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