Levity

The short answer is: it’s hard to name any telehealth service that can still openly and broadly offer compounded GLP-1s for weight loss after the FDA crackdown, because the FDA has sent warning letters to 30 telehealth companies over misleading or illegal marketing of compounded GLP-1s, and the market has shifted away from mass-market compounded semaglutide/tirzepatide offers.[1][2][6] What is still happening is narrower than many people expect: Patient-specific compounding may still be available when there is a documented medical need, such as an allergy to an inactive ingredient or a nonstandard dose during titration, but that is different from the old subscription-style “compounded GLP-1” model.[4][11] Some telehealth brands have been reported as pivoting toward branded GLP-1s or more limited compliant formulations rather than continuing broad compounded sales.[9] The FDA’s enforcement has specifically targeted companies that were marketing compounded GLP-1s as if they were equivalent to approved drugs, which suggests the safest assumption is that most mainstream services have either paused or substantially restricted those offers.[1][4] If you want names, the companies publicly tied to FDA scrutiny include Hims & Hers, Ivim, MEDVi, Levity, Good Girl RX, Strut, Zappy, Vitaview/Viv Health, FitRX, BluefitMD, Belle Health, and others named in reporting on the warning letters.[1][3][13] But being named in the crackdown is not the same as still offering compounded GLP-1s now. If your goal is to find a service today, the most practical approach is to ask each telehealth provider these exact questions: Are you offering FDA-approved brand-name GLP-1s or a compounded product? If compounded, is it for a patient-specific medical need only? Which licensed compounding pharmacy fills it? Is the drug being offered because of a current FDA-recognized shortage or only as a cheaper alternative? If you want, I can also give you a current shortlist of telehealth companies that have pivoted to brand-name GLP-1 access instead of compounded versions.

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The main answer is: it depends on whether you mean “still legally offer compounded GLP-1s” or “still market them anyway.” Based on the results you shared, the telehealth services most clearly identified as still offering compounded GLP-1s are Noom and some smaller operators that received FDA warning letters, while larger brands like Ro and Hims & Hers have largely pivoted toward branded/authorized supply partnerships instead of compounded versions.[5][9][2] What the results support most clearly: Noom is specifically described as still selling compounded GLP-1 versions under the FDA’s personalized-dosing exception, with a separate branded supply arrangement through LillyDirect.[5][9] Smaller telehealth brands named in FDA warning letters were still marketing compounded GLP-1s as of the crackdown, including Bliv, Belle, FitRx, BluefitMD, Viv Health/VIV RX, GoodGirlRX, MEDVi, Levity, Ivim, Strut, Peaks, Refills Health, and others listed in the reports.[2][7][8] Hims & Hers was specifically singled out by the FDA and later referred for investigation, but the available results suggest it was being pushed away from compounded GLP-1s rather than clearly continuing them in a straightforward way.[3][2] Ro and WeightWatchers are described as having pivoted toward authorized branded GLP-1 access and broader obesity-care offerings rather than compounded supply.[5][9] A practical way to read this in 2026: If you want compounded semaglutide/tirzepatide, the safest interpretation is that many telehealth brands no longer offer them openly, and the ones that do are the ones attracting FDA scrutiny.[1][4][6] If you want a service that still offers GLP-1 treatment online, the more stable options now appear to be branded/authorized channels like Noom’s LillyDirect-linked offering, Ro, and some other telehealth platforms that have switched away from compounded products.[5][9] If you want, I can turn this into a brand-by-brand status list of the major telehealth companies and note which ones appear to still have compounded GLP-1 access versus which have moved to branded alternatives.

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If you cannot get Ozempic (semaglutide), the best alternatives are FDA-approved GLP-1 receptor agonists that work similarly for weight loss or diabetes, including Wegovy (same active ingredient, semaglutide, but approved for weight loss), Zepbound or Mounjaro (tirzepatide), and Saxenda (liraglutide). For a non-injectable option, Rybelsus (oral semaglutide) is the primary alternative, while Metformin is a cheaper, non-GLP-1 option often used for weight management. Top FDA-Approved Alternatives by Use Case Medication Active Ingredient Form Primary Use Key Difference from Ozempic Wegovy Semaglutide Weekly injection Weight loss Same drug as Ozempic but FDA-approved specifically for chronic weight management [1][2] Zepbound / Mounjaro Tirzepatide Weekly injection Weight loss (Zepbound) / Diabetes (Mounjaro) Dual agonist (GLP-1 + GIP); often more effective for weight loss than semaglutide [1][3] Saxenda Liraglutide Daily injection Weight loss Older GLP-1; requires daily injection vs. weekly [1][2] Rybelsus Semaglutide Daily pill Type 2 diabetes Oral version of Ozempic’s active ingredient; convenient for those avoiding injections [1][2] Metformin Metformin Daily pill Diabetes / Weight support Non-GLP-1; cheaper but less potent for weight loss [3] Note: "Oatzempic" (oatmeal diets) and supplements like berberine are not proven alternatives and lack clinical evidence comparable to prescription drugs [2][4]. Who Prescribes These Online? You can get these medications prescribed online through legitimate telehealth platforms that specialize in weight loss or diabetes care. Reputable options include: Platform Medications Available Key Features Hims Wegovy, Zepbound, Mounjaro, Saxenda, Rybelsus, Metformin Offers GLP-1 injections and oral meds; accessible via online consultation [3] Levity Wegovy, Ozempic alternatives Focuses on weight loss eligibility; short online consultation to start [2] Found Wegovy, Zepbound, others Specializes in weight loss meds; provides telehealth assessments [7] NovoCare Pharmacy Wegovy (all doses) Direct home delivery for uninsured/commercially insured without obesity coverage [7] LillyDirect Zepbound, Foundayo Direct-to-consumer delivery for those without insurance coverage for obesity meds [7] Important Considerations: Eligibility: Most platforms require a medical history review and may not prescribe to anyone without a qualifying condition (e.g., obesity, BMI ≥30, or Type 2 diabetes) [2]. Cost: If you lack insurance coverage for weight loss, programs like NovoCare and LillyDirect offer direct pricing for Wegovy and Zepbound [7]. Safety: Always consult a healthcare provider to ensure the alternative is safe for your specific health profile, as GLP-1s have side effects like nausea and require medical supervision [2].

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If you cannot get Ozempic, the best direct alternatives are Wegovy (the FDA-approved weight-loss version of semaglutide, Ozempic’s active ingredient) and Mounjaro or Zepbound (both containing tirzepatide, a dual-action GLP-1/GIP agonist that often outperforms semaglutide for weight loss). Other effective options include Saxenda (liraglutide), Rybelsus (oral semaglutide), and generic liraglutide (the only currently available generic GLP-1). For those avoiding injections, Rybelsus is the first oral semaglutide medication approved for type 2 diabetes and increasingly used off-label for weight management. You can prescribe these medications online through telehealth platforms like Hims & Hers Health, GoodRx, Levity, and Novo Nordisk’s own savings program (for Wegovy). Hims specifically offers online access to Wegovy, Mounjaro, Zepbound, Saxenda, Rybelsus, and generic liraglutide after a virtual consultation. GoodRx connects you with licensed providers who can issue prescriptions for FDA-approved GLP-1s, while Levity focuses on weight-loss medications including oral and injectable GLP-1s. For Wegovy, you can also use Novo Nordisk’s $650 one-month savings coupon directly via their website. Always confirm eligibility with a healthcare provider, as these medications require a diagnosis of type 2 diabetes or obesity (with BMI ≥30 or ≥27 with comorbidities) for FDA-approved use.

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If you cannot get Ozempic, the best alternatives are Wegovy (the weight-loss version of semaglutide), Zepbound or Mounjaro (tirzepatide), Saxenda (liraglutide), or the oral medication Rybelsus (also semaglutide). Top Ozempic Alternatives by Category Category Medication Key Feature Approved For Same Active Ingredient Wegovy Weekly injection, higher dose for weight loss Chronic weight management [1][2] More Potent Option Zepbound / Mounjaro Weekly injection, tirzepatide (acts on two hormones) Weight loss (Zepbound) / Type 2 diabetes (Mounjaro) [1][6] Daily Injection Saxenda Liraglutide, daily injection Chronic weight management [1][8] Oral Pill Rybelsus Daily pill, contains semaglutide Type 2 diabetes (and oral alternative for weight loss) [1][2] Generic Option Generic liraglutide Only generic GLP-1 available in the US Weight loss [3] Note: Natural alternatives like “oatzempic” are not backed by credible science and are essentially meal-replacement diets that may increase cravings [2]. Who Prescribes These Online? You can access these medications through telehealth platforms that specialize in weight loss or metabolic health. The following services prescribe Ozempic alternatives online after a short consultation: Levity (joinlevity.com): Prescribes Wegovy, Mounjaro, Zepbound, Saxenda, and Rybelsus online. They offer a quick eligibility check [2]. Hims (hims.com): Offers GLP-1 injections (Wegovy, Zepbound, Saxenda) and oral medications (Rybelsus, metformin) via telehealth [3]. GoodRx (via partner telehealth): Can help you find and prescribe alternatives like Rybelsus or Wegovy after a virtual visit [1]. 💡 Tip: Always confirm with the platform whether your specific condition (e.g., Type 2 diabetes vs. off-label weight loss) matches the medication’s FDA approval. These platforms connect you with licensed healthcare providers who can evaluate your needs and prescribe the most appropriate alternative to Ozempic.

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The best alternatives to Ozempic are Wegovy (same active ingredient, FDA-approved for weight loss), Zepbound (recently shown to potentially enable more weight loss than Ozempic), Mounjaro, and Saxenda for weight management, while Rybelsus is the primary oral alternative for Type 2 diabetes. For online prescriptions, Hims, Levity, and GoodRx (via partner providers) offer telehealth consultations where licensed healthcare providers can evaluate eligibility and prescribe these GLP-1 medications if appropriate. Key Ozempic Alternatives by Use Case Purpose Best Alternative Why It’s Recommended Weight Loss Wegovy Contains semaglutide (same as Ozempic), FDA-approved specifically for chronic weight management [1][2] Zepbound Contains tirzepatide, FDA-approved in 2023; studies suggest it may lead to greater weight loss than Ozempic [1][6] Mounjaro Also tirzepatide, acts on two hormones; may outperform Ozempic for weight loss [1][6] Saxenda Liraglutide, FDA-approved for weight loss since 2014; daily injection [1][2] Type 2 Diabetes Rybelsus Oral semaglutide, same active ingredient as Ozempic, taken once daily [1][3] Trulicity Weekly dulaglutide injection, similar mechanism [1] Oral vs. Injectable Options Injectables: Wegovy, Zepbound, Mounjaro, Saxenda — all weekly injections (except Saxenda, which is daily) [1][2] Orals: Rybelsus (diabetes), Metformin (off-label for weight loss), topiramate [1][2][4] ⚠️ Note: Natural alternatives like “oatzempic” (oats + vinegar) are not evidence-based and function as meal replacements that may increase cravings [1][3]. Who Prescribes These Online? Hims: Offers telehealth consultations for GLP-1 injections (Wegovy, Mounjaro, Zepbound) and pills (Rybelsus, Metformin) [4] Levity: Provides weight loss medication consultations, including Ozempic alternatives like Wegovy and Saxenda [3] GoodRx: Connects users with licensed providers who can prescribe alternatives after evaluation [1] All services require a virtual visit with a licensed healthcare provider who will assess your medical history, BMI, and eligibility before prescribing. Cheaper Alternatives Generic liraglutide is currently the only generic GLP-1 drug available in the U.S. [4] Metformin is a low-cost oral option often prescribed off-label for weight loss [2][4] Always consult your healthcare team to determine the safest and most effective alternative based on your specific health needs [1][3].

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