Value Score93/100Best Value
CoreAge Rx
#1 · Grade A+ · Best Value
Est. first month
$99/mo
No teaser step-up. The honest lowest price: both molecules at one flat, all-in monthly rate that never steps up after month one.
Cheaper & better value
Alternatives to LeanDose
LeanDose scores a 71 on our Value Score. These are the top-ranked GLP-1 deals we'd point you to instead — every one scored on the same six factors, with the teaser-rate traps flagged so you pay the honest lower price.
Save ~89%
Value Score84/100Good Value
Gimme Care
#34 · Grade B+ · Good Value
Est. first month
$160/mo month-to-month ($130/mo on a 3-month plan)
Pricing to watch. One of the few programs that shows you the billing cycle beside the price instead of behind it - though the numbers it leads with, $130 and $163, are the three-month rates rather than what a monthly patient pays.
Value Score86/100Great Deal
Ondra Health
#17 · Grade A- · Great Deal
Est. first month
$149/mo
Pricing to watch. Semaglutide at $149 a month with no membership fee and one price at every dose, as long as you read past the $96 on the front page - that number is a year paid up front.
Value Score84/100Good Value
MyFastRx
#29 · Grade B+ · Good Value
Est. first month
$169/mo
No teaser step-up. MyFastRx is a cash-pay compounded-GLP-1 platform built around fast approval and discounted multi-month bundles.
Value Score82/100Good Value
Nalena
#42 · Grade B+ · Good Value
Est. first month
From $149/mo (starting dose, compounded)
Pricing to watch. Nalena is a women-focused, GLP-1-only telehealth platform offering compounded semaglutide and tirzepatide with medication included — no separate membership or visit fees.
Value Score84/100Good Value
Big Easy Weight Loss
#25 · Grade B+ · Good Value
Est. first month
$145/mo equivalent on a $399 12-week new-patient starter ($179/mo after)
Pricing to watch. Big Easy Weight Loss is a New Orleans doctor-run telehealth service selling compounded GLP-1s in 12-week blocks - $399 for semaglutide and $499 for tirzepatide as a new-patient starter, $495 and $599 after.
Value Score73/100Watch List
Livv
#172 · Grade C+ · Watch List
Est. first month
$159/mo month-to-month ($135/mo on a 6-month plan)
No teaser step-up. Livv is a subscription telehealth service selling compounded semaglutide from $135 to $159 a month depending on plan length, alongside a longevity line of rapamycin, NAD+ and metformin.
Value Score83/100Good Value
Cora Health
#37 · Grade B+ · Good Value
Est. first month
$175/mo
No teaser step-up. Cora Health is a direct-to-consumer telehealth platform offering compounded semaglutide ($99–$175/mo) and tirzepatide ($135–$225/mo) with flat per-tier pricing — no surcharge as your dose escalates.
Value Score79/100Fair Price
Harper Meds
#72 · Grade B · Fair Price
Est. first month
$149 per 4-week fill (13 fills a year, about $161/mo)
Pricing to watch. Harper Meds (Nexus Health Solutions LLC) sells compounded semaglutide at $149 and tirzepatide at $196 per four-week fill, bundling the consultation, prescription, medication and shipping into one price that does not change with dose.
FDA warning letter. The FDA issued Nexus Health Solutions LLC dba Harper Meds a warning letter in June 2026. Check it on the FDA database.
Ranked by our Value Score — our editorial judgment per the methodology. “Save” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Assume any provider we list may compensate us — it never changes a Value Score. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.