MedLeanRx review: price, pros & cons
A Texas-only telehealth clinic with compounded semaglutide injections or tablets from $149 a month at the starting dose, compounded tirzepatide at $269, and brand-name Wegovy, Zepbound and Foundayo on a $99 monthly membership.
- Scores never bought
- 599 providers tracked
- Every factor auditable
MedLeanRx serves Texas only, and within Texas it covers a lot of ground.
- Semaglutide
- $149/mo (starting dose)
- Tirzepatide
- $269/mo (starting dose)
- Coverage
- Texas only
- Brand-name
- Yes
- Oral option
- Yes
- Verification
- Not independently listed
Best for: People in Texas who want compounded and brand-name GLP-1 options, including tablets, from one physician-led clinic.
MatchScript's take: Texas-only, but a full menu — compounded shots or tablets from $149 at the starting dose, and brand-name options on a membership.
The factor breakdown
MedLeanRx on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide at $149 a month is in the $126–150 band, but that is the starting-dose price and may rise with the dose, so Budget Fit is 66.
Provider review in under 12 hours, but only Texas residents can start, so Speed to Start is 46.
Both compounded molecules, compounded and brand oral semaglutide, brand-name Wegovy and Zepbound, and Foundayo (orforglipron), for 95.
Support Level scores 72/100 in our comparison. Confirm who answers clinical questions, how to reach them and whether follow-up visits cost extra.
Plans can be canceled, but the terms make every sale final, including consultation and membership fees.
Thinner public disclosure than the highest-scoring programs keeps Transparency at a below-par 72.
Pricing in context
How MedLeanRx's monthly price sits against the category median and the cheapest provider we track.
| Monthly price | Semaglutide | Tirzepatide |
|---|---|---|
| MedLeanRxthis providerVisit | $149/mo (starting dose)−$41 vs median | $269/mo (starting dose)+$10 vs median |
| 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 MedLeanRx's own website in October 2026. Quoted text is theirs.
- The products page lists "Semaglutide Vial" and "Semaglutide Tablets" at "$149 /mo" and "Tirzepatide Injections" at "$269 /mo", with the footnote "GLP-1 treatment plans start at $149/month for the starting dose. Pricing may vary based on prescribed medication, dosage, and individual treatment needs."
- Each brand-name card — Wegovy pill, Wegovy injection, Zepbound and Foundayo — reads "$99 /mo + the cost of medication".
- The footer says it provides "physician-guided care to patients in Texas", and the terms state "All sales are final."
What we like
- Compounded semaglutide comes as a weekly injection or a daily oral tablet, each $149 a month at the starting dose
- Brand-name Wegovy (pen or pill), Zepbound and Foundayo are available for a $99 monthly membership plus the medication
- A named supervising physician, Dr. Johnson Uzor, MD, and provider review in under 12 hours
- Free shipping, cancel anytime, and a promotions page with two-month bundles
The caveats
- Texas only — it does not serve the other 49 states
- The $149 and $269 prices are for the starting dose; its footnote says pricing may vary with dosage
- Its terms say all sales are final, with no refunds on consultations, subscription or membership fees
- Brand-name medication costs a $99 monthly membership on top of the drug, and Wegovy runs $199 a month for two months and $349 a month after that
- The compounding pharmacy is not named
MedLeanRx · semaglutide $149/mo (starting dose) · tirzepatide $269/mo (starting dose)Check the current price and eligibility on their site.
Visit MedLeanRxWho it's for — and who should skip it
MedLeanRx is for people in Texas who want compounded and brand-name GLP-1 options, including tablets, from one physician-led clinic.
Skip it if that doesn't sound like you. A closer fit may be Direct Meds (Match Score 68) — or take the quiz to see where MedLeanRx 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.
Oral GLP-1s vs. injections. Understand the differences between approved oral medicines, compounded forms and injections.
Insurance and GLP-1 coverage. Check benefits, prior authorization and medication costs separately from care fees.
How it compares to CoreAge Rx & the closest scorer
MedLeanRx against CoreAge Rx and the provider that scores closest to it. Green marks the row leader.
| How it compares | MedLeanRxthis provider | CoreAge Rxfeatured | Direct Medsclosest scorer |
|---|---|---|---|
| Sema price | $149/mo (starting dose) | $99/mo at every dose | $249/mo |
| Coverage | Texas only | U.S. only — restrictions vary by state and therapy, list not published | Not published on the site |
| Formulary | Injectable + oral + brand | Injectable | Injectable + oral |
| Match Score | 68 · C | 91 · A− | 68 · C |
MedLeanRx, answered
Where does MedLeanRx operate?
Texas only. Its site describes physician-guided care for patients in Texas, so anyone in another state will need a different provider.
How much does MedLeanRx cost?
Compounded semaglutide is $149 a month at the starting dose, as an injection or a daily tablet, and compounded tirzepatide is $269. Its footnote says pricing can change with your dose. Brand-name Wegovy, Zepbound and Foundayo need a $99 monthly membership plus the cost of the medication.
Can I get a refund from MedLeanRx?
Its terms say all sales are final, with no refunds on consultations, provider reviews, subscription or membership fees. You can cancel future months, but confirm your maintenance-dose price before you start.
Pricing & state data come 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.
MedLeanRx serves Texas only, and within Texas it covers a lot of ground. Compounded semaglutide is $149 a month at the starting dose as a weekly injection or a daily tablet, and compounded tirzepatide is $269; its footnote says those prices can change with your dose. Brand-name Wegovy (pen or pill), Zepbound and Foundayo are available through a $99 monthly membership plus the cost of the medication. A named physician, Dr. Johnson Uzor, oversees care, reviews take under 12 hours, and shipping is free. The firm line is in its terms: all sales are final, including consultation and membership fees, and the pharmacy is not named. If you live in Texas and want brand and compounded options, including a pill, under one roof, it is worth comparing; confirm your maintenance-dose price before you commit.
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 MedLeanRx 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 | ||
|---|---|---|---|---|---|---|
| MyFastRx | 68 | $139/mo (month-to-month) | $199/mo (month-to-month) | Coverage not published | Alternatives | Visit |
| Recovery Delivered | 68 | $199.99/mo (starting dose) | $219.99/mo (starting dose) | 31 states | Alternatives | Visit |
| VyrarX | 68 | Not disclosed | Not disclosed | 47 states | Alternatives | Visit |
| NuDay Rx | 68 | $249/mo | $329/mo | Coverage not published | Alternatives | Visit |
| Medsol RX | 68 | Not disclosed | Not disclosed | Nationwide — no state list published | Alternatives | Visit |
| Coby Health | 68 | $159/mo (starting dose) | $239/mo (starting dose) | 46 states | Alternatives | Visit |
| Fifty 410 | 68 | $199/mo | Not disclosed | Coverage not published | Alternatives | Visit |
| NovoCare Pharmacy | 68 | $349/mo (brand Wegovy pen) | Not offered | All 50 states | Alternatives | Visit |
| Tell Her Doc | 68 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Society | 68 | Not disclosed | Not disclosed | Coverage varies by state | Alternatives | Visit |
| ARSYNL Rx | 68 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| WeightCare | 68 | $399/mo | $499/mo | Most states; excludes Alaska, Hawaii, Louisiana and Mississippi; confirm Alabama | Alternatives | Visit |
| Woodwork | 68 | Not disclosed | Not disclosed | Confirm treatment-specific state eligibility | Alternatives | Visit |
| 9amHealth | 68 | Not disclosed | Not disclosed | Eligibility depends on location and the employer or health-plan program | Alternatives | Visit |
| Roen Rx | 68 | $297/mo | $449/mo | All 50 states + DC | Alternatives | Visit |
| Evernow | 68 | Not disclosed | Not disclosed | Eligibility must be confirmed before enrollment | Alternatives | Visit |
| Joi + Blokes | 68 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| TeleSlim Clinic | 68 | Not disclosed | Not disclosed | 6 states: IL, TX, CO, MI, PA and AZ | Alternatives | Visit |
| HealthHub | 68 | Not disclosed | Not disclosed | 46 states claimed; confirm your state | Alternatives | Visit |
| AVArx | 68 | Not disclosed | Not disclosed | State-specific live visits apply; confirm product eligibility | Alternatives | Visit |
| Virta Health | 68 | Not disclosed | Not disclosed | Eligibility depends on covered program and location | Alternatives | Visit |
| Marek Health | 68 | Not disclosed | Not disclosed | U.S. residents; state eligibility needs confirmation | Alternatives | Visit |
| MEDVidi | 68 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| RxION Health | 68 | $199/mo | Not disclosed | Compounded plans exclude NJ, AK and MS | Alternatives | Visit |
MedLeanRx appears 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.