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 PepHaus lists Not published on the site
- offers FDA-approved brand pens, not just compounded
- has an oral option if you would rather not inject
Idgie Health
Metabolic-Fit 53/100 · Grade C
About as much as anyone in this category tells you: four formats with full plan tables, and both the pharmacy and the prescribing physician named with addresses. Nothing here addresses nursing, postpartum timing or PCOS.
- $3 less per month on average than PepHaus
- serves all 50 states, where PepHaus lists Not published on the site
- has an oral option if you would rather not inject
Ivologist
Metabolic-Fit 46/100 · Grade C
Ivologist advertises compounded semaglutide Starter at $149 monthly or $422 for three months paid in full, about $140.67 per month equivalent. Later-dose pricing needs confirmation; brand-name Wegovy or Zepbound is available on request without a public price.
- $3 less per month on average than PepHaus
- serves all 50 states, where PepHaus lists Not published on the site
- offers FDA-approved brand pens, not just compounded
Trellis Vitality
Metabolic-Fit 61/100 · Grade C
Trellis Vitality is the cheapest genuinely-disclosed option on this page: $150 a month for compounded semaglutide and $199 for tirzepatide, month to month, with every dosage available at the same price and no membership fee, no consult fee and a $0 assessment. Commit for three or six months and those fall to $140/$133 and $189/$179. It names the pharmacy that compounds the medication — Vials Rx, described as a US state-licensed, cGMP-compliant facility — which is the disclosure most of its cheaper competitors skip, and it covers all 50 states with board-certified clinicians reviewing intake. The caveats are about what it doesn't sell and doesn't say. There is no FDA-approved brand option, no oral formulation, and none of its pricing appears on the homepage at all — you have to reach the GLP-1 product page to find a single number, which makes it look more opaque than it actually is. There is also no postpartum, breastfeeding or PCOS content anywhere.
- $2 less per month on average than PepHaus
- serves all 50 states, where PepHaus lists Not published on the site
- scores 61/100 against PepHaus's 45
AurenRx
Metabolic-Fit 61/100 · Grade C
AurenRx lists semaglutide at $149 a month on subscription and tirzepatide at $229. One-off monthly options cost $179 and $259 respectively.
- $3 less per month on average than PepHaus
- serves all 50 states, where PepHaus lists Not published on the site
- scores 61/100 against PepHaus's 45
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 PepHaus lists Not published on the site
- offers FDA-approved brand pens, not just compounded
- scores 72/100 against PepHaus's 45
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.
- $63 less per month on average than PepHaus
- serves all 50 states, where PepHaus lists Not published on the site
- offers FDA-approved brand pens, not just compounded
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 PepHaus lists Not published on the site
- has an oral option if you would rather not inject
- scores 78/100 against PepHaus's 45
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.
- $7 less per month on average than PepHaus
- serves all 50 states, where PepHaus lists Not published on the site
- scores 56/100 against PepHaus's 45