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The shortlist

Alternatives to Pepti

Pepti sits at No. 73 in our ranking with a Brief Score of 77. 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 Pepti.

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. 47 · Grade B−

EverSlim

80/100

EverSlim is a US telehealth program offering doctor-prescribed, compounded GLP-1 weight-loss medication delivered to your door.

Sema
From $117/mo (compounded)
Coverage
All 50 states
new to the tracker, no prior reading
No. 53 · Grade C

Belle Health

79/100

Belle Health is a national DTC telehealth platform offering compounded semaglutide and tirzepatide with flat-rate pricing — the same monthly cost at every dose, with no escalation surcharge as you titrate up.

Sema
$119/mo
Coverage
All 50 states
new to the tracker, no prior reading

FDA warning letter, February 2026 — issued to Belle Health LLC dba Belle. See the FDA's warning letter database.

No. 64 · Grade C

NewSelf

78/100

NewSelf offers compounded semaglutide+ (with B12/Glycine, from $99.97/mo) and compounded tirzepatide+ (with B6/Glycine, from $144.49/mo).

Sema
From $100/mo (compounded)
Coverage
49 states
new to the tracker, no prior reading

FDA warning letter, February 2026 — issued to NewSelf Limited dba NewSelf. See the FDA's warning letter database.

No. 76 · Grade C

Vitara RX

77/100

VitaraRx is a direct-to-consumer telehealth marketplace offering compounded semaglutide and tirzepatide at flat per-drug pricing across all doses — no membership or hidden fees.

Sema
$99/mo
Coverage
49 states
new to the tracker, no prior reading
No. 98 · Grade C

AmberHealth

74/100

Direct-to-consumer telehealth provider offering some of the lowest compounded GLP-1 pricing on the market.

Sema
From $100/mo (starting dose, compounded)
Coverage
All 50 states
new to the tracker, no prior reading
No. 35 · Grade B

Big Easy Weight Loss

83/100

Big Easy Weight Loss (joinbigeasy.com) is a New Orleans MD-run telehealth that ships compounded GLP-1 medication nationwide.

Sema
From $133/mo (all doses, compounded)
Coverage
All 50 states
new to the tracker, no prior reading
No. 128 · Grade C

Trillium Meds

72/100

Trillium Meds is a small, owner-operated telehealth platform based in Portland, OR that connects patients with independent licensed providers.

Sema
From $119/mo (3-month plan, compounded)
Coverage
All 50 states
new to the tracker, no prior reading
No. 135 · Grade C

CoraDoc

71/100

CoraDoc is a nationwide (all 50 states) doctor-prescribed GLP-1 weight-loss telehealth service offering compounded semaglutide (from $99/mo) and tirzepatide (from $165/mo) as flat, no-subscription programs.

Sema
From $99/mo (all doses, compounded)
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.