Head-to-head · WeighScore
Lean Rx vs Shape Vantage
The verdict
Lean Rx takes it — 60.6/100 to 43/100.
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.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Lean Rx | Shape Vantage |
|---|---|---|
| WeighScore | 60.6/100 | 43/100 |
| Grade | C | C |
| Scorecard rank | #319 | #499 |
| Semaglutide | $266/mo (starting dose, compounded) | Not disclosed |
| Tirzepatide | $399/mo (starting dose, compounded) | $599/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| 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 #499 · C
Strengths
- $599 product price shown publicly, not gated behind intake
- Terms of Service exists and discloses the legal relationship
- Positions itself as 'Premium Weight Loss Treatment'
Where it loses points
- Homepage uses a dietary-supplement-style disclaimer, not language seen on legitimate prescription products
- Links straight to a Stripe checkout with no medical intake, consultation, or prescription gate
- Terms reserve the option to ship without prescription or provider review where not legally required
- No LegitScript, NABP, state-pharmacy, or PCAB accreditation visible
- Legal entity and state of incorporation not disclosed (only California governing law)
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.