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Head-to-head · WeighScore

Alloy vs Blue Sky MD

Alloy
Graded #80

Higher grade

vs+4.5
Blue Sky MD
Graded #157

Lower grade

The verdict

Alloy takes it — 72.2/100 to 67.7/100.

Alloy grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Alloy is a menopause-focused telehealth brand whose Weight Care program runs the broadest GLP-1 formulary in our catalog — brand Wegovy, brand Zepbound, oral Wegovy, plus compounded semaglutide, tirzepatide…

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Factor by factor

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

Cost valueAlloy +5
70
65
Dose & formulationAlloy +29
93
64
Clinical oversightBlue Sky MD +8
79
87
Labs & monitoringBlue Sky MD +8
54
62
FulfillmentAlloy +2
65
63
Contract termsEven
55
55
Alloy · left barBlue Sky MD · right bar

The numbers

MetricAlloyBlue Sky MD
WeighScore72.2/10067.7/100
GradeCC
Scorecard rank#80#157
Semaglutide$169/mo (compounded)$160/mo (starting dose, compounded)
Tirzepatide$199/mo (compounded)$240/mo (starting dose, compounded)
CoverageCoverage not published1 state
Brand-name accessYesCompounded only
Oral / sublingualYesInjection only
Alloy

Graded #80 · C

Strengths

  • Broadest GLP-1 formulary here: brand Wegovy and Zepbound, oral Wegovy, plus compounded semaglutide, tirzepatide, and liraglutide
  • All consulting doctors are certified by The Menopause Society — a rare credential
  • STARTGLP1 promo code takes $50 off the first month
  • Spans the price range: compounded semaglutide from $70/mo, brand Wegovy from $199/mo (each plus the $99/mo Weight Care fee)

Where it loses points

  • Menopause-focused — best for women in menopause or perimenopause, not men or younger patients
  • A mandatory $99/mo Alloy Weight Care fee sits on top of every medication price (so the true minimum is ~$169/mo, not $70)
  • Compounded semaglutide not available in AL, AR, CA, NV, LA, MS or DC
Blue Sky MD

Graded #157 · C

Strengths

  • LegitScript certified and physician-led since 2008; one of the most established GLP-1 practices in the Southeast
  • Compounded semaglutide from $40/week (~$160/month) and tirzepatide from $60/week (~$240/month) — well below brand-name cost
  • Comprehensive program includes 1-on-1 wellness coaching, nutrition plans, hormone analysis, and a proprietary mobile app
  • Medication shipped directly to patients’ homes within 3–5 business days; telehealth visits available
  • Insurance accepted in many cases; affordable self-pay options for uninsured patients

Where it loses points

  • Geographic reach unclear — physical clinics in NC only; telehealth states beyond NC unconfirmed despite 'from virtually anywhere' claim
  • Pricing quoted per-week ($40 sema / $60 tirz) rather than per-month; higher-dose pricing not disclosed
  • Must enroll in full medical weight-loss program to access GLP-1 medications — medication-only Rx not offered
  • No explicit lab testing protocol published; online FAQ does not confirm labs are included
  • Small regional provider vs. national platforms; limited provider footprint outside North Carolina

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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