⛔ FDA warning letter #728279 (June 2026), which names tryeden.com. The most oversight-forward compounded program here — visible clinician involvement and lab framing — at $196/mo semaglutide or $296/mo tirzepatide, flat and nationwide.
- $3/mo cheaper than Kina
- serves all 50 states, where Kina lists Does not disclose — availability is described only as varying by state
- scores 89/100 against Kina's 54
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 Kina lists Does not disclose — availability is described only as varying by state
- offers FDA-approved brand pens, not just compounded
- scores 76/100 against Kina's 54
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 Kina lists Does not disclose — availability is described only as varying by state
- offers FDA-approved brand pens, not just compounded
- scores 76/100 against Kina's 54
Trimi Health
Ranked #10 · Grade B−
The price-first pick: some of the lowest flat, all-inclusive compounded pricing we track, nationwide — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.
- $24/mo cheaper than Kina
- serves all 50 states, where Kina lists Does not disclose — availability is described only as varying by state
- scores 80/100 against Kina's 54
Vaylen
Ranked #108 · Grade C
A rare compounded-plus-brand shop with five real price points disclosed up front — $179/mo compounded semaglutide up to $1,086/mo brand Zepbound — though the oral tablet's exact molecule split isn't fully clear, and there's no postpartum or PCOS-specific content.
- $20/mo cheaper than Kina
- serves all 50 states, where Kina lists Does not disclose — availability is described only as varying by state
- offers FDA-approved brand pens, not just compounded
CareBareRX
Ranked #18 · Grade C
Both molecules have confirmed, tiered pricing, which appears only inside the signup flow — the public site carries no price at all — with a real gotcha: the 3-month plan costs more per month than month-to-month.
- serves all 50 states, where Kina lists Does not disclose — availability is described only as varying by state
- offers FDA-approved brand pens, not just compounded
- scores 71/100 against Kina's 54
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 Kina lists Does not disclose — availability is described only as varying by state
- scores 78/100 against Kina's 54
MEDGm
Ranked #172 · Grade C
Four named pharmacies, a named prescribing partner and brand-name Wegovy, Zepbound and Ozempic alongside the compounded line — that is a fuller disclosure than most of this roster manages. Compounded GLP-1 injections start at $179 a month and daily dissolvable tablets at $249, and the price attaches to the form rather than the molecule: the product page never says whether you are getting semaglutide or tirzepatide, and the terms confirm both are in scope. Two things deserve a mother's attention before she enrolls. The brand products are priced as a membership plus an undisclosed medication cost, and that membership is quoted at two different figures on one page, $99 beside Zepbound and Wegovy and $171 beside Ozempic. And the terms state that if a provider decides a different molecule suits you better, staying enrolled is itself your consent to the switch and the charges continue. It also discloses, unusually plainly, that people shown in its advertising may be actors or artificial intelligence rather than clinicians.
- $20/mo cheaper than Kina
- serves all 50 states, where Kina lists Does not disclose — availability is described only as varying by state
- offers FDA-approved brand pens, not just compounded
Pallas Health
Ranked #22 · Grade C
Pallas Health carries both routes at once — compounded semaglutide at roughly $199 a month and tirzepatide at $299, alongside genuine FDA-approved Zepbound at $1,069, Ozempic at $1,299 and Wegovy and Mounjaro at $1,349, all cash-pay on one platform. The price is flat at every dose, answered directly in its own FAQ, and the clinician, dose adjustments, check-ins and messaging are inside that figure with no membership fee layered on. Two clinicians are named and both verify as active in the federal NPI registry, the LegitScript seal is genuine rather than a self-hosted image, and there is a real refund policy — full refund if a clinician declines you, a $5 processing fee on a qualifying cancellation. Two caveats matter for a household budget: billing lands every 12 weeks in $597 and $897 blocks rather than monthly, so the advertised per-month figures are Pallas's own averages, and the compounding pharmacy is never named. There is also no postpartum, breastfeeding or PCOS content on the site at all.
- serves all 50 states, where Kina lists Does not disclose — availability is described only as varying by state
- offers FDA-approved brand pens, not just compounded
- scores 65/100 against Kina's 54