Alternatives
Alternatives to Rila
Rila scores 62/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Rila at a glance
- Semaglutide
- Shared injectable floor $198/mo with six-month commitment; semaglutide-specific total not disclosed
- Tirzepatide
- Shared injectable floor $198/mo with six-month commitment; tirzepatide-specific total not disclosed
- Coverage
- All 50 states and Washington, D.C.; treatment and consultation requirements vary
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
Rila offers compounded semaglutide and tirzepatide as injections or dissolving tablets, with clinical care through DrTelX and named dispensing pharmacies.
Best for: Patients comparing injection and tablet options who can obtain a drug-specific quote and clarify the six-month commitment before enrolling.
What Rila does well
- Offers compounded injections and dissolving tablets for both medications
- Names DrTelX and EPIQ Scripts, Foothills Professional Pharmacy and Emerald Pharmacy
- Terms state service in all 50 states and Washington, D.C., subject to eligibility
- Includes provider check-ins, messaging and shipping
Why readers look for an alternative
- The $198 injection and $217 tablet floors are shared across drugs and require a six-month commitment
- A full semaglutide- or tirzepatide-specific plan total is not published
- Refund policy describes monthly automatic renewal; confirm obligations under the advertised commitment
- Cancel at least 72 hours before the next billing date
- Charges for a started cycle and dispensed medication are generally non-refundable
- 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 Rila: no oral option
- 02C63/ 100Index
Liberty
Liberty is an online telehealth service selling compounded semaglutide from $129 and tirzepatide from $219 a month, month to month, with cheaper three-month plans and a free consultation.
- Sema
- $129/mo1-month plan, starting price, compounded
- Tirz
- $219/mo1-month plan, starting price, compounded
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Rila: no oral option
- 03C63/ 100Index
Zealthy
Zealthy is a broad telehealth platform whose weight-loss arm sells GLP-1s several ways, including an insurance-routed path for branded Ozempic, Wegovy, Zepbound and Mounjaro (advertised 'as low as $25/month' if coverage comes through) and an all-in compounded bundle.
- Sema
- $297/moAll-in Doctor + GLP-1 plan, billed monthly, care and medication included, compounded; first month $217; or medication alone from $151/mo on a 3-month supply with the $135/mo membership
- Tirz
- $449/moAll-in Doctor + GLP-1 plan, billed monthly, care and medication included, compounded; first month $349; or medication alone from $216/mo on a 3-month supply with the $135/mo membership
- Coverage
- 34 states
- Brand
- Yes
Compared with Rila: also lists brand-name GLP-1s · no oral option
Regulatory note: the FDA issued a warning letter to FitRX, LLC dba Zealthy in September 2025. We still list and link to Zealthy; you should know the letter is on the public record before you decide.
- 04C63/ 100Index
Chia
Chia charges $349 a month for compounded semaglutide and $399 for tirzepatide month to month; the "from $249" on its product pages is a committed multi-month rate.
- Sema
- $349/moMonth to month, compounded; $249/mo on a committed multi-month plan
- Tirz
- $399/moMonth to month, compounded; from $249/mo on a committed multi-month plan
- Coverage
- Not published
- Brand
- Compounded
- 05C62/ 100Index
Human+
Human+ markets an all-inclusive compounded GLP-1 program focused on fatty liver, with injections and oral options and no separate membership fee.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Compounded
- 06C62/ 100Index
Stealth Health
Stealth Health is a US and Canadian telemedicine platform selling compounded semaglutide and tirzepatide blended with B12 and glycine, with a named Chief Medical Officer (Dr. Khalid Tahir) and a LegitScript seal.
- Sema
- $100/moSemaglutide with B12 and glycine, weekly injection, starting price, compounded
- Tirz
- $140/moTirzepatide with B12 and glycine, weekly injection, starting price, compounded; with glycine only from $175
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Rila: no oral option
- 07C62/ 100Index
Maven Clinic
Maven Clinic's self-pay GLP-1 care prescribes only brand-name drugs, from a $149/mo Wegovy or Foundayo pill to $299/mo Zepbound, plus a membership of $39 the first month and $150 a month after.
- Sema
- $149/moBrand Wegovy pill, membership required
- Tirz
- $299/moBrand Zepbound, membership required
- Coverage
- Multi-state
- Brand
- Yes
Compared with Rila: also lists brand-name GLP-1s
- 08C62/ 100Index
Signos
Signos is a CGM-first metabolic-health company whose Signos+ plan pairs a clinician-prescribed compounded GLP-1 with its continuous glucose monitor and coaching app, from $199 a month on a 3- or 6-month plan.
- Sema
- $199/moStarting price, 3- or 6-month GLP-1 + CGM plan, compounded
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Rila: 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.