Best-value alternatives
Alternatives to Somira Health
Somira Health scores 57/100 on our Cost-Efficiency Index (ranked #312 of 539). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.
- Our #1 pick01A94/ 100Index
CoreAge Rx
Ranked #1Best 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
- 02C57/ 100Index
RxION Health
Ranked #311RxION Health sells compounded semaglutide and tirzepatide at a flat, dose-independent monthly rate, with free overnight shipping and injection supplies stated as included.
- Sema
- $99/mo (all doses, plus a separate fee, compounded)
- Tirz
- $183/mo (all doses, compounded)
- Coverage
- Multi-state
- Brand
- Compounded
- 03C57/ 100Index
Obu Health
Ranked #310OBU Health is a cash-pay telehealth platform advertising 'Starting' prices of $190/month for semaglutide and $239/month for tirzepatide, plus adjacent NAD+ and Sermorelin products, with a LegitScript certification badge displayed.
- Sema
- $190/mo (starting dose, compounded)
- Tirz
- $239/mo (starting dose, compounded)
- Coverage
- Multi-state
- Brand
- Compounded
- 04C57/ 100Index
NovoCare Pharmacy
Ranked #309NovoCare Pharmacy is Novo Nordisk's own direct-to-consumer savings-card page for branded Wegovy — a manufacturer discount program, not a telehealth company.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Yes
- 05C57/ 100Index
Midi Health
Ranked #308Midi Health is a telehealth platform built around midlife women's hormone health (menopause, HRT) that also runs a genuine GLP-1 weight-management track with its own dedicated pricing page.
- Sema
- $166/mo (0.5 mg dose, plus a separate fee, compounded)
- Tirz
- $210/mo (2.5 mg dose, plus a separate fee, compounded)
- Coverage
- All 50 states
- Brand
- Compounded
- 06C57/ 100Index
Levers Health
Ranked #307Levers Health (Levers Health LLC) sells compounded semaglutide (from $247/mo, titrating from a 2.5mg to a 5mg bottle after two months) and tirzepatide (from $296/mo, flat price at any dose).
- Sema
- $247/mo (1.25 mg dose, compounded)
- Tirz
- $296/mo (all doses, compounded)
- Coverage
- Multi-state
- Brand
- Compounded
- 07C57/ 100Index
Knownwell
Ranked #306Knownwell is a weight-inclusive metabolic and primary-care company co-founded by obesity-medicine specialist Dr. Angela Fitch (Chief Medical Officer) and Brooke Boyarsky Pratt.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Yes
- 08C57/ 100Index
Ivim Health
Ranked #305Ivim Health is a telehealth weight-loss program selling compounded semaglutide starting at $149/mo and compounded tirzepatide starting at $224/mo, each quoted with medication and program charges included.
- Sema
- $149/mo (starting dose, medication and program fee, compounded)
- Tirz
- $224/mo (starting dose, medication and program fee, compounded)
- Coverage
- Multi-state
- Brand
- Compounded
Regulatory note: the FDA issued a warning letter to Ivim Services LLC dba Ivim in February 2026. We still list and link to Ivim Health; you should know the letter is on the public record before you decide.
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.