Sesame
Ranked #9 · 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.
- $30/mo cheaper than Vaylen
- scores 81/100 against Vaylen's 49
Strut Health
Ranked #10 · Grade B−
Physician-founded and genuinely cheap, with both molecules in a lozenge or a shot and a free MD visit — but a February 2026 FDA misbranding letter is a caveat a mother should read before signing up.
- $30/mo cheaper than Vaylen
- scores 80/100 against Vaylen's 49
Trimi Health
Ranked #11 · 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.
- $4/mo cheaper than Vaylen
- scores 80/100 against Vaylen's 49
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.
- $105/mo cheaper than Vaylen
- scores 84/100 against Vaylen's 49
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.
- scores 84/100 against Vaylen's 49
ShedRx
Ranked #14 · 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.
- scores 76/100 against Vaylen's 49
SynergyRX
Ranked #15 · 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.
- scores 76/100 against Vaylen's 49
telos rx
Ranked #17 · Grade C
Four flat, posted price points across semaglutide and three tirzepatide formats, with a written promise the cost won't climb with your dose — a real step up in clarity from what we found last check — undercut by a state list it still won't publish.
- $80/mo cheaper than Vaylen
- scores 75/100 against Vaylen's 49
One of the few mass-market brands designed around a woman's front door — app-first, nationwide, and frictionless to start, though the hormonal depth behind the branding is thinner than the marketing implies.
- scores 83/100 against Vaylen's 49