Short answerThe closest alternatives to Wegovy are compounded semaglutide plans with the same active ingredient, starting at $49/month (welludr), $69 (embody) and $89 (altRx) through licensed online providers, compared with $1,150+ for the brand without insurance.Prices checked on each provider’s website on October 16, 2026.
Why look for an alternative to Wegovy?
Price is the main reason. Wegovy is the FDA-approved semaglutide for weight loss, but at $1,300-$1,400/month retail many patients cannot afford it.
Insurance coverage varies, and supply shortages have been a recurring problem. Several alternatives offer the same active ingredient, or stronger results, for much less.
Recommended GLP-1 providers
Three telehealth providers our editors recommend, shown with the same cards as our full ranking.
Our Most Popular
1
Exceptional
9.8out of 10
Semaglutide from $69/mo, delivered in 1-2 days
Refund if not approvedFree expedited shipping
Treatments offered
Compounded semaglutide injection (GLP-1) · Compounded tirzepatide injection (GLP-1 + GIP) · Online doctor review and prescription · Dose changes through the patient portal
Starting price
$79$69/month
*Compounded medications are not FDA-approved.
- Semaglutide $69/mo; tirzepatide $119/mo
- 5-minute questionnaire; doctor review usually within 24 hours
- Free 1-2 day shipping: cold-packed, tracked and insured
- No insurance, no clinic visits, cancel anytime
Pricing starts at
from $69/month
embody prescribes compounded semaglutide at $69/mo and tirzepatide at $119/mo online, ships in 1-2 days, and requires no insurance. Trustpilot: 3.8 from 9,604 reviews.
Read full embody review2
Exceptional
9.7out of 10
Low-cost GLP-1 care: semaglutide from $89/mo
Clear, flat pricingNo insurance needed
Treatments offered
Compounded semaglutide injection (GLP-1) · Compounded tirzepatide injection (GLP-1 + GIP) · Brand-name Ozempic, Zepbound and Wegovy · Once-weekly injection schedule
Starting price
$199$89/month
*Compounded medications are not FDA-approved.
- Semaglutide from $89/mo; tirzepatide from $149/mo
- Brand-name Ozempic, Zepbound and Wegovy available
- Reviewed by a physician, PA or nurse practitioner
- Free shipping, arriving in about 5-7 days
Pricing starts at
from $89/month
altRx sells compounded semaglutide from $89/month and tirzepatide from $149/month at a flat price per dose, plus brand-name Ozempic, Zepbound and Wegovy. Self-pay, no insurance needed.
Read full altRx review3
Excellent
9.1out of 10
Custom-dosed GLP-1 plans with ongoing provider check-ins
HIPAA compliantMade in the USA
Treatments offered
Compounded semaglutide injection (GLP-1) · Compounded tirzepatide injection (GLP-1 + GIP) · Dosing schedule customized by your provider · Unlimited check-ins for the length of treatment
Starting price
$289$149/month
*Compounded medications are not FDA-approved.
- Semaglutide $149/month at every dose
- Tirzepatide $259/month
- Custom dosing plus unlimited provider check-ins
- Free consultation and tracked delivery, often next-day
Pricing starts at
from $149/month
TrimRx offers custom-dosed compounded semaglutide at $149/month (same at every dose) and tirzepatide at $259/month, with unlimited provider check-ins included. Trustpilot: 3.8 from 5,392 reviews.
Read full TrimRx reviewIs compounded semaglutide the same as Wegovy?
It contains the same active ingredient and works the same way. Compounded semaglutide is the most direct Wegovy alternative and costs a verified $49-$199/month through telehealth providers such as altRx, TrimRx and others. Compare them on our semaglutide providers page.
Does Zepbound work better than Wegovy?
In trials, yes. Zepbound (tirzepatide) produced up to 22.5% weight loss compared with about 15% for Wegovy. Compounded tirzepatide is available from a verified $89/month. See our tirzepatide providers page.
Semaglutide plans and prices by provider
Each provider's published semaglutide plan, sorted from lowest price, with the terms listed under every price.
Can Ozempic be used instead of Wegovy?
Yes, off-label. Ozempic has the same semaglutide as Wegovy at a lower maximum dose and is approved for diabetes rather than weight loss, though some doctors prescribe it for weight loss.
It usually costs less (about $900/month) and may be easier to get covered because it is classed as a diabetes drug. Read our Ozempic vs Wegovy comparison.
Is GLP-1 Treatment Right for You?
GLP-1 medication is prescription-only: a licensed clinician has to decide it is appropriate, and it is not a fit for everyone. Side effects are possible, and they tend to show up in the first few weeks while your body adapts.
Results are usually best when the medication is paired with simple daily habits, such as balanced meals and regular movement.
For both safety and lasting progress, pick a provider that screens you properly before prescribing and keeps following up once treatment starts.
Which providers offer the cheapest Wegovy alternatives?
Many telehealth providers sell compounded semaglutide for a fraction of Wegovy's price:
- TrimRx and DirectMeds: one flat semaglutide price at every dose ($149 and $147).
- altRx: the widest range of medications.
Which Wegovy alternative should you choose?
Match the option to your goal:
- Same semaglutide for less: compounded semaglutide from a reputable telehealth provider.
- Bigger results: tirzepatide.
- Insurance coverage: check whether found works with your plan.