Best-value alternatives
Alternatives to TRT Nation
TRT Nation scores 51/100 on our Cost-Efficiency Index (ranked #403 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
- 02C51/ 100Index
Onyx Weight Loss
Ranked #402Onyx Weight Loss is a small, nurse-practitioner-founded telehealth clinic (no MD medical director identified) serving 8 named states, offering GLP-1 and GLP-1/GIP medications alongside HRT and peptide therapy.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- 8 states
- Brand
- Compounded
- 03C51/ 100Index
Noom
Ranked #401Noom Med is the prescribing arm bolted onto Noom's well-known behavioral weight-loss app, offering compounded semaglutide and tirzepatide alongside its coaching program.
- Sema
- $249/mo (compounded)
- Tirz
- $299/mo (compounded)
- Coverage
- Multi-state
- Brand
- Compounded
- 04C51/ 100Index
LVNG RX
Ranked #400LVNG RX is a telehealth GLP-1 platform advertising 'from $149/mo' semaglutide and 'from $249/mo' tirzepatide using a strikethrough/markdown pricing display against higher reference prices -- a psychological discount-anchoring pattern shoppers should look past.
- Sema
- $149/mo (starting dose, compounded)
- Tirz
- $249/mo (starting dose, compounded)
- Coverage
- Multi-state
- Brand
- Compounded
- 05C51/ 100Index
LIV by WellNow
Ranked #399Liv by WellNow is the GLP-1 telehealth arm of WellNow Urgent Care, offering a flat $279/month all-inclusive semaglutide membership in just five states (IL, IN, MI, NY, PA) through a named pharmacy partner (Logos Pharmacy).
- Sema
- $279/mo (plus a separate fee, compounded)
- Tirz
- Not disclosed
- Coverage
- 5 states
- Brand
- Yes
- 06C51/ 100Index
JRNYS
Ranked #398JRNYS is a telehealth weight-loss membership built around branded GLP-1 medications, and the membership itself buys no medication.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- Multi-state
- Brand
- Yes
- 07C51/ 100Index
Gaya Wellness
Ranked #397Gaya Wellness is a women's telehealth practice led by a board-certified OB/GYN, bundling GLP-1 weight-loss prescribing with menopause and hormone-replacement care for women 40 and up.
- Sema
- $149/mo (quarterly plan, compounded)
- Tirz
- $349/mo (quarterly plan, compounded)
- Coverage
- 5 states
- Brand
- Compounded
- 08C51/ 100Index
Bloom MD
Ranked #396BloomMD is a telehealth platform with unusually transparent, explicitly dose-tiered pricing for compounded semaglutide and tirzepatide (both starting at $295/month, scaling up to $595/month at the highest published tirzepatide dose).
- Sema
- $295/mo (starting dose, plus a separate fee, compounded)
- Tirz
- $295/mo (2.2 mg dose, plus a separate fee, compounded)
- Coverage
- Multi-state
- Brand
- Yes
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.