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 TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- has an oral option if you would rather not inject
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 TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- has an oral option if you would rather not inject
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 TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- has an oral option if you would rather not inject
Gala Health
Metabolic-Fit 84/100 · Grade B
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.
- serves all 50 states, where TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- scores 84/100 against TD Tele-Doc Weight Loss's 43
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 TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- has an oral option if you would rather not inject
Calibrate
Metabolic-Fit 69/100 · Grade C
Calibrate is an insurance-first program, not a cash pharmacy. You pay $199 a month for coaching, a video visit with a clinician, lab review and an app, with a three-month minimum ($597) before you can cancel. The medication is a separate bill. Its clinicians prescribe only brand-name GLP-1s (Wegovy, Zepbound, Mounjaro, the Foundayo pill) through your insurance, and Calibrate says most commercially insured members pay $25 a month or less once the deductible is met. Without coverage or with a high deductible, that number climbs fast. It serves all 50 states and DC, lists PCOS as a qualifying condition, and will not enroll anyone pregnant, breastfeeding or planning a pregnancy within the year.
- serves all 50 states, where TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- has an oral option if you would rather not inject
LifeMD
Metabolic-Fit 66/100 · Grade C
A large, publicly traded telehealth company running a brand-name GLP-1 program: a $149 monthly program fee ($39 the first month) covers clinicians, coaching and labs, and the medication is billed on top, from $149 for the Wegovy pill to $299 for a Zepbound vial. Without insurance a standing month runs about $298 to $448; with coverage the drug can drop to a small copay. Medicare and Medicaid members are not eligible.
- serves all 50 states, where TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- has an oral option if you would rather not inject
AskRx
Metabolic-Fit 65/100 · Grade C
AskRx itemizes a $100 monthly care fee: $90 for the physician visit plus $10 fulfillment, with medication billed separately. It lists FDA-approved Wegovy, Zepbound and Foundayo (orforglipron), without compounded options. The pharmacy says medication is billed at cost, but no medication amount is published, so obtain the complete quote before choosing a plan.
- serves all 50 states, where TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- 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.
- serves all 50 states, where TD Tele-Doc Weight Loss lists Virginia only
- publishes a price for both molecules, which TD Tele-Doc Weight Loss does not
- scores 80/100 against TD Tele-Doc Weight Loss's 43