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The alternatives

The best alternatives to Ro

Ro scores 87/100 (grade B+, ranked #16) on The Verdict Score. Here are the top-rated GLP-1 providers we'd weigh against it — same six-factor rubric, and no score is adjusted for payment.

Read our full Ro review →

Our #1 overall
Grade A

CoreAge Rx

The most honest middle of the market: nationwide access, both molecules at one flat, no-surprise price.

CoreAge Rx scores 94/100 to Ro's 87, and our Ro vs CoreAge Rx ruling sets the two out factor by factor.

Sema
$99/mo
Tirz
$149/mo
Coverage
All 50 states
Grade B+

Curex

One flat price for either molecule, an oral route for the needle-averse, and a LegitScript-verified nationwide footprint.

Curex matches Ro at 87/100; the full Curex review has the pricing conditions and the caveats in detail.

Sema
$199/mo
Tirz
$199/mo
Coverage
All 50 states
Grade B

yourEra

One of the rare compounded programs that puts its price on the page — $199 semaglutide and $299 tirzepatide, both molecules, nationwide — wrapped in a broader longevity menu, but the verdict holds it at mid-pack because everything is compounded, injectable-only, and the 50-state and results claims are self-reported with a thin independent track record.

yourEra scores 84/100 to Ro's 87; our full write-up on yourEra has the pricing conditions and the caveats in detail.

Sema
$199/mo
Tirz
$299/mo
Coverage
All 50 states
Grade B+

Effecty

A LegitScript-verified nationwide operator that pairs fair compounded pricing with real brand-name access.

Effecty matches Ro at 87/100; our full write-up on Effecty has the pricing conditions and the caveats in detail.

Sema
$195/mo
Tirz
$275/mo
Coverage
All 50 states
Grade B

Strut Health

The only program here selling the same molecule as a lozenge or an injection at the same price — the needle is genuinely optional, though the company carries an FDA warning letter from February 2026.

Strut Health scores 84/100 to Ro's 87; the full Strut Health review has the pricing conditions and the caveats in detail.

Sema
From $99/mo sublingual, $149/mo injectable
Tirz
From $199/mo either route
Coverage
49 states (not Arkansas)
Grade B

Telos Rx

Carries one of the deepest published catalogs in the ranking — compounded semaglutide and tirzepatide plus needle-free oral and microdosed routes, PT-141, intranasal NAD+ and a wall of recovery peptides — and backs it with a checkable LegitScript certification and HIPAA compliance, but the verdict docks it hard because every line is compounded, not FDA-approved, and the pricing turns opaque the moment you look past the headline GLP-1 tiers.

Telos Rx scores 85/100 to Ro's 87; the full Telos Rx review has the pricing conditions and the caveats in detail.

Sema
$49/mo (microdosed, annual)
Tirz
$99/mo (annual)
Coverage
Not publicly listed
Grade B

MadeMed

Publishes its price at every single dose, so the cost of the dose you titrate to is knowable on day one rather than a surprise at month four.

MadeMed scores 84/100 to Ro's 87; the full MadeMed review has the pricing conditions and the caveats in detail.

Sema
$239/mo quarterly (from $199/mo on 6 months)
Tirz
$399/mo quarterly (from $369/mo on 6 months)
Coverage
40 states

See the complete rankings or head to the comparison hub.

Pricing, states and verification reflect each provider's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Not medical advice; see our disclosure.