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The alternatives

The best alternatives to VivioMD

VivioMD scores 57/100 (grade C, ranked #406) 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.

VivioMD — FDA warning letter, June 2026. Addressed to VivioMD Group LLC dba VivioMD, and public in FDA’s warning-letter database.

Read our full VivioMD review →

Grade C

Rixa Health

Rixa Health is a direct-to-consumer functional-medicine telehealth practice prescribing compounded and oral semaglutide and tirzepatide (plus other peptides) for weight loss via partner US pharmacies.

Rixa Health matches VivioMD at 57/100; the full Rixa Health review has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
All 50 states
Grade C

WeightWatchers Clinic

Legacy weight loss brand offering GLP-1 medications through its WeightWatchers Clinic service.

WeightWatchers Clinic matches VivioMD at 57/100; our WeightWatchers Clinic ruling in full has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
All 50 states
Grade C

Metabolyz

Metabolyz is a nationwide GLP-1 telehealth platform offering three compounded programs — standard semaglutide, dual-agonist tirzepatide, and a microdose protocol for patients near goal weight or intolerant…

Metabolyz matches VivioMD at 57/100; the full Metabolyz review has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
All 50 states
Grade C

KERNX Health

Washington DC telehealth platform with month-to-month compounded GLP-1 plans, undermined by a pricing page that contradicts itself on whether consultations cost extra.

KERNX Health scores 56/100 to VivioMD's 57; the full KERNX Health review has the pricing conditions and the caveats in detail.

Sema
$249/mo standard
Tirz
$299/mo standard
Coverage
Multi-state
Grade C

LifespanningRx

LifespanningRx is a clinician-guided longevity and peptide telehealth brand whose Weight Loss Program prescribes compounded GLP-1 (semaglutide/tirzepatide) injectables alongside peptide and healthy-aging…

LifespanningRx matches VivioMD at 57/100; our full write-up on LifespanningRx has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
All 50 states
Grade C

1st Optimal

1st Optimal is a Michigan-based telehealth and functional-medicine platform offering GLP-1 weight loss medications, including semaglutide and tirzepatide, as once-weekly injections or daily oral tablets.

1st Optimal scores 56/100 to VivioMD's 57; our 1st Optimal ruling in full has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
Not disclosed

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.