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Head-to-head · WeighScore

Lean Rx vs LifeMD

Lean Rx
Graded #318

Higher grade

vs+2.8000000000000043
LifeMD
Graded #390

Lower grade

The verdict

Lean Rx takes it — 60.6/100 to 57.8/100.

Lean Rx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Lean Rx is a Sacramento-based telehealth technology platform offering compounded GLP-1 weight loss medications.

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 valueLean Rx +14
40
26
Dose & formulationLean Rx +11
75
64
Clinical oversightLifeMD +1
81
82
Labs & monitoringLifeMD +1
52
53
FulfillmentLifeMD +21
60
81
Contract termsEven
55
55
Lean Rx · left barLifeMD · right bar

The numbers

MetricLean RxLifeMD
WeighScore60.6/10057.8/100
GradeCC
Scorecard rank#318#390
Semaglutide$266/mo (starting dose, compounded)Not disclosed
Tirzepatide$399/mo (starting dose, compounded)Not disclosed
CoverageCoverage not publishedAll 50 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesYes
Lean Rx

Graded #318 · C

Strengths

  • Both semaglutide and tirzepatide offered
  • Three formulations: injectable, sublingual, and tablet
  • Upfront pricing with no hidden fees advertised
  • Semaglutide starts at a low $266/month
  • Telehealth call with a licensed provider before prescribing

Where it loses points

  • Compounded-only; no FDA-approved branded options
  • No published state availability list
  • Platform is technology only, not a healthcare provider itself
  • Provider credentials not detailed on site
LifeMD

Graded #390 · C

Strengths

  • Telehealth convenience
  • Physician-supervised program

Where it loses points

  • Brand-name GLP-1 only — no lower-cost compounded option
  • Monthly program & provider fee ($149/mo, $75 first month) is separate from medication cost

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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