Rx.com
The only row here that prints "No automatic renewals" on the plan card itself, and one of the few that names the pharmacy dispensing the vial.
- Semaglutide
- $175/mo month-to-month ($146 only on a 6-month prepay)
- Tirzepatide
- $285/mo month-to-month ($259 only on a 6-month prepay)
- Coverage
- 49 states (its own banner claims all 50)
- Brand-name
- Compounded only
Weigh Rx.com against the full graded field on the best semaglutide providers scorecard, or line it up against its closest alternatives. Because Rx.com dispenses compounded medication, it’s worth understanding whether compounded semaglutide is legit and safe.
Factor breakdown
Each of the six graded dimensions. See the methodology.
Strengths
- "No automatic renewals" is printed under the plan card, not buried in terms
- Names Manifest Pharmacy in Greer, South Carolina with a full street address, and MD Integrations as the provider network, on the same page as the price
- One flat price at every dose from 2.5 mg to 15 mg, with the provider visit, injection supplies and cold shipping stated as included
- A provider who declines to prescribe does not charge for medication
Where it loses points
- The advertised "$146/mo FOR LIFE" is a six-month prepay on semaglutide; month-to-month tirzepatide is $285
- Its plan page says 49 states served while its own banner says all 50
- No lab or monitoring protocol is published anywhere
- Injection only — no oral route and no FDA-approved brand lane
- LegitScript is claimed in the footer; we did not verify who holds the id
Bottom line — Grade C
Best for: Someone who will judge it by the plan card rather than the banner, and who values a named pharmacy and a contract that does not renew itself.
Ranked #73 of 544 on this scorecard. See our top-scoring pick, CoreAge Rx (#1), for comparison.
Closest here
The rankings grading nearest Rx.com — the realistic shortlist.
Lighter You advertises tirzepatide at $169 a month and charges $339 per four weeks for it in its own store, a gap of roughly two to one on the same brand.
Mondae sells both molecules at some of the lowest figures in this ranking, bills every 28 days, and names a pharmacy on every product page except the two that matter.
Semaglutide Online is a LegitScript-certified telehealth platform prescribing compounded and brand-name GLP-1/GIP medications nationwide (excluding Alabama).
NuvaHealth (nuvahealth.org) is a LegitScript-certified compounded GLP-1 telehealth platform offering compounded semaglutide starting at $159 first-month and compounded tirzepatide starting at $259 first-month.
MedLeanRx is a physician-guided telehealth weight-loss clinic serving Texas only, based in Spring, TX.
Belle Health is a national DTC telehealth platform offering compounded semaglutide and tirzepatide with flat-rate pricing — the same monthly cost at every dose, with no escalation surcharge as you titrate up.
The 20 rankings nearest this one
- #78 EverSlim73.5
- #79 NuviaRx73.5
- #80 REMEVi73.5
- #81 Trellis Vitality73.4
- #82 FormidableMD73.2
- #83 Woodwork73.2
- #84 Prime Doctor RX73
- #85 Auren Rx72.9
- #86 Science & Co72.9
- #87 Blis MD72.7
- #88 FormBlends72.7
- #89 Ageless69.7
- #90 Cora Health72.5
- #91 Potere Health MD72.5
- #92 Tuyo Health72.5
- #93 Vytora Health72.3
- #94 Pallas Health69.3
- #95 Alloy72.2
- #96 MANÜ Telehealth72.2
- #97 WeightRx72.1
Pricing/verification reflect Rx.com's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on Rx.com's site. Not medical advice; see our disclosure.