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
- 497 providers tracked
- Every factor auditable
- Updated July 2026
ElixaMD earns a Match Score of 64/100 (grade C) and sits #216 of 497 on our board under the balanced default weighting.
- Semaglutide
- $179/mo (starting dose, first-month rate, compounded)
- 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 #216 pick of 497 — priced at or below the category median, scored on the same six factors as everyone else.
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 $179/mo (starting dose, first-month rate, compounded) puts Budget Fit at a below-par 50 — 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 a exceptional 97 — high-touch coaching and regular check-ins.
Flexibility scores a below-par 45 — fewer levers to flex your plan.
LegitScript certification and clear public disclosures give a below-par 72 on Transparency.
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
Choose ElixaMD if 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 AVARA Rx (Match Score 64) — 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 | AVARA Rxclosest scorer |
|---|---|---|---|
| Sema price | $179/mo (starting dose, first-month rate, compounded) | $149/mo | $229/mo (starting dose, compounded) |
| Coverage | Coverage not published | All 50 states | All 50 states |
| Formulary | Injectable | Injectable | Injectable + brand |
| Match Score | 64 · C | 91 · A− | 64 · 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 $179/mo (starting dose, first-month rate, compounded) — right at our category median. These are the provider's public figures at our last review (June 2026); confirm on their site, since some teaser tiers step up after month one.
Does ElixaMD ship to my state?
ElixaMD operates in a limited set of states (Coverage not published). If yours isn't on that list, you'll need a nationwide provider instead.
ElixaMD vs CoreAge Rx — which is better?
Both are on our board. ElixaMD scores 64/100; CoreAge Rx leads our default ranking at 91/100 for its flat nationwide pricing on both molecules and easy cancellation. ElixaMD can still win for you if its strengths match your priorities — best for: Shoppers wanting low-cost compounded semaglutide with free dietician and coaching included. Run the quiz to see which comes out ahead for you.
Pricing & state data last verified June 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.
ElixaMD earns a Match Score of 64/100 (grade C) and sits #216 of 497 on our board under the balanced default weighting. 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. Best for: Shoppers wanting low-cost compounded semaglutide with free dietician and coaching included. If it isn't the right fit, AVARA Rx is a sensible alternative to weigh next.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest ElixaMD on the board.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match88/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry on this board.88/100
- #3Match86/ 100HealthRXA LegitScript-certified, physician-supervised program with a rare oral GLP-1 tablet alongside injectables — both molecules, transparent no-insurance pricing, and a brand-name path.86/100
- #4Match86/ 100ShedRxA weight-focused program that also offers an oral/sublingual route for the needle-averse.86/100
- #5Match88/ 100Ondra HealthNear rock-bottom pricing on both molecules plus some brand access — a rare budget-and-breadth combo, nationwide.88/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Eloria#217 | 64 | $179/mo (starting dose, plus a separate fee, compounded) | Not disclosed | Coverage not published | Alternatives | Visit |
| Fierce Health#218 | 64 | $297/mo (3-month plan, compounded) | $497/mo (3-month plan, compounded) | 30 states | Alternatives | Visit |
| GetRelief Rx#219 | 64 | $269/mo (9 mg dose, compounded oral) | $179/mo (16 mg dose, compounded oral) | Coverage not published | Alternatives | Visit |
| Heva Health#220 | 64 | $149/mo (compounded) | Not disclosed | Coverage not published | Alternatives | Visit |
| InstaRX#221 | 64 | $199/mo (starting dose, compounded) | $199/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Intimate Rose#222 | 64 | $169/mo (all doses, compounded) | $169/mo (all doses, compounded) | Coverage not published | Alternatives | Visit |
| Lumen Meds#223 | 64 | Not disclosed | $196/mo (compounded) | Coverage not published | Alternatives | Visit |
| Luvo Health#224 | 64 | $249/mo (compounded) | $339/mo (compounded) | Coverage not published | Alternatives | Visit |
| Medro#225 | 64 | $199/mo (compounded) | $299/mo (compounded) | All 50 states | Alternatives | Visit |
| Nirwana Health#226 | 64 | $149/mo (compounded) | $229/mo (compounded) | Coverage not published | Alternatives | Visit |
| OnlyRx#227 | 64 | $179/mo (starting dose, promotional rate, compounded) | $249/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| PepHaūs#228 | 64 | $152/mo (quarterly plan, compounded) | $246/mo (compounded) | All 50 states | Alternatives | Visit |
| RxPros#229 | 64 | $100/mo (annual plan, compounded) | $145/mo (annual plan, compounded) | Coverage not published | Alternatives | Visit |
| Tell Her Doc#230 | 64 | $269/mo (microdose tier, plus a separate fee, compounded) | Not disclosed | All 50 states | Alternatives | Visit |
| Tuyo Health#231 | 64 | $155/mo | $279/mo | Coverage not published | Alternatives | Visit |
| Velvet Rx#232 | 64 | $299/mo (compounded) | $359/mo (compounded) | Coverage not published | Alternatives | Visit |
| Arc-1#233 | 63 | $200/mo (0.5 mg dose, compounded) | $200/mo (2.5 mg dose, compounded) | Coverage not published | Alternatives | Visit |
| AskRx#234 | 63 | $349/mo (all doses, brand-name) | $299/mo (2.5 mg dose, brand-name) | All 50 states | Alternatives | Visit |
| BloomWell Rx#235 | 63 | $199/mo (starting dose, compounded) | $249/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| boostAGErx#236 | 63 | $95/mo (starting dose, compounded) | $95/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| Coivas#237 | 63 | $149/mo (quarterly plan, compounded) | $229/mo (quarterly plan, compounded) | Coverage not published | Alternatives | Visit |
| Framework#238 | 63 | $100/mo (starting dose, compounded) | $100/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| June Health#239 | 63 | $179/mo (starting dose, compounded) | $179/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| MyStart Health#240 | 63 | $299/mo (all doses, compounded) | $299/mo (all doses, compounded) | Coverage not published | Alternatives | Visit |