Head-to-head · WeighScore
ElixaMD vs Rx.com
The verdict
Rx.com takes it — 74.3/100 to 63.7/100.
Rx.com grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. The only row here that prints "No automatic renewals" on the plan card itself, and one of the few that names the pharmacy dispensing the vial.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | ElixaMD | Rx.com |
|---|---|---|
| WeighScore | 63.7/100 | 74.3/100 |
| Grade | C | C |
| Scorecard rank | #274 | #73 |
| Semaglutide | $179/mo (starting dose, first-month rate, compounded) | $175/mo month-to-month ($146 only on a 6-month prepay) |
| Tirzepatide | Not disclosed | $285/mo month-to-month ($259 only on a 6-month prepay) |
| Coverage | Coverage not published | 49 states (its own banner claims all 50) |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #274 · 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
Graded #73 · C
Strengths
- "No automatic renewals" is printed under the plan card, not buried in terms
- Names Manifest Pharmacy in Greer, South Carolina with a full street address, and MD Integrations as the provider network, on the same page as the price
- One flat price at every dose from 2.5 mg to 15 mg, with the provider visit, injection supplies and cold shipping stated as included
- A provider who declines to prescribe does not charge for medication
Where it loses points
- The advertised "$146/mo FOR LIFE" is a six-month prepay on semaglutide; month-to-month tirzepatide is $285
- Its plan page says 49 states served while its own banner says all 50
- No lab or monitoring protocol is published anywhere
- Injection only — no oral route and no FDA-approved brand lane
- LegitScript is claimed in the footer; we did not verify who holds the id
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 544 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.