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.
- $301 less per month on average than Rivas Medical Weight Loss
- serves all 50 states, where Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- has an oral option if you would rather not inject
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.
- $301 less per month on average than Rivas Medical Weight Loss
- serves all 50 states, where Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- has an oral option if you would rather not inject
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.
- $325 less per month on average than Rivas Medical Weight Loss
- serves all 50 states, where Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- scores 80/100 against Rivas Medical Weight Loss's 55
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.
- $322.33 less per month on average than Rivas Medical Weight Loss
- serves all 50 states, where Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- scores 72/100 against Rivas Medical Weight Loss's 55
Sesame
Metabolic-Fit 81/100 · 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 Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- has an oral option if you would rather not inject
- scores 81/100 against Rivas Medical Weight Loss's 55
RxSpan MD
Metabolic-Fit 57/100 · Grade C
RxSpan MD is a genuinely well-disclosed service wrapped in marketing that undercuts it. The disclosure: four compounding pharmacies named with phone numbers, two lead physicians named with NPI numbers that verify as active MDs, flat pricing posted before any intake, both compounded and real FDA-approved brand GLP-1s on one platform, and oral capsules for anyone who won't inject. Compounded semaglutide is $249 a month and tirzepatide $329, with brand Zepbound at $1,069, Ozempic at $1,299 and Wegovy at $1,349. The marketing is the problem. Its testimonials still name a different company — one patient describes what she 'expected from CareGLP' — and the doctors quoted in them are not the clinicians the same page names as its medical team. The homepage is built around a board-certified plastic surgeon who founded the practice but is licensed in California only and isn't the prescriber. Its compounded prices also sit above the typical price we track, and the oral capsules cost the same or more than the injections.
- $251 less per month on average than Rivas Medical Weight Loss
- serves all 50 states, where Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- has an oral option if you would rather not inject
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.
- $301 less per month on average than Rivas Medical Weight Loss
- serves all 50 states, where Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- has an oral option if you would rather not inject
Pallas Health
Metabolic-Fit 65/100 · Grade C
Pallas charges $199 every four weeks for compounded semaglutide and $299 for tirzepatide, after first-month offers of $139 and $179. Lower annual-plan averages require a longer commitment; provider care and shipping are included.
- $284.42 less per month on average than Rivas Medical Weight Loss
- serves all 50 states, where Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- scores 65/100 against Rivas Medical Weight Loss's 55
SynergyRX
Metabolic-Fit 76/100 · Grade C
Injection offers start at $199 for semaglutide or $349 for tirzepatide, with four weekly doses, consultation and shipping shown in the public modals. Maintenance prices and purchase terms need confirmation. Oral and brand supply periods remain unconfirmed.
- serves all 50 states, where Rivas Medical Weight Loss lists Fifteen locations across Maryland and Virginia
- has an oral option if you would rather not inject
- scores 76/100 against Rivas Medical Weight Loss's 55