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 Ozari Health lists Not published on the site
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
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.
- serves all 50 states, where Ozari Health lists Not published on the site
- offers FDA-approved brand pens, not just compounded
- scores 56/100 against Ozari Health's 33
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 Ozari Health lists Not published on the site
- offers FDA-approved brand pens, not just compounded
- scores 72/100 against Ozari Health's 33
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.
- $7 less per month on average than Ozari Health
- scores 76/100 against Ozari Health's 33
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 Ozari Health lists Not published on the site
- has an oral option if you would rather not inject
- scores 78/100 against Ozari Health's 33
NextMeds
Metabolic-Fit 39/100 · Grade C
Its recorded operator, Trinity HealthCare Supply LLC dba altRx, received FDA warning letter 728236 concerning another website. NextMeds’ current catalog lists semaglutide at $79 a month and tirzepatide at $129, with the same renewal prices. Its $49 headline requires the $588 annual semaglutide plan.
- $7 less per month on average than Ozari Health
- serves all 50 states, where Ozari Health lists Not published on the site
- scores 39/100 against Ozari Health's 33
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 Ozari Health lists Not published on the site
- scores 80/100 against Ozari Health's 33
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 Ozari Health lists Not published on the site
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
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.
- serves all 50 states, where Ozari Health lists Not published on the site
- scores 56/100 against Ozari Health's 33