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Ranked #114 of 537 · Grade C

MedLeanRx review

MedLeanRx is a physician-guided telehealth weight-loss clinic serving Texas only, based in Spring, TX.

Visit MedLeanRx Or see your best match We may earn a commission if you start care through some of these links, at no extra cost to you. What we write about a provider is the same either way, providers we have a commercial relationship with are listed first on most boards, and every Match Score is computed from the six published factor sub-scores regardless. See our disclosure.

Semaglutide here is $149/mo (starting dose, promotional rate, compounded) — $50 below our category median of $199.

Semaglutide
$149/mo (starting dose, promotional rate, compounded)
Tirzepatide
$273/mo
Coverage
1 state
Brand-name
Yes
Oral option
Yes
Verification
Not independently listed

Best for: People who want texas-only compounded semaglutide at $149/mo with a brand Wegovy and Zepbound pathway.

MatchScript's take: Our #114 pick of 537 — priced at or below the category median.

The factor breakdown

MedLeanRx on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.

Budget Fit71/100

Semaglutide from $149/mo (starting dose, promotional rate, compounded) puts Budget Fit at a below-par 71 — above the budget tiers.

Speed to Start46/100

Limited or undisclosed state coverage can slow your start, for a below-par 46 on Speed to Start.

Formulary Match95/100

MedLeanRx adds an oral/sublingual route and brand-name access on top of injectables, for an exceptional 95 on Formulary Match.

Support Level70/100

Support lands at a below-par 70 — lighter, meds-first support.

Flexibility55/100

Flexibility scores a below-par 55 — fewer levers to flex your plan.

Transparency90/100

Open pricing and coverage detail put Transparency at a strong 90.

Pricing in context

How MedLeanRx's monthly price sits against the category median and the cheapest provider we track.

Monthly priceSemaglutideTirzepatide
MedLeanRxthis providerVisit $149/mo (starting dose, promotional rate, compounded)$50 vs median$273/mo$1 vs median
Category median430 tracked$199/mo$274/mo
Cheapest trackedMondaeVisit $87 per 28 days (13 charges a year)$126 per 28 days (13 charges a year)

What we like

  • Compounded semaglutide $149/mo in both weekly injection and daily oral tablet form
  • Brand pathway for Wegovy, Zepbound, and Foundayo (orforglipron) at a $99/mo fee plus medication cost
  • Intro bundle: 2 months of compounded tirzepatide (2 mg weekly) for $325 — about $163/mo
  • Displays a LegitScript seal on site (issued seal not independently resolved); named supervising physician (Dr. Johnson Uzor, MD)
  • Free shipping, no hidden fees, and cancel-anytime plans per homepage trust chips

The caveats

  • Texas only — not available in the other 49 states
  • Compounded tirzepatide is $269/mo at standard pricing, above the ~$249 market median
  • Strict no-refund policy: 'All sales are final' per Terms & Conditions
  • Pharmacy partner not publicly named — a transparency gap for a compounding service
  • Legal entity name and founding details not published on the site

Who it's for — and who should skip it

MedLeanRx is for people who want texas-only compounded semaglutide at $149/mo with a brand Wegovy and Zepbound pathway.

Skip it if that doesn't sound like you. A closer fit may be Collective (Match Score 71) — or take the quiz to see where MedLeanRx lands for your priorities.

See every alternative to MedLeanRx.

How it compares to CoreAge Rx & the closest scorer

MedLeanRx against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.

How it comparesMedLeanRxthis providerCoreAge Rxour #1Collectiveclosest scorer
Sema price$149/mo (starting dose, promotional rate, compounded)$99/mo at every dose$59/mo (medication only — a separate annual membership is required)
Coverage1 stateAll 50 statesCoverage not published
FormularyInjectable + oral + brandInjectableInjectable
Match Score71 · C91 · A−71 · C

MedLeanRx, answered

Is MedLeanRx legit?

MedLeanRx 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 MedLeanRx cost?

MedLeanRx lists compounded semaglutide from $149/mo (starting dose, promotional rate, compounded) and tirzepatide from $273/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 MedLeanRx ship to my state?

Only if you're in its single licensed state (1 state). Anywhere else you'll need a nationwide provider instead.

MedLeanRx vs Collective — which should I pick?

They score within a few points of each other: MedLeanRx at 71/100 and Collective at 71/100, so neither wins on the headline number. MedLeanRx is the better fit for people who want texas-only compounded semaglutide at $149/mo with a brand Wegovy and Zepbound pathway. Collective suits people who will run the arithmetic on the medication charge plus the annual membership before deciding whether $59 is cheap. Run the quiz and the weighting shifts to whichever of those matters more to you.

Pricing & state data last verified August 2026 from MedLeanRx'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 MedLeanRx's site. Not medical advice; see our disclosure.

Verdict · Grade C · 71/100

Semaglutide here is $149/mo (starting dose, promotional rate, compounded) — $50 below our category median of $199. Tirzepatide is $273/mo. Its strongest suit is the range of medication it offers. Best suited to people who want texas-only compounded semaglutide at $149/mo with a brand Wegovy and Zepbound pathway. If that is not you, Collective 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 MedLeanRx here.

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MedLeanRx is ranked on our best semaglutide providers, best tirzepatide providers, best GLP-1 programs, best brand-name GLP-1 providers and best oral GLP-1 providers boards, scored on the same six factors as every other provider there.

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