How we rank and match programs
What goes into a score, how the quiz chooses what to show you, and where referral fees do and do not come into it.
The short version
- Referral relationships decide which programs we are able to list. They never decide a score, a position in a table, or your quiz result.
- Scores come from published, checkable facts about each program, using the four inputs below.
- Your quiz result comes from a fixed set of rules applied to your answers. The same answers always give the same result.
- We do not name a “best” program. The right choice depends on your circumstances, and a licensed clinician decides whether treatment is appropriate.
What goes into a score
Each program has a score out of 10 on the compare table and a rating out of 5 on its review. They are the same assessment on two scales. We weigh four things:
| Input | What we look at |
|---|---|
| Price transparency | Whether the recurring all-in monthly price is published before intake; whether first-month promotions are clearly separated from the ongoing price; whether membership, consultation, lab and shipping charges are disclosed; whether cancellation terms are published. |
| Clinician access | How the clinical review works (asynchronous form, message or video), whether prescribers are identified as licensed in your state, and what ongoing follow-up the program describes. |
| Medication options | The range offered: injectable and oral forms, compounded and FDA-approved brand-name options, and whether the dispensing pharmacy is named. |
| Public review record | The program’s public track record: independent customer review profiles, how long it has operated, certification status where published (such as LegitScript), and any public regulatory actions. |
Where a program does not publish something, we say “Not published” and score that item conservatively. We do not fill gaps with guesses. Programs that only show prices after their intake are marked “Get quote” and sort after programs with published prices when you sort by price.
How the tables are ordered
The compare table and the reviews index open in score order. You can re-sort by price or alphabetically at any time. A program’s referral fee, or whether it pays one at all, is not an input to the score or the order.
Because we earn referral fees, we only list programs we are able to link to. That means good programs may be missing from this site. Not being listed says nothing negative about a program.
How the quiz matches programs
The quiz first checks your answers against the criteria programs commonly publish: a BMI of 30 or more, or 27 or more with a weight-related condition. If your answers fall below those criteria, or the programs we list do not serve your state, we do not show a program. If you tick a clinical safety flag, we point you to clinician-review guidance and do not present a program as a fit.
Otherwise, the quiz uses a fixed table that maps what you told us matters most (for example total monthly cost, insurance, brand-name medication, non-injection options, speed or ongoing support) and how you prefer to pay to a short list of programs. It shows the first one available in your state, and one alternative. There is no bidding and no randomisation, and the matching runs on our server so it cannot be altered in the browser.
A match means “this program’s published offer lines up with what you said you wanted”. It is not an approval, and it is not a prediction that the program’s clinician will prescribe.
How and when we verify prices
Prices and facts are taken from each program’s own published pricing, FAQ and terms pages, and each review lists its sources. Every review and the compare table show the date we last verified them. The current tables were verified on 5 September 2026.
We re-check when a program or a reader tells us something has changed, and during our monthly review pass. Promotions move quickly, so treat our figures as a starting point and confirm the price, renewal amount and cancellation terms at the program’s checkout before you pay. If you spot something out of date, tell us.
Compounded medications
Many programs we list dispense compounded semaglutide or tirzepatide. Compounded GLP-1s are not FDA-approved finished products: the FDA does not review them for safety, effectiveness or quality before they are sold. Rules on when pharmacies may compound these medications have changed and may change again, which can affect availability. We label compounded options wherever they appear. Source: FDA, accessed 19 September 2026. Read our guide to compounded vs brand-name GLP-1s.
Editorial standards
- We do not promise eligibility, approval, a prescription or any weight-loss result.
- We describe published facts and program types. We avoid “best” or “#1” claims about any program.
- Programs cannot pay for a score, a position, or the wording of a review, and they do not see reviews before publication.
- When we get something wrong, we correct it and update the verification date.
See also our Affiliate Disclosure and Medical Disclaimer.