Best Twentyeight Health Alternatives
Twentyeight Health scores 75/100 in our independent evaluation, but it isn't the right fit for everyone. The most common reasons people look elsewhere: medications are billed separately from the membership, which some reviewers say caused unexpected charges; and weight care (branded wegovy/zepbound only) is limited to about 22 states, and skincare to a subset of states. Here are the 8 brands that compete with it most directly, ranked by category overlap and overall score.
Read our full Twentyeight Health review for the complete score breakdown.
The largest publicly traded D2C telehealth platform, offering treatments across hair loss, ED, mental health, skincare, and weight loss.
- ▸Higher overall score (77.5/100 vs 75/100)
- ▸Lower starting price ($11/mo vs $15/mo)
- ▸Also treats Men's Health, Mental Health, Hair Loss
TelyRx is a publicly listed online pharmacy platform where patients choose from 500+ generic and branded medications and pay a one-time $22 provider-review fee for an asynchronous prescription from an independent, state-licensed clinician.
- ▸Also treats Primary Care, Men's Health, Hair Loss
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.
- ▸Also treats Hormone Therapy, Men's Health, Longevity & Peptides
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.
- ▸Also treats Hormone Therapy, Hair Loss
Physician-founded telehealth platform offering flat-rate compounded GLP-1 medications with dietitian support, expanding into 15+ specialty care categories.
- ▸Also treats Men's Health, Mental Health
Pallas Health is a July 2026-launched telehealth platform offering compounded and branded GLP-1s, longevity peptides, women's HRT, ED and prescription skincare, with unusually detailed compliance disclosures.
- ▸Also treats Longevity & Peptides, Hormone Therapy
Push Health is a software platform, running since 2013, that connects patients with independent doctors, NPs and PAs for asynchronous prescriptions and lab orders, which are sent to a local pharmacy of the patient's choice.
- ▸Also treats Primary Care, Hormone Therapy
Vertically integrated private telehealth with in-house pharmacy, diagnostics, and an Eli Lilly partnership for branded GLP-1s.
- ▸Higher overall score (77/100 vs 75/100)
- ▸Stronger trust & safety score (85 vs 76)
- ▸Lower starting price ($13/mo vs $15/mo)
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