Alternatives to Vaylen

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

Marked down on: No named compounding pharmacy partner

$179/mo sema · $249/mo (starting dose, compounded) tirz

A LegitScript-certified telehealth desk with a rare oral GLP tablet route alongside injectables and physician-reviewed intake.

Marked down on: Compounded medications are not FDA-approved

$190/mo month-to-month ($99 first month, renews at $165) · $99/mo on a 12-month prepay ($1,188) sema · $239/mo month-to-month ($149 first month, renews at $214) · $179/mo on a 12-month prepay ($2,148) tirz

A physician-founded desk with one of the widest menus in the ranking — compounded and brand-name GLP-1 across injectable and oral routes, microdosing, plus longevity, hair, and sexual-health lines — with transparent, all-inclusive pricing across all 50 states.

Marked down on: Compounded semaglutide and tirzepatide are not FDA-approved — not the same as Wegovy/Ozempic or Zepbound

From $194/mo sema · $329/mo tirz

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

Marked down on: No labs or clinical monitoring disclosed — blood work requirements not mentioned anywhere on site

$199/mo (all doses, compounded) sema · $299/mo (all doses, compounded) tirz

Widest formulation spread in the ranking — injection, liquid drops, lozenges and a daily oral pill, plus a real brand Zepbound lane.

Marked down on: The advertised "as low as $239" tirzepatide rate needs a twelve-month commitment — month-to-month is $299

$199/mo sema · $299/mo tirz