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Head-to-head · WeighScore

ElixaMD vs Premium Health

ElixaMD
Graded #257

Lower grade

vs+1.5
Premium Health
Graded #232

Higher grade

The verdict

Premium Health takes it — 65/100 to 63.5/100, but only just.

Premium Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Premium Health (premiumhealth.us) is a LegitScript-certified telehealth provider offering compounded GLP-1 medications for weight loss via an all-inclusive membership. ElixaMD 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 valuePremium Health +1
50
51
Dose & formulationPremium Health +20
52
72
Clinical oversightElixaMD +6
92
86
Labs & monitoringElixaMD +10
63
53
FulfillmentElixaMD +7
76
69
Contract termsPremium Health +10
45
55
ElixaMD · left barPremium Health · right bar

The numbers

MetricElixaMDPremium Health
WeighScore63.5/10065/100
GradeCC
Scorecard rank#257#232
Semaglutide$179/mo (starting dose, first-month rate, compounded)$275/mo (all doses, compounded)
TirzepatideNot disclosed$445/mo (all doses, compounded)
CoverageCoverage not publishedCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only
ElixaMD

Graded #257 · C

Strengths

  • Compounded semaglutide from $179 first month with free shipping, no membership, no contract, and no insurance required
  • Genuinely all-inclusive: 1:1 physician guidance, free dietician visits and care coaching, 24/7 support, and an all-in-one patient portal
  • Names its compounding pharmacies (RedRock Pharmacy, Beaker Pharmacy) — more transparent than most compounded sellers
  • HSA/FSA eligible; full legal suite (Terms, Privacy, Privacy Practices, Refund, Medical Consent, California Bill of Rights)

Where it loses points

  • $179 is a first-month/intro price — ongoing monthly cost is higher (tiers to ~$249-$299)
  • Compounded semaglutide is not FDA-approved (the site discloses this) — not brand Wegovy or Ozempic
  • Appears to offer compounded semaglutide only — tirzepatide is not advertised
  • Displays a generic LegitScript Certified badge but no verifiable seal/listing; state-availability list not published
Premium Health

Graded #232 · C

Strengths

  • All-inclusive membership covers medication, supplies, shipping, and provider visits
  • LegitScript certified with verification seal
  • Names three licensed pharmacy partners (Hallandale, Red Rock, Strive)
  • Compounded with Vitamin B12 or B6 to aid tolerance
  • Free consultation and HIPAA-compliant telehealth via Doxy.me

Where it loses points

  • Compounded medications are not FDA-approved
  • Higher base pricing than many compounded competitors ($275/$445)
  • High-dose tiers cost extra ($100-$150/mo)
  • States available not specified on site
  • Cash-pay only; no insurance noted

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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