Head-to-head · WeighScore
Fella Health 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. Fella Health 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.
The numbers
| Metric | Fella Health | Rylo Health |
|---|---|---|
| WeighScore | 64/100 | 64.7/100 |
| Grade | C | C |
| Scorecard rank | #248 | #240 |
| Semaglutide | $299/mo (compounded) | $149/mo (promotional rate, compounded) |
| Tirzepatide | $449/mo (compounded) | $249/mo (compounded) |
| Coverage | 20 states | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #248 · C
Strengths
- Specialized vertical — program designed for men, particularly 'bigger guys'
- Free 1:1 health coaching included with the membership
- 6-month money-back guarantee if the program doesn't work
- Flat monthly price stays the same as your dose escalates
- Both compounded semaglutide and tirzepatide available
Where it loses points
- Limited to men's health vertical — not available to women
- Available in only 20 published states (not nationwide)
- Exact GLP-1 monthly cost not published on the public site — only an 'under $10/day' starting figure
- Pricing transparency below industry standard for compounded GLP-1 telehealth
Graded #240 · 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.