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If you’ve been down the snoring-solution rabbit hole, you’ve probably come across SnoreRx. It’s one of the most well-known boil-and-bite mandibular advancement devices (MADs), which is basically a fancy mouthguard that nudges your jaw forward so your airway stays open. And for a lot of people, SnoreRx is a good first step: it’s affordable, adjustable, and available without a prescription. But it’s not perfect. And a lot of people don’t like the feeling of a hockey guard in their mouth at night and are ready to level up to something that will not just work better, but feel better.
Before we start looking at options, I want to cover a few things: I’m not a doctor or a sleep specialist. I have, however, been accused of told that my snoring may be getting slightly louder as I (gracefully) age and I may or may not have sent my husband to the couch without ever actually waking up. More than once.
Why Look Beyond SnoreRx?
SnoreRx does have a lot going for it: boil-and-bite customization you do at home, micro-adjustments in jaw advancement, and a price point that’s more approachable than a dentist-made device.
But.
You’ve probably heard the phrase you get what you pay for. The SnoreRx absolutely works for many people, but if you could get Jordans instead of flip flops from the Dollar Tree for playing a game of pick up ball…well, you get the idea. The SnoreRx would have been great for me 10 years ago, but these days I need something that will fit better, have durability, and doesn’t have the possibility of shifting my teeth.
So what else is out there? I went digging to find some vetted and vouched brand alternatives.
SomnoDent (by SomnoMed)
If SnoreRx is the starter pack of oral appliances, SomnoDent is the custom-tailored version. Instead of the boil-and-bite, this is a dentist-made mandibular advancement device designed specifically for your mouth.
SomnoDent stands out for its custom fit – your dentist takes impressions or digital scans of your teeth. The device is made for you, and the fit is confirmed before you start wearing it. It looks more like a retainer than a mouthguard, and it’s made with a single piece of dental acrylic and lined with a flex liner meant to cradle your teeth.
One big pro: this is health insurance and Medicare approved. That’s right – health insurance. Because SomnoDent oral devices are FDA-cleared to treat sleep apnea, you could get partial coverage for a device if you have a sleep apnea diagnosis. MADs fall under the same criteria as CPAP machines, and at an average price point in the thousands any coverage help is better than none.
You’ve probably noticed that I mentioned both insurance and diagnoses – that does mean that this is a device you cannot get without a prescription. Don’t have one? SomnoMed will help connect you with a provider in your area for a sleep study.
ProSomnus
We just talked about SomnoMed being the custom-tailor version to SnoreRx’s starter pack – but there’s a great third option: ProSomnus. Think of it like a sleek, custom-built piece of furniture you don’t have to assemble. Like SomnoDent, this is a dentist-made oral appliance, but ProSomnus leans on digital tech for a more precise, slim fit.
ProSomnus stands out because your dentist doesn’t have messy impressions that have you carving tooth clay out of your gums for the next 24 hours. Instead, they use a digital CAD/CAM scanning to create a 3D model of your bite, which is then fabricated into a slim, low-profile device. Much like the SomnoDent it’s designed to feel more like a thin retainer, and many patients report it’s easier to talk and breathe with than other MADs.
It’s also FDA-cleared, which means it will also fall in the category of being covered by health insurance with the right diagnosis. Which means you’ll also need a diagnosis of sleep apnea and a prescription to try this bad boy out. Don’t have one? ProSomnus will connect you with a provider to complete an at-home sleep test, and then help you with finding a dentist for getting that scanning done if you do qualify.
Costs usually fall in the $1,500 – $2,500+ range, depending on your dentist and insurance. It’s an investment, but for people who want comfort, precision, and durability, ProSomnus offers a serious step up from over-the-counter devices like SnoreRx.
Zyppah
If SnoreRx is the classic mouthguard, Zyppah is the one that decided to add a twist – literally. Zyppah is another boil-and-bite MAD, but it comes with an extra feature: a tongue-stabilizing strap. And because it’s a boil-and-bite, it’s also the only one on this list you can get without a prescription.
The strap on the Zyppah mouthguard is made of a flexible material that stretches across the back of the mouthpiece, holding your tongue in place as you sleep. The idea is simple: by moving your jaw forward AND preventing your tongue from collapsing backward, Zyppah attacks snoring from two directions at once.
Because it doesn’t require a prescription you can order it directly on their website and start using it the day it delivers. Pricing starts at $99.95, and it is FDA-cleared which means it’s HSA / FSA eligible.
The trade-off? Comfort and durability. Some users find the tongue strap awkward or bulky, and the materials won’t last as long as professional-grade devices. Still, if SnoreRx alone didn’t solve the problem, Zyppah is an accessible next step that doesn’t involve having to get a sleep study done.
Bongo Rx
Gone through all the mouthguards and still waking up to find that they were tossed across the room by your mostly-sleeping self at some point in the middle of the night?
Bongo Rx takes snoring solutions from your mouth to your nose – it’s a nasal EPAP device (expiratory positive airway pressure device) that sits IN your nostrils. Instead of forcing your jaw forward, it works by making you breathe out against a little bit of resistance. Think of it like a tiny doorstop for your airway: that gentle back-pressure helps keep things open while you sleep.
The design is simple: two soft silicone valves that are small enough to slip into a pocket or travel bag. Each device is reusable for up to 90 days, but after that you’ll need replacements, so there is an ongoing cost.
Because it’s FDA-cleared for mild sleep apnea, Bongo Rx does require a prescription. Don’t have one? Bongo Rx does have a partnership with iSleep Physicians, and for $35 you can schedule a video call to get one. The starter kit runs $199 and includes one each of the four different sizes of the Bongo Rx to see what fits you best as well as accessories, headgear, a travel case, and a drying stand
I’m going to point out here that out of all the companies I reviewed, Bongo Rx is the only one that charged a fee for a consultation to get a prescription. I love the idea of an option that isn’t in my mouth, but this made me side-eye.
One important note: stick with the real Bongo Rx. There are cheap knock-off nasal valves floating around online that look similar but are not FDA-cleared. They can be uncomfortable, ineffective, or even unsafe. If you’re going this route, make sure you’re using the actual tested device. Not just a knock-off that looks the part.
eXciteOSA
Notice how everything having to do with your sleeping is something you have to wear while you’re doing said sleeping?
Not anymore.
The last thing I’m going to talk about is the eXciteOSA – a device that skips nighttime altogether. This is an FDA-cleared daytime therapy that strengthens your tongue muscles using mild electrical stimulation. Think of it as tongue Cross Fit for better sleep.
Here’s how it works: you insert the mouthpiece, which looks a bit like a slim retainer with wires attached to a small controller, and wear it for 20 minutes a day while awake. The device delivers gentle electrical pulses that activate the muscles of your tongue. Over time, the stronger tongue is less likely to collapse back into your airway during sleep.
What makes eXciteOSA stand out is that it’s the first and (currently) only FDA-cleared daytime therapy for treating both snoring and mild obstructive sleep apnea. Once you’ve done your 20-minute session for the day, you’re done – no nighttime mouthguards, nasal plugs, or other gear cluttering up your nightstand.
Something to note: you have to get replacement mouth pieces every 90 days, and this is something that you’ll use as long as you have snoring or apnea. You don’t do it daily once you get past the first six weeks (you’ll shift to twice a week), but you will still have to replace those mouthpieces. This is for safety – and while the extra quarterly charge might make your wallet cry, I’d rather that than having my tongue become shockingly good friends with an electrode.
The device costs $1,650 upfront and the replacement mouthpieces cost $150, though you can sign up for autoshipment and save between 10 – 20% depending on which one you sign up for. That said, because this is another FDA-cleared product, it is HSA/FSA eligible for qualified customers.
eXciteOSA also has a partnership with the VA for military members, both active duty and veteran. I’m a veteran myself, and snoring in the barracks is…an experience. Knowing that this is available through the VA at no-cost (both the device and the mouthpieces) is something I’ll be telling every other veteran I know, because I’m pretty sure we all sound the same once our heads hit those pillows. And for those with a disability rating for sleep apnea that are tired of lugging around their CPAP machines? This could be a game changer.
This is a device that does require a prescription, and eXciteOSA offers free telehealth consults through their website if you don’t have one.
So for anyone looking for something that they don’t have to wear at night – eXciteOSA is the absolute stand out.
Putting it all Together
So how do all of these stack up against SnoreRx – and each other?
- SomnoDent: Dentist-made, custom fit, insurance coverage possible, costs in the thousands. Best for people ready to commit to a medical-grade solution.
- ProSomnus: Digitally designed, slim and precise, also insurance-eligible. Great for those who want comfort and cutting-edge fabrication.
- Zyppah: A boil-and-bite with a tongue strap. Affordable, no prescription needed, but comfort is hit or miss.
- Bongo Rx: A nasal EPAP device, prescription only, small and travel-friendly, with ongoing replacement costs.
- eXciteOSA: The only FDA-cleared daytime therapy device, highly effective, and VA-covered for veterans. $1,650 upfront with ongoing mouthpiece replacements.
Final Word
SnoreRx is a strong entry point into the world of snoring and sleep apnea devices, but it’s far from your only option. Whether you want the comfort of a dentist-made appliance, the dual-action of a tongue-stabilizing strap, the portability of a nasal valve, or the innovation of daytime therapy, there’s a SnoreRx alternative to fit your needs.
My favorite? The eXciteOSA. I don’t love having things in my mouth, and the idea of 20 minutes per day vs. an entire night of gear (plus the fact that I’m a veteran and am going to absolutely utilize the VA program) is an appealing option, and one I’m excited to try.
But it’s not just about me – it’s about what works best for you. Because at the end of the day, the goal is the same for all of us: better sleep, quieter nights, and maybe – just maybe – a partner who no longer relegates themselves to the couch because those nighttime concerts you put on will have faded into memory.