Ro
Metabolic-Fit 84/100 · Grade B
The most polished route to on-label Wegovy or Zepbound, with a dedicated insurance concierge — powerful if the branded product is the goal, though the membership fee and the medication cost are always two separate charges.
- scores 84/100 against AskRx's 65
Allara Health
Metabolic-Fit 81/100 · Grade B−
A women's-health practice first and a GLP-1 prescriber second: an OB-GYN or nurse practitioner, a registered dietitian and hormone labs on every case, check-ins every one to two weeks, and brand-name options from the Wegovy tablet to Zepbound. The $149 a month buys the care team, not the medication, which your own pharmacy and insurance price. Full care runs in 45 states plus DC; five more states get nutrition-only care with no prescribing.
- scores 81/100 against AskRx's 65
Sesame
Metabolic-Fit 81/100 · 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.
- scores 81/100 against AskRx's 65
Form Health
Metabolic-Fit 86/100 · Grade B
The closest thing here to a real obesity-medicine clinic online — board-certified physicians and registered dietitians, monthly video visits, and a real effort to work brand-name drugs through insurance. The $299 self-pay fee is for that clinical team, not the medication.
- scores 86/100 against AskRx's 65
Gala Health
Metabolic-Fit 84/100 · Grade B
Semaglutide from $129 and tirzepatide from $179 a month, all doses included — a reasonable option if you can live with a yearly plan, a month-to-month price you only see at checkout, and a pharmacy it doesn't name.
- scores 84/100 against AskRx's 65
ShedRx
Metabolic-Fit 76/100 · Grade C
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.
- scores 76/100 against AskRx's 65
SynergyRX
Metabolic-Fit 76/100 · Grade C
Injection offers start at $199 for semaglutide or $349 for tirzepatide, with four weekly doses, consultation and shipping shown in the public modals. Maintenance prices and purchase terms need confirmation. Oral and brand supply periods remain unconfirmed.
- scores 76/100 against AskRx's 65
Found Health
Metabolic-Fit 74/100 · Grade C
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.
- scores 74/100 against AskRx's 65
Strut Health
Metabolic-Fit 80/100 · Grade B−
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.
- scores 80/100 against AskRx's 65