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 LillyDirect Foundayo does not
- offers FDA-approved brand pens, not just compounded
- scores 84/100 against LillyDirect Foundayo's 43
Form Health
Ranked #3 · 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 LillyDirect Foundayo does not
- offers FDA-approved brand pens, not just compounded
- scores 86/100 against LillyDirect Foundayo's 43
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.
- publishes a price for both molecules, which LillyDirect Foundayo does not
- offers FDA-approved brand pens, not just compounded
- scores 84/100 against LillyDirect Foundayo's 43
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.
- publishes a price for both molecules, which LillyDirect Foundayo does not
- offers FDA-approved brand pens, not just compounded
- scores 76/100 against LillyDirect Foundayo's 43
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.
- publishes a price for both molecules, which LillyDirect Foundayo does not
- offers FDA-approved brand pens, not just compounded
- scores 76/100 against LillyDirect Foundayo's 43
Found Health
Ranked #17 · Grade C
The most complete set of routes on this roster — a real branded lane through insurance or LillyDirect, a compounded lane that charges the same for tirzepatide as for semaglutide, 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 LillyDirect Foundayo does not
- offers FDA-approved brand pens, not just compounded
- scores 74/100 against LillyDirect Foundayo's 43
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.
- publishes a price for both molecules, which LillyDirect Foundayo does not
- scores 89/100 against LillyDirect Foundayo's 43
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.
- offers FDA-approved brand pens, not just compounded
- scores 81/100 against LillyDirect Foundayo's 43
Strut Health
Ranked #9 · 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 LillyDirect Foundayo does not
- scores 80/100 against LillyDirect Foundayo's 43