Head-to-head · WeighScore
Nolu vs RxSpan MD
The verdict
RxSpan MD takes it — 86.8/100 to 69.7/100.
RxSpan MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. A physician-led telehealth under board-certified founder Dr. John Diaz with a broad GLP-1 menu — compounded semaglutide and tirzepatide by injection or oral capsule, plus a brand-name lane and microdosing — on transparent all-inclusive pricing to all 50 states.
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 | Nolu | RxSpan MD |
|---|---|---|
| WeighScore | 69.7/100 | 86.8/100 |
| Grade | C | B |
| Scorecard rank | #119 | #4 |
| Semaglutide | $249/mo injectable, $279/mo oral — billed per 4 weeks | From $194/mo |
| Tirzepatide | $339/mo — billed per 4 weeks | $329/mo |
| Coverage | All 50 states plus Washington, D.C. | All 50 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Yes | Yes |
Graded #119 · C
Strengths
- All-in per-order pricing — consultation, medication and shipping in one figure, no separate membership fee
- Oral semaglutide ($279 per 4 weeks) alongside the injectable, plus a Microdose GLP-1+B12/NAD+ stack ($179 per 4 weeks)
- LegitScript verified, available in all 50 states plus Washington, D.C.
Where it loses points
- Billed "per 4 weeks" rather than calendar month — roughly 8% higher annualized than the $249/$339 headline implies
- No named medical director, prescribers, or compounding pharmacy disclosed anywhere on the site
- Compounded only — not the FDA-approved brand product (Wegovy/Ozempic), which matters if you're relying on insurance
Graded #4 · B
Strengths
- Available in all 50 states
- Transparent, all-inclusive published pricing — consult, medication, supplies, shipping and support, cancel anytime, from ~$194/mo compounded semaglutide on an annual plan
- Both injectable and a real oral (capsule) route, plus compounded and an advertised brand-name lane
- Physician-led by a named, board-certified founder (Dr. John Diaz) with 24/7 messaging and coaching
Where it loses points
- Compounded semaglutide/tirzepatide are not FDA-approved (not the same as Wegovy/Ozempic/Zepbound)
- Published pricing is for the compounded line — brand-name pricing isn’t itemized
- A prescription isn’t guaranteed — a provider reviews eligibility after checkout
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 504 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.