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Head-to-head for women

CoreAge Rx vs Pepti

CoreAge Rx and Pepti both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Metabolic-Fit Score — our women's-health rubric.

CoreAge Rx

Higher score

Ranked #1 for women · Grade A−

Best for: Mothers who want a fixed monthly price, a real clinician rather than an intake quiz, and uninterrupted nationwide access to both semaglutide and tirzepatide while they work out the timing around pregnancy or weaning.

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vs

Pepti

Ranked #33 for women · Grade C

Best for: Mothers for whom monthly cost is the deciding factor, who live in one of the 36 states Pepti ships to, and who don't need insurance billing or a brand-name option.

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The verdict for women

Higher Metabolic-Fit Score: CoreAge Rx

CoreAge Rx edges out Pepti on the Metabolic-Fit Score, 92 to 58 (A− vs C). Mothers who want a fixed monthly price, a real clinician rather than an intake quiz, and uninterrupted nationwide access to both semaglutide and tirzepatide while they work out the timing around pregnancy or weaning.

Pepti is still a genuine option — pepti publishes the lowest semaglutide price in this entire roster — $99 a month, flat at every titration dose, with the medication, physician review, shipping, refill management and unlimited messaging with your prescribing doctor all inside it. Tirzepatide is $199 on the same all-in, flat-at-every-dose basis. That number is low enough to deserve skepticism, so it is worth saying exactly where it comes from: Pepti states it on a dedicated cost page, repeats it in its FAQ ('we keep pricing flat and transparent at $99/mo all-in'), and prices the comparison against Hims, Henry Meds and Mochi on the same page. It names two prescribing physicians and says its medication is compounded by FDA-registered 503A or 503B pharmacies, though it never names which. The real limits are reach and format: it ships to 36 states rather than 50, it is cash-pay only and bills no insurance, and its needle-free oral GLP-1/GIP drops cost $349 — well above its own injection. Weigh the six women's-health factors below against your own priorities.

Side-by-side on the six factors

Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.

CoreAge Rx Pepti
Postpartum & breastfeeding guidance9028
CoreAge
Pepti
PCOS & hormonal fit9140
CoreAge
Pepti
Clinical oversight & labs9266
CoreAge
Pepti
True monthly cost9592
CoreAge
Pepti
Ongoing support9372
CoreAge
Pepti
Cancellation fairness9568
CoreAge
Pepti

Price, access & features

DetailCoreAge RxPepti
Metabolic-Fit Score92/100 · A−58/100 · C
Overall rank#1#33
Semaglutide$99/mo$99/mo
Tirzepatide$149/mo$199/mo
CoverageAll 50 states36 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes

CoreAge Rx

Ranked #1 · Grade A−

What we like

  • A single flat monthly rate — no teaser first month that jumps at the first refill
  • A prescriber reviews your history and will actually talk through timing if you're postpartum, nursing, or planning another pregnancy
  • Semaglutide and tirzepatide on one chart, so switching molecules doesn't mean switching providers

The caveats

  • Not the lowest sticker price — a couple of budget compounders come in under it
  • Compounded only; there's no FDA-approved brand Wegovy or Zepbound lane here
  • A general metabolic program, not a dedicated OB or hormone practice

Pepti

Ranked #33 · Grade C

What we like

  • $99/mo semaglutide is the lowest price in this roster, stated flatly on a dedicated cost page and repeated in the FAQ
  • Flat at every titration dose for both molecules — the cost doesn't climb as you go up
  • All-in: medication, physician review, shipping, refill management and unlimited messaging with the prescribing physician

The caveats

  • Ships to 36 states, not 50 — the narrowest coverage of the providers added here
  • Cash-pay only; Pepti states plainly that it does not bill insurance
  • The compounding pharmacies are described as FDA-registered 503A or 503B but never named

Some outbound links earn MomMetabolic a referral fee at no added cost to you, walled off from the Metabolic-Fit Score. Pricing, states and verification reflect each provider's public disclosures at last review; the Metabolic-Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

More head-to-heads

Keep comparing CoreAge Rx and Pepti against other providers we review for women.

Or browse the full comparison hub.