Head-to-head · WeighScore
Lean Meds vs OrderlyMeds
The verdict
Lean Meds takes it — 81.8/100 to 67/100.
Lean Meds grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Lean Meds holds one price at every dose, names four dispensing pharmacies and its compounding class, and undercuts the field on both molecules.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Lean Meds | OrderlyMeds |
|---|---|---|
| WeighScore | 81.8/100 | 67/100 |
| Grade | B− | C |
| Scorecard rank | #31 | #181 |
| Semaglutide | $79/mo (one-month plan, flat at every dose) | $74/mo (starting dose, 2-mo starter plan, new patients only, compounded) |
| Tirzepatide | $109/mo (one-month plan, flat at every dose) | $299/mo (compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #31 · B−
Strengths
- The price holds at every dose — stated as “same price, every dose” — so titration does not raise the bill
- $79 for semaglutide and $109 for tirzepatide on a one-month plan are at the low end of what this ranking records
- States its compounding class in the footer of every page: state-licensed 503A compounding pharmacies
- Names four dispensing pharmacies with addresses and phone numbers, and names the prescribing medical group
- A nutritionist and unlimited check-ins are included, and shipping is free
Where it loses points
- The $49 in the homepage hero is the twelve-month tier, not the month-to-month rate, and the same page carries a “price increases in” countdown with no dated deadline
- A homepage chip reads “no auto rebill” while the Terms describe automatic charging at recurring intervals until canceled
- An “eligible for insurance” chip sits against an FAQ calling the service self-pay and Terms barring reimbursement from any payor
- The refund page signs both “Leanmeds, Inc.” and “Leanmeds LLC”, chooses Florida law and then fixes venue in Fulton County, Georgia
- A satisfaction rating and a member count are published with no platform and no denominator
- No individual clinician or NPI is published — the medical group is named, its clinicians are not
Graded #181 · C
FDAWarning letter issued to OrderlyMeds LLC dba OrderlyMeds in June 2026. See the FDA warning-letter database.
Strengths
- The starter rate and the standing rate are both published, so the step-up is visible before signing up
- No membership fees and no hidden costs, stated as such
- The dose ladder is published: four weeks at 0.25 mg then four weeks at 0.5 mg
- Brand-name routes are priced openly, at retail
Where it loses points
- The $74 rate is a two-month starter plan billed as $149 up front, and it is open only to patients new to GLP-1 medication; the standing monthly rate is $149
- Tirzepatide has no equivalent standing discount — $299/mo is the ongoing rate
- Brand-name routes are priced at retail: Wegovy $1,839 and Zepbound $1,498
- Compounded semaglutide and tirzepatide are not FDA-approved finished products
- FDA issued OrderlyMeds LLC dba OrderlyMeds a warning letter in June 2026; 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 536 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.