Lean Rx review
Lean Rx is a Sacramento-based telehealth technology platform offering compounded GLP-1 weight loss medications.
- Scores never bought
- 537 providers tracked
- Every factor auditable
- Updated August 2026
Semaglutide here is $325/mo — $126 above our category median of $199.
- Semaglutide
- $325/mo
- Tirzepatide
- $488/mo
- Coverage
- Coverage not published
- Brand-name
- Compounded only
- Oral option
- Yes
- Verification
- Not independently listed
Best for: Patients wanting compounded GLP-1 in injectable, sublingual, or tablet form.
MatchScript's take: Our #362 pick of 537 — one of the few with a non-injection route.
The factor breakdown
Lean Rx on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $325/mo puts Budget Fit at a below-par 37 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a below-par 47 on Speed to Start.
Lean Rx adds an oral/sublingual route on top of injectables, for a middling 77 on Formulary Match.
Support lands at a below-par 66 — lighter, meds-first support.
Flexibility scores a below-par 55 — fewer levers to flex your plan.
Thinner public disclosure than the top of the ranking keeps Transparency at a below-par 72.
Pricing in context
How Lean Rx's monthly price sits against the category median and the cheapest provider we track.
What we like
- Both semaglutide and tirzepatide offered
- Three formulations: injectable, sublingual, and tablet
- Upfront pricing with no hidden fees advertised
- Semaglutide starts at a low $266/month
- Telehealth call with a licensed provider before prescribing
The caveats
- Compounded-only; no FDA-approved branded options
- No published state availability list
- Platform is technology only, not a healthcare provider itself
- Provider credentials not detailed on site
Who it's for — and who should skip it
Lean Rx is for patients wanting compounded GLP-1 in injectable, sublingual, or tablet form.
Skip it if that doesn't sound like you. A closer fit may be Try Ageless (Match Score 59) — or take the quiz to see where Lean Rx lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
Lean Rx against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | Lean Rxthis provider | CoreAge Rxour #1 | Try Agelessclosest scorer |
|---|---|---|---|
| Sema price | $325/mo | $99/mo at every dose | $279/mo (injection, month-to-month) |
| Coverage | Coverage not published | All 50 states | Coverage not published |
| Formulary | Injectable + oral | Injectable | Injectable + oral |
| Match Score | 59 · C | 91 · A− | 59 · C |
Lean Rx, answered
Is Lean Rx legit?
Lean Rx is a real, operating GLP-1 telehealth program. LegitScript certification is the third-party check worth asking for — look for the seal on their site and confirm your prescriber is US-licensed at intake. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved.
How much does Lean Rx cost?
Lean Rx lists compounded semaglutide from $325/mo and tirzepatide from $488/mo — above 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 Lean Rx ship to my state?
Lean Rx doesn't publish a full state list, so confirm your state is covered during intake before you pay.
Lean Rx vs Try Ageless — which should I pick?
They score within a few points of each other: Lean Rx at 59/100 and Try Ageless at 59/100, so neither wins on the headline number. Lean Rx is the better fit for patients wanting compounded GLP-1 in injectable, sublingual, or tablet form. Try Ageless suits readers who want a needle-free tirzepatide route and a prescriber they can check in the federal registry, and who will read the term attached to every advertised rate. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data last verified August 2026 from Lean Rx'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 Lean Rx's site. Not medical advice; see our disclosure.
Semaglutide here is $325/mo — $126 above our category median of $199. Tirzepatide is $488/mo. Its strongest suit is the range of medication it offers. Best suited to patients wanting compounded GLP-1 in injectable, sublingual, or tablet form. If that is not you, Try Ageless 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 Lean Rx 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 | ||
|---|---|---|---|---|---|---|
| Nurx#363 | 59 | $179/mo (starting dose, compounded) | $179/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| Shapely#364 | 59 | $241/mo | $353/mo | 4 states | Alternatives | Visit |
| Teleios Health#365 | 59 | $99/mo (starting dose, compounded) | $99/mo | Coverage not published | Alternatives | Visit |
| Joey Med#366 | 59 | $216/mo | $434/mo | All 50 states | Alternatives | Visit |
| Luma Meds#367 | 59 | $253/mo | $303/mo | Coverage not published | Alternatives | Visit |
| Youth & Soul#368 | 58 | $162/mo | $180/mo | Coverage not published | Alternatives | Visit |
| HelloWellness#369 | 58 | $158/mo | $197/mo | Coverage not published | Alternatives | Visit |
| Open Water Rx#370 | 58 | $253/mo | $344/mo | Coverage not published | Alternatives | Visit |
| DreamHug Medical#371 | 58 | $188/mo (starting dose, compounded) | $238/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Evernow#372 | 58 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Florida Weight Loss MD#373 | 58 | Not disclosed | Not disclosed | 1 state | Alternatives | Visit |
| LifeMD#374 | 58 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Mojoon#375 | 58 | $450/mo (starting dose, compounded) | Not disclosed | Coverage not published | Alternatives | Visit |
| NowPatient#376 | 58 | $1,349/mo (brand Wegovy) | $1,069/mo (brand Mounjaro, promotional rate) | Coverage not published | Alternatives | Visit |
| Somira Health#377 | 58 | $190/mo (compounded) | $240/mo | Coverage not published | Alternatives | Visit |
| TD Tele-Doc Weight Loss#378 | 58 | Not disclosed | Not disclosed | 2 states | Alternatives | Visit |
| Unique Physique#379 | 58 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Bioverse#380 FDA issued Bioverse, Inc. dba Bioverse a warning letter in September 2025. See FDA's warning-letter database. | 58 | $131/mo | $232/mo | Coverage not published | Alternatives | Visit |
| Elevated Health#381 FDA issued Elevate Your Wellness LLC, dba Elevated a warning letter in September 2025. See FDA's warning-letter database. | 58 | $300/mo | $364/mo | Coverage not published | Alternatives | Visit |
| Roboclinic#382 | 58 | $179/mo (12-month plan, compounded) | $399/mo | Coverage not published | Alternatives | Visit |
| Voxy#383 | 58 | $179/mo (compounded) | $299/mo (compounded) | Coverage not published | Alternatives | Visit |
| Reset Solutions#384 | 58 | $169/mo | Not disclosed | 1 state | Alternatives | Visit |
| Stealth Health#385 | 58 | $100/mo | $140/mo | Coverage not published | Alternatives | Visit |
| FormBlends#386 | 57 | $179/mo | $233/mo | Coverage not published | Alternatives | Visit |
Lean Rx is ranked on our best semaglutide providers, best tirzepatide providers, best GLP-1 programs and best oral GLP-1 providers boards, scored on the same six factors as every other provider there.