Sesame
Ranked #8 · Grade B−
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.
- serves all 50 states, where 9amHealth lists Does not disclose a state list
- has an oral option if you would rather not inject
- scores 81/100 against 9amHealth's 63
Gala Health
Ranked #4 · Grade B
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it doesn't name.
- serves all 50 states, where 9amHealth lists Does not disclose a state list
- scores 84/100 against 9amHealth's 63
EverSlim
Ranked #32 · Grade C
Names three compounding pharmacies in three separate documents, which is more than most of this market manages — on a site 103 days old that also advertises 2,400 patient reviews we can find no trace of, four different monthly prices, and prepay discounts worth exactly nothing.
- $19/mo cheaper than 9amHealth
- serves all 50 states, where 9amHealth lists Does not disclose a state list
- has an oral option if you would rather not inject
ShedRx
Ranked #13 · Grade C
The widest menu on our roster — injections, sublingual lozenges, daily drops, four brand-name pens and the approved oral GLP-1 — with three compounding pharmacies named, a flat price at any dose, and cancellation terms among the most restrictive we have read.
- serves all 50 states, where 9amHealth lists Does not disclose a state list
- has an oral option if you would rather not inject
- scores 76/100 against 9amHealth's 63
SynergyRX
Ranked #14 · Grade C
Now confirmed to publish real GLP-1 prices — compounded semaglutide from $199, tirzepatide from $349, plus brand options — right on its products page, no consult required, contrary to what an earlier check found.
- serves all 50 states, where 9amHealth lists Does not disclose a state list
- has an oral option if you would rather not inject
- scores 76/100 against 9amHealth's 63
One of the few mass-market brands designed around a woman's front door — now selling FDA-approved brand Wegovy and Zepbound instead of the compounded semaglutide it used to, though the posted price is only half the bill once the required $149/mo membership is added.
- serves all 50 states, where 9amHealth lists Does not disclose a state list
- has an oral option if you would rather not inject
Breeze Meds
Ranked #11 · Grade C
A clean, all-50-states compounded option with named pharmacies, no membership and the consult included — reasonable and transparent on price, though it's a newer platform with thin public detail beyond the $199 headline.
- serves all 50 states, where 9amHealth lists Does not disclose a state list
- has an oral option if you would rather not inject
- scores 78/100 against 9amHealth's 63
The most oversight-forward compounded program on this list — visible clinician involvement and lab framing, which is exactly what you want when thyroid and hormones are already in flux, at $196/mo semaglutide or $296/mo tirzepatide, both priced flat and available nationwide.
- serves all 50 states, where 9amHealth lists Does not disclose a state list
- scores 89/100 against 9amHealth's 63
HealthRX
Ranked #25 · Grade C
From $133/mo semaglutide, $209/mo tirzepatide, dropping further on a 12-month prepay — with a genuinely itemized exclusion list that explicitly screens out pregnancy, planned pregnancy, and breastfeeding rather than staying silent on it.
- $16/mo cheaper than 9amHealth
- serves all 50 states, where 9amHealth lists Does not disclose a state list