People shop for Sprout alternatives for three distinct reasons, and each points somewhere different. If it's price - Sprout's $149 semaglutide sits $50-90/month above the value tier - the answer is the budget lane. If it's evidence - Sprout's Trustpilot record is a 4.1 across just 188 reviews - the answer is a provider with a big public record. And if it's brand-name selection - Sprout stocks Wegovy only, at $1,799 - the answer is the one provider with a bigger, cheaper shelf.
Name the reason before you name the alternative
Our top-rated GLP-1 providers
Our recommended telehealth providers - the same cards from our full comparison.
Our Most Popular
1
Exceptional
9.8out of 10
Limited Offer - GLP-1 for $69/mon
Money-back guaranteeFree expedited delivery
Treatments offered
Compounded semaglutide injections (GLP-1) · Compounded tirzepatide injections (GLP-1 + GIP) · 100% online doctor review and prescription · Dosage adjustments through the patient portal
Starting price
$79$69/month
*Compounded medications are not FDA-approved.
- Compounded semaglutide ($69/mo) and tirzepatide ($119/mo)
- 5-minute health qualifier; doctor review usually within 24 hrs
- Free 1-2 day shipping - temperature-controlled, tracked, insured
- No insurance required, no clinic visits, cancel anytime
Pricing starts at
from $69/month
embody offers doctor-prescribed GLP-1 weight loss treatment - compounded semaglutide and tirzepatide injections - through a 100% online process. Getting started takes a roughly 5-minute health qualifier, after which a medical practitioner reviews your chart (embody says usually within 24 hours, often under 5). Pricing is flat and simple: $69/month for semaglutide and $119/month for tirzepatide, with no insurance required, no hidden fees, and no clinic visits. Medication ships in 1-2 days in temperature-controlled, tracked, insured packaging, and embody is LegitScript-certified and works with US-based 503A compounding pharmacies. On Trustpilot, embody averages 3.8 across 8,398 reviews - an honest, mixed-to-positive record whose recent reviews cluster around two themes: responsive, proactive customer service ('from my very first inquiry I've had excellent communication... customer service updated me every step,' writes one tirzepatide patient) and the no-surprises pricing ('Love the fact that there are no surprises as in costly up front cost'). A 3.7 also means a minority of customers had negative experiences - worth reading both ends of the reviews before deciding, as with any provider.
Read full embody review2
Exceptional
9.7out of 10
Most Comprehensive GLP-1 Medication Access
Transparent pricingNo insurance required
Treatments offered
Compounded semaglutide (GLP-1) injection · Compounded tirzepatide (GLP-1 + GIP) injection · Brand-name Zepbound and Wegovy · One simple injection per week
Starting price
$199$89/month
*Compounded medications are not FDA-approved.
- Compounded GLP-1 from $89/mo, GLP-1 + GIP from $149/mo
- Brand-name options too: Zepbound and Wegovy
- Clinician-guided - physician, PA, or nurse practitioner
- Free shipping (about 5-7 days)
Pricing starts at
from $89/month
altRx bills itself as "the #1 most affordable GLP-1 program," and its published prices largely back that up: compounded GLP-1 (semaglutide) from $89/month and GLP-1 + GIP (tirzepatide) from $149/month - flat at every dose, so the price doesn't climb as you titrate up - alongside one of the few genuine brand-name shelves in this space (Ozempic $1,149, Zepbound $1,249, Wegovy $1,579 per month). It's a self-pay telehealth service: you complete a short assessment, a licensed provider (physician, PA, or nurse practitioner) reviews it, and if appropriate a prescription goes to a licensed US pharmacy, with free shipping in about 5-7 days. No insurance is required, Buy Now, Pay Later is available, and you can pause or cancel anytime. Two things to know before the details: shipping is slower than the 1-2 day providers (embody, DirectMeds), and Trustpilot does not currently display an aggregate score on altRx's profile - the individual reviews we quote on this page are real, but there's no independent average to lean on the way there is for rivals like Medvi (4.3 across 14,836) or embody (3.8 across 8,398). One of the real 4-star reviews we surface notes a refill 'yet to be fulfilled with zero reason as to why' - worth factoring in alongside the price advantage.
Read full altRx review3
Excellent
9.4out of 10
Limited time offer - $140 off all weight loss plans
HIPAA compliantMade in USA
Treatments offered
Compounded semaglutide (GLP-1) injection · Compounded tirzepatide (GLP-1 + GIP) injection · Custom dosing schedules set by your provider · Unlimited check-ins throughout treatment
Starting price
$289$149/month
*Compounded medications are not FDA-approved.
- Compounded semaglutide $149/month - same price at every dose
- Compounded tirzepatide $259/month
- Custom dosing with unlimited provider check-ins
- Free consultation and free tracked delivery - often next-day
Pricing starts at
from $149/month
trimrx is a telehealth GLP-1 program built around custom dosing: compounded semaglutide at $149/month (a $140 discount applied, the same price at every dose) and compounded tirzepatide at $259/month, with the consultation, tracked delivery, and unlimited provider check-ins all included in the price. The flow is the standard cash-pay one - a free 2-minute assessment, review by a qualified doctor (with a telehealth call if more information is needed), then free tracked shipping that often arrives as soon as the next day. On Trustpilot, trimrx averages 3.7 across 5,670 reviews - a genuinely mixed record. The positive end is vivid: 'I have lost 41 lbs... My high blood pressure is gone,' writes one tirzepatide patient, and another praises a rep who was 'very kind and helpful' even as the reviewer ultimately chose their own doctor. But a 3.6 means a meaningful minority report problems, and it's the weakest published average among the affiliate providers in our ranking. Read both ends of its recent reviews before signing up - and weigh the price against the $49-$89 entry tier at wellmedr, embody and altRx.
Read full trimrx reviewTrustpilot summary
Sprout holds a 4.1 out of 5 across 188 reviews on its public Trustpilot profile. Of the 19 reviews we captured verbatim (dated Jun 26, 2026 to Sep 21, 2026), 14 5-star, 3 4-star, 1 3-star and 1 1-star: 89% rate it 4 or 5 stars and 5% rate it 1 or 2 stars. Reviewer names are shortened; every captured review, including the lowest-rated, is shown below.
5 star
14 (74%)
4 star
3 (16%)
3 star
1 (5%)
2 star
0 (0%)
1 star
1 (5%)
Sprout reviews on
Trustpilot(188 reviews)
All 19 reviews we captured, including every 1-star one.
Sort
Sep 21, 2026
Great service
“Great service”
K
Ken
US
Sep 21, 2026
I already loved Sprout
“I already loved Sprout and have had great success, however I started to notice there were cheaper options, emailed with customer service and they quickly and efficiently reduced my cost and update my plan. 100 percent recommended.”
V
Victoria L.
US
Sep 21, 2026
Sprout customer service is stellar
“Sprout customer service is stellar. Everyone of my questions or concerns have been immediately answered by a LIVE CS rep. No bots. I am a life long customer because of the service they provide.”
L
Lisa M.
US
Sep 19, 2026
I lost 20 pounds
“I lost 20 pounds, and the team made me feel listened to. Their support team always replied to me right away. It's a good program for anyone looking into better life choices.”
I
Isabel M.
US
Reviews are individual experiences quoted verbatim from public Trustpilot profiles, names shortened; any weight-loss result mentioned is one person's and is not typical - results vary. Trustpilot is a trademark of Trustpilot A/S and is not affiliated with this site.
The map, by what you'd actually gain
| Alternative | Semaglutide | What it beats Sprout on | What you give up |
|---|---|---|---|
| wellmedr | $49/mo | Price + 4.6/2,091 record + warranty | 2-day speed; Wegovy option |
| embody | $69/mo | Price, 1-2 day cold-chain, LegitScript | Brand-name option |
| altRx | $89/mo | Price + 3-brand shelf incl. cheaper Wegovy | Speed (5-7 day shipping) |
| Medvi | $99/mo promo | Price + coaching + 14k-review record | Brand-name option |
| HealthRx | $99/mo* | Overnight delivery, LegitScript | $1,188 prepaid commitment |
| DirectMeds | $147/mo | Needle-free drops, flat tirzepatide $147 | Brand-name option |
*12-month prepaid plan. Every provider here gates treatment behind a licensed-provider review - that never varies, and shouldn't.
Shop GLP-1 plans by product
Every provider's published plans - cheapest first, conditions under each price.
The two matchups that decide it for most people
Sprout vs the price floor: wellmedr sells the same compounded semaglutide for $49/month on a 12-month plan with a warranty and a 4.7 published record - $1,080/year less. Sprout's counters are real but narrow: 2-day fulfillment vs 3-5 business days, Wegovy on the shelf, no 12-month plan attached to its listed rate. The full head-to-head is in Sprout vs wellmedr.
Sprout vs the other brand shelf: altRx is the only other provider we rank with brand-name medication, and it does it bigger and cheaper - Ozempic $1,149, Zepbound $1,249, Wegovy $1,579 - on top of $89 compounded semaglutide with BNPL. Sprout's remaining edge there is pure speed: 2 days vs 5-7. That comparison is in altRx vs Sprout.
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This article is general information, not medical advice. Prices as listed at the time of writing.