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Alternatives · care and cost compared

Alternatives to MedLeanRx

People usually look past MedLeanRx because it scores lowest on postpartum & breastfeeding guidance (28/100) in our rubric, and because texas only — the narrowest coverage on this page.

Where MedLeanRx is strongest
True monthly cost — 56/100
Semaglutide
$149/mo
Tirzepatide
Brand-name Zepbound offered; price not published
Coverage
Texas only

Compare the MedLeanRx review with the options below. CoreAge Rx is a featured partner; commissions do not change a provider's score.

Featured partner

Metabolic-Fit 86/100 · Grade B

CoreAge Rx

CoreAge's officially linked public offer advertises compounded semaglutide at $79/month and tirzepatide at $129/month across doses, with care and overnight shipping included. It describes one-time purchases without a required subscription. Main navigation still shows semaglutide from $99; confirm your prescription quantity and total, and read the refund limits before paying.

Semaglutide
$79/mo advertised flat price; confirm prescription quantity and total
Tirzepatide
$129/mo advertised flat price; confirm prescription quantity and total
Coverage
US service; state restrictions vary by therapy — confirm during intake
Brand-name
Compounded only

More alternatives for your priorities

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.

  • serves all 50 states, where MedLeanRx lists Texas only
  • publishes a price for both molecules, which MedLeanRx does not
  • scores 76/100 against MedLeanRx's 44

ElitePhysiq MD

Metabolic-Fit 56/100 · Grade C

"Compounded Semaglutide & Tirzepatide from $145/mo" is the homepage line, and one of those two costs $315. Open the weight-metabolism page and the molecules are priced separately — semaglutide $145 on subscription, tirzepatide $315, or $161 and $350 without it. The "from" is doing more work than a mother comparing options can see, and the site's own header adds to the confusion by claiming treatments start at $157.

  • $4 less per month on average than MedLeanRx
  • serves all 50 states, where MedLeanRx lists Texas only
  • publishes a price for both molecules, which MedLeanRx does not

Trimi Health

Metabolic-Fit 80/100 · Grade B−

Price-first and nationwide: flat, all-inclusive compounded pricing at $175 and $235 month to month, down to $99 and $125 on a 12-month plan — strong if you read the prepay fine print.

  • serves all 50 states, where MedLeanRx lists Texas only
  • publishes a price for both molecules, which MedLeanRx does not
  • scores 80/100 against MedLeanRx's 44

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.

  • serves all 50 states, where MedLeanRx lists Texas only
  • publishes a price for both molecules, which MedLeanRx does not
  • scores 78/100 against MedLeanRx's 44

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 MedLeanRx
  • serves all 50 states, where MedLeanRx lists Texas only
  • publishes a price for both molecules, which MedLeanRx does not

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.

  • serves all 50 states, where MedLeanRx lists Texas only
  • publishes a price for both molecules, which MedLeanRx does not
  • scores 72/100 against MedLeanRx's 44

Fresh Day Meds

Metabolic-Fit 50/100 · Grade C

Semaglutide: $140/mo monthly; from $99/mo on quarterly plan; tirzepatide: $179/mo monthly; from $140/mo on quarterly plan. Quarterly starting packages cost $299 or $420 upfront; transfers and higher tirzepatide tiers have separate totals.

  • $9 less per month on average than MedLeanRx
  • serves all 50 states, where MedLeanRx lists Texas only
  • publishes a price for both molecules, which MedLeanRx does not

Precision Telemed

Metabolic-Fit 50/100 · Grade C

Precision Telemed advertises compounded semaglutide from $139.99 monthly and tirzepatide from $179.99, with no required membership or subscription and free shipping. Its separate $50 Zoom consultation is optional and includes no medication.

  • $9.01 less per month on average than MedLeanRx
  • serves all 50 states, where MedLeanRx lists Texas only
  • publishes a price for both molecules, which MedLeanRx does not

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 MedLeanRx
  • publishes a price for both molecules, which MedLeanRx does not
  • scores 80/100 against MedLeanRx's 44

Some outbound links earn MomMetabolic a referral fee at no added cost to you, walled off from the Metabolic-Fit Score. Scores are our editorial judgment per the methodology. Not medical advice; see our disclosure.

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