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Head-to-head · WeighScore

Rex MD vs Zealthy

Rex MD
Graded #109

Higher grade

vs+23.5
Zealthy
Graded #496

Lower grade

The verdict

Rex MD takes it — 70.2/100 to 46.7/100.

Rex MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Rex MD is a US-based men's-health telehealth platform (a LifeMD brand) offering a 100 percent online GLP-1 weight-management program.

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 valueRex MD +34
60
26
Dose & formulationRex MD +13
77
64
Clinical oversightRex MD +43
84
41
Labs & monitoringEven
53
53
FulfillmentRex MD +23
89
66
Contract termsRex MD +14
55
41
Rex MD · left barZealthy · right bar

The numbers

MetricRex MDZealthy
WeighScore70.2/10046.7/100
GradeCC
Scorecard rank#109#496
Semaglutide$199/mo (brand-name)$286/mo (starting dose, plus a separate fee, compounded)
Tirzepatide$349/mo (brand Zepbound)$351/mo (starting dose, plus a separate fee, compounded)
CoverageAll 50 states34 states
Brand-name accessYesCompounded only
Oral / sublingualInjection onlyInjection only
Rex MD

Graded #109 · C

Strengths

  • Flat $199/mo program bundles consult, medication and overnight shipping
  • Brand-name semaglutide and Zepbound vials, not just compounded
  • Serves all 50 states, fully online
  • LegitScript certified with US-based, state-licensed providers
  • Backed by parent company LifeMD

Where it loses points

  • Does not accept insurance
  • Marketed primarily to men via a men's-health platform
  • Zepbound vial cost rises with dose titration
  • Branded-only program costs more than compounded options
Zealthy

Graded #496 · C

Strengths

  • Serves 34 states — meaningful nationwide footprint
  • Asynchronous model removes friction for patients who don't want a video visit
  • Independent licensed prescribers retain full clinical authority

Where it loses points

  • Active Novo Nordisk false-advertising lawsuit alleging trademark infringement and marketing compounded drugs as FDA-approved alternatives
  • Active DOJ/FTC enforcement alleging undisclosed subscription terms, locked cancellation, and unauthorized health-data sharing
  • Founder previously ran Cerebral, which settled with the FTC in 2024 over similar deceptive practices
  • Recently rebranded to Gronk Inc. amid active enforcement
  • FDA issued this company a warning letter dated 1 September 2025; 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.

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