Head-to-head · WeighScore
Green Cap Health vs RxSpan MD
The verdict
RxSpan MD takes it — 86.8/100 to 65.1/100.
RxSpan MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. A physician-led telehealth under board-certified founder Dr. John Diaz with a broad GLP-1 menu — compounded semaglutide and tirzepatide by injection or oral capsule, plus a brand-name lane and microdosing — on transparent all-inclusive pricing to all 50 states.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Green Cap Health | RxSpan MD |
|---|---|---|
| WeighScore | 65.1/100 | 86.8/100 |
| Grade | C | B |
| Scorecard rank | #231 | #4 |
| Semaglutide | $79/mo (starting dose, first-month rate, compounded) | From $194/mo |
| Tirzepatide | $119/mo (starting dose, compounded) | $329/mo |
| Coverage | 1 states | All 50 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #231 · C
Strengths
- Vertically integrated — it is both the clinical practice and its own 503A Texas compounding pharmacy, a clear supply chain
- Aggressive $79 first-month intro pricing, competitive despite being Texas-only
- Texas patients can consolidate GLP-1, hair, skin, and sexual wellness under one practice
- Phone support published with a Houston area code
- Same-day provider review, faster than 24–48hr competitors
Where it loses points
- Texas only — patients in the other 49 states and DC can't use it
- No tirzepatide — semaglutide only, so those wanting the higher-magnitude option must look elsewhere
- LegitScript certification status not disclosed
- No named medical director — only "doctors, nurse practitioners, and pharmacists"
- FDA compounded-medication disclaimer not visible on the homepage
Graded #4 · B
Strengths
- Available in all 50 states
- Transparent, all-inclusive published pricing — consult, medication, supplies, shipping and support, cancel anytime, from ~$194/mo compounded semaglutide on an annual plan
- Both injectable and a real oral (capsule) route, plus compounded and an advertised brand-name lane
- Physician-led by a named, board-certified founder (Dr. John Diaz) with 24/7 messaging and coaching
Where it loses points
- Compounded semaglutide/tirzepatide are not FDA-approved (not the same as Wegovy/Ozempic/Zepbound)
- Published pricing is for the compounded line — brand-name pricing isn’t itemized
- A prescription isn’t guaranteed — a provider reviews eligibility after checkout
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.