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The shortlist

Alternatives to Vaylen

Vaylen sits at No. 15 in our ranking with a Brief Score of 87. Here are the GLP-1 desks we'd weigh against it — ranked on the same six-factor Brief Score, top down.

Prefer a straight head-to-head? CoreAge Rx vs Vaylen.

Our top alternative

No. 1 here

CoreAge Rx

The steadiest desk in the ranking: one flat, no-step-up price on both molecules, nationwide, and it hasn't moved.

Sema
$99/mo
Tirz
$149/mo
Coverage
All 50 states

More desks worth weighing

No. 107 · Grade C

GOAL.MD

72/100

GOAL.MD is a St. Louis-based telehealth platform offering compounded semaglutide alongside brand-name bridges to Ozempic, Wegovy, and Zepbound. Its standout is a manual-renewal model — no auto-billing

Sema
$179/mo
Coverage
All 50 states
new to the tracker, no prior reading
No. 122 · Grade C

eMI Aesthetics

71/100

eMI Aesthetics is a US direct-to-consumer telehealth brand offering doctor-guided GLP-1 weight loss programs to eligible patients in all 50 states.

Sema
From $179/mo (all doses, compounded)
Coverage
All 50 states
new to the tracker, no prior reading
No. 35 · Grade B

Semaglutide Online

83/100

Semaglutide Online is a LegitScript-certified telehealth platform prescribing compounded and brand-name GLP-1/GIP medications nationwide (excluding Alabama).

Sema
From $199/mo (all doses, compounded)
Coverage
All 50 states
new to the tracker, no prior reading
No. 145 · Grade C

AlyveRx

69/100

AlyveRx (Alyve, Inc.) is a US online telehealth platform connecting patients with licensed providers for GLP-1 weight loss care, no insurance required, with free discreet delivery.

Sema
From $183/mo (all doses, compounded)
Coverage
Coverage not published
new to the tracker, no prior reading
No. 123 · Grade C

FormidableMD

71/100

FormidableMD is a physician-led, cash-pay telehealth practice based in Florida offering GLP-1 weight-loss treatment — semaglutide and tirzepatide in both FDA-approved and compounded forms, plus oral options…

Sema
From $169/mo (1 mg dose, compounded)
Coverage
1 states
new to the tracker, no prior reading
No. 49 · Grade C

He & She MD

77/100

He & She MD is a nationwide telehealth weight-loss clinic offering doctor-prescribed GLP-1 medications: compounded semaglutide and tirzepatide (injectable or oral), with brand-name…

Sema
From $199/mo (month to month, compounded; every lower rate is a prepaid term)
Coverage
All states except Louisiana (GLP-1)
new to the tracker, no prior reading
No. 72 · Grade C

Rebody Health

76/100

Rebody Health (rebodyhealth.com), operated by Compound Technologies Inc., is a transparent-pricing GLP-1 and wellness telehealth service that publishes prices up front.

Sema
From $200/mo (starting dose, compounded)
Coverage
47 states
new to the tracker, no prior reading
No. 293 · Grade C

OnlyRx

62/100

OnlyRx is a cash-pay GLP-1 telehealth platform offering compounded semaglutide and tirzepatide in both injection and oral disintegrating tablet (ODT) forms — an uncommon needle-free option.

Sema
From $179/mo (starting dose, promotional rate, 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.