Head-to-head · WeighScore
Lean Rx vs Mirabel Meds
The verdict
Lean Rx takes it — 60.6/100 to 57.5/100.
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.
The numbers
| Metric | Lean Rx | Mirabel Meds |
|---|---|---|
| WeighScore | 60.6/100 | 57.5/100 |
| Grade | C | C |
| Scorecard rank | #319 | #397 |
| Semaglutide | $266/mo (starting dose, compounded) | Not disclosed |
| Tirzepatide | $399/mo (starting dose, compounded) | Not disclosed |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #319 · 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
Graded #397 · C
Strengths
- LegitScript certified with board-certified Internal Medicine physician oversight
- Compounded semaglutide, tirzepatide, and GLP-1 microdose injection options
- White-glove concierge — direct provider messaging, no automated bots
- Cold-chain temperature-controlled delivery to all 50 states
- Monthly clinical reviews and dose adjustments included with every plan
Where it loses points
- Pricing not publicly disclosed — requires a consultation to receive a quote
- Compounded medications are not FDA-approved individual drugs
- No named pharmacy partner disclosed on public pages
- Labs not mentioned on any public page — baseline bloodwork protocol unknown
- Concierge positioning suggests premium pricing above market average
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.