Optum Now vs Orderly Meds
A detailed head-to-head comparison of Optum Now and Orderly Meds — pricing, peptides, consultation models, and patient reviews.
At a Glance
RatingNo reviews
Starting PriceN/A
Peptides2
ConsultationHybrid
Lab TestingNo
Shipping3-5 business days
Pros
- $45/month unlimited virtual visits
- Available in all 50 states
- Video consultations (not async-only)
- Deep integration with UnitedHealthcare for seamless insurance coordination
- Lab ordering available through Quest Diagnostics partnership
- Behavioral health network access for patients who need psychological support alongside weight management
Cons
- No compounded GLP-1 options
- Not a specialized obesity medicine practice
- Tied to the UnitedHealth Group ecosystem, which has faced criticism over prior authorization denial rates and conflicts of interest across insurance, PBM, and care delivery
- Relatively new to weight management (added 2024)
- No in-person option for patients who prefer or need hands-on clinical evaluation
- Vertical integration cuts both ways
RatingNo reviews
Starting PriceN/A
Peptides2
ConsultationHybrid
Lab TestingNo
Shipping3-5 business days
Pros
- Competitive $149/mo semaglutide pricing
- All 50 states with licensed providers in each
- Oral compounded semaglutide available
- Brand-name Wegovy and Zepbound available for patients who decide compounded is not the right fit
- 3-month starter bundle available
- Unlimited provider messaging included
Cons
- Trustpilot 3.7/5 across 470+ reviews
- Documented shipping delays reported by a subset of patients (2–3+ week waits)
- Reports of expired medication on arrival in a small number of reviews
- Slow customer support response times noted in 2025 reviews
- Compounded tirzepatide capped at 7.5mg
- Cash-pay only for compounded medications
Pros & Cons
Peptide Pricing Comparison
| Peptide | Optum Now | Orderly Meds |
|---|---|---|
| Semaglutide | Price unavailable | Price unavailable |
| Tirzepatide | Price unavailable | Price unavailable |
Frequently Asked Questions
Is Optum Now or Orderly Meds better?
Optum Now offers 2 peptides and hybrid consultations. Orderly Meds offers 2 peptides and hybrid consultations. The best choice depends on which peptides you need, your budget, and preferred consultation model.
Which is cheaper, Optum Now or Orderly Meds?
See the pricing table above for a detailed comparison.