Head-to-head · WeighScore
Lean Rx vs Mixx Health & Wellness
The verdict
Mixx Health & Wellness takes it — 62.8/100 to 60.6/100.
Mixx Health & Wellness grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Mixx Health & Wellness is a telehealth weight-loss platform offering compounded semaglutide and tirzepatide from $120/month with $0 consultations and follow-ups.
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 | Mixx Health & Wellness |
|---|---|---|
| WeighScore | 60.6/100 | 62.8/100 |
| Grade | C | C |
| Scorecard rank | #318 | #266 |
| Semaglutide | $266/mo (starting dose, compounded) | Not disclosed |
| Tirzepatide | $399/mo (starting dose, compounded) | Not disclosed |
| Coverage | Coverage not published | 44 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
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
Graded #266 · C
Strengths
- 44 jurisdictions enumerated in the public FAQ — confirm eligibility before intake
- Operating LLC disclosed: Mixx Health and Wellness LLC (Wyoming law)
- Named pharmacy partner: Promise Pharmacy, Palm Harbor FL, (727) 772-0500
- Named founder: Dr. James David Lawrence III, MD, with a public origin story
- $0 consultation fee — free intake and follow-ups
Where it loses points
- Both medications are compounded semaglutide and tirzepatide — not FDA-approved brand drugs
- Dose-tier pricing not available — /pricing and /products pages returned 404
- No LegitScript, PCAB, or BBB trust badges visible
- Wyoming governing-law clause — disputes adjudicated under Wyoming law regardless of your state
- FDA has issued this company a warning letter; the letter is public in FDA's warning-letter database
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.