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Head-to-head · WeighScore

Elevated Health vs Lean Rx

Elevated Health
Graded #285

Higher grade

vs+1.1999999999999957
Lean Rx
Graded #319

Lower grade

The verdict

Elevated Health takes it — 61.8/100 to 60.6/100, but only just.

Elevated Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Elevated Health offers compounded semaglutide ($176/mo) and compounded tirzepatide ($238/mo). Lean Rx is close behind and may still be the better fit — see the factor split below.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueLean Rx +3
37
40
Dose & formulationElevated Health +13
88
75
Clinical oversightLean Rx +7
74
81
Labs & monitoringEven
52
52
FulfillmentElevated Health +2
62
60
Contract termsElevated Health +6
61
55
Elevated Health · left barLean Rx · right bar

The numbers

MetricElevated HealthLean Rx
WeighScore61.8/10060.6/100
GradeCC
Scorecard rank#285#319
Semaglutide$296/mo (compounded)$266/mo (starting dose, compounded)
Tirzepatide$359/mo (compounded)$399/mo (starting dose, compounded)
CoverageCoverage not publishedCoverage not published
Brand-name accessYesCompounded only
Oral / sublingualYesYes
Elevated Health

Graded #285 · C

Strengths

  • $100 off first month
  • Oral semaglutide option
  • Competitive pricing — compounded semaglutide from $187/mo (12-month plan), tirzepatide from $235/mo

Where it loses points

  • No LegitScript or PCAB accreditation
  • No legal entity or address disclosed
  • State availability not disclosed
  • Shopify storefront — few clinical infrastructure signals
Lean Rx

Graded #319 · C

Strengths

  • Both semaglutide and tirzepatide offered
  • Three formulations: injectable, sublingual, and tablet
  • Upfront pricing with no hidden fees advertised
  • Semaglutide starts at a low $266/month
  • Telehealth call with a licensed provider before prescribing

Where it loses points

  • Compounded-only; no FDA-approved branded options
  • No published state availability list
  • Platform is technology only, not a healthcare provider itself
  • Provider credentials not detailed on site

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.

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