OnlyRx review
OnlyRx is a cash-pay GLP-1 telehealth platform offering compounded semaglutide and tirzepatide in both injection and oral disintegrating tablet (ODT) forms — an uncommon needle-free option.
- Scores never bought
- 497 providers tracked
- Every factor auditable
- Updated July 2026
OnlyRx earns a Match Score of 64/100 (grade C) and sits #227 of 497 on our board under the balanced default weighting.
- Semaglutide
- $179/mo (starting dose, promotional rate, compounded)
- Tirzepatide
- $249/mo (starting dose, compounded)
- Coverage
- Coverage not published
- Brand-name
- Yes
- Oral option
- Yes
- Verification
- LegitScript-certified
Best for: People who want compounded GLP-1 in oral-tablet and injection with named prescribers.
MatchScript's take: Our #227 pick of 497 — priced at or below the category median, scored on the same six factors as everyone else.
The factor breakdown
OnlyRx 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, promotional rate, compounded) puts Budget Fit at a below-par 42 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a below-par 57 on Speed to Start.
OnlyRx adds an oral/sublingual route and brand-name access on top of injectables, for a strong 90 on Formulary Match.
Support lands at a below-par 68 — lighter, meds-first support.
Flexibility scores a below-par 55 — fewer levers to flex your plan.
LegitScript certification and clear public disclosures give a below-par 72 on Transparency.
Pricing in context
How OnlyRx's monthly price sits against the category median and the cheapest provider we track.
What we like
- Four-pharmacy network: Belmar, Strive, Epiq Scripts, and Casa Pharma RX
- Named prescribers on the public site: Dr. Carr (MD), Dr. Tenbrink (MD), Dr. Italia (MD), Dr. Mansour (DO)
- Oral disintegrating tablet (ODT) form for both semaglutide and tirzepatide — good for needle-averse patients
- Pricing, drug list, pharmacy partners, and physician roster all visible on the public site
- LegitScript Certified
The caveats
- Promo pricing ($179 semaglutide injection) is prominent, but post-promo maintenance pricing isn't shown
- No titration-ladder pricing — you can't see costs at 1.0 mg or 2.4 mg maintenance
- Refund / cancellation policy not stated on the homepage
- Lab-work requirement not stated
- Operating corporate entity not disclosed
Who it's for — and who should skip it
Choose OnlyRx if people who want compounded GLP-1 in oral-tablet and injection with named prescribers.
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 OnlyRx lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
OnlyRx against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | OnlyRxthis provider | CoreAge Rxour #1 | AVARA Rxclosest scorer |
|---|---|---|---|
| Sema price | $179/mo (starting dose, promotional rate, compounded) | $149/mo | $229/mo (starting dose, compounded) |
| Coverage | Coverage not published | All 50 states | All 50 states |
| Formulary | Injectable + oral + brand | Injectable | Injectable + brand |
| Match Score | 64 · C | 91 · A− | 64 · C |
OnlyRx, answered
Is OnlyRx legit?
Yes — OnlyRx 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 OnlyRx cost?
OnlyRx lists compounded semaglutide from $179/mo (starting dose, promotional rate, compounded) and tirzepatide from $249/mo (starting dose, compounded) — right at our category median. These are the provider's public figures at our last review (July 2026); confirm on their site, since some teaser tiers step up after month one.
Does OnlyRx ship to my state?
OnlyRx operates in a limited set of states (Coverage not published). If yours isn't on that list, you'll need a nationwide provider instead.
OnlyRx vs CoreAge Rx — which is better?
Both are on our board. OnlyRx scores 64/100; CoreAge Rx leads our default ranking at 91/100 for its flat nationwide pricing on both molecules and easy cancellation. OnlyRx can still win for you if its strengths match your priorities — best for: People who want compounded GLP-1 in oral-tablet and injection with named prescribers. Run the quiz to see which comes out ahead for you.
Pricing & state data last verified July 2026 from OnlyRx'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 OnlyRx's site. Not medical advice; see our disclosure.
OnlyRx earns a Match Score of 64/100 (grade C) and sits #227 of 497 on our board under the balanced default weighting. OnlyRx is a cash-pay GLP-1 telehealth platform offering compounded semaglutide and tirzepatide in both injection and oral disintegrating tablet (ODT) forms — an uncommon needle-free option. Best for: People who want compounded GLP-1 in oral-tablet and injection with named prescribers. 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 OnlyRx 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 | ||
|---|---|---|---|---|---|---|
| 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 |
| Neo Soma Healthcare#241 | 63 | $199/mo | $330/mo | Coverage not published | Alternatives | Visit |
| RxPepsDirect#242 | 63 | $64/mo (starting dose, plus a separate fee, compounded) | $84/mo (starting dose, plus a separate fee, compounded) | 28 states | Alternatives | Visit |
| Society of You#243 | 63 | $279/mo (promotional rate, compounded) | $425/mo (compounded) | Coverage not published | Alternatives | Visit |
| TeleClinic#244 | 63 | $199/mo (compounded) | $299/mo (compounded) | 47 states | Alternatives | Visit |
| WePeptideRx#245 | 63 | $249/mo (compounded) | $249/mo (compounded) | Coverage not published | Alternatives | Visit |
| Aquivia Health#246 | 62 | $149/mo | $179/mo | Coverage not published | Alternatives | Visit |
| ARSYNL Rx#247 | 62 | $233/mo (compounded) | $366/mo (compounded) | Coverage not published | Alternatives | Visit |
| CLYR Health#248 | 62 | $229/mo (compounded) | $249/mo (compounded) | Coverage not published | Alternatives | Visit |
| Emerge Weight Loss#249 | 62 | Not disclosed | $287/mo (2.5 mg dose, compounded) | Coverage not published | Alternatives | Visit |
| FormBlends#250 | 62 | $99/mo (compounded) | $349/mo (compounded) | Coverage not published | Alternatives | Visit |
| Freya Meds#251 | 62 | $297/mo (compounded) | $390/mo (compounded) | Coverage not published | Alternatives | Visit |