Head-to-head · WeighScore
RxSpan MD vs Vitalex Health
The verdict
RxSpan MD takes it — 86.8/100 to 59.7/100.
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.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | RxSpan MD | Vitalex Health |
|---|---|---|
| WeighScore | 86.8/100 | 59.7/100 |
| Grade | B | C |
| Scorecard rank | #4 | #337 |
| Semaglutide | From $194/mo | $199/mo (starting dose, compounded) |
| Tirzepatide | $329/mo | $199/mo (starting dose, compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Injection only |
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
Graded #337 · C
Strengths
- Flat-rate pricing starting at $199/mo with no consultation fee or dose-change surcharges
- Three distinct programs — Semaglutide, Tirzepatide, and a lower-dose GLP-1 Microdose protocol for body composition
- Names its legal entity (Vitalex Health, LLC), a real street address, phone number, and posted clinical hours
- Named lead clinician (Laqueta Nelson, MSN, FNP-BC) instead of an anonymous care team
- Working Terms of Service, Privacy Policy, and HIPAA Notice pages, not dead links
Where it loses points
- Brands itself “physician-led” sitewide, but the only named clinician is a nurse practitioner (FNP-BC), not a physician
- No LegitScript seal or other third-party pharmacy-verification badge found anywhere on the site
- Compounding pharmacy and prescribing medical group are referenced only generically — neither is named
- Exact price is not published — the $199/mo figure is only a starting point confirmed after provider review
- Domain was registered in April 2026 — a brand-new practice with no independent reviews found
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.