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Alternatives · compared for moms

Alternatives to Pepti

Pepti publishes dose-based injection prices: semaglutide $99–$199 and tirzepatide $159–$319 per four-week refill. Provider care and shipping are included. Recent bloodwork is required; upload results or add a $149 at-home kit. Refills renew every 28 days until canceled, and current oral pricing is unconfirmed.

Read our full Pepti review

Pepti at a glance

  • Pepti offers compounded semaglutide and tirzepatide.
  • The lowest recurring price we found for Pepti is $99 per 4 weeks for semaglutide.
  • Pepti lets you start without a live video visit.
  • Where it serves: All 50 states (as advertised; eligibility confirmed during assessment).

Why you might look past Pepti

  • State eligibility is confirmed during assessment; advertised nationwide access does not guarantee individual approval
  • Cash-pay only; Pepti states plainly that it does not bill insurance
  • The compounding pharmacies are described as FDA-registered 503A or 503B but never named

Who Pepti suits

Mothers comparing published dose-based injection prices who do not need insurance billing or a brand-name option.

Our featured partner

Grade A

CoreAge Rx

A featured partner advertising compounded semaglutide at $79 and tirzepatide at $129 a month, with the same price at every listed dose, supplies and shipping included.

Semaglutide from $79/mo · Tirzepatide from $129/mo

Providers that work most like Pepti

Matched on what Pepti offers: medications, brand-name access, the video visit, an oral option, price and where it serves. Each one links to our full review.

Semaglutide from $169/mo · Tirzepatide from $219/mo

$169 for semaglutide injections and $219 for tirzepatide injections, with oral semaglutide at $259. Longer supplies have a separate prepaid total.

Why it's here: the same medications, compounded medication, no video visit and all-state service.

  • Open Water Rx lists semaglutide at $169 a month; Pepti lists $99 per 4 weeks, so compare the billing periods, not just the numbers.
  • Open Water Rx lists tirzepatide at $219 a month; Pepti lists $159 per 4 weeks, so compare the billing periods, not just the numbers.
  • Neither Open Water Rx nor Pepti requires a live video visit to get started.

Semaglutide from $199/mo · Tirzepatide from $299/mo

Hardly anyone shows you the whole ladder before the intake, and this one does: semaglutide at $199 a month, $549 for three months, $999 for six and $1,788 for twelve, with tirzepatide at $299, $797, $1,494 and $2,748.

Why it's here: the same medications, compounded medication, no video visit and all-state service.

  • Andrew Meds lists semaglutide at $199 a month; Pepti lists $99 per 4 weeks, so compare the billing periods, not just the numbers.
  • Andrew Meds lists tirzepatide at $299 a month; Pepti lists $159 per 4 weeks, so compare the billing periods, not just the numbers.
  • Neither Andrew Meds nor Pepti requires a live video visit to get started.

Semaglutide (oral) from $129/mo · Tirzepatide (oral) from $199/mo

DoctorAdam advertises semaglutide tablets from $129 and tirzepatide tablets from $199 a month, with free delivery. Its catalog also lists injectable semaglutide, injectable tirzepatide and semaglutide drops; those forms need a separate price confirmation.

Why it's here: the same medications, compounded medication, no video visit and all-state service.

  • DoctorAdam lists semaglutide at $129 a month as an oral form; Pepti lists $99 per 4 weeks as an injection, so the two prices buy different things.
  • DoctorAdam lists tirzepatide at $199 a month as an oral form; Pepti lists $159 per 4 weeks as an injection, so the two prices buy different things.
  • Neither DoctorAdam nor Pepti requires a live video visit to get started.

Semaglutide from $249/4 wks · Tirzepatide from $339/4 wks

Elara includes medication, clinical care, quarterly labs, coaching and shipping for $249 semaglutide or $339 tirzepatide every four weeks.

Why it's here: the same medications, compounded medication, no video visit and all-state service.

  • Elara Health and Wellness lists semaglutide at $249 per 4 weeks, $150 more than Pepti's $99.
  • Elara Health and Wellness lists tirzepatide at $339 per 4 weeks, $180 more than Pepti's $159.
  • Neither Elara Health and Wellness nor Pepti requires a live video visit to get started.

Live Vital

Partner

No recurring price we could quote

Semaglutide costs $299 for a ten-week protocol and tirzepatide $549 for ten weeks, on a broader peptide platform.

Why it's here: the same medications, compounded medication, no video visit and all-state service.

  • Pepti lists semaglutide at $99 per 4 weeks; we couldn't find a recurring semaglutide price for Live Vital.
  • Pepti lists tirzepatide at $159 per 4 weeks; we couldn't find a recurring tirzepatide price for Live Vital.
  • Neither Live Vital nor Pepti requires a live video visit to get started.
  • Pepti lists an oral option; Live Vital sticks to injections.

No recurring price we could quote

Bodybuilding Health+ names compounding pharmacies and clinicians. Its bundle tables list semaglutide from $179 and tirzepatide from $209, but product cards call those first-month prices and show conflicting bundle figures.

Why it's here: the same medications, compounded medication, no video visit and all-state service.

  • Pepti lists semaglutide at $99 per 4 weeks; we couldn't find a recurring semaglutide price for Bodybuilding Health+.
  • Pepti lists tirzepatide at $159 per 4 weeks; we couldn't find a recurring tirzepatide price for Bodybuilding Health+.
  • Neither Bodybuilding Health+ nor Pepti requires a live video visit to get started.
  • Pepti lists an oral option; Bodybuilding Health+ sticks to injections.

Pepti alternatives: quick answers

Is there a lower-priced alternative to Pepti?

We didn't find a close match that lists semaglutide for clearly less than Pepti's $99 per 4 weeks. The providers above are the closest in how they work.

Some providers we list are partners, and we may be paid when you sign up through our links. That can affect which providers we feature. Prices are the providers' own published figures and change often. Scores are our editorial judgment per the methodology. Not medical advice; see our disclosure.

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