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.
- publishes a price for both molecules, which Ivy Rx does not
- has an oral option if you would rather not inject
- scores 84/100 against Ivy Rx's 46
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.
- publishes a price for both molecules, which Ivy Rx does not
- has an oral option if you would rather not inject
- scores 81/100 against Ivy Rx's 46
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.
- publishes a price for both molecules, which Ivy Rx does not
- has an oral option if you would rather not inject
- scores 76/100 against Ivy Rx's 46
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.
- publishes a price for both molecules, which Ivy Rx does not
- has an oral option if you would rather not inject
- scores 76/100 against Ivy Rx's 46
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.
- publishes a price for both molecules, which Ivy Rx does not
- scores 86/100 against Ivy Rx's 46
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.
- publishes a price for both molecules, which Ivy Rx does not
- has an oral option if you would rather not inject
- scores 74/100 against Ivy Rx's 46
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.
- publishes a price for both molecules, which Ivy Rx does not
- scores 84/100 against Ivy Rx's 46
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.
- publishes a price for both molecules, which Ivy Rx does not
- has an oral option if you would rather not inject
- scores 80/100 against Ivy Rx's 46
Breeze Meds
Metabolic-Fit 78/100 · Grade C
Semaglutide: $199/mo; tirzepatide: Starting at $399/mo. Oral semaglutide starts at $299 and oral tirzepatide at $399; confirm your dose, plan length and cancellation terms.
- publishes a price for both molecules, which Ivy Rx does not
- has an oral option if you would rather not inject
- scores 78/100 against Ivy Rx's 46