Head-to-head comparison
Aspen vs iThriveMD
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Aspen (Aspen Health Systems LLC) is a LegitScript-certified telehealth clinic offering compounded semaglutide and tirzepatide as physician-chosen weekly injections, with flat pricing at every dose.
$279/mo (3-month prepay) sema · $399/mo tirz · Verified July 2026
Marked down on: Compounded semaglutide and tirzepatide only — no brand-name Wegovy, Zepbound or Ozempic — and compounded GLP-1s aren't FDA-reviewed or approved
Desk Score
iThriveMD is a longevity and metabolic-health clinic (physical locations plus telehealth) offering compounded GLP-1 weight loss — semaglutide (from $299/mo) and tirzepatide (from $399/mo).
From $299/mo (lowest dose rung) sema · From $399/mo (lowest dose rung) tirz · Verified August 2026
Marked down on: Every figure is marked "/mo" but memberships are charged every 28 days — 13 charges a year, so an advertised $399/month is about $433 a calendar month
Aspen takes this head-to-head with the higher Desk Score, 78/100 (C+) against 64/100 (C) for iThriveMD. iThriveMD still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Aspen
78/100
C+
iThriveMD
64/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Aspen | iThriveMD |
|---|---|---|
| Semaglutide | $279/mo3-month prepay$279/mo (3-month plan, compounded) | From $299/molowest dose rung$299/mo (starting price, compounded injections — billed every 28 days, so 13 charges a year) |
| Tirzepatide | $399/mo$399/mo (compounded) | From $399/molowest dose rung$399/mo (starting price, compounded injections — billed every 28 days, so 13 charges a year); paid-in-full packages run $299.25/mo for 12 weeks, $259.35/mo for 24 weeks and $199.50/mo for 48 weeks, each auto-renewing at the same interval |
| Coverage | All 50 states | Not listed on iThriveMD's site (checked August 2026) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | LegitScript-certified compounded semaglutide/tirzepatide with a named accredited pharmacy and flat dosing. | Patients in Southern or Northern California who want lab-driven, in-person metabolic care and will pay a premium for it — after doing the arithmetic on a 28-day billing cycle. |
| Desk Score | 78/100C+ | 64/100C |
The verdict
Desk pick — AspenAspen takes this head-to-head with the higher Desk Score, 78/100 (C+) against 64/100 (C) for iThriveMD. iThriveMD still holds its ground where its strengths line up with yours.
Choose Aspen if…
LegitScript-certified compounded semaglutide/tirzepatide with a named accredited pharmacy and flat dosing.
$279/mo (3-month prepay) sema · $399/mo tirz · All 50 states
Choose iThriveMD if…
Patients in Southern or Northern California who want lab-driven, in-person metabolic care and will pay a premium for it — after doing the arithmetic on a 28-day billing cycle.
From $299/mo (lowest dose rung) sema · From $399/mo (lowest dose rung) tirz
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. Read full breakdowns: Aspen · iThriveMD.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. 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.
More head-to-heads
- Aspen vs CoreAge Rx
- CoreAge Rx vs iThriveMD
- Aspen vs Peak Wellness
- iThriveMD vs Tryozi
- Aspen vs Tryozi
- Care Clinics vs iThriveMD
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.