Direct Meds vs Gala
In our scoring, Gala edges ahead overall (8.2 vs 6.4 out of 10), and Gala costs less for compounded tirzepatide (about $3,000 a year less).
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Key differences
- Price
- Gala $149/mo vs Direct Meds $399/mo for compounded tirzepatide (standing prices, no prepay or separate membership listed · about $3,000 a year less with Gala)
- Coverage
- Gala 50 states (Direct Meds doesn't publish a state list)
- Included
- Direct Meds: medication, clinician visits, shipping; Gala: medication, clinician visits, shipping
- Safety
- FDA warning letters on record: Direct Meds 1, Gala none
Direct Meds
Affiliate partnerNamed 503A pharmacy partners: CraftedRx (MO) and ChemistryRx (PA)
semaglutide
$297
Our score 6.4/10
Gala
Affiliate partnerBest for compounded GLP-1/GIP combo on a yearly plan with free shipping
tirzepatide
$149
Our score 8.2/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
Direct Meds
Gala
Price
Tirzepatide / month
$399/mo
Better on this row: $149/mo
Tirzepatide / year (modeled)
$4,788
Better on this row: $1,788
Semaglutide / month
$297/mo
Not listed
Oral semaglutide / month
$249/mo
Not listed
Oral tirzepatide / month
$299/mo
Not listed
Brand Wegovy / Ozempic / month
Not listed
$1,299/mo
Coverage
State availability
List not published
50 states
Oral option listed
Yes
Not listed
Brand-name access listed
Not listed
Wegovy / Ozempic
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
No
Not disclosed
Minimum commitment
3-month prepay
Not disclosed
Early-cancellation fee
Yes
Not disclosed
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
August 2026
August 2026
Every dose and plan: Direct Meds · Gala
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Direct Meds if…
- Lists compounded semaglutide, oral compounded semaglutide and oral compounded tirzepatide, which Gala doesn't price
- All-inclusive pricing covers medication, consultations, supplies, and 1–2 day temperature-controlled shipping
- Named 503A pharmacy partners: CraftedRx (MO) and ChemistryRx (PA)
What to weigh up
- 1 FDA warning letter on record
- About $3,000 a year more than Gala for compounded tirzepatide
Choose Gala if…
- About $3,000 a year less than Direct Meds for compounded tirzepatide at standing prices
- Lists brand-name Wegovy / Ozempic, which Direct Meds doesn't price
- Publishes its full state list (50 states)
What to weigh up
- $179/mo requires a yearly subscription — the standalone monthly price isn't published
- Brand-name Ozempic at $1,299/mo is higher than peers (e.g., Found at $1,100/mo)
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Direct Meds
6.4/10
Gala
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Ivim Health
Compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
Read full review →From $65/mo + membership
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Get started →Direct Meds vs Gala: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- 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.