Always verify pricing and state availability on the provider's website before signing up.How our reviews work →

Alloy vs Fierce Health

An in-depth comparison of two leading GLP-1 Providers

WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more

7.4

Alloy

Best for women in menopause/perimenopause who want a Menopause Society-certified clinician AND the broadest brand+compounded GLP-1 formulary in our directory
★★★★☆3.7

Starting at $80/mo

Brand WegovyBrand ZepboundCompounded SemaglutideCompounded Tirzepatide
Visit Alloy →
6.9

Fierce Health

Best for Self-pay patients in the 30-state allowlist seeking compounded GLP-1 therapy with a microdose entry tier ($197/mo semaglutide microdose)Patients curious about low-dose 'microdose' GLP-1 protocols who want a published, verbatim service-area allowlistPatients comfortable with an unnamed 503A pharmacy partner and an unnamed clinical NP network in exchange for LegitScript certificationPatients who want a one-stop catalog spanning GLP-1, longevity supplements, and a companion meal plan
★★★★☆3.5

Starting at $/mo

Compounded semaglutide and compounded tirzepatide weight-loss programsMicrodose protocols for both semaglutide and tirzepatide ('low-dose for longevity/metabolic balance' framing)Monthly / 3-Month-in-Full / 6-Month-in-Full subscription cadencesGLP-1 companion meal plan and longevity catalog (NAD+, glutathione, methylene blue, ivermectin, mebendazole)
Visit Fierce Health →

Side-by-Side Comparison

FeatureAlloyFierce Health
Overall Score✓7.4/106.9/10
Starting Price$80/mo$/mo
Editorial Rating✓3.7 ★ /53.5 ★ /5
Features8 features✓10 features
States Available0✓30
Compounded✓ Yes—
Brand Name✓ Yes—
FSA/HSA Accepted——
FDA Warnings✓None5 warnings

Pros & Cons

Alloy

Pros

  • ✓Broadest GLP-1 formulary in our catalog: brand Wegovy + brand Zepbound + oral Wegovy + compounded semaglutide + compounded tirzepatide + compounded liraglutide
  • ✓All consulting doctors are certified by The Menopause Society — only ~1,000 such certified practitioners exist among ~20,000 OB-GYNs in the US
  • ✓Brand-name Wegovy starting at $199/mo and compounded liraglutide starting at $80/mo cover both ends of the price/access spectrum
  • ✓STARTGLP1 promo code knocks $50 off the first month per the public site

Cons

  • ✗Not available in Louisiana or Mississippi (verified) — readers in those two states should be routed elsewhere
  • ✗Initial consultation is $49 and is separate from medication cost — readers should know there's a non-refundable upfront fee
  • ✗Menopause-specialty framing — best fit for women in menopause/perimenopause, not the right product for men or younger women whose primary need is weight loss

Fierce Health

Pros

  • ✓30-state service allowlist enumerated verbatim in Terms of Service — buyer can verify eligibility upfront without intake
  • ✓LegitScript Certified with confirmed seal ID 24519532 (script reference in homepage HTML)
  • ✓Verbatim FDA-compounded disclaimer published on every product page ('Compounded medications are not reviewed by the FDA for safety or efficacy')
  • ✓Four GLP-1 programs (standard semaglutide / standard tirzepatide / microdose semaglutide / microdose tirzepatide) — broader compounded ladder than peers that only sell one or two SKUs
  • ✓Microdose tier at $197/mo is one of the lower entry points in the WLR compounded-semaglutide cluster
  • ✓Refund-on-unsupported-state policy is explicit ('if we can't ship to you, you will be refunded')
  • ✓Subscription cadences (Monthly / 3-Month / 6-Month) match category conventions

Cons

  • ✗No named 503A compounding pharmacy partner disclosed publicly — only the generic phrase 'prescriptions are fulfilled by partner pharmacies' appears on homepage, product pages, and About page
  • ✗Operating LLC name not disclosed anywhere on the site (homepage, About, Terms); only Idaho governing-law jurisdiction is published, suggesting Idaho-domiciled operator but no LLC name verifiable
  • ✗Tirzepatide Weight Loss Program ($497/mo) is showing 'sold out or unavailable' on all three subscription cadences at verification time — flagged as inventory/operational concern
  • ✗Clinical 'Licensed Nurse Practitioner' provider network not named (no clinical MSO or PA disclosed unlike Coby/BraveRx/AVARA which name Beluga Health)
  • ✗Heavy gray-market longevity catalog (ivermectin, ivermectin+mebendazole, methylene blue) coexists with GLP-1 catalog — unusual for a GLP-1-primary brand and raises a category-mix concern
  • ✗No PCAB pharmacy accreditation badge, no BBB profile, no NABP .Pharmacy badge visible — only LegitScript
  • ✗Tirzepatide weight-loss tier at $497/mo is at the high end of the WLR compounded-tirzepatide cluster
  • ✗Compounded semaglutide and compounded tirzepatide are not FDA-approved and have not been evaluated by FDA for safety or efficacy
  • ✗Underlying Shopify backend domain is 'fitness-carli.myshopify.com' suggesting an origin from an influencer-led 'Fitness Carli' brand rather than a clinical operator — flagged for editorial scrutiny

Our Verdict

Winner: AlloyScore: 7.4/10

Alloy edges out Fierce Health with a higher overall score of 7.4/10 and is particularly strong for women in menopause/perimenopause who want a Menopause Society-certified clinician AND the broadest brand+compounded GLP-1 formulary in our directory. Fierce Health remains a solid alternative, especially if you're looking for Self-pay patients in the 30-state allowlist seeking compounded GLP-1 therapy with a microdose entry tier ($197/mo semaglutide microdose),Patients curious about low-dose 'microdose' GLP-1 protocols who want a published, verbatim service-area allowlist,Patients comfortable with an unnamed 503A pharmacy partner and an unnamed clinical NP network in exchange for LegitScript certification,Patients who want a one-stop catalog spanning GLP-1, longevity supplements, and a companion meal plan.

Get Started with Alloy →Get Started with Fierce Health →

Glossary references

Key terms in this article, linked to their canonical definitions.

Related comparisons

Continue exploring Alloy and Fierce Health head-to-heads in the same category.

Or see the full category ranking.

Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.