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Ranked #215 of 537 · Grade C

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.

Visit OnlyRx 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 $195/mo — almost exactly our category median of $199.

Semaglutide
$195/mo
Tirzepatide
$271/mo
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 #215 pick of 537 — priced at or below the category median.

The factor breakdown

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

Budget Fit55/100

Semaglutide from $195/mo puts Budget Fit at a below-par 55 — above the budget tiers.

Speed to Start57/100

Limited or undisclosed state coverage can slow your start, for a below-par 57 on Speed to Start.

Formulary Match90/100

OnlyRx adds an oral/sublingual route and brand-name access on top of injectables, for a strong 90 on Formulary Match.

Support Level68/100

Support lands at a below-par 68 — lighter, meds-first support.

Flexibility55/100

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

Transparency72/100

LegitScript certification helps, but thin pricing and sourcing detail keeps Transparency at a below-par 72.

Pricing in context

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

Monthly priceSemaglutideTirzepatide
OnlyRxthis providerVisit $195/mo$4 vs median$271/mo$3 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

  • 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

OnlyRx is for 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 WellMedr (Match Score 65) — or take the quiz to see where OnlyRx lands for your priorities.

See every alternative to OnlyRx.

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 comparesOnlyRxthis providerCoreAge Rxour #1TRYM Healthclosest scorer
Sema price$195/mo$99/mo at every dose$152/mo
CoverageCoverage not publishedAll 50 statesCoverage not published
FormularyInjectable + oral + brandInjectableInjectable
Match Score66 · C91 · A−66 · 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 $195/mo and tirzepatide from $271/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 OnlyRx ship to my state?

OnlyRx doesn't publish a full state list, so confirm your state is covered during intake before you pay.

OnlyRx vs WellMedr — which should I pick?

They score within a few points of each other: OnlyRx at 66/100 and WellMedr at 65/100, so neither wins on the headline number. OnlyRx is the better fit for people who want compounded GLP-1 in oral-tablet and injection with named prescribers. WellMedr suits people who want a low-dose or oral GLP-1 option that is a real product rather than a smaller injection, and who will read the term attached to a price before they read the number. Run the quiz and the weighting shifts to whichever of those matters more to you.

Pricing & state data last verified August 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.

Verdict · Grade C · 66/100

Semaglutide here is $195/mo — almost exactly our category median of $199. Tirzepatide is $271/mo. Its strongest suit is the range of medication it offers. Best suited to people who want compounded GLP-1 in oral-tablet and injection with named prescribers. If that is not you, WellMedr 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 OnlyRx here.

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FDA issued OrderlyMeds LLC dba OrderlyMeds a warning letter in June 2026. See FDA's warning-letter database.

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FDA issued Nexus Health Solutions LLC dba Harper Meds a warning letter in June 2026. See FDA's warning-letter database.

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OnlyRx 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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