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Best Josie Alternatives

Josie scores 57.6/100 in our independent evaluation, but it isn't the right fit for everyone. The most common reasons people look elsewhere: fda warning letter (feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing; and white-label setup: josie is a trade name of one eleven nutrition llc on the carevalidate platform, and its terms say it doesn't control provider decisions. Here are the 8 brands that compete with it most directly, ranked by category overlap and overall score.

Read our full Josie review for the complete score breakdown.

#1
75
Good
Midi Health

Insurance-billed virtual clinic for perimenopause and menopause, prescribing FDA-approved and compounded HRT, non-hormonal options, and GLP-1s through menopause-trained clinicians.

  • ▸Higher overall score (74.8/100 vs 57.6/100)
  • ▸Stronger trust & safety score (78 vs 50)
  • ▸Lower starting price ($50/mo vs $90/mo)
#2
75
Good
Joi + Blokes

Combined men's and women's hormone-health telehealth brand offering TRT, BHRT, GLP-1 weight loss, peptide/longevity add-ons, and sexual-health treatment with no membership or consult fees.

  • ▸Higher overall score (74.6/100 vs 57.6/100)
  • ▸Stronger trust & safety score (70 vs 50)
  • ▸Better value score (78 vs 70)
#3
75
Good
Direct Meds

Cash-pay pharmacy and telehealth combo focused on transparent pricing and no-surprise billing.

  • ▸Higher overall score (74.5/100 vs 57.6/100)
  • ▸Stronger trust & safety score (72 vs 50)
  • ▸Better value score (82 vs 70)
#4
73
Good
AgelessRx

AgelessRx is an Ann Arbor-based longevity telehealth company that prescribes rapamycin, metformin, low-dose naltrexone and NAD+, and also sells compounded and branded GLP-1s.

  • ▸Higher overall score (73.4/100 vs 57.6/100)
  • ▸Stronger trust & safety score (72 vs 50)
  • ▸Lower starting price ($25/mo vs $90/mo)
#5
71
Good
Healthspan

Healthspan is a Santa Monica-based longevity clinic built around clinician-guided rapamycin protocols, with add-on hormone, metabolic and brand-name GLP-1 care under a $99/mo membership.

  • ▸Higher overall score (71.3/100 vs 57.6/100)
  • ▸Stronger trust & safety score (72 vs 50)
  • ▸Lower starting price ($25/mo vs $90/mo)
#6
71
Good
Precision Telemed

Precision Telemed is a family-owned Tampa telehealth practice offering video-visit-based compounded GLP-1s, TRT, women's HRT, NAD+ and peptides at flat all-dose prices.

  • ▸Higher overall score (70.9/100 vs 57.6/100)
  • ▸Stronger trust & safety score (70 vs 50)
  • ▸Better value score (78 vs 70)
#7
71
Good
Nu Image Medical

Nu Image Medical is a Tampa-based cash-pay telehealth veteran (founded 2004, online since 2008) with a wide compounded catalog spanning GLP-1s, testosterone, peptides, and men's and women's sexual health.

  • ▸Higher overall score (70.5/100 vs 57.6/100)
  • ▸Stronger trust & safety score (66 vs 50)
  • ▸Lower starting price ($3/mo vs $90/mo)
#8
68
Good
Evernow

Menopause-focused telehealth practice offering HRT, non-hormonal therapy, branded GLP-1s and midlife hair/skin treatments through a $35–$49/mo membership or $150 pay-per-visit option.

  • ▸Higher overall score (68/100 vs 57.6/100)
  • ▸Stronger trust & safety score (72 vs 50)
  • ▸Lower starting price ($35/mo vs $90/mo)

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