Lean Rx review: price, pros & cons
Lean Rx offers compounded semaglutide and tirzepatide injections through a telehealth consultation, with four-week subscriptions, prepaid alternatives and extra costs for some higher-dose prescriptions.
- Scores never bought
- 599 providers tracked
- Every factor auditable
Lean Rx offers an online conversation with a provider followed by compounded semaglutide or tirzepatide injections when appropriate.
- Semaglutide
- Not disclosed
- Tirzepatide
- Not disclosed
- Coverage
- Confirm current licensing for your state
- Brand-name
- Not listed
- Oral option
- Not listed
- Verification
- Not independently listed
Best for: People comfortable with video evaluation and scheduled shipments who can review the initial commitment and four-week payment schedule before accepting a subscription.
MatchScript's take: Compare the full four-week bill and initial commitment before choosing a discounted subscription.
The factor breakdown
Lean Rx on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Starting amounts, shipping rules and possible additional vials prevent a single unconditional monthly total.
Video consultation and pharmacy processing precede delivery; confirm the current licensing coverage for your state.
The active FAQ identifies both compounded injections only, without oral or branded treatment.
Video review, Healthie access, chat and additional calls offer practical contact options.
Recurring shipments have an initial 24-week commitment and medication is nonrefundable.
The FAQ explains commitments and extra charges, while the selected pharmacy and exact recurring total need confirmation.
Pricing in context
How Lean Rx's monthly price sits against the category median and the cheapest provider we track.
| Monthly price | Semaglutide | Tirzepatide |
|---|---|---|
| Lean Rxthis providerVisit | Not disclosed | Not disclosed |
| Category median240 tracked | $190/mo | $259/mo |
| Cheapest trackedMondaeVisit | $87/mo | $126/mo |
For a fair comparison, check the full cost of semaglutide or tirzepatide, including care fees, dose changes and the amount due at each renewal.
What we found on their site
Read on Lean Rx's own website in October 2026. Quoted text is theirs.
- The FAQ states "You will be automatically charged every 4 weeks" and requires an initial commitment; thirteen four-week periods fit into 52 weeks.
- Its current product explanation says "semaglutide injections and tirzepatide injections". Ask about the actual prescribed formulation rather than assuming an oral alternative.
What we like
- Both compounded injection options are expressly identified in the current FAQ, allowing the provider to discuss a specific medicine rather than an unnamed tier.
- The consultation includes health-history review and a conversation with a licensed provider before a treatment plan is prescribed.
- Medication shipments include syringes and alcohol wipes, and recurring or prepaid packages waive the separately listed shipping charge.
- Healthie account access, chat, email and the ability to schedule another call provide several ways to raise treatment or fulfillment questions.
The caveats
- Headline amounts start at $266 and $399, without a complete standing calendar-month total; program length and dose can change the charge.
- Recurring subscriptions charge every four weeks and require an initial 24-week commitment before cancel-anytime terms apply.
- A separate order carries $35 shipping; the free-shipping offer applies to recurring or qualifying prepaid packages.
- Higher-dose prescriptions may require an additional $150 vial every four weeks, and prescription medication cannot be returned for a refund.
- The current FAQ says injections only; an oral GLP-1 or brand-name treatment is not established by the active program.
Lean RxCheck the current price and eligibility on their site.
Visit Lean RxWho it's for — and who should skip it
Lean Rx is for people comfortable with video evaluation and scheduled shipments who can review the initial commitment and four-week payment schedule before accepting a subscription.
Skip it if that doesn't sound like you. A closer fit may be HumeCare+ (Match Score 54) — or take the quiz to see where Lean Rx lands for your priorities.
Before you choose care
What semaglutide costs. Compare medication costs, ongoing fees and prepaid plans before choosing care.
What tirzepatide costs. See how dose, medication type and billing terms affect the total price.
Compounded vs. brand-name GLP-1s. Learn how approval, evidence and pharmacy oversight differ between these options.
How to choose a provider. Compare clinical support, pharmacy transparency and cancellation terms alongside price.
How it compares to CoreAge Rx & the closest scorer
Lean Rx against CoreAge Rx and the provider that scores closest to it. Green marks the row leader.
| How it compares | Lean Rxthis provider | CoreAge Rxfeatured | Clinic Secretclosest scorer |
|---|---|---|---|
| Sema price | Not disclosed | $99/mo at every dose | Not disclosed |
| Coverage | Confirm current licensing for your state | U.S. only — restrictions vary by state and therapy, list not published | Nationwide claim; confirm medication eligibility |
| Formulary | Injectable | Injectable | Injectable |
| Match Score | 57 · C | 91 · A− | 57 · C |
Lean Rx, answered
Can a Lean Rx subscription be canceled immediately?
The FAQ describes an initial 24-week commitment before its cancel-anytime option applies. Obtain the terms for your selected plan.
Are Lean Rx charges monthly?
Recurring subscriptions bill every four weeks. That schedule has thirteen charges in 52 weeks, rather than twelve calendar-month charges.
Pricing & state data come 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.
Lean Rx offers an online conversation with a provider followed by compounded semaglutide or tirzepatide injections when appropriate. The purchase structure deserves close attention. Starting amounts depend on the program, subscriptions charge every four weeks, and the FAQ requires an initial 24-week commitment. Some higher-dose prescriptions also need extra medication at an added charge. Supplies are included, while shipping is waived for recurring or qualifying prepaid orders rather than every purchase. This may suit someone comfortable committing to regular shipments and using remote follow-up. Before paying, obtain the exact prescribed formulation, total four-week charge, pharmacy, state eligibility and terms for stopping during the initial commitment.
Compare with other providers
Five more providers to compare (providers we have a commercial relationship with are listed first), then the 24 programs that sit nearest Lean Rx here.
- Match91/ 100CoreAge RxCompounded semaglutide at $99 and tirzepatide at $149 a month, the same price at every dose, with no membership fee and a full refund if the doctor doesn't approve you.91/100
- Match86/ 100EdenCompounded semaglutide at $99 and tirzepatide at $129 a month at every dose, with care, coaching and shipping included, a brand-name Wegovy option, and medication from Eden's own pharmacy network.86/100
- Match81/ 100yourEraA personalized-health brand selling compounded semaglutide and tirzepatide alongside NAD+, sermorelin and microdosing protocols, with an optional coaching-and-labs bundle, nationwide.81/100
- Match80/ 100HealthRXA LegitScript-certified program selling compounded semaglutide and tirzepatide on one flat plan price — consult, medication and overnight shipping included — with a full refund if a provider doesn't approve you.80/100
- Match80/ 100ShedRxCompounded semaglutide and tirzepatide as injections, oral drops or lozenges, plus brand-name Wegovy, Zepbound and the Foundayo pill — month to month or cheaper on longer plans.80/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Peptivo | 57 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Tonik Wellness | 57 | $225/mo | $349/mo | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Ravia Health | 57 | Not disclosed | Not disclosed | 1 state | Alternatives | Visit |
| HumeCare+ | 54 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| NewSelf | 56 | Not disclosed | Not disclosed | 48 states + Puerto Rico (not MS or LA) | Alternatives | Visit |
| Rebody Health | 56 | Not offered | Not offered | All 50 states plus Washington, D.C. | Alternatives | Visit |
| Injectco | 56 | $425/mo | $425/mo | Coverage not published | Alternatives | Visit |
| ShapeIn Rx | 56 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| BodyLogicMD | 56 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Signos | 56 | Not disclosed | Not disclosed | Confirm service and product eligibility before purchase | Alternatives | Visit |
| Mirabel Meds | 56 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Nuform Health | 56 | Not disclosed | Not disclosed | Confirm state and treatment eligibility | Alternatives | Visit |
| Evolve Telemed | 56 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Omzo | 56 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Royal Medical Center | 56 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| EllieMD | 56 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| California Trim Clinic | 56 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Believe Health | 56 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Cost Plus Drugs | 55 | Not offered | Not offered | Coverage not published | Alternatives | Visit |
| MANÜ Telehealth | 55 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Elara MD | 55 | Not disclosed | Not disclosed | Over 40 states claimed; confirm medication eligibility | Alternatives | Visit |
| TD Tele-Doc Weight Loss | 55 | Not disclosed | Not disclosed | 2 states | Alternatives | Visit |
| Transcarent | 55 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Ambiante Health & Wellness | 55 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |