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The shortlist

Alternatives to Direct Meds

Direct Meds sits at No. 30 in our ranking with a Brief Score of 82. Here are the GLP-1 providers we'd weigh against it — ranked on the same six-factor Brief Score, top down.

Prefer a straight head-to-head? CoreAge Rx vs Direct Meds.

Our top alternative

No. 1 here

CoreAge Rx

One price on both molecules that does not climb as you titrate — but the headline $99 and $149 are annual-plan rates, paid in full up front.

Sema
$99/mo only on a 12-month plan paid in full ($1,188 in one charge); month-to-month rate not published
Tirz
$149/mo only on a 12-month plan paid in full ($1,788 in one charge); month-to-month rate not published
Coverage
US only; restrictions by state, confirmed at intake

More providers worth weighing

No. 8 · Grade B

MadeMed

86/100

Publishes a price for every dose of every route — which makes it easy to brief, and expensive if you stay low.

Sema
$239/mo injectable and $219/mo sublingual on the quarterly plan ($717 / $657 in one charge); $199 and $179 on the 6-month plan. No month-to-month option
Coverage
40 states for the oral line; injectable semaglutide names 23
price stable
No. 59 · Grade C

Nolu

79/100

An all-in, LegitScript-verified GLP-1 line with a simple sticker price — billed every 4 weeks rather than by the calendar month, and with no named prescriber or pharmacy behind it.

Sema
$249/mo injectable · $279/mo oral (billed per 4 weeks)
Coverage
All 50 states + DC
new to the tracker, no prior reading
No. 62 · Grade C

Clume Health

78/100

Clume Health charges $259 a month for compounded semaglutide or tirzepatide, the same figure for either, while the two prices on its homepage match nothing it actually sells.

Sema
From $259/mo (compounded)
Coverage
All 50 states and DC claimed, no list published
new to the tracker, no prior reading
No. 77 · Grade C

MyDrHank

74/100

A six-shelf prescription telehealth catalog whose GLP-1 price genuinely holds flat as you titrate — but whose every advertised figure is a twelve-month prepay rate, with the month-to-month price published nowhere.

Sema
$259/mo (month-to-month; prepay tiers lower)
Coverage
44 states (not KS, LA, MS, NM, ND, WV)
new to the tracker, no prior reading
No. 12 · Grade B+

REMEVi

87/100

REMEVi is the first bilingual (English and Spanish) GLP-1 telehealth clinic — care delivered by clinicians trained in both languages, never auto-translated.

Sema
$219/mo (all doses, compounded)
Coverage
All 50 states
new to the tracker, no prior reading
No. 222 · Grade C

Alinwell

66/100

Alinwell advertises GLP-1 care from $149 a month, but that is a first-month rate: compounded semaglutide settles at $249 and tirzepatide at $299, charged every 30 days.

Sema
From $249/mo (compounded)
Coverage
All 50 states claimed, no list published
new to the tracker, no prior reading
No. 78 · Grade C

Goldspan Health

76/100

Goldspan Health charges $229 for compounded semaglutide and $299 for tirzepatide, billed every 28 days rather than monthly, which comes to 13 charges a year instead of 12.

Sema
From $229/mo (28-day cycle, compounded)
Coverage
All 50 states claimed, no list published
new to the tracker, no prior reading
No. 90 · Grade C

Fitish

75/100

Fitish offers compounded semaglutide ($219/28 days) and compounded tirzepatide ($339/28 days) including consultation and shipping.

Sema
From $219/mo (compounded)
Coverage
All 50 states
new to the tracker, no prior reading

FDA warning letter, June 2026 — issued to FITISH. See the FDA's warning letter database.

On the record

The FDA issued a warning letter to directmeds.com, Inc. dba DirectMeds in September 2025. Direct Meds keeps its place here and its link is unchanged — but you should know the letter exists before you start care. Read it in the FDA's warning letter database.

Rankings reflect the Dose Brief Score — our editorial judgment per the methodology. Pricing and coverage reflect public disclosures at last review and change often — confirm on each provider's site. Not medical advice; see our disclosure.