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WeighLab

Vital Step vs AlyveRx

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Vital Step

Provider comparison

Shoppers who want a GLP-1 tablet option in any state and are willing to finish the intake to see the real monthly price before paying.

Semaglutide / month
$161/moLowest advertised rate, compounded; the plan behind it and the regular monthly price appear only after the intake
Tirzepatide / month
$198/moLowest advertised rate, compounded; the regular monthly price appears only after the intake
Index 65/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Vital Step pricing Read review

AlyveRx

Provider comparison

Shoppers who specifically want a needle-free sublingual GLP-1 option alongside standard injections on the same platform.

Semaglutide / month
$183/moStarting dose, compounded
Tirzepatide / month
$283/mo'Starting at'; the site banner says $329/month, compounded
Index 64/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check AlyveRx pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Vital Step has the higher Cost-Efficiency Index: 65/100 versus 64/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Vital Step
All 50 states
AlyveRx
Coverage not published

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Vital Step

AlyveRx

Semaglutide / month
Vital Step: $161/moLowest advertised rate, compounded; the plan behind it and the regular monthly price appear only after the intake
AlyveRx: $183/moStarting dose, compounded
Tirzepatide / month
Vital Step: $198/moLowest advertised rate, compounded; the regular monthly price appears only after the intake
AlyveRx: $283/mo'Starting at'; the site banner says $329/month, compounded
Semaglutide / year (modeled)
Vital Step: $1,932
AlyveRx: $2,196
Tirzepatide / year (modeled)
Vital Step: $2,376
AlyveRx: $3,396
State availability
Vital Step: All 50 states
AlyveRx: Coverage not published
Oral / sublingual option listed
Vital Step: Yes
AlyveRx: Yes
Brand-name access listed
Vital Step: Not confirmed
AlyveRx: Yes
Provider facts checked
Vital Step: October 2026
AlyveRx: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Vital Step

Shoppers who want a GLP-1 tablet option in any state and are willing to finish the intake to see the real monthly price before paying.

Reasons to consider it

  • Semaglutide and tirzepatide both come as weekly injections or daily dissolving tablets
  • Publishes a list of all 50 states it ships to
  • Free expedited delivery and round-the-clock support, with side-effect questions and dose adjustments included

What to weigh up

  • Only "as low as" figures are published; the plan length behind $161 and $198 and the regular month-to-month price are shown only after the intake
  • No refunds at all: the refund policy says all fees and charges are non-refundable, in whole or in part
  • Subscriptions renew automatically, the first renewal may be charged early, and you must cancel at least 3 days before renewal

Compounded drugs are not FDA-approved. Understand the medication options.

Check Vital Step pricing Read the full Vital Step review

AlyveRx

Shoppers who specifically want a needle-free sublingual GLP-1 option alongside standard injections on the same platform.

Reasons to consider it

  • Offers a genuinely needle-free sublingual delivery option (PermeAct) for both semaglutide and tirzepatide, not just injections
  • Also carries brand-name Ozempic, Wegovy, and Mounjaro for patients who want an FDA-approved product
  • All four price points (injection and drops, both drugs) are published upfront on the homepage before intake

What to weigh up

  • The $249/mo tirzepatide figure you may see quoted is the sublingual-drops price, not the standard injection ($283/mo), so confirm which form a price refers to
  • Sublingual PermeAct absorption relies on the company's own proprietary technology claims and is not FDA-reviewed for weight-loss efficacy
  • No compounding pharmacy or medical director is publicly named

Compounded drugs are not FDA-approved. Understand the medication options.

Check AlyveRx pricing Read the full AlyveRx review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Vital StepAlyveRx
Normalized Cost/Month
Vital Step:
68/100
AlyveRx:
66/100
Price Transparency
Vital Step:
30/100
AlyveRx:
78/100
Nationwide Access
Vital Step:
86/100
AlyveRx:
24/100
Formulation Options
Vital Step:
77/100
AlyveRx:
90/100
Clinical Oversight
Vital Step:
71/100
AlyveRx:
71/100
Contract Flexibility
Vital Step:
61/100
AlyveRx:
55/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.