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.
- $20 less per month on average than LVNG Rx
- has an oral option if you would rather not inject
- scores 80/100 against LVNG Rx's 28
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.
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
- scores 76/100 against LVNG Rx's 28
Mochi Health
Metabolic-Fit 40/100 · Grade C
Mochi charges $79 a month for care, with medication billed separately. Total injection prices start at $139 for semaglutide and $169 for tirzepatide, with higher prices at higher doses. Shipping is included; diagnostic services cost extra.
- $10 less per month on average than LVNG Rx
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
Brightmeds
Metabolic-Fit 53/100 · Grade C
Semaglutide: $129/mo monthly ($99/mo on a 3-month pack); tirzepatide: $149/mo monthly ($119/mo on a 3-month pack). Three-month packs cost $297 for semaglutide or $357 for tirzepatide upfront, with transfer patients advised to confirm eligibility and pricing.
- $20 less per month on average than LVNG Rx
- offers FDA-approved brand pens, not just compounded
- scores 53/100 against LVNG Rx's 28
PreventiveMD
Metabolic-Fit 52/100 · Grade C
"As low as $83/mo, all-in" is $999 paid up front, divided by twelve. Month to month is $119. The honest thing to say next is that $119 is still cheaper than most providers we review, so the problem is the advertised number rather than the price behind it.
- $30 less per month on average than LVNG Rx
- offers FDA-approved brand pens, not just compounded
- scores 52/100 against LVNG Rx's 28
yourEra
Metabolic-Fit 76/100 · Grade C
A low-entry, all-in compounded program with both molecules, one price at every dose and a clean cancel-anytime policy — appealing, though the 'from' price isn't explained and the outcome claims are unverified marketing.
- $70 less per month on average than LVNG Rx
- scores 76/100 against LVNG Rx's 28
Pepti
Metabolic-Fit 58/100 · Grade C
Pepti publishes semaglutide prices of $99–$199 a month and tirzepatide prices of $159–$319, depending on dose. Medication, physician care and shipping are included without a separate membership fee.
- $50 less per month on average than LVNG Rx
- has an oral option if you would rather not inject
- scores 58/100 against LVNG Rx's 28
altRx
Metabolic-Fit 56/100 · Grade C
One of the lowest listed prices for compounded GLP-1s — $89 a month for semaglutide and $149 for tirzepatide, the same at every dose, with the visit, supplies and shipping included — from a company that received an FDA warning letter in June 2026 and treats every payment as final. Cancellation needs 72 hours' notice, and a documented trinitymeds trademark connection deserves attention.
- $60 less per month on average than LVNG Rx
- offers FDA-approved brand pens, not just compounded
- scores 56/100 against LVNG Rx's 28
Midi Health
Metabolic-Fit 72/100 · Grade C
A menopause-focused program that bills insurance for eligible visits. The visit is covered in network or $250 self-pay, and the medication is billed separately from $164 per four-week supply — both figures published. It's built for perimenopause, not the postpartum year.
- offers FDA-approved brand pens, not just compounded
- scores 72/100 against LVNG Rx's 28