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 Neuve MD lists Its own pages disagree — "40+ states" on one, all 50 on two others
- publishes a price for both molecules, which Neuve MD does not
- offers FDA-approved brand pens, not just compounded
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.
- $49 less per month on average than Neuve MD
- serves all 50 states, where Neuve MD lists Its own pages disagree — "40+ states" on one, all 50 on two others
- publishes a price for both molecules, which Neuve MD 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 Neuve MD lists Its own pages disagree — "40+ states" on one, all 50 on two others
- publishes a price for both molecules, which Neuve MD does not
- offers FDA-approved brand pens, not just compounded
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.
- $9 less per month on average than Neuve MD
- publishes a price for both molecules, which Neuve MD does not
- has an oral option if you would rather not inject
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 Neuve MD lists Its own pages disagree — "40+ states" on one, all 50 on two others
- publishes a price for both molecules, which Neuve MD does not
- has an oral option if you would rather not inject
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 Neuve MD lists Its own pages disagree — "40+ states" on one, all 50 on two others
- publishes a price for both molecules, which Neuve MD does not
- scores 80/100 against Neuve MD's 43
Lttl
Metabolic-Fit 56/100 · Grade C
Compounded semaglutide at $99 a month and tirzepatide at $149, month to month and the same price at every dose, plus a separate microdose line for anyone who wants a gentler metabolic effect rather than maximum weight loss. Lttl covers all 50 states and Washington D.C., says it prescribes and ships within 48 hours, and attributes compounding to U.S.A.-licensed pharmacies it does not name. The catalog runs well past weight loss into NAD+, sermorelin, glutathione and B12 from $79, so read the longevity menu as a separate business from the GLP-1 you came for. Prepaying for a year brings it to $89 and $139 a month, and the first-order discount of up to $140 is promotional.
- $39 less per month on average than Neuve MD
- serves all 50 states, where Neuve MD lists Its own pages disagree — "40+ states" on one, all 50 on two others
- publishes a price for both molecules, which Neuve MD does not
DoctorAdam
Metabolic-Fit 35/100 · Grade C
DoctorAdam sells GLP-1s only as daily oral tablets — no injection anywhere in its catalog — which makes it a genuinely different option rather than another compounder with a slightly different price. Semaglutide tablets from $129 a month, tirzepatide tablets from $199, delivered to all fifty states with what it calls flat monthly pricing. Read the cards carefully, though: the $129 next to the NAD+ injection is not the GLP-1 figure, and the two sit close together.
- $9 less per month on average than Neuve MD
- serves all 50 states, where Neuve MD lists Its own pages disagree — "40+ states" on one, all 50 on two others
- publishes a price for both molecules, which Neuve MD does not
Medsol RX
Metabolic-Fit 54/100 · Grade C
Three pages of this site quote three different prices for the same treatment: the homepage says semaglutide starts at $169 a month, the packages page shows $169 for month one and $199 from month two, and the semaglutide page says the program "typically ranges from $200-$550 per month" — a ceiling nothing on the site comes near. The packages page is the one to trust, and to its credit every plan total on it recomputes to the exact dollar. It also, on the oral semaglutide cards, tells you that what you will receive is tirzepatide.
- serves all 50 states, where Neuve MD lists Its own pages disagree — "40+ states" on one, all 50 on two others
- publishes a price for both molecules, which Neuve MD does not
- offers FDA-approved brand pens, not just compounded