Women's metabolic health · Ranked · Updated October 2026
PCOS, perimenopause, hormones and labs change what “a good provider” means. We scored GLP-1 telehealth on six women's-health factors and listed the 10 that publish a real monthly price. CoreAge Rx is a featured partner; providers we work with may appear first.
The short answer
CoreAge Rx, a featured partner, holds a Metabolic-Fit Score of 86/100 — transparent flat pricing, both semaglutide and tirzepatide on one account, and all 50 states. If sticker price is the only thing that matters, CoreAge Rx has the lowest average monthly budget here; its quoted charge is $79/mo advertised flat price; confirm prescription quantity and total. Providers we work with may appear first (see our disclosure).
The 10 providers that publish a real monthly semaglutide price, each with its Metabolic-Fit Score. CoreAge Rx is a featured partner; providers we work with may appear first.
CoreAge's officially linked public offer advertises compounded semaglutide at $79/month and tirzepatide at $129/month across doses, with care and overnight shipping included. It describes one-time purchases without a required subscription. Main navigation still shows semaglutide from $99; confirm your prescription quantity and total, and read the refund limits before paying.
A compounded program that advertises ongoing provider care, metabolic testing every six months and shipping within its price. Semaglutide is $249 and tirzepatide $329 every four weeks without a longer commitment; lower equivalents require 12-, 24- or 48-week terms. Microdose and combination options need separate current quotes.
A real telehealth marketplace with a video visit and a clinician you pick — now brand-first, so you get on-label Wegovy or Zepbound with the manufacturer's own pregnancy labeling, if you can absorb a membership fee stacked on the drug price.
Physician-founded and genuinely cheap, with both molecules in a lozenge or a shot and a free MD visit — but a February 2026 FDA misbranding letter is a caveat a mother should read before signing up.
The widest menu on our list — injections, sublingual lozenges, daily drops, four brand-name pens and the approved oral GLP-1 — with three compounding pharmacies named, prices published for every plan length, and cancellation terms among the most restrictive we have read.
The most complete set of routes on our list — a real branded lane through insurance or LillyDirect, a compounded lane priced the same at every dose, and a non-GLP-1 generics lane — undercut by a three-day refund window and a complaint pattern that sits squarely on billing.
Injection or sublingual, both molecules — but we list it only with full disclosure: a 2025 FDA warning letter and a BBB complaint pattern around surprise 3-month charges make cancellation the real risk here.
Flat pricing through every dose escalation, named partner pharmacies and a state list it actually publishes — undercut by an open FDA warning letter, an F rating at the BBB, and brand-name pens advertised on its site that you cannot buy.
Bodybuilding Health+ does the disclosure part better than most of this market and the branding part more loosely. It names four compounding pharmacies outright with phone numbers, and it names two lead physicians with their NPI numbers — both of whom check out as active MDs in the federal registry. Pricing is flat at every dose and public before any intake: $179 a month for compounded semaglutide and $209 for tirzepatide, dropping to about $142 and $175 only if you buy a bundle up front. The looser part is the name. The operator is Dynamo Group LLC of Boca Raton, not Bodybuilding.com, and the 'trusted by millions since 1999' line on the page is the licensor's heritage rather than the clinic's. It's compounded-only, so there's no FDA-approved Wegovy or Zepbound route, the bundle discounts come with no published refund terms, and a prominent '4.8 (200+ reviews)' badge sits above a Trustpilot widget whose rating we could not confirm.
$165/mo semaglutide and $214/mo tirzepatide month to month, dropping to $97 and $177 on a 12-month plan — with a genuinely itemized exclusion list that explicitly screens out pregnancy, planned pregnancy, and breastfeeding rather than staying silent on it.
| # | Provider | From | Score | |
|---|---|---|---|---|
| 1 | CoreAge Rx | $79/mo | See review | 86 · B |
| 2 | Enhance MD | $249/4 wk | 40 states | 81 · B− |
| 3 | Sesame | See review | All 50 states | 81 · B− |
| 4 | Strut Health | $129/mo | See review | 80 · B− |
| 5 | ShedRx | $199/mo | All 50 states | 76 · C |
| 6 | Found Health | $289/4 wk | See review | 74 · C |
| 7 | Direct Meds | $297/mo | See review | 70 · C |
| 8 | Sprout Health | $299/mo | 44 states | 61 · C |
| 9 | Bodybuilding Health+ | $179/mo | All 50 states | 59 · C |
| 10 | HealthRX | $165/mo | All 50 states | 57 · C |
On the Metabolic-Fit Score — six women's-health factors — CoreAge Rx, a featured partner, scores 86/100: flat, transparent pricing, both semaglutide and tirzepatide on one account (tirzepatide matters when insulin resistance drives PCOS weight), and all 50 states. CoreAge Rx has the lowest average monthly budget here; its quoted charge is $79/mo advertised flat price; confirm prescription quantity and total.
Both semaglutide and tirzepatide lower weight and improve insulin sensitivity; tirzepatide (a dual GIP/GLP-1 agonist) often produces greater loss and is frequently preferred where insulin resistance drives PCOS weight. The best provider is one that offers tirzepatide, discloses pricing, and supports labs and monitoring — which is exactly what the Metabolic-Fit Score weighs.
Compounded semaglutide is dispensed by licensed pharmacies and is not the FDA-approved brand product (Ozempic/Wegovy). For most women the safety questions are the same as any GLP-1 — thyroid history, pregnancy plans, and contraception timing around a slowed gut. It should not be used in pregnancy or while trying to conceive. Discuss your history with a clinician before starting.
Every provider is scored on six women's-health factors — MomMetabolic's Metabolic-Fit Score. Some outbound links earn us a referral fee; commissions don't change a provider's score. CoreAge Rx is a featured partner; providers we work with may appear first. See our disclosure and methodology.
Dig deeper: GLP-1 & breastfeeding, perimenopausal weight, or weigh the molecules in semaglutide vs tirzepatide for mothers. You can also compare any two providers head-to-head.
Rankings reflect our published methodology. This page is informational and not medical advice; compounded medications are not FDA-approved brand products. See our medical disclaimer.
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