⛔ FDA warning letter #728279 (June 2026), which names tryeden.com. The most oversight-forward compounded program here — visible clinician involvement and lab framing — at $196/mo semaglutide or $296/mo tirzepatide, flat and nationwide.
- $3/mo cheaper than Vitalex Health
- serves all 50 states, where Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
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 Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
- offers FDA-approved brand pens, not just compounded
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 Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
- 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 Vitalex Health
- serves all 50 states, where Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
Vaylen
Ranked #108 · 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 Vitalex Health
- serves all 50 states, where Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
MEDGm
Ranked #172 · Grade C
Four named pharmacies, a named prescribing partner and brand-name Wegovy, Zepbound and Ozempic alongside the compounded line — that is a fuller disclosure than most of this roster manages. Compounded GLP-1 injections start at $179 a month and daily dissolvable tablets at $249, and the price attaches to the form rather than the molecule: the product page never says whether you are getting semaglutide or tirzepatide, and the terms confirm both are in scope. Two things deserve a mother's attention before she enrolls. The brand products are priced as a membership plus an undisclosed medication cost, and that membership is quoted at two different figures on one page, $99 beside Zepbound and Wegovy and $171 beside Ozempic. And the terms state that if a provider decides a different molecule suits you better, staying enrolled is itself your consent to the switch and the charges continue. It also discloses, unusually plainly, that people shown in its advertising may be actors or artificial intelligence rather than clinicians.
- $20/mo cheaper than Vitalex Health
- serves all 50 states, where Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
CareBareRX
Ranked #18 · Grade C
Both molecules have confirmed, tiered pricing, which appears only inside the signup flow — the public site carries no price at all — with a real gotcha: the 3-month plan costs more per month than month-to-month.
- serves all 50 states, where Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
- offers FDA-approved brand pens, not just compounded
OnlyRx
Ranked #214 · Grade C
An uncommon needle-free option — both semaglutide and tirzepatide sold as an oral tablet as well as an injection — with all-50-states coverage clearly disclosed, though its $179/mo semaglutide rate is explicitly a promo and its headline weight-loss stats are self-reported, not clinical.
- $20/mo cheaper than Vitalex Health
- serves all 50 states, where Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
Dr. Medical Health
Ranked #43 · Grade C
Compounded semaglutide at $199 a month and tirzepatide at $299, the same price at every dose, and the daily tablet costs the same as the injection on both — all of it on an open pricing page you reach without a quiz. Brand-name prices are published too, which is rare: Wegovy $999, Ozempic $899, Mounjaro $999, cash. Two things to know before you enter a card. The badge at the top of every page says no subscription, and its own FAQ then asks whether you can cancel your subscription and tells you to call before your next billing date — so it does recur, whatever the badge says. And nothing anywhere on the site says how many weeks of medication one $199 charge actually buys. It ships to all 50 states, and it carries a June 2026 FDA warning letter for false or misleading claims, which it has since fixed.
- serves all 50 states, where Vitalex Health lists Not published — its own counter reads "0 states"
- publishes a price for both molecules, which Vitalex Health does not
- offers FDA-approved brand pens, not just compounded