Alloy vs FMmeds
An in-depth comparison of two leading GLP-1 Providers
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Alloy
Best for women in menopause/perimenopause who want a Menopause Society-certified clinician AND the broadest brand+compounded GLP-1 formulary in our directoryStarting at $80/mo
FMmeds
Best for Cost-conscious patients seeking compounded GLP-1 therapy on a longer commitment tier (12-month semaglutide at $95/mo is near the bottom of the WLR compounded cluster)Patients who prefer flat per-dose pricing and want to escalate dose without per-tier markupsPatients switching from another DTC compounded provider who want to retain their prior dose level (2-week clinician window)Patients in all 50 states + DC who want a free initial telehealth visit before financial commitmentStarting at $/mo
Side-by-Side Comparison
| Feature | Alloy | FMmeds |
|---|---|---|
| Overall Score | 7.4/10 | ✓7.9/10 |
| Starting Price | $80/mo | $/mo |
| Editorial Rating | 3.7 ★ /5 | ✓4 ★ /5 |
| Features | 8 features | ✓12 features |
| States Available | 0 | ✓51 |
| Compounded | ✓ Yes | — |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | ✓None | 4 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
FMmeds
Pros
- ✓All 50 states + DC service area enumerated verbatim in Terms
- ✓Operating LLC and full Manhattan Beach CA address disclosed in Terms / Privacy / Arbitration opt-out
- ✓Named 503A pharmacy partner (Manifest Pharmacy, Greer SC) — same partner used by Obu Health and VitaraRx in the WLR directory
- ✓Aggressive 12-month pricing — semaglutide $95/mo and tirzepatide $145/mo on the 12-month tier are at the low end of the WLR compounded-GLP-1 cluster
- ✓Flat pricing across all dose strengths — no dose-escalation surcharge
- ✓Free initial telehealth visit (only billed on prescription approval)
- ✓Free express shipping included in every tier
- ✓Switcher-friendly: clinician may approve a starting dose matching the patient's prior prescription within a 2-week window
Cons
- ✗Compounded medications only — no FDA-approved Wegovy / Ozempic / Mounjaro / Zepbound
- ✗Verbatim FDA-compounded disclaimer published: 'This is a compounded medication. It is not FDA-approved'
- ✗Clinical network not separately named (unlike Coby / BraveRx / AVARA which disclose Beluga Health)
- ✗Specific LegitScript ID was not extracted from the SPA bundle — only the 'LegitScript Certified' string and badge asset are visible; ID flagged for next 90-day re-check
- ✗No PCAB accreditation explicitly claimed in the bundled site copy
- ✗No BBB profile found for FMmeds or Med Excellence United LLC on bbb.org search 2026-05-29
- ✗14-day right-to-withdraw but shipped prescription medications are non-returnable (standard for the category)
- ✗Refund timeline 7-10 business days once approved
Our Verdict
FMmeds edges out Alloy with a higher overall score of 7.9/10 and is particularly strong for Cost-conscious patients seeking compounded GLP-1 therapy on a longer commitment tier (12-month semaglutide at $95/mo is near the bottom of the WLR compounded cluster),Patients who prefer flat per-dose pricing and want to escalate dose without per-tier markups,Patients switching from another DTC compounded provider who want to retain their prior dose level (2-week clinician window),Patients in all 50 states + DC who want a free initial telehealth visit before financial commitment. Alloy remains a solid alternative, especially if you're looking for women in menopause/perimenopause who want a Menopause Society-certified clinician AND the broadest brand+compounded GLP-1 formulary in our directory.
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.
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.