GLP Watchdog

VivioMD alternatives: 12 sellers compared

VivioMD charges $1,299 a month for semaglutide, the same at every dose. 12 of the 12 sellers compared here cost less, led by RxSpan MD at $249, $1,050 a month less. All 12 score higher than VivioMD's 5.2/10, and RxSpan MD rates highest at 7.9.

Every row below is measured against what our review of VivioMD records. To see how the wider category ranks, start with our best semaglutide providers board.

Baseline for every row below

VivioMD logo

VivioMD

5.2

Where it fits: A flat monthly GLP-1 price that does not go up as the dose increases

$1,299/mo
Go to VivioMD
Medication
Brand-name semaglutide
Dose pricing
The same price at every dose
States
All 50
Price shown
Only after the medical intake
FDA warning letter
June 8, 2026

Partners

Top alternatives to VivioMD

Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

  1. Featured partner
    7.9
    RxSpan MD

    From

    $249/mo

    $1,050/mo less
    Get started →
  2. 7.1
    Direct Meds

    From

    $249/mo

    $1,050/mo less
    Get started →
  3. 6.5
    MangoRx

    From

    $299/mo

    $1,000/mo less
    Get started →
  4. 6.4
    TrimRx

    From

    $299/mo

    $1,000/mo less
    Get started →
See all 12 alternatives to VivioMD ↓
Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

How VivioMD compares

  • Monthly price. VivioMD: $1,299 a month. Cheaper here: RxSpan MD at $249, Direct Meds at $249 and MangoRx at $299. The table compares standing monthly rates, not first-month promotions.
  • Medication. VivioMD sells brand-name semaglutide. Compounded versions cost less at RxSpan MD, Direct Meds and MangoRx. If you would rather not inject, MangoRx, Direct Meds and Mojoon offer an oral option.
  • Where it ships. VivioMD says it serves all 50 states, so coverage is not a reason to switch.
  • What the price includes. VivioMD's price covers clinician visits and shipping. MangoRx, TrimRx and RxSpan MD include the medication in theirs.
  • Strongest and weakest score. VivioMD's best factor is Accessibility at 10.0/10 and its weakest is Trust & Safety at 2.0. On trust & safety, RxSpan MD leads the alternatives here at 10.0.

Before you leave VivioMD

Canceling
VivioMD lets members cancel at any time.
Minimum commitment
None.
Refunds
Full refund if disqualified, or if canceled within 72 hours before any service; monthly plans otherwise not refunded.
Early-termination fee
None.
Price before intake
VivioMD shows its prices only after the medical questionnaire. MangoRx, TrimRx and RxSpan MD show theirs first, as do 7 more here.
Further reading
VivioMD's letter is one of many FDA has sent GLP-1 sellers; what those warning letters say covers what they cite most. VivioMD sells brand-name medication only. If a cheaper compounded version tempts you, how compounded semaglutide differs from Wegovy covers what changes.

The rest of the category

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

  • Rivas Medical Weight LossA live monthly video visit with a clinic group behind it
    $399/mo5.9/10
    Costs $900/mo less than VivioMDGo to site
  • Gaya WellnessWomen 40+ who want labs and OB/GYN oversight bundled with GLP-1 care
    $399/mo5.4/10
    Costs $900/mo less than VivioMDGo to site
  • Revive MedsCoverage in all 50 states, which most sellers will not confirm
    $369/mo6.3/10
    Costs $930/mo less than VivioMDGo to site
  • MojoonChinese-speaking patients who want a bilingual telehealth service
    $350/mo6.8/10
    Costs $949/mo less than VivioMDGo to site
  • Rex MDMen who want the brand Wegovy pill at one monthly price across every dose
    $349/mo7.1/10
    Costs $950/mo less than VivioMDGo to site
  • Onyx Weight LossPatients in its 9 states who want labs and monthly NP follow-ups bundled into one price
    $349/mo6.2/10
    Costs $950/mo less than VivioMDGo to site
  • Olivera Weight LossIllinois residents who want a local, physician-led clinic and phone-based GLP-1 care in English or Spanish
    $346/mo6.5/10
    Costs $953/mo less than VivioMDGo to site
  • TeleHealth Weight SolutionsLow-cost refills by the vial after a nurse-practitioner-managed start
    $325/mo, prepaid6.5/10
    Costs $974/mo less than VivioMDGo to site

Frequently Asked Questions

RxSpan MD at $249, Direct Meds at $249 and MangoRx at $299 a month, against VivioMD's $1,299. 9 more cost less too; they are in the table above.
RxSpan MD, at 7.9/10 and $249 a month, followed by Direct Meds at 7.1. VivioMD scores 5.2.
Yes, one. It is dated June 8, 2026 and names tirzepatide. Each letter has its own page, linked from the record above, with FDA's words quoted.
VivioMD lets members cancel at any time. There is no early-termination fee. Keep your current supply until the new seller's first shipment arrives.
RxSpan MD, Revive Meds and Rex MD. VivioMD says it does too.
VivioMD already sells brand-name pens. Among the alternatives, TrimRx, RxSpan MD and Rivas Medical Weight Loss do too. Brand-name Wegovy and Zepbound cost several times more than compounded versions at cash prices.

Glossary

The words sellers use, defined. Tap any term.