Alternatives
Alternatives to OnlyRx
OnlyRx scores 77/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
OnlyRx at a glance
- Semaglutide
- $179/moStarting dose, compounded
- Tirzepatide
- $249/moStarting dose, compounded
- Coverage
- All 50 states
- Brand-name GLP-1s
- Yes
- Oral option
- Yes
- Pricing verified
- October 2026
4 of the 8 programs below list semaglutide for less than OnlyRx's $179 a month. 5 of the 8 list tirzepatide for less than its $249 a month.
OnlyRx is a 50-state GLP-1 telehealth marketplace offering compounded semaglutide (injection or oral/ODT) and tirzepatide (injection or oral/ODT).
Best for: Shoppers who want a 50-state marketplace with multiple pharmacy options and named prescribers.
What OnlyRx does well
- Says it serves all 50 states
- Names physicians at Lion MD with public NPI numbers
- Lists four pharmacy partners with contact information
- Offers compounded injections and oral tablets, with separate branded prescriptions possible
Why readers look for an alternative
- The banner still calls $179 a Summer Promo, while product cards say starting at; confirm the ongoing rate
- No dose-by-dose price list is published
- Ask which of the four pharmacy partners will fill your prescription
- Consultation fees are non-refundable after the consultation, and prescription sales are final
- Ask when recurring orders renew and how far ahead to cancel
- 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 OnlyRx: $80/mo less for semaglutide · $100/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 02C76/ 100Index
Enhance MD
PartnerEnhance MD charges $212 a month for compounded semaglutide and $280 for tirzepatide at every dose, with lab work every six months included; the first month is $100 less.
- Sema
- $212/moFirst month $112
- Tirz
- $280/moFirst month $180
- Coverage
- 40 states + DC
- Brand
- Compounded
Compared with OnlyRx: $33/mo more for semaglutide · $31/mo more for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 03C78/ 100Index
Amble
Amble is a managed-services telehealth platform (by its own terms, not itself a medical facility or pharmacy) selling compounded semaglutide and tirzepatide at IDENTICAL prices on a commitment-length pricing table: $179/mo with no commitment.
- Sema
- $179/moAll doses, compounded
- Tirz
- $179/moAll doses, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with OnlyRx: $70/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 04C78/ 100Index
Trillium Meds
Trillium Meds lets patients compare GLP-1 offers from named pharmacy partners before intake. One-month plans start at $159 for semaglutide and $199 for tirzepatide, with lower averages on prepaid supplies.
- Sema
- $159/moAll doses, compounded
- Tirz
- $199/moAny dose, compounded; pharmacy-specific plans
- Coverage
- All 50 states
- Brand
- Compounded
Compared with OnlyRx: $20/mo less for semaglutide · $50/mo less for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 05C78/ 100Index
Blue Haven RX
Blue Haven Rx connects patients with Wasef Health and Beluga Health clinicians. Its FAQ lists $179 semaglutide and $259 tirzepatide monthly, while lower homepage prices need plan and renewal confirmation.
- Sema
- $179/moFAQ standing rate, all doses, compounded; homepage $149 on 3-month start
- Tirz
- $259/moFAQ standing rate, all doses, compounded; homepage card $179
- Coverage
- Multi-state
- Brand
- Compounded
Compared with OnlyRx: $10/mo more for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 06C78/ 100Index
Open Water Rx
Open Water Rx offers compounded injections at $169 monthly for semaglutide or $219 for tirzepatide, with clinical review, medication if prescribed, shipping and follow-up included. Enrollment uses its Surfbound Health brand.
- Sema
- $169/moAll doses, monthly compounded injection program
- Tirz
- $219/moAll doses, monthly compounded injection program
- Coverage
- All 50 states
- Brand
- Compounded
Compared with OnlyRx: $10/mo less for semaglutide · $30/mo less for tirzepatide · compounded only, no brand-name GLP-1s
- 07C78/ 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 OnlyRx: $20/mo more for semaglutide · $50/mo more for tirzepatide · compounded only, no brand-name GLP-1s · no oral option
- 08C77/ 100Index
Teleios Health
Teleios Health is a physician-led GLP-1 telehealth service that sells compounded semaglutide and tirzepatide at $99 a month each, in all 50 states.
- Sema
- $99/moIncludes medication, provider visits and shipping, compounded
- Tirz
- $99/moIncludes medication, provider visits and shipping, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with OnlyRx: $80/mo less for semaglutide · $150/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.