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Head-to-head · WeighScore

24hrDOC vs Fierce Health

24hrDOC
Graded #83

Higher grade

vs+15.499999999999993
Fierce Health
Graded #411

Lower grade

The verdict

24hrDOC takes it — 72.1/100 to 56.6/100.

24hrDOC grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. 24hrDOC is a fast cash-pay telehealth service that prescribes compounded GLP-1 medications for weight loss, including once-weekly semaglutide injections, oral semaglutide tablets, and tirzepatide.

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Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost value24hrDOC +47
80
33
Dose & formulationFierce Health +2
75
77
Clinical oversight24hrDOC +17
79
62
Labs & monitoring24hrDOC +11
63
52
FulfillmentFierce Health +13
62
75
Contract terms24hrDOC +8
55
47
24hrDOC · left barFierce Health · right bar

The numbers

Metric24hrDOCFierce Health
WeighScore72.1/10056.6/100
GradeCC
Scorecard rank#83#411
Semaglutide$149/mo (2 mg dose, compounded)$297/mo (3-month plan, compounded)
Tirzepatide$239/mo (starting dose, compounded)$497/mo (3-month plan, compounded)
CoverageCoverage not published30 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
24hrDOC

Graded #83 · C

Strengths

  • Low compounded semaglutide price, around 149 per month
  • Fast model: 10-minute assessment, Rx within 45 minutes
  • Injectable and oral semaglutide plus tirzepatide options
  • 24/7 availability with unlimited provider messaging

Where it loses points

  • Compounded only, not FDA-approved branded GLP-1s
  • Self-pay only, no insurance accepted
  • States served not disclosed on the site
  • Fast-prescribing model offers less in-depth clinical workup
Fierce Health

Graded #411 · C

Strengths

  • 30-state service list spelled out in the Terms — buyers can verify eligibility before intake
  • LegitScript Certified
  • Publishes the FDA compounded-medication disclaimer on every product page
  • Four GLP-1 programs (standard and microdose semaglutide and tirzepatide) — a broader ladder than peers
  • Microdose tier at $197/mo is one of the lower entry points we've seen

Where it loses points

  • No named 503A compounding pharmacy partner — only generic 'partner pharmacies' language
  • Operating LLC name not disclosed anywhere on the site
  • Tirzepatide weight-loss program ($497/mo) showing 'sold out or unavailable' across all plans at review time
  • Clinical provider network not named
  • FDA has issued this company a warning letter; the letter is public in FDA's warning-letter database

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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