Brief Score
82/100
Updated July 2026
No. 27 on the board · Grade B−
Direct Meds review
A newer (2024) compounding desk whose real hook is form: it runs an oral/sublingual line alongside the usual injections, on both molecules, with no membership tacked on.
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- Semaglutide
- $179/mo
- Tirzepatide
- $224/mo
- Coverage
- Not publicly listed
- Brand-name
- Compounded only
On the trackerStableprice stable— Company-stated rates unchanged this cycle — but we price these off the desk's own listings, not a live-verified checkout, so treat them as indicative.
The scorecard
Direct Meds scored on our six Brief Score factors. See the methodology.
Price Stability80/100
Supply Reliability80/100
Transparency78/100
Access Breadth84/100
Clinical Oversight83/100
Track Record78/100
What we like
- Rare oral/sublingual option in addition to injectable — sema from ~$179 sublingual/$297 injectable
- Both molecules covered — tirzepatide from ~$224 sublingual/$399 injectable, with a promo line near $147
- All-inclusive pricing with no separate membership fee
The caveats
- Compounded only — not FDA-approved
- Prices are company-stated, not live-verified at checkout, and the desk runs multiple domains
- Newer operator with an ambiguous public footprint
- Does not disclose which states it serves
The brief
Best for: Readers who want a needle-free oral or sublingual route on either molecule and an all-inclusive price with no separate membership — and who are comfortable that the figures are company-stated rather than checkout-verified. A newer (2024) compounding desk whose real hook is form: it runs an oral/sublingual line alongside the usual injections, on both molecules, with no membership tacked on.
Ranked #27 of 29 providers we reviewed — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 28 other providers we've reviewed, in our overall ranking order.
- #1CoreAge Rx— The steadiest desk on the board: one flat, no-step-up price on both molecules, nationwide, and it hasn't moved.94/100
- #2Eden— A polished, high-disclosure program with strong nationwide coverage — you pay more, but you know exactly what you're paying for.91/100
- #3Trimi— A clean, all-in membership desk that publishes one price on both molecules nationwide and hasn't played the teaser-rate game.89/100
- #4Invigor Medical— An established telehealth pharmacy with a broad metabolic and hormone catalog and a steady price line.88/100
- #5Found— A coaching-first program with the lowest identical price on both molecules — if you want the coaching lock-in that comes with it.88/100
- #6Ro— A heavyweight platform with brand-name access and a polished experience — but it keeps compounded pricing off the record.87/100
- #7ShedRx— A weight-focused program with a low tracked tirzepatide rate and an oral/sublingual route for the needle-averse.87/100
- #8Ondra Health— A rare combination of a rock-bottom $93 semaglutide, brand-name access, LegitScript certification and all-50-state reach.87/100
- #9Vaylen— A full-service, LegitScript-certified desk pairing brand access and an oral route with nationwide reach at a fair mid price.87/100
- #10RxSpan MD— A full-service, LegitScript-certified desk with brand access, an oral route and all-50-state reach — at a premium.87/100
- #11Vytora Health— A rare accredited desk that pairs brand-name access with fair mid-market compounded pricing across all 50 states.87/100
- #12Gala Health— A nationwide desk (Gala GLP-1, from AI Coaching Inc) that opens the door cheap on compounded tirzepatide and — unusually — keeps a brand-name path on the shelf for readers who want it.86/100
- #13Effecty— One of the few accredited desks pairing compounded pricing with brand-name access, nationwide.86/100
- #14NiceRx— An established medication-access brand, now LegitScript-certified and nationwide on both molecules.86/100
- #15Curex— Identical $199 pricing on both molecules, an oral route, LegitScript-certified and nationwide.86/100
- #16Amazon One Medical— The most recognizable name on the board — Amazon's One Medical routes brand-name GLP-1 care through real primary-care clinicians, but keeps pricing off the record.86/100
- #17Enhance MD— A transparent, tiered compounding desk that lays out every price on the ladder up front — semaglutide, tirzepatide, microdose, and a combo line — with NAD+ care sitting alongside.85/100
- #18AgelessRx— A longevity-leaning brand with one of the lowest tracked semaglutide stickers — but a thin disclosure on the rest.85/100
- #19Precision Telemed— A LegitScript-certified, nationwide desk with clean mid-low pricing on both molecules.85/100
- #20BetterMe Rx— A LegitScript-certified, app-adjacent program with an oral option and mid-market pricing nationwide.85/100
- #21Hims & Hers— Mass-market, app-first weight program with nationwide reach — watch the compounded-supply headlines.85/100
- #22TeleCareSpot— A LegitScript-certified, nationwide desk with an oral option — accredited and full-formulary, but priced at the premium end.85/100
- #23RestorLife Med— A LegitScript-certified, nationwide desk that trades a premium sticker for accreditation and clean disclosure.85/100
- #24Henry Meds— A flat-fee compounded pioneer — simple model, but its price has drifted to the higher end of our board.84/100
- #25Peak Wellness— A polished, nationwide wellness brand at a premium price — but without a LegitScript badge to back the sticker.83/100
- #26Red Mountain Weight Loss— A long-established, LegitScript-certified weight-loss clinic with a competitive semaglutide line — but a steep $599 tirzepatide and a four-state footprint.83/100
- #28Mochi Health— A recognizable coaching-forward brand, but availability is capped at roughly 15 states.81/100
- #29Fella Health— A men's-health-focused program with an honest published state list — but a steep $399 tirzepatide line and no accreditation badge.81/100
Pricing, states and verification reflect Direct Meds's public disclosures at last review; the Brief Score is our editorial judgment per the methodology. Prices change — confirm on Direct Meds's site. Not medical advice; see our disclosure.