Head-to-head · WeighScore
ElitePhysiqMD vs Lttl
The verdict
ElitePhysiqMD takes it — 67.8/100 to 66.1/100, but only just.
ElitePhysiqMD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. ElitePhysiqMD is a physician-led telehealth platform prescribing compounded semaglutide (from $145/mo) and tirzepatide (from $315/mo subscription) to patients in all 50 states. Lttl 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 | ElitePhysiqMD | Lttl |
|---|---|---|
| WeighScore | 67.8/100 | 66.1/100 |
| Grade | C | C |
| Scorecard rank | #154 | #204 |
| Semaglutide | $145/mo (starting dose, compounded) | $199/mo (all doses, compounded) |
| Tirzepatide | $315/mo (starting dose, compounded) | $279/mo (all doses, compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #154 · C
Strengths
- Compounded semaglutide from $145/mo subscription with no video calls and cancel-anytime policy
- LegitScript certified, HIPAA-compliant; prescriptions from board-certified physicians via 5-min online assessment
- Medications from US-licensed 503A/503B compounding pharmacies, shipped discreetly in 5–7 business days
- HSA/FSA eligible; accepts all 50 states with no insurance required
- Peptide therapy also available: NAD+, sermorelin, CJC-1295/ipamorelin, GHK-Cu, and glutathione
Where it loses points
- Required $49 telehealth visit is added to every order, increasing effective monthly cost above the headline price
- No labs disclosed; medication plans don't appear to include bloodwork or baseline testing
- No dietitian, coaching, or nutrition support mentioned; program is medication-only
- Tirzepatide subscription price ($315/mo) is above the mid-range for compounded tirzepatide
- Newer platform (founded late 2025); no Trustpilot rating or public patient reviews found
Graded #204 · C
Strengths
- Publishes the full price matrix — every medication, form and commitment length — on a public /plans page before checkout
- Flat dose pricing: 'Same price at every dose,' so moving to a higher dose does not raise the monthly bill
- States plainly that its compounded GLP-1s 'are not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality'
- Microdose line prices low-dose semaglutide or tirzepatide at $149/mo month-to-month for people sensitive to side effects
- Oral ODT semaglutide offered for members who want to avoid injections
Where it loses points
- Partner pharmacies are never named — the site refers only to 'a partner U.S. pharmacy' (a material disclosure gap for a YMYL purchase)
- The advertised 'Plans start at $129/mo' is the 12-month prepay rate; true month-to-month is $199 semaglutide and $279 tirzepatide
- No public list of states served — eligibility depends on where unnamed 'partner providers are licensed'
- Site banner promises 'Prescribed and shipped within 48 hours' while the shipping policy states 2-5 business days to process plus 3-7 to deliver
- Medications cannot be returned or refunded once they ship from the pharmacy
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.