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.
- has an oral option if you would rather not inject
- scores 80/100 against NextMeds's 39
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.
- scores 76/100 against NextMeds's 39
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 NextMeds's 39
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.
- offers FDA-approved brand pens, not just compounded
- scores 56/100 against NextMeds's 39
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.
- has an oral option if you would rather not inject
- scores 58/100 against NextMeds's 39
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 NextMeds's 39
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.
- has an oral option if you would rather not inject
- scores 78/100 against NextMeds's 39
Harbor
Metabolic-Fit 63/100 · Grade C
Advertised dose-flat monthly plans are $99 for semaglutide and $149 for tirzepatide, with care, medication and shipping included. Confirm the selected supply and plan. Cancellation stops future renewal; after prescribing, payments including unused prepaid months are nonrefundable under the stated policy.
- scores 63/100 against NextMeds's 39
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.
- offers FDA-approved brand pens, not just compounded
- scores 52/100 against NextMeds's 39