Best-value alternatives
Alternatives to VivioMD
VivioMD scores 53/100 on our Cost-Efficiency Index (ranked #369 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
- 02C53/ 100Index
Intimate Rose
Ranked #368Intimate Rose is primarily a pelvic-floor health device company (dilators, kegel weights, wands) that has added a secondary GLP-1 weight-management telehealth vertical, advertised at 'as low as $169/month' through a hosted quiz funnel.
- Sema
- $169/mo (starting dose, compounded)
- Tirz
- Not disclosed
- Coverage
- Multi-state
- Brand
- Compounded
Regulatory note: the FDA issued a warning letter to Intimate Rose in September 2025. We still list and link to Intimate Rose; you should know the letter is on the public record before you decide.
- 03C54/ 100Index
RENN Health
Ranked #367RENN Health names six pharmacies and two prescribing physicians by NPI, and publishes no month-to-month price, no refund policy, no cancellation terms and no auto-renewal terms at all.
- Sema
- Not disclosed — the only published figure is an "As Low As $149/month" floor, which its own arithmetic makes a six- or twelve-month prepay rate
- Tirz
- Not disclosed — the published "As Low As $199/month" floor is the twelve-month prepay rate
- Coverage
- All 50 states
- Brand
- Compounded
- 04C54/ 100Index
Vea Health
Ranked #366Vea Health is a men's-health-and-longevity telehealth brand selling both standard-dose and 'microdosing' tiers of compounded semaglutide and tirzepatide alongside sermorelin, NAD+, and glutathione.
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Yes
- 05C54/ 100Index
TRT Kingdom
Ranked #365TRT Kingdom -- despite its testosterone-focused name -- runs a genuine compounded GLP-1 weight-loss line ('Compounded GLP-1' and 'Compounded GLP-1/GIP') priced at $149/month and $199/month respectively.
- Sema
- $149/mo (compounded)
- Tirz
- $199/mo (compounded)
- Coverage
- Multi-state
- Brand
- Compounded
- 06C54/ 100Index
Ryze Rx
Ranked #364Ryze Rx is a prescription telehealth platform for weight loss, TRT and peptide therapy, prescribing through board-certified physicians and shipping from US-licensed compounding pharmacies.
- Sema
- $199/mo (starting dose, 3 month plan, compounded)
- Tirz
- $199/mo (starting dose, 3 month plan, compounded)
- Coverage
- Multi-state
- Brand
- Compounded
- 07C54/ 100Index
Rixa Health
Ranked #363Rixa Health is a telehealth GLP-1 clinic led by named medical director Timothy Scott, D.O., serving 45 states with a wide medication menu (compounded semaglutide, tirzepatide, an oral option, and retatrutide).
- Sema
- Not disclosed
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Compounded
- 08C54/ 100Index
Pomegranate Health
Ranked #362Pomegranate Health sells compounded semaglutide and tirzepatide with no membership and no consultation fee.
- Sema
- $119/mo (starting price, compounded)
- Tirz
- $149/mo (Starter tier, compounded)
- Coverage
- Multi-state
- Brand
- Compounded
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.