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Alternatives to MadeMed

MadeMed scores 82/100 (B−) on the Desk Score. If it isn't the right fit, here are the providers we rate most highly on the same six dimensions, led by our #1-rated provider. Compare any two head-to-head.

Top alternative

One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

Marked down on: The advertised $99/$149 per month is a 12-month plan paid in full ($1,188 / $1,788 up front); no month-to-month price is published

$99/mo (12-month prepay) sema · $149/mo (12-month prepay) tirz · All 50 states · Verified August 2026

More alternatives, ranked

  • 86/100
    B

    Oral-capable, LegitScript-verified, and nationwide — trust signals are strong, but pricing sits mid-to-high.

    Marked down on: Higher pricing than the value leaders

    $219/mo sema · $339/mo tirz

    FDAWarning letter issued to FITISH in June 2026. See the FDA warning-letter database.

  • 86/100
    B

    A flat $219 a month for semaglutide and $319 for tirzepatide at every dose, lower on 12- and 24-week plans, with four named pharmacies and the whole program in English or Spanish.

    Marked down on: The flat rate is a higher entry price than teaser-led competitors

    $219/mo sema · $319/mo tirz

  • #84
    Nolu
    78/100
    C+

    An all-in, LegitScript-verified GLP-1 line billed every 4 weeks rather than by the calendar month, with no named prescriber or pharmacy behind the price.

    Marked down on: Billed "per 4 weeks," not per calendar month — the real annualized cost runs roughly 8% above the $249/$339 headline

    $249/mo (billed every 4 weeks) sema · $339/mo (billed every 4 weeks) tirz

  • 77/100
    C+

    Goldspan Health prices its whole catalog before intake — injectable, sublingual and microdose for both molecules — and bills every 28 days while calling it a month.

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

    From $229/mo sema · From $299/mo tirz

  • 74/100
    C

    A rare compounded desk offering both sublingual drops and injectable on either molecule, at all-inclusive no-membership pricing.

    Marked down on: FDA issued directmeds.com, Inc. dba DirectMeds a warning letter in September 2025; the letter is public in FDA's warning-letter database

    $249/mo sema · $299/mo tirz

    FDAWarning letter issued to directmeds.com, Inc. dba DirectMeds in September 2025. See the FDA warning-letter database.

See the full comparison hub or the complete ranking of 533 providers.

Pricing and verification reflect public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Not medical advice; see our disclosure.