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.
- $30 less per month on average than PreventiveMD
- serves all 50 states, where PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to
- scores 56/100 against PreventiveMD's 52
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 PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to
- has an oral option if you would rather not inject
- scores 76/100 against PreventiveMD's 52
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.
- $20 less per month on average than PreventiveMD
- serves all 50 states, where PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to
- scores 56/100 against PreventiveMD's 52
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 PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to
- has an oral option if you would rather not inject
- scores 78/100 against PreventiveMD's 52
Trava Health
Metabolic-Fit 44/100 · Grade C
Trava product pages list semaglutide from $117.96 monthly and tirzepatide from $178.98 monthly. Cheaper homepage figures coexist with the product rates; quarterly savings of about $88 and $95 are package totals, not discounts every month.
- $1.04 less per month on average than PreventiveMD
- serves all 50 states, where PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to
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 PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to
- scores 80/100 against PreventiveMD's 52
LumiMeds
Metabolic-Fit 49/100 · Grade C
LumiMeds carries a 2025 FDA warning letter over how it described its compounded medication. Semaglutide: $89/mo advertised flat rate; tirzepatide: $125/mo advertised flat rate. The promotion promises a price lock, but terms reserve price changes, restrict mid-term cancellation and apply a $100 deduction to applicable refunds.
- $30 less per month on average than PreventiveMD
- serves all 50 states, where PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to
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 PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to
- scores 72/100 against PreventiveMD's 52
Mondae
Metabolic-Fit 46/100 · Grade C
Mondae lists semaglutide at $87 a month and tirzepatide at $126 with a one-month plan. Its lower $69 and $114 averages require six-month prepayments of $414 and $684.
- $32 less per month on average than PreventiveMD
- serves all 50 states, where PreventiveMD lists Not published; U.S. only, and the patient must be in the state they ship to