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Best-value alternatives

Alternatives to MEDGm

MEDGm scores 60/100 on our Cost-Efficiency Index (ranked #193 of 529). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.

Read the MEDGm review →CoreAge Rx vs MEDGm →
  1. Our #1 pick
    01A

    CoreAge Rx

    Ranked #1

    Best 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
    Visit CoreAge Rx CoreAge Rx vs MEDGm →
  2. 02C

    Wisp

    Ranked #192

    Wisp (hellowisp.com) is a US telehealth provider whose weight care vertical offers brand-name Wegovy, Zepbound, and Saxenda alongside a compounded sublingual semaglutide drops formulation at $225/month.

    Sema
    $225/mo (compounded oral)
    Tirz
    Not disclosed
    Coverage
    Multi-state
    Brand
    Yes
    Visit Wisp Wisp vs MEDGm →
  3. 03C

    VitaStir

    Ranked #191

    VITAstir is a Michigan-based, five-location med-spa/injection clinic chain that also ships at-home GLP-1 homekits.

    Sema
    $125/mo (compounded)
    Tirz
    $145/mo (compounded)
    Coverage
    Multi-state
    Brand
    Compounded
    Visit VitaStir VitaStir vs MEDGm →
  4. 04C

    Semaglutide Online

    Ranked #190

    Semaglutide Online (semaglutide-online.com) sells both FDA-approved brand-name GLP-1s (billed as medication plus a separate $44/mo provider subscription) and 'all-inclusive' compounded semaglutide and tirzepatide with no separate provider fee.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    All 50 states
    Brand
    Yes
    Visit Semaglutide Online Semaglutide Online vs MEDGm →
  5. 05C

    Peptivo

    Ranked #189

    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
    $169/mo (compounded)
    Tirz
    $249/mo (compounded)
    Coverage
    Multi-state
    Brand
    Yes
    Visit Peptivo Peptivo vs MEDGm →
  6. 06C

    Next Vial

    Ranked #188

    Next Vial is a telehealth marketplace prescribing compounded semaglutide and tirzepatide (plus microdose variants) starting at a blended $249.97/month, with a named compounding pharmacy (Manifest Pharmacy).

    Sema
    $249/mo (all doses, compounded)
    Tirz
    $249/mo (all doses, compounded)
    Coverage
    49 states
    Brand
    Compounded
    Visit Next Vial Next Vial vs MEDGm →
  7. 07C

    LunaRx

    Ranked #187

    LunaRx is a telehealth weight-loss platform advertising flat-rate pricing ($149/mo and $199/mo tiers) with a '$0 if not approved' consult guarantee.

    Sema
    $149/mo (compounded)
    Tirz
    $199/mo (compounded)
    Coverage
    Multi-state
    Brand
    Compounded
    Visit LunaRx LunaRx vs MEDGm →
  8. 08C

    LillyDirect Foundayo

    Ranked #186

    Foundayo is Eli Lilly's own first-party, FDA-approved oral GLP-1 (orforglipron).

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    All 50 states
    Brand
    Yes
    Visit LillyDirect Foundayo LillyDirect Foundayo vs MEDGm →

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.

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