Sesame
Ranked #8 · Grade B−
A real telehealth marketplace with a video visit and a clinician you pick — now brand-first, so you get on-label Wegovy or Zepbound with the manufacturer's own pregnancy labeling, if you can absorb a membership fee stacked on the drug price.
- serves all 50 states, where Nu Image Medical lists Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
The most polished route to on-label Wegovy or Zepbound, with a dedicated insurance concierge — powerful if the branded product is the goal, though the membership fee and the medication cost are always two separate charges.
- $25/mo cheaper than Nu Image Medical
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
Gala Health
Ranked #4 · Grade B
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it doesn't name.
- serves all 50 states, where Nu Image Medical lists Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)
- offers FDA-approved brand pens, not just compounded
- scores 84/100 against Nu Image Medical's 44
ShedRx
Ranked #13 · Grade C
The widest menu on our roster — injections, sublingual lozenges, daily drops, four brand-name pens and the approved oral GLP-1 — with three compounding pharmacies named, a flat price at any dose, and cancellation terms among the most restrictive we have read.
- serves all 50 states, where Nu Image Medical lists Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
SynergyRX
Ranked #14 · Grade C
Now confirmed to publish real GLP-1 prices — compounded semaglutide from $199, tirzepatide from $349, plus brand options — right on its products page, no consult required, contrary to what an earlier check found.
- serves all 50 states, where Nu Image Medical lists Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
One of the few mass-market brands designed around a woman's front door — now selling FDA-approved brand Wegovy and Zepbound instead of the compounded semaglutide it used to, though the posted price is only half the bill once the required $149/mo membership is added.
- serves all 50 states, where Nu Image Medical lists Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
Ondra Health
Ranked #29 · Grade C
A fully itemized pricing table — as low as $96/mo semaglutide or $142/mo tirzepatide on the annual plan — from the same medical group behind Cora Health, another new addition this batch.
- $3/mo cheaper than Nu Image Medical
- serves all 50 states, where Nu Image Medical lists Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)
- scores 53/100 against Nu Image Medical's 44
CareBareRX
Ranked #18 · Grade C
Both molecules now have confirmed, tiered pricing — found by walking the actual intake, since the public site still carries no price at all — with a real gotcha: the 3-month plan costs more per month than month-to-month.
- serves all 50 states, where Nu Image Medical lists Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)
- offers FDA-approved brand pens, not just compounded
- scores 71/100 against Nu Image Medical's 44
Breeze Meds
Ranked #11 · Grade C
A clean, all-50-states compounded option with named pharmacies, no membership and the consult included — reasonable and transparent on price, though it's a newer platform with thin public detail beyond the $199 headline.
- serves all 50 states, where Nu Image Medical lists Not disclosed — no published state list (marketing describes the service broadly, without itemizing states)
- has an oral option if you would rather not inject
- scores 78/100 against Nu Image Medical's 44