Alternatives to Lean Meds

A compounded desk that advertises low floors — semaglutide from $79/mo, tirzepatide from $159/mo — with the plan price behind its intake, plus a NAD+ and microdosing menu, across all 50 states.

Marked down on: Compounded only — not FDA-approved and not equivalent to brand Wegovy/Ozempic or Zepbound; availability can tighten as brand shortages resolve

From $79/mo sema · From $159/mo tirz

The lowest published entry prices here — semaglutide from $88/mo, tirzepatide from $157/mo, flat monthly with no membership and no prepay — from a LegitScript-certified desk that names two NPI-verified physicians and six dispensing pharmacies.

Marked down on: Injectable only for GLP-1 — no oral tablet route on semaglutide or tirzepatide, despite a generic "Injections and oral options available" line in one landing page's hero that matches nothing else on the site

From $88/mo sema · From $157/mo tirz

A Direct Primary Care membership rather than a GLP-1 storefront: the dose-band prices sit on top of an $89/mo membership the FAQ says does not include the drug.

Marked down on: The medication price is on top of an $89/mo membership the FAQ says excludes the drug — all-in is about $174 and $222

From $85/mo (lowest dose rung) sema · From $133/mo (lowest dose rung) tirz

Mondae puts $87 and $126 in front of the intake, and bills them every 28 days rather than every month.

Marked down on: Billing runs every 28 days while the site says per month, so a year costs 13 charges rather than 12.

From $87/mo sema · From $126/mo tirz

NextMeds is a cash-pay telehealth membership that now publishes a full four-term ladder for both molecules, bundling the medication, telehealth visits, a 1:1 care coach and a registered nutritionist into one flat monthly price.

Marked down on: The page title, the banner and the closing panel all shout $49/mo and $95/mo — both are the 12-month rungs, and the month-to-month rates ($79 and $109) appear only on the card

$79/mo sema · $109/mo tirz