Gala Health
Ranked #4 · Grade B
A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included option if you can live with a yearly plan and a pharmacy it doesn't name.
- $20/mo cheaper than TOM Weight Loss
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- offers FDA-approved brand pens, not just compounded
Sesame
Ranked #8 · 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.
- $50/mo cheaper than TOM Weight Loss
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- offers FDA-approved brand pens, not just compounded
The most oversight-forward compounded program on this list — visible clinician involvement and lab framing, which is exactly what you want when thyroid and hormones are already in flux, at $196/mo semaglutide or $296/mo tirzepatide, both priced flat and available nationwide.
- $3/mo cheaper than TOM Weight Loss
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- scores 89/100 against TOM Weight Loss's 54
CareBareRX
Ranked #18 · Grade C
Both molecules now have confirmed, tiered pricing — found by walking the actual intake, since the public site still carries no price at all — with a real gotcha: the 3-month plan costs more per month than month-to-month.
- $14/mo cheaper than TOM Weight Loss
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- offers FDA-approved brand pens, not just compounded
ShedRx
Ranked #13 · Grade C
The widest menu on our roster — injections, sublingual lozenges, daily drops, four brand-name pens and the approved oral GLP-1 — with three compounding pharmacies named, a flat price at any dose, and cancellation terms among the most restrictive we have read.
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- offers FDA-approved brand pens, not just compounded
- scores 76/100 against TOM Weight Loss's 54
SynergyRX
Ranked #14 · Grade C
Now confirmed to publish real GLP-1 prices — compounded semaglutide from $199, tirzepatide from $349, plus brand options — right on its products page, no consult required, contrary to what an earlier check found.
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- offers FDA-approved brand pens, not just compounded
- scores 76/100 against TOM Weight Loss's 54
One of the few mass-market brands designed around a woman's front door — now selling FDA-approved brand Wegovy and Zepbound instead of the compounded semaglutide it used to, though the posted price is only half the bill once the required $149/mo membership is added.
- $50/mo cheaper than TOM Weight Loss
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- offers FDA-approved brand pens, not just compounded
Trimi Health
Ranked #10 · Grade B−
The price-first pick: some of the lowest flat, all-inclusive compounded pricing we track, nationwide — strong if the monthly number is your deciding factor and you read the annual-prepay fine print.
- $24/mo cheaper than TOM Weight Loss
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- scores 80/100 against TOM Weight Loss's 54
Vaylen
Ranked #47 · Grade C
A rare compounded-plus-brand shop with five real price points disclosed up front — $179/mo compounded semaglutide up to $1,086/mo brand Zepbound — though the oral tablet's exact molecule split isn't fully clear, and there's no postpartum or PCOS-specific content.
- $20/mo cheaper than TOM Weight Loss
- serves all 50 states, where TOM Weight Loss lists Texas & Utah only
- offers FDA-approved brand pens, not just compounded