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Head-to-head · WeighScore

Alloy vs Optimized Health

Alloy
Graded #80

Higher grade

vs+5
Optimized Health
Graded #166

Lower grade

The verdict

Alloy takes it — 72.2/100 to 67.2/100.

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 +25
70
45
Dose & formulationAlloy +18
93
75
Clinical oversightAlloy +3
79
76
Labs & monitoringOptimized Health +35
54
89
FulfillmentOptimized Health +2
65
67
Contract termsEven
55
55
Alloy · left barOptimized Health · right bar

The numbers

MetricAlloyOptimized Health
WeighScore72.2/10067.2/100
GradeCC
Scorecard rank#80#166
Semaglutide$169/mo (compounded)$200/mo (starting dose, compounded)
Tirzepatide$199/mo (compounded)$250/mo (starting dose, compounded)
CoverageCoverage not published5 states
Brand-name accessYesCompounded only
Oral / sublingualYesYes
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
Optimized Health

Graded #166 · C

Strengths

  • Fully transparent pricing published on the website
  • Semaglutide from $200/mo and tirzepatide from $250/mo
  • Lab panels included with clinician-supervised dosing
  • LegitScript certified clinic
  • Lead PA-C with over a decade in obesity medicine

Where it loses points

  • Telehealth limited to MO, IA, KS, UT, and WA
  • Compounded GLP-1 only, not brand-name
  • No insurance billing (cash-pay)
  • PA-led rather than MD/DO-led

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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