ElixaMD review
ElixaMD is a doctor-guided online weight-loss telehealth offering compounded semaglutide injections from $179 the first month, with free shipping, no membership, no contract, and no insurance required.
- Scores never bought
- 537 providers tracked
- Every factor auditable
- Updated August 2026
Semaglutide here is $199/mo — almost exactly our category median of $199.
- Semaglutide
- $199/mo
- Tirzepatide
- Not disclosed
- Coverage
- Coverage not published
- Brand-name
- Compounded only
- Oral option
- Injectable only
- Verification
- LegitScript-certified
Best for: Shoppers wanting low-cost compounded semaglutide with free dietician and coaching included.
MatchScript's take: Our #230 pick of 537 — priced at or below the category median.
The factor breakdown
ElixaMD on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $199/mo puts Budget Fit at a below-par 55 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a below-par 68 on Speed to Start.
ElixaMD sticks to compounded injectables, for a below-par 53 on Formulary Match.
Support lands at an exceptional 97 — high-touch coaching and regular check-ins.
Flexibility scores a below-par 45 — fewer levers to flex your plan.
LegitScript certification helps, but thin pricing and sourcing detail keeps Transparency at a below-par 72.
Pricing in context
How ElixaMD's monthly price sits against the category median and the cheapest provider we track.
What we like
- Compounded semaglutide from $179 first month with free shipping, no membership, no contract, and no insurance required
- Genuinely all-inclusive: 1:1 physician guidance, free dietician visits and care coaching, 24/7 support, and an all-in-one patient portal
- Names its compounding pharmacies (RedRock Pharmacy, Beaker Pharmacy) — more transparent than most compounded sellers
- HSA/FSA eligible; full legal suite (Terms, Privacy, Privacy Practices, Refund, Medical Consent, California Bill of Rights)
The caveats
- $179 is a first-month/intro price — ongoing monthly cost is higher (tiers to ~$249-$299)
- Compounded semaglutide is not FDA-approved (the site discloses this) — not brand Wegovy or Ozempic
- Appears to offer compounded semaglutide only — tirzepatide is not advertised
- Displays a generic LegitScript Certified badge but no verifiable seal/listing; state-availability list not published
Who it's for — and who should skip it
ElixaMD is for shoppers wanting low-cost compounded semaglutide with free dietician and coaching included.
Skip it if that doesn't sound like you. A closer fit may be WellMedr (Match Score 65) — or take the quiz to see where ElixaMD lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
ElixaMD against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | ElixaMDthis provider | CoreAge Rxour #1 | WellMedrclosest scorer |
|---|---|---|---|
| Sema price | $199/mo | $99/mo at every dose | Not disclosed |
| Coverage | Coverage not published | All 50 states | Coverage not published |
| Formulary | Injectable | Injectable | Injectable + oral + brand |
| Match Score | 65 · C | 91 · A− | 65 · C |
ElixaMD, answered
Is ElixaMD legit?
Yes — ElixaMD 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 ElixaMD cost?
ElixaMD lists compounded semaglutide from $199/mo — right at our category median. 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 ElixaMD ship to my state?
ElixaMD doesn't publish a full state list, so confirm your state is covered during intake before you pay.
ElixaMD vs WellMedr — which should I pick?
They score within a few points of each other: ElixaMD at 65/100 and WellMedr at 65/100, so neither wins on the headline number. ElixaMD is the better fit for shoppers wanting low-cost compounded semaglutide with free dietician and coaching included. WellMedr suits people who want a low-dose or oral GLP-1 option that is a real product rather than a smaller injection, and who will read the term attached to a price before they read the number. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data last verified August 2026 from ElixaMD'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 ElixaMD's site. Not medical advice; see our disclosure.
Semaglutide here is $199/mo — almost exactly our category median of $199. It scores highest on the care that comes after the first vial. Best suited to shoppers wanting low-cost compounded semaglutide with free dietician and coaching included. If that is not you, WellMedr 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 ElixaMD 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 | ||
|---|---|---|---|---|---|---|
| RxPros#231 | 65 | $106/mo | $145/mo (annual plan, compounded) | Coverage not published | Alternatives | Visit |
| Nucore Health#232 | 65 | $182/mo | $273/mo | Coverage not published | Alternatives | Visit |
| NEUVÉ Health#233 | 65 | $217/mo (the site contradicts itself on whether medication is inside this figure) | $324/mo (the site contradicts itself on whether medication is inside this figure) | All 50 states | Alternatives | Visit |
| Revel RX#234 | 64 | $189/mo | $259/mo | Coverage not published | Alternatives | Visit |
| Harper Meds#235 FDA issued Nexus Health Solutions LLC dba Harper Meds a warning letter in June 2026. See FDA's warning-letter database. | 64 | $216/mo | $303/mo | Coverage not published | Alternatives | Visit |
| NuviaRx#236 | 64 | $218/mo | $264/mo | Coverage not published | Alternatives | Visit |
| ElitePhysiqMD#237 | 64 | $237/mo | $410/mo | Coverage not published | Alternatives | Visit |
| Citizen Meds#238 | 64 | $160/mo | $182/mo | Coverage not published | Alternatives | Visit |
| LeanDose#239 | 64 | $216/mo | $325/mo | Coverage not published | Alternatives | Visit |
| Coby Health#240 | 64 | $159/mo (0.25 mg dose, compounded) | $239/mo (2.5 mg dose, compounded) | 46 states | Alternatives | Visit |
| Alloy#241 | 64 | $169/mo (compounded) | $199/mo (compounded) | Coverage not published | Alternatives | Visit |
| Claya#242 | 64 | $325/mo | $434/mo | Coverage not published | Alternatives | Visit |
| Injectco#243 | 64 | $156/mo (compounded) | $431/mo | Coverage not published | Alternatives | Visit |
| TeleCareSpot#244 | 64 | $303/mo | $405/mo | 48 states | Alternatives | Visit |
| YOURx Health#245 | 64 | $169/mo | $192/mo | Coverage not published | Alternatives | Visit |
| Calibrate Health#246 | 64 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Cost Plus Drugs#247 | 64 | $279/mo (brand Ozempic) | Not disclosed | All 50 states | Alternatives | Visit |
| Curve#248 | 64 | $175/mo (compounded) | $225/mo (compounded) | All 50 states | Alternatives | Visit |
| Framework#249 | 64 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| GetRelief Rx#250 | 64 | $212/mo | $364/mo | Coverage not published | Alternatives | Visit |
| Tell Her Doc#251 | 64 | $269/mo (microdose tier, plus a separate fee, compounded) | Not disclosed | All 50 states | Alternatives | Visit |
| Arc-1#252 | 64 | $200/mo (0.5 mg dose, compounded) | $200/mo (2.5 mg dose, compounded) | Coverage not published | Alternatives | Visit |
| WePeptideRx#253 | 64 | $189/mo | $202/mo | Coverage not published | Alternatives | Visit |
| TelePeptide#254 | 64 | $199/mo (starting dose, annual plan, compounded oral) | $249/mo | Coverage not published | Alternatives | Visit |
ElixaMD is ranked on our best semaglutide providers board, scored on the same six factors as every other provider there.