Blue Sky MD review
Blue Sky MD is a LegitScript-certified medical weight-loss practice founded in 2008 with seven North Carolina clinics and telehealth visits available.
- Scores never bought
- 537 providers tracked
- Every factor auditable
- Updated August 2026
Semaglutide here is $174/mo — $25 below our category median of $199.
- Semaglutide
- $174/mo
- Tirzepatide
- $261/mo
- Coverage
- 1 state
- Brand-name
- Compounded only
- Oral option
- Injectable only
- Verification
- LegitScript-certified
Best for: People who want legitScript-certified, NC-based; compounded sema $40/wk or tirz $60/wk; physician-led + 1-on-1 coaching.
MatchScript's take: Our #184 pick of 537 — priced at or below the category median.
The factor breakdown
Blue Sky MD on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $174/mo puts Budget Fit at a below-par 62 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a below-par 40 on Speed to Start.
Blue Sky MD sticks to compounded injectables, for a below-par 66 on Formulary Match.
Support lands at a strong 89 — solid, standard support.
Flexibility scores a below-par 55 — fewer levers to flex your plan.
LegitScript certification and clear public disclosures put Transparency at a strong 90.
Pricing in context
How Blue Sky MD's monthly price sits against the category median and the cheapest provider we track.
What we like
- LegitScript certified and physician-led since 2008; one of the most established GLP-1 practices in the Southeast
- Compounded semaglutide from $40/week (~$160/month) and tirzepatide from $60/week (~$240/month) — well below brand-name cost
- Comprehensive program includes 1-on-1 wellness coaching, nutrition plans, hormone analysis, and a proprietary mobile app
- Medication shipped directly to patients’ homes within 3–5 business days; telehealth visits available
- Insurance accepted in many cases; affordable self-pay options for uninsured patients
The caveats
- Geographic reach unclear — physical clinics in NC only; telehealth states beyond NC unconfirmed despite 'from virtually anywhere' claim
- Pricing quoted per-week ($40 sema / $60 tirz) rather than per-month; higher-dose pricing not disclosed
- Must enroll in full medical weight-loss program to access GLP-1 medications — medication-only Rx not offered
- No explicit lab testing protocol published; online FAQ does not confirm labs are included
- Small regional provider vs. national platforms; limited provider footprint outside North Carolina
Who it's for — and who should skip it
Blue Sky MD is for people who want legitScript-certified, NC-based; compounded sema $40/wk or tirz $60/wk; physician-led + 1-on-1 coaching.
Skip it if that doesn't sound like you. A closer fit may be Synergy Rx (Match Score 68) — or take the quiz to see where Blue Sky MD lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
Blue Sky MD against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | Blue Sky MDthis provider | CoreAge Rxour #1 | CoraDocclosest scorer |
|---|---|---|---|
| Sema price | $174/mo | $99/mo at every dose | $217/mo |
| Coverage | 1 state | All 50 states | Coverage not published |
| Formulary | Injectable | Injectable | Injectable |
| Match Score | 67 · C | 91 · A− | 67 · C |
Blue Sky MD, answered
Is Blue Sky MD legit?
Yes — Blue Sky MD is LegitScript-certified, a third-party check that a telehealth pharmacy operates within the rules. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved; confirm your prescriber is US-licensed at intake.
How much does Blue Sky MD cost?
Blue Sky MD lists compounded semaglutide from $174/mo and tirzepatide from $261/mo — below our category median of $199/mo. These are the provider's public figures at our last review (August 2026); confirm on their site, since some teaser tiers step up after month one.
Does Blue Sky MD ship to my state?
Only if you're in its single licensed state (1 state). Anywhere else you'll need a nationwide provider instead.
Blue Sky MD vs Synergy Rx — which should I pick?
They score within a few points of each other: Blue Sky MD at 67/100 and Synergy Rx at 68/100, so neither wins on the headline number. Blue Sky MD is the better fit for people who want legitScript-certified, NC-based; compounded sema $40/wk or tirz $60/wk; physician-led + 1-on-1 coaching. Synergy Rx suits people who value 24/7 access to a care team and want to see a number before starting an intake, even an incomplete one. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data last verified August 2026 from Blue Sky MD's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Blue Sky MD's site. Not medical advice; see our disclosure.
Semaglutide here is $174/mo — $25 below our category median of $199. Tirzepatide is $261/mo. It scores highest on what it is willing to publish up front. Best suited to people who want legitScript-certified, NC-based; compounded sema $40/wk or tirz $60/wk; physician-led + 1-on-1 coaching. If that is not you, Synergy Rx is the closest thing to it here.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest Blue Sky MD here.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match84/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry in this ranking.84/100
- #3Match83/ 100EdenA polished, high-disclosure compounded program with strong nationwide coverage and hands-on support.83/100
- #4Match85/ 100RoA heavyweight telehealth brand with brand-name access and a polished experience — but opaque compounded pricing.85/100
- #5Match85/ 100No BS RXThe highest Transparency score here, and it is not close: twenty-four prices on one public page and four dispensing pharmacies named with street addresses.85/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| FeelGood#185 | 67 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| NuuVim#186 | 67 | $79/mo (all doses, 3-month plan, new patients only, compounded) | $200/mo | Coverage not published | Alternatives | Visit |
| Potere Health MD#187 | 67 | $87/mo | $145/mo | 1 state | Alternatives | Visit |
| Rex MD#188 | 67 | $199/mo (brand-name) | $349/mo (brand Zepbound) | All 50 states | Alternatives | Visit |
| Somi Health#189 | 67 | $165/mo | $269/mo | Coverage not published | Alternatives | Visit |
| FitFlow#190 | 67 | $175/mo (compounded) | $134/mo | Coverage not published | Alternatives | Visit |
| Contour Health#191 | 67 | $130/mo | $217/mo | Coverage not published | Alternatives | Visit |
| Liberty#192 | 67 | $131/mo | $222/mo | Coverage not published | Alternatives | Visit |
| SkinnyRx#193 FDA issued Lean Rx, Inc. dba SkinnyRx a warning letter in February 2026. See FDA's warning-letter database. | 64 | $354/mo | $405/mo | 47 states + DC | Alternatives | Visit |
| TRYM Health#194 FDA issued TRYM Health, Inc. dba TRYM Health a warning letter in September 2025. See FDA's warning-letter database. | 66 | $152/mo | $183/mo | Coverage not published | Alternatives | Visit |
| Measured#195 FDA issued Better Health Labs, Inc. dba Measured a warning letter in February 2026. See FDA's warning-letter database. | 66 | $202/mo | $303/mo | Coverage not published | Alternatives | Visit |
| OnlineSemaglutide.org#196 | 66 | $219/mo | $299/mo | Coverage not published | Alternatives | Visit |
| DrBrainRx#197 | 66 | $242/mo | $350/mo | Coverage not published | Alternatives | Visit |
| NuBloom#198 | 66 | $151/mo | $283/mo | 49 states | Alternatives | Visit |
| Alternate Health Club#199 | 66 | $129/mo (compounded) | $169/mo (compounded) | Coverage not published | Alternatives | Visit |
| Better U Care#200 | 66 | $302/mo | $403/mo | 21 states | Alternatives | Visit |
| Blis MD#201 | 66 | $111/mo | $161/mo | Coverage not published | Alternatives | Visit |
| Go Vida Plena#202 | 66 | $292/mo | $390/mo | Coverage not published | Alternatives | Visit |
| RxPepsDirect#203 | 66 | $80/mo | $61/mo | 28 states | Alternatives | Visit |
| Corsica Health#204 | 66 | $249/mo (compounded) | $349/mo (compounded) | Coverage not published | Alternatives | Visit |
| DrMedHealth#205 FDA issued Public Health Solution LLC dba DrMedHealth a warning letter in June 2026. See FDA's warning-letter database. | 66 | $202/mo | $303/mo | Coverage not published | Alternatives | Visit |
| Factor Health MD#206 | 66 | $101/mo | $193/mo | Coverage not published | Alternatives | Visit |
| Fidelity Medical Clinic#207 | 66 | $54/mo | $190/mo | All 50 states | Alternatives | Visit |
| Knownwell#208 | 66 | Not disclosed | $349/mo (brand Zepbound) | All 50 states | Alternatives | Visit |
Blue Sky MD is ranked on our best semaglutide providers, best tirzepatide providers and best GLP-1 programs boards, scored on the same six factors as every other provider there.