Alternatives
Alternatives to Sipra
Sipra scores 78/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Sipra at a glance
- Semaglutide
- $189/mo3-month plan, $567 charged up front, same price at every dose, compounded
- Tirzepatide
- $249/mo3-month plan, $747 charged up front, same price at every dose, compounded
- Coverage
- All 50 states
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
3 of the 8 programs below list semaglutide for less than Sipra's $189 a month. 3 of the 8 list tirzepatide for less than its $249 a month.
Sipra's shortest GLP-1 plan is three months paid up front: $189 a month for compounded semaglutide and $249 for tirzepatide, the same at every dose, with nothing charged until a physician approves.
Best for: Shoppers ready to commit to at least three months who want a price that doesn't rise with the dose and a full price table before they start.
What Sipra does well
- A full price table by drug and plan length is published, and the price stays the same as your dose goes up
- Your card isn't charged until a licensed physician reviews and approves your treatment
- Injections, lower-dose microdose injections and dissolving tablets are all offered for both drugs
- Names the pharmacies that may fill your prescription in its terms, and says they test for sterility and endotoxins before shipping
- Cancel online with no call or form; medication not yet sent to the pharmacy is refunded
Why readers look for an alternative
- There's no month-to-month option for GLP-1s: the shortest plan is three months, charged in one payment ($567 for semaglutide, $747 for tirzepatide)
- To stop the next order you have to cancel at least 13 days before your paid period ends
- Leaving a 6- or 12-month plan early is settled under the terms rather than refunded in full
- No brand-name Wegovy or Zepbound
- Compounded semaglutide and tirzepatide are not FDA-approved products
- 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 Sipra: $90/mo less for semaglutide · $100/mo less for tirzepatide · 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 Sipra: $23/mo more for semaglutide · $31/mo more for tirzepatide · no oral option
- 03C78/ 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 Sipra: $10/mo more for semaglutide · $50/mo more for tirzepatide · no oral option
- 04C78/ 100Index
SurpassMD
SurpassMD's standing month-to-month rate is $219 for compounded semaglutide and $309 for tirzepatide, all-in and the same at every dose; the $114 and $177 on its homepage are introductory 12-month rates.
- Sema
- $219/moCompounded, month to month; $175 introductory first month, same price at every dose
- Tirz
- $309/moCompounded, month to month; $247 introductory first month, same price at every dose
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Sipra: $30/mo more for semaglutide · $60/mo more for tirzepatide
- 05C78/ 100Index
Renlo Health
A price lock, a named prescriber and a named pharmacy — and a headline that is the actual monthly rate rather than a prepay divided down.
- Sema
- $199/moBilled monthly at every dose
- Tirz
- $269/moBilled monthly at every dose
- Coverage
- Not disclosed
- Brand
- Compounded
Compared with Sipra: $10/mo more for semaglutide · $20/mo more for tirzepatide · no oral option
- 06C78/ 100Index
FMmeds
FMmeds is a compounded-GLP-1 telehealth membership selling semaglutide from $95/mo and tirzepatide from $145/mo, both co-formulated with Vitamin B12 and dispensed by Manifest Pharmacy.
- Sema
- $95/moAll doses, plus a separate fee, compounded
- Tirz
- $145/moAll doses, plus a separate fee, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Sipra: $94/mo less for semaglutide · $104/mo less for tirzepatide · no oral option
- 07C78/ 100Index
Welling Health
Welling Health is a clinician-led metabolic telehealth platform charging a flat $190/month for compounded semaglutide and $275/month for compounded tirzepatide, all doses, with no setup or consultation fees.
- Sema
- $190/moAll doses, promotional rate, compounded
- Tirz
- $275/moAll doses, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Sipra: $1/mo more for semaglutide · $26/mo more for tirzepatide · no oral option
- 08C78/ 100Index
Trava Health
Trava Health (Houston, TX) is a compounded GLP-1 telehealth brand whose homepage 'As Low As' price moves from visit to visit, and whose own Terms of Service say the service is 'currently only available' in Texas.
- Sema
- $88/moStarting dose, compounded
- Tirz
- $178/moStarting dose, compounded
- Coverage
- All 50 states
- Brand
- Yes
Compared with Sipra: $101/mo less for semaglutide · $71/mo less for tirzepatide · also lists 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.