Alegro Health vs Rila
Rila costs $1 less a month, and both sell semaglutide.
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Rila
Best for: shoppers who want a named medical group and pharmacies, and a tablet option for either GLP-1
Visit Rila →If you are choosing between Alegro Health and Rila, the first difference is cost: Rila is $1 a month cheaper at the entry price. Both prescribe semaglutide, so moving from one to the other would not change your drug. Alegro Health leads our six-part score, 6.6 to 6.0.
Alegro Health vs Rila price
Rila is the cheaper way in: $198 a month on a prepaid plan against $199 a month at Alegro Health. That is $1 less each month (1% lower), or about $12 over a year of treatment.
Rila's figure is a monthly average of a plan billed for several months at once, so the first charge is larger than the number shown.
Drug by drug: Semaglutide is cheaper at Rila ($198 a month on a prepaid plan vs $199 a month).
Medications and formats
Both sell semaglutide.
On format they match: each offers compounded injections.
Where each one treats patients
Alegro Health does not publish where it ships, and Rila lists 51 states.
Pricing
Alegro Health
199 dollars total for the full 8-week starter with B12 (about two months), select states, no monthly fees
Rila
Advertised as "from $198/mo with a 6-month commitment" for the injectable line, which covers semaglutide and tirzepatide. The month-to-month price and how the 6-month term is billed are not shown before the intake.
Advertised as "from $217/mo with 6-month commitment" for the tablet line, which covers semaglutide and tirzepatide. Month-to-month pricing is not public.
What each price covers
Both prices cover shipping.
Alegro Health's price also covers the clinician visit and the medication itself, which Rila does not claim.
Alegro Health is silent on lab work and coaching.
Rila is silent on the clinician visit, the medication itself, lab work and coaching.
That matters most for the drug: unless Rila confirms otherwise, budget for medication on top of its listed price.
Alegro Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Rila
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Alegro Health scores 6.6 and Rila 6.0 out of 10.
Alegro Health is stronger on user experience (7.5 vs 3.0), trust & safety (6.5 vs 5.0) and support (7.0 vs 5.0).
Rila is stronger on accessibility (10.0 vs 5.0).
Value and effectiveness are within half a point.
Alegro Health
6.6/10
Rila
6.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Alegro Health nor Rila has an FDA warning letter on record with us.
Features & Coverage
| Feature | Alegro Health | Rila |
|---|---|---|
| Starting Price | $199/mo | ✓$198/mo prepaid |
| Features | 5 features | ✓7 features |
| States Available | Not disclosed | 51 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | None | None |
About Alegro Health
199 dollars buys the headline item, a starter course of semaglutide with B12 running 8 weeks, shipped straight out with nothing charged monthly, though only select states can order it. McKinney, Texas is the base of this HIPAA telehealth practice, where care proceeds online once your state is chosen and a portal handles follow-up. Only semaglutide is advertised at present; tirzepatide appears nowhere. Support runs by phone. FDA approval does not cover compounded medications.
Read our full Alegro Health review →About Rila
Rila, the trade name of Utah's BJE Equity LLC, provides access to compounded semaglutide or tirzepatide, in weekly shots or dissolvable tablets, through a named telehealth medical group and three named pharmacies. It publishes its state rules in full, including where a live consult is required. The site advertises injectables from $198 a month and tablets from $217, but both figures assume a 6-month commitment; month-to-month prices are not shown publicly.
Read our full Rila review →Pros & Cons
Alegro Health
What we like
- Semaglutide costs $199 a month, close to the $188 median for compounded semaglutide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to Alegro Health
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality
Rila
What we like
- Semaglutide costs $198 a month, close to the $188 median for compounded semaglutide across the sellers we compare
- The monthly price includes shipping
- Serves all 50 states
- We found no FDA warning letters issued to Rila
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Alegro Health wins this one, 6.6 to 6.0, above all for compounded semaglutide at $199/month. Rila undercuts it by $1 a month, so if the monthly bill is what decides it, Rila is the pick. Rila fits better if shoppers who want a named medical group and pharmacies, and a tablet option for either GLP-1 is your priority.
Choose Alegro Health if…
You want compounded semaglutide at $199/month and an opening price near $199 a month.
Choose Rila if…
You want shoppers who want a named medical group and pharmacies, and a tablet option for either GLP-1 and an opening price near $198 a month.
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Get started →Alegro Health vs Rila: FAQ
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