Head-to-head · WeighScore
Citizen Meds vs Rylo Health
The verdict
Rylo Health takes it — 64.7/100 to 64/100, but only just.
Rylo Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Texas-prescriber telehealth selling compounded semaglutide and tirzepatide alongside a peptide line, naming both its medical group and its dispensing pharmacy. Citizen Meds is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Citizen Meds | Rylo Health |
|---|---|---|
| WeighScore | 64/100 | 64.7/100 |
| Grade | C | C |
| Scorecard rank | #245 | #236 |
| Semaglutide | $125/mo (0.25 mg dose, compounded) | $149/mo (promotional rate, compounded) |
| Tirzepatide | $185/mo (2.5 mg dose, first-month rate, compounded) | $249/mo (compounded) |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #245 · C
Strengths
- Semaglutide confirmed from product listings
- New-patient discount available (code NEWPATIENT10)
Where it loses points
- No visible LegitScript or PCAB accreditation
- State availability not disclosed
- About page returns a 404
- Limited overall transparency
Graded #236 · C
Strengths
- Names its dispensing pharmacy in full, with address and phone: VialsRX in Houston, Texas
- Names its medical group, Lone Star Virtual Health PLLC, and gives a provider contact
- Standard prices published openly alongside the promotional rate, so the real ongoing cost is visible
- Cancel in one click from the patient portal, with no contracts and no cancellation fees
- Peptide line priced openly, including NAD+ and sermorelin
Where it loses points
- Headline $100 and $160 rates are limited to the first 20 patients; standard rates are $149 and $249
- No LegitScript certification is claimed or displayed
- Several peptide products are advertised as coming soon rather than available
- No published refund policy beyond the no-cancellation-fee statement
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.