24hrDOC vs Aquivia Health
An in-depth comparison of two leading GLP-1 Providers
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24hrDOC
Best for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatideStarting at $149/mo
Aquivia Health
Best for clinician-reviewed compounded GLP-1 with optional branded upgradeStarting at $149/mo
Side-by-Side Comparison
| Feature | 24hrDOC | Aquivia Health |
|---|---|---|
| Overall Score | ✓7.1/10 | 6.9/10 |
| Starting Price | $149/mo | $149/mo |
| Editorial Rating | ✓3.6 ★ /5 | 3.5 ★ /5 |
| Features | ✓8 features | 7 features |
| States Available | 0 | 0 |
| Compounded | ✓ Yes | — |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | ✓None | 4 warnings |
Pros & Cons
24hrDOC
Pros
- ✓Low compounded semaglutide price, around 149 per month
- ✓Fast model: 10-minute assessment, Rx within 45 minutes
- ✓Injectable and oral semaglutide plus tirzepatide options
- ✓24/7 availability with unlimited provider messaging
Cons
- ✗Compounded only, not FDA-approved branded GLP-1s
- ✗Self-pay only, no insurance accepted
- ✗States served not disclosed on the site
- ✗Fast-prescribing model offers less in-depth clinical workup
Aquivia Health
Pros
- ✓Clinical care provided by Open Loop Healthcare Partners, PC — a reused, verified MSO network
- ✓Named leadership: Steven Bishop MD (CMO), Phillip Gray PharmD (Chief Pharmacist), Tom Foster (President)
- ✓Itemized public pricing: compounded semaglutide $149/mo, tirzepatide $179/mo, Ozempic $1,299, Zepbound $1,399
- ✓Both compounded and branded GLP-1s offered side by side — unusual for a compounded provider
- ✓Self-pay model with no insurance required and no separate consultation fee
- ✓Multi-month prepay discounts disclosed publicly
- ✓States up front that completing the check doesn't guarantee a prescription — a good safety signal
- ✓Broader clinical scope with metabolic, longevity, and dysautonomia pathways
Cons
- ✗No public list of states served — you must complete intake to learn if your state qualifies
- ✗No named 503A compounding pharmacy partner, limiting licensure verification
- ✗No LegitScript, PCAB, or BBB trust badges visible
- ✗Brand confusion: site schema names 'CatalystMD' while the customer-facing brand is Aquivia Health
- ✗Compounded semaglutide and tirzepatide are not FDA-approved or premarket-reviewed
- ✗Recently launched (April 2026) with no third-party review profile yet
- ✗Two of three programs (longevity, dysautonomia) are waitlist-only — only weight loss is available now
Our Verdict
24hrDOC edges out Aquivia Health with a higher overall score of 7.1/10 and is particularly strong for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatide. Aquivia Health remains a solid alternative, especially if you're looking for clinician-reviewed compounded GLP-1 with optional branded upgrade.
Glossary references
Key terms in this article, linked to their canonical definitions.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
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