/mo more for tirzepatide · 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.