Alternatives
Alternatives to Totara Health
Totara Health scores 80/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Totara Health at a glance
- Semaglutide
- $190/mo1-month plan, same price at every dose, compounded
- Tirzepatide
- $239/mo1-month plan, same price at every dose, compounded
- Coverage
- 48 states
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
5 of the 8 programs below list semaglutide for less than Totara Health's $190 a month. 5 of the 8 list tirzepatide for less than its $239 a month.
Totara Health charges $190 a month for compounded semaglutide and $239 for tirzepatide on a one-month plan at every dose, with injection and under-the-tongue options and longer plans paid up front for less.
Best for: Shoppers who want a flat month-to-month GLP-1 price that doesn't climb with the dose, and the option of a tablet or drops instead of a shot.
What Totara Health does well
- One-month plans are priced on the product page before any intake: $190 for semaglutide and $239 for tirzepatide, the same at every dose
- Semaglutide comes as an injection, oral drops or an under-the-tongue tablet; tirzepatide as an injection or under-the-tongue tablet
- Names its dispensing pharmacy (Manifest Pharmacy in Greer, South Carolina) and its clinician network (MD Integrations)
- Free shipping, syringes and alcohol pads included, and you can reorder or cancel from your account
- Publishes its state list in the FAQ
Why readers look for an alternative
- The lower monthly figures ($133, $119 and $99 for semaglutide) require a 3-, 6- or 12-month plan paid in one charge up front
- The banner says all 50 states, but the FAQ's state list leaves out Alaska and Mississippi
- All sales are final once medication ships
- Totara describes itself as a marketplace that connects you with independent providers, so your care comes from a separate clinician network
- 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 Totara Health: $91/mo less for semaglutide · $90/mo less for tirzepatide · no oral option
- 02C78/ 100Index
Trimi Health
PartnerTrimi charges $175 a month for compounded semaglutide and $235 for tirzepatide month to month; the $99 and $125 it advertises are the prices on a prepaid year.
- Sema
- $175/moMonth-to-month ($99/mo only on a 12-month prepay)
- Tirz
- $235/moMonth-to-month ($125/mo only on a 12-month prepay)
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Totara Health: $15/mo less for semaglutide · $4/mo less for tirzepatide · no oral option
- 03B−80/ 100Index
Vaylen
Vaylen is a pure GLP-1 specialist offering compounded semaglutide ($179/mo), compounded tirzepatide ($239/mo), compounded oral GLP-1 ($259/mo), and brand-name Ozempic, Zepbound, and Wegovy.
- Sema
- $179/moCompounded
- Tirz
- $239/moCompounded
- Coverage
- All 50 states
- Brand
- Yes
Compared with Totara Health: $11/mo less for semaglutide · also lists brand-name GLP-1s
- 04B−80/ 100Index
REMEVi
REMEVi is the first bilingual (English and Spanish) GLP-1 telehealth clinic — care delivered by clinicians trained in both languages, never auto-translated.
- Sema
- $219/mo
- Tirz
- $319/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Totara Health: $29/mo more for semaglutide · $80/mo more for tirzepatide
- 05B−80/ 100Index
Care Bare Rx
A LegitScript-certified, HIPAA-compliant multi-service platform bundling weight loss with hair, TRT, sexual health and NAD+ — both oral (Rybelsus, oral tirzepatide) and injectable compounded routes, real brand Ozempic from ~$705/mo, and coverage across all 50 states plus Puerto Rico, but the 3-month plan is a real trap: it costs more per month than either month-to-month or the 6-month plan.
- Sema
- $199/moMonth-to-month ($185/mo only on a 12-month prepay; the 3-month tier is dearer at $249/mo)
- Tirz
- $299/moMonth-to-month ($293/mo only on a 12-month prepay; the 3-month tier is dearer at $356/mo)
- Coverage
- Multi-state
- Brand
- Yes
Compared with Totara Health: $9/mo more for semaglutide · $60/mo more for tirzepatide · also lists brand-name GLP-1s
- 06B−81/ 100Index
Luma Health Co
Luma Health Co is a small telehealth weight-loss practice whose own pricing is gated behind a booking widget rather than published on a static page.
- Sema
- $90/moAll doses, compounded
- Tirz
- $165/moAll doses, compounded
- Coverage
- 30 states
- Brand
- Compounded
Compared with Totara Health: $100/mo less for semaglutide · $74/mo less for tirzepatide · no oral option
- 07B−81/ 100Index
Curex
A discounted first month ($49-$149) steps up to a 'starting at $199' ongoing rate — real, but not the flat, fully-disclosed price the headline implies, and California loses the injectable route entirely.
- Sema
- $199/moStarting (first month $49)
- Tirz
- $199/moStarting (first month $149)
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Totara Health: $9/mo more for semaglutide · $40/mo less for tirzepatide
Regulatory note: the FDA issued a warning letter to Curex in September 2025. We still list and link to Curex; you should know the letter is on the public record before you decide.
- 08B−82/ 100Index
Trellis Vitality
Trellis Vitality charges $150 a month for compounded semaglutide and $199 for tirzepatide at every dose, with a published table showing small discounts on three- and six-month plans.
- Sema
- $150/moCompounded, month to month; same price at every dose
- Tirz
- $199/moCompounded, month to month; same price at every dose
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Totara Health: $40/mo less for semaglutide · $40/mo less for tirzepatide · 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.