If your doctor mentioned Ozempic for weight loss, what they really mean is semaglutide — the active compound that suppresses appetite by mimicking GLP-1 hormones. The good news: you don't need the Ozempic brand specifically. Multiple telehealth platforms now offer compounded semaglutide at doses optimized for weight loss, with proper medical oversight, at a fraction of Ozempic's retail price.
We evaluated 15 alternatives across pricing, clinical quality, shipping speed, and transparency. Here are the five worth considering.
The 5 Best Ozempic Alternatives, Ranked
The most transparent pricing model we've encountered. $146/month covers the physician consultation, semaglutide prescription, compounded medication, and cold-chain shipping. No membership tiers, no upfront fees, no contracts. In our test, physician review happened same-day and medication arrived in four business days. They also offer tirzepatide for patients who respond better to dual-agonist therapy.
Visit Telehealth FX →Mochi has gained traction on social media for its clean branding and straightforward semaglutide program. Pricing starts at $175/month, which is competitive, though they require a $50 initial evaluation fee. Their clinical team was responsive in our test, but shipping averaged 6 days — slightly slower than our top pick.
Learn More →Push Health operates as a telehealth marketplace where you can connect with independent physicians who prescribe semaglutide. Pricing varies by provider but averages $189/month. The upside: more physician choice. The downside: less consistency — quality depends on which provider you're matched with, and there's no integrated pharmacy.
Learn More →PlushCare is an established telehealth platform that added GLP-1 prescriptions to its services. Their physicians are board-certified and consultations are thorough. However, the $219/month medication cost comes on top of a $15/month membership, and availability varies by state. Best for patients who want a full primary-care relationship alongside their weight loss treatment.
Learn More →FORM takes the most clinical approach on this list — pairing GLP-1 prescriptions with a dedicated care team including a doctor, dietitian, and behavioral health specialist. It's the premium option and priced accordingly. At $349/month with a 6-month commitment, it's best for patients who want intensive support beyond just the medication.
Learn More →Frequently Asked Questions
Is compounded semaglutide the same as Ozempic?
Compounded semaglutide contains the same active ingredient as Ozempic. The difference is that it's prepared by FDA-regulated compounding pharmacies rather than manufactured by Novo Nordisk. It's legally available when brand-name versions face shortages.
Why is Ozempic so expensive without insurance?
Novo Nordisk sets the list price at $935/month. Without insurance, there's no negotiated discount. Most patients without coverage find compounded semaglutide through telehealth platforms to be 80–85% cheaper.
Which alternative ships fastest?
In our testing, Telehealth FX consistently delivered in 4 business days — the fastest of any provider we evaluated. Most others averaged 5–7 days, with Push Health taking up to 10 days due to its decentralized pharmacy model.