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The shortlist

Alternatives to Goldspan Health

Goldspan Health sits at No. 78 in our ranking with a Brief Score of 76. 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 Goldspan Health.

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. 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. 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. 30 · Grade B−

Direct Meds

82/100

A newer (2024) compounding provider whose real hook is form: it runs an oral/sublingual line alongside the usual injections, on both molecules, with no membership tacked on.

Sema
$249/mo sublingual · $297/mo injectable — both billed monthly on a 3-month minimum commitment
Coverage
Not publicly listed
price stable

FDA warning letter, September 2025 — issued to directmeds.com, Inc. dba DirectMeds. See the FDA's warning letter database.

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.

No. 5 · Grade B+

ShedRx

87/100

A weight-focused program with a low tracked tirzepatide rate and an oral/sublingual route for the needle-averse.

Sema
$199/mo on the 1-month plan · $179/mo on 6 months · $159/mo only on a 12-month commitment (all plans carry a 2-month minimum)
Coverage
Not disclosed
price falling
No. 21 · Grade B

Curex

86/100

Identical $199 pricing on both molecules, an oral route, LegitScript-certified and nationwide.

Sema
$199/mo
Coverage
All 50 states
price stable

FDA warning letter, September 2025 — issued to Curex. See the FDA's warning letter database.

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. 196 · Grade C

Tru2u

68/100

Tru2u is a US direct-to-consumer telehealth and wellness store offering provider-guided compounded GLP-1 weight-loss therapy alongside hair, skincare, and supplement lines.

Sema
$225/mo
Coverage
Coverage not published
new to the tracker, no prior reading

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.