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Head-to-head comparison

Peak Wellness vs SexyMD

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.

Ranked #42Desk pick
Peak Wellness

All-inclusive injectable plans in every state at $249/mo for semaglutide and $349/mo for tirzepatide, flat at every dose — from a seller that names four compounding pharmacies and its provider group.

$249/mo sema · $349/mo tirz · Verified August 2026

Marked down on: The banner and the FAQ both advertise "just $179", which is a first month — the standing rate is $249/mo, and $70/mo more on either molecule from month two

vs
Ranked #135
SexyMD

SexyMD publishes every plan length before intake and names the professional entities behind its prescriptions, but the $199 in each headline is a 48-week commitment rate.

From $269/mo sema · From $369/mo tirz · Verified September 2026

Marked down on: Every headline quotes $199 and $299, which are the 48-week rates, not the four-week ones.

Peak Wellness takes this head-to-head with the higher Desk Score, 81/100 (B−) against 74/100 (C) for SexyMD. SexyMD 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.

Peak Wellness

81/100

B−

Overall

SexyMD

74/100

C

Price transparency

74
78

State access

96
78

Molecule range

80
66

Onboarding speed

80
75

Support responsiveness

80
69

Licensing & trust

74
75

The spec sheet

FieldPeak WellnessSexyMD
Semaglutide$249/mo$249/mo month-to-month ($179 first month); $199/mo on the 3-month plan, $165/mo on the 6-month planFrom $269/moFrom $269/mo (28-day cycle, compounded)
Tirzepatide$349/mo$349/mo month-to-month ($279 first month); $279/mo on the 3-month plan ($837 up front), $232/mo on the 6-month plan ($1,397 up front)From $369/moFrom $369/mo (28-day cycle, compounded)
CoverageAll 50 states47 states (not Arkansas, Mississippi or New Jersey)
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forPatients who want an all-inclusive injection plan available in every state and care who compounds the vial, and who will budget the standing rate rather than the advertised first month.Anyone who will check the plan length behind a headline before comparing it with anything else.
Desk Score81/100B−74/100C

The verdict

Desk pick — Peak Wellness

Peak Wellness takes this head-to-head with the higher Desk Score, 81/100 (B−) against 74/100 (C) for SexyMD. SexyMD still holds its ground where its strengths line up with yours.

Choose Peak Wellness if…

Patients who want an all-inclusive injection plan available in every state and care who compounds the vial, and who will budget the standing rate rather than the advertised first month.

$249/mo sema · $349/mo tirz · All 50 states

Choose SexyMD if…

Anyone who will check the plan length behind a headline before comparing it with anything else.

From $269/mo sema · From $369/mo tirz · 47 states (not Arkansas, Mississippi or New Jersey)

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: Peak Wellness · SexyMD.

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

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.