Alternatives to SexyMD

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.

• offers FDA-approved brand pens, not just compounded
• has an oral option if you would rather not inject
• scores 84/100 against SexyMD's 32

A women's-health practice first and a GLP-1 prescriber second: an OB-GYN or nurse practitioner, a registered dietitian and hormone labs on every case, check-ins every one to two weeks, and brand-name options from the Wegovy tablet to Zepbound. The $149 a month buys the care team, not the medication, which your own pharmacy and insurance price. Full care runs in 45 states plus DC; five more states get nutrition-only care with no prescribing.

• offers FDA-approved brand pens, not just compounded
• has an oral option if you would rather not inject
• scores 81/100 against SexyMD's 32

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.

• offers FDA-approved brand pens, not just compounded
• has an oral option if you would rather not inject
• scores 81/100 against SexyMD's 32

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.

• offers FDA-approved brand pens, not just compounded
• has an oral option if you would rather not inject
• scores 76/100 against SexyMD's 32

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.

• offers FDA-approved brand pens, not just compounded
• has an oral option if you would rather not inject
• scores 76/100 against SexyMD's 32

The closest thing here to a real obesity-medicine clinic online — board-certified physicians and registered dietitians, monthly video visits, and a real effort to work brand-name drugs through insurance. The $299 self-pay fee is for that clinical team, not the medication.

• offers FDA-approved brand pens, not just compounded
• scores 86/100 against SexyMD's 32

The most complete set of routes on our list — a real branded lane through insurance or LillyDirect, a compounded lane priced the same at every dose, and a non-GLP-1 generics lane — undercut by a three-day refund window and a complaint pattern that sits squarely on billing.

• offers FDA-approved brand pens, not just compounded
• has an oral option if you would rather not inject
• scores 74/100 against SexyMD's 32

Semaglutide from $129 and tirzepatide from $179 a month, all doses included — a reasonable option if you can live with a yearly plan, a month-to-month price you only see at checkout, and a pharmacy it doesn't name.

• offers FDA-approved brand pens, not just compounded
• scores 84/100 against SexyMD's 32

An online primary-care practice rather than a weight-loss storefront: a board-certified doctor orders labs, prescribes brand-name GLP-1s such as Wegovy or Zepbound if you qualify, and handles the insurance prior authorization. A $19.99 monthly membership covers up to five family members, and visits are your copay or $129 without insurance. The medication's price is set by your pharmacy and plan, and PlushCare won't prescribe within six months of giving birth or while nursing.

• offers FDA-approved brand pens, not just compounded
• has an oral option if you would rather not inject
• scores 71/100 against SexyMD's 32