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Head-to-head · WeighScore

Lean Rx vs VitaFusions IV

Lean Rx
Graded #319

Lower grade

vs+1.5
VitaFusions IV
Graded #279

Higher grade

The verdict

VitaFusions IV takes it — 62.1/100 to 60.6/100, but only just.

VitaFusions IV grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. VitaFusions IV (vitafusionsiv.com) offers semaglutide and medical weight loss services in Dallas, TX. Lean Rx is close behind and may still be the better fit — see the factor split below.

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 valueVitaFusions IV +18
40
58
Dose & formulationLean Rx +3
75
72
Clinical oversightLean Rx +7
81
74
Labs & monitoringVitaFusions IV +1
52
53
FulfillmentVitaFusions IV +2
60
62
Contract termsLean Rx +18
55
37
Lean Rx · left barVitaFusions IV · right bar

The numbers

MetricLean RxVitaFusions IV
WeighScore60.6/10062.1/100
GradeCC
Scorecard rank#319#279
Semaglutide$266/mo (starting dose, compounded)$149/mo (all doses, plus a separate fee, compounded)
Tirzepatide$399/mo (starting dose, compounded)$189/mo (all doses, compounded)
CoverageCoverage not publishedCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
Lean Rx

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
VitaFusions IV

Graded #279 · C

Strengths

  • Semaglutide confirmed from page metadata
  • Published flat package pricing: semaglutide from $149, tirzepatide $189 for a 7-week supply, no insurance/memberships/contracts

Where it loses points

  • Advertised prices are 7-week package prices, not monthly; homepage banner ('$199 for 7 weeks') conflicts with the program page ('Starting $149')

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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