BioPivot alternatives: 12 sellers compared

BioPivot charges $168 a month for semaglutide and tirzepatide. None of the 12 sellers compared here costs $5 or more a month less; the lowest price among them is HealthRX at $165. 9 score higher than BioPivot's 7.2/10, and PepHaūs rates highest at 8.5.

Every row below is measured against what our review of BioPivot records. To see how the wider category ranks, start with our best weight-loss injection providers board.

Baseline for every row below

BioPivot logo

BioPivot

7.2

Where it fits: People who want posted prices for compounded semaglutide, tirzepatide or microdosing before an intake

Medication
Compounded semaglutide and tirzepatide
Price shown
Before the medical intake

Partners

Top alternatives to BioPivot

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    $169/mo, prepaid

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    $175/mo, prepaid

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    $171/mo, prepaid

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Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

How BioPivot compares

  • Monthly price. BioPivot: $168 a month, and no alternative here is $5 or more cheaper. What the higher-priced ones add is in the table.
  • Medication. BioPivot sells compounded semaglutide and tirzepatide. For FDA-approved brand-name pens, MEDGm and DudeMeds sell them. If you would rather not inject, MEDGm, MyDrHank and Open Water Rx offer an oral option.
  • Where it ships. BioPivot does not publish the states it serves. MEDGm, HealthRX and TeleZen MD say they serve all 50.
  • What the price includes. BioPivot's price covers the medication, clinician visits and shipping. WeightlessRx and Get Thin MD also include coaching.
  • Strongest and weakest score. BioPivot's best factor is Effectiveness at 10.0/10 and its weakest is Value at 4.3. On value, HealthRX leads the alternatives here at 6.6.

Before you leave BioPivot

Canceling
Cancellation & Refund Policy (last updated June 2026): "You may cancel your BioPivot membership at any time" through account settings, by email or by phone; "Membership fees are non-refundable once your intake has been submitted for Provider review"; "you retain access to any remaining membership benefits through the end of your 3-month membership period." Terms: cancel "up to forty-eight (48) hours before the applicable monthly processing date by turning off the auto-refill feature".
Minimum commitment
Monthly plans renewing every 30 days, or quarterly plans; the cancellation policy describes a 3-month membership.
Refunds
Full refund before a provider reviews your intake; after review the $59 doctor consultation fee is kept, including when you are not approved; shipped compounded medication is final sale.
Pharmacy
Rx Ave Health fills BioPivot's prescriptions. A new seller writes its own prescription and sends it to its own pharmacy, so expect a new vial and check its concentration before the first dose.
Price before intake
BioPivot shows its prices before the medical questionnaire. So do MEDGm, HealthRX and MyDrHank, among 10 here.
Further reading
BioPivot sells 4 peptides; which have human trials is a separate question from price. To set BioPivot's terms against other sellers', see the cancellation and refund index.

The rest of the category

Everything else we track in this category, and how each one prices against BioPivot.

  • TeleZen MDCompounded semaglutide at $168/month
    $168/mo6.9/10
    No saving of $5/mo or moreGo to site
  • PepHaūsCompounded semaglutide at one price for every dose, with the pharmacy named and DC covered
    $169/mo8.5/10
    No saving of $5/mo or moreGo to site
  • Open Water RxA flat, all-inclusive semaglutide or tirzepatide price that does not rise with the dose
    $169/mo8.4/10
    No saving of $5/mo or moreGo to site
  • WeightlessRxBuyers who want one flat price at every dose and can pay for three months at a time
    $167/mo, prepaid8.3/10
    No saving of $5/mo or moreGo to site
  • Get Thin MDA flat price at every dose, with coaching and named partner pharmacies
    $169/mo, prepaid8.2/10
    No saving of $5/mo or moreGo to site
  • Ark HealthCompounded semaglutide or tirzepatide at one bundled monthly price, in any state but Mississippi
    $169/mo8.1/10
    No saving of $5/mo or moreGo to site
  • Jyra HealthOne flat compounded price at every dose, with the cheapest rate on a 3-month plan
    $169/mo8.1/10
    No saving of $5/mo or moreGo to site
  • TelePeptideNeedle-free compounded GLP-1 tablets with every plan price shown up front
    $169/mo, prepaid7.9/10
    No saving of $5/mo or moreGo to site

Frequently Asked Questions

None of the sellers compared here charges $5 or more a month less than BioPivot's $168. The lowest is HealthRX at $165.
PepHaūs, at 8.5/10 and $169 a month, followed by Open Water Rx at 8.4. BioPivot scores 7.2.
Cancellation & Refund Policy (last updated June 2026): "You may cancel your BioPivot membership at any time" through account settings, by email or by phone; "Membership fees are non-refundable once your intake has been submitted for Provider review"; "you retain access to any remaining membership benefits through the end of your 3-month membership period." Terms: cancel "up to forty-eight (48) hours before the applicable monthly processing date by turning off the auto-refill feature". Keep your current supply until the new seller's first shipment arrives.
MEDGm, HealthRX and TeleZen MD, plus 5 more in the table. BioPivot does not publish its states.
Yes: MEDGm and DudeMeds sell FDA-approved brand-name pens. BioPivot sells compounded medication, which costs less but has not been through FDA review.
No. Rx Ave Health fills BioPivot's prescriptions, and a new seller's clinician writes a fresh one for its own pharmacy. Note the medication and the dose you reached, and do not change your dose on your own while you move.

Glossary

The words sellers use, defined. Tap any term.