SexyMD review
SexyMD advertises compounded semaglutide from $199 a month; that rate needs a forty-eight week commitment, and four weeks at a time costs $269, with tirzepatide at $369.
- Scores never bought
- 528 providers tracked
- Every factor auditable
- Updated September 2026
Semaglutide here is $269 per 4 weeks (the advertised headline is a 48-week commitment rate) — $70 above our category median of $199.
- Semaglutide
- $269 per 4 weeks (the advertised headline is a 48-week commitment rate)
- Tirzepatide
- $369 per 4 weeks (the advertised headline is a 48-week commitment rate)
- Coverage
- 47 states
- Brand-name
- Compounded only
- Oral option
- Injectable only
- Verification
- Not independently listed
Best for: People weighing a long commitment against a short one who want the four-rung ladder in front of them before they choose.
MatchScript's take: Our #126 pick of 528 — a focused, straightforward program.
The factor breakdown
SexyMD on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $269 per 4 weeks (the advertised headline is a 48-week commitment rate) puts Budget Fit at a below-par 37 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a solid 83 on Speed to Start.
SexyMD sticks to compounded injectables, for a below-par 66 on Formulary Match.
Support lands at a below-par 69 — lighter, meds-first support.
Flexibility scores a middling 77 — fewer levers to flex your plan.
Open pricing and coverage detail put Transparency at a strong 90.
Pricing in context
How SexyMD's monthly price sits against the category median and the cheapest provider we track.
| Monthly price | Semaglutide | Tirzepatide |
|---|---|---|
| SexyMDthis providerVisit | $269 per 4 weeks (the advertised headline is a 48-week commitment rate)+$70 vs median | $369 per 4 weeks (the advertised headline is a 48-week commitment rate)+$90 vs median |
| Category median421 tracked | $199/mo | $279/mo |
| Cheapest trackedMondaeVisit | $87 per 28 days (13 charges a year) | $126 per 28 days (13 charges a year) |
What we like
- Each molecule carries a published four-rung ladder, so the cost of committing and the cost of not committing are both visible before intake
- Low-dose versions of both molecules are priced separately
- Both 503A pharmacies and 503B outsourcing facilities are disclosed as the fulfillment classes in the Terms
- Two prescribing entities are named, and cancellation terms and their forty-eight hour window are stated plainly
The caveats
- Every headline figure on the site is the forty-eight week commitment rate, and its asterisk resolves to no footnote anywhere
- The same footer block on every page says both available in all fifty states and available in all states except Arkansas, Mississippi and New Jersey
- The low-dose programs print identical prices for four, eight and twelve weeks in a table format that carries real tiers elsewhere
- The longer tiers quote a monthly figure but ship every twelve weeks, and the actual charge amount and cadence are left to checkout
- Placeholder blog posts and unedited template copy are live and listed in the site's own sitemap
Who it's for — and who should skip it
SexyMD is for people weighing a long commitment against a short one who want the four-rung ladder in front of them before they choose.
Skip it if that doesn't sound like you. A closer fit may be RxSpan MD (Match Score 70) — or take the quiz to see where SexyMD lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
SexyMD against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | SexyMDthis provider | CoreAge Rxour #1 | RxSpan MDclosest scorer |
|---|---|---|---|
| Sema price | $269 per 4 weeks (the advertised headline is a 48-week commitment rate) | $99/mo at every dose | $253/mo |
| Coverage | 47 states | All 50 states | All 50 states |
| Formulary | Injectable | Injectable | Injectable + oral + brand |
| Match Score | 70 · C | 91 · A− | 70 · C |
SexyMD, answered
Is SexyMD legit?
SexyMD 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 SexyMD cost?
SexyMD lists compounded semaglutide from $269 per 4 weeks (the advertised headline is a 48-week commitment rate) and tirzepatide from $369 per 4 weeks (the advertised headline is a 48-week commitment rate) — above our category median of $199/mo. These are the provider's public figures at our last review (September 2026); confirm on their site, since some teaser tiers step up after month one.
Does SexyMD ship to my state?
Almost certainly — SexyMD reports near-nationwide coverage (47 states). Check the exclusions before you pay.
SexyMD vs RxSpan MD — which should I pick?
They score within a few points of each other: SexyMD at 70/100 and RxSpan MD at 70/100, so neither wins on the headline number. SexyMD is the better fit for people weighing a long commitment against a short one who want the four-rung ladder in front of them before they choose. RxSpan MD suits readers who want the pharmacy and the prescriber named up front and both a needle-free and a brand-name lane on the same account, and who will switch the plan selector back to Monthly themselves. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data last verified September 2026 from SexyMD'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 SexyMD's site. Not medical advice; see our disclosure.
Semaglutide here is $269 per 4 weeks (the advertised headline is a 48-week commitment rate) — $70 above our category median of $199. Tirzepatide is $369 per 4 weeks (the advertised headline is a 48-week commitment rate). It scores highest on what it is willing to publish up front. Best suited to people weighing a long commitment against a short one who want the four-rung ladder in front of them before they choose. If that is not you, RxSpan MD 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 SexyMD here.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match84/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry in this ranking.84/100
- #3Match83/ 100EdenA polished, high-disclosure compounded program with strong nationwide coverage and hands-on support.83/100
- #4Match85/ 100RoA heavyweight telehealth brand with brand-name access and a polished experience — but opaque compounded pricing.85/100
- #5Match82/ 100Telos RxThe widest compounded menu in the ranking at a rock-bottom GLP-1 entry — microdosed semaglutide from ~$49/mo, tirzepatide from ~$99/mo, plus oral GLP-1, intranasal NAD+, recovery peptides and bioidentical HRT, all LegitScript-certified and HIPAA-compliant.82/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Kin Meds#127 FDA issued Kin Meds a warning letter in February 2026. See FDA's warning-letter database. | 69 | $202/mo | $253/mo | Coverage not published | Alternatives | Visit |
| Ozari Health#128 | 69 | $178/mo | $238/mo | All 50 states | Alternatives | Visit |
| Bodi Envi#129 | 69 | $157/mo | $232/mo | Coverage not published | Alternatives | Visit |
| GobyMeds#130 | 69 | $169/mo (all doses, compounded) | $145/mo | Coverage not published | Alternatives | Visit |
| MyFastRx#131 | 69 | $139/mo | $199/mo | All 50 states | Alternatives | Visit |
| Recovery Delivered#132 | 69 | $203/mo | $223/mo | 32 states | Alternatives | Visit |
| Trillium Meds#133 | 69 | $159/mo | $249/mo | All 50 states | Alternatives | Visit |
| Levity#134 FDA issued Levity Inc. dba Levity a warning letter in February 2026. See FDA's warning-letter database. | 69 | $1,199/mo (all doses, bundle, brand-name) | $1,299/mo (all doses, bundle, brand-name) | 36 states | Alternatives | Visit |
| Luma Health Co#135 | 69 | $120/mo (plus a separate fee, compounded) | $180/mo (compounded) | 30 states | Alternatives | Visit |
| Mixx Health & Wellness#136 | 69 | Not disclosed | Not disclosed | 44 states | Alternatives | Visit |
| VyrarX#137 | 69 | $179/mo (starting dose, compounded) | $329/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| VirtualCare2Go#138 | 69 | $279/mo (starting dose, compounded) | $629/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Medsol RX#139 | 69 | $199/mo | $259/mo | All 50 states | Alternatives | Visit |
| AbundRX#140 | 69 | $99/mo | $273/mo | Coverage not published | Alternatives | Visit |
| Good Girl Rx#141 FDA issued Good Girl LLC dba GoodGirlRX a warning letter in February 2026. See FDA's warning-letter database. | 69 | $179/mo | $235/mo | All 50 states | Alternatives | Visit |
| YourHealthRx#142 | 69 | $140/mo | $190/mo | All 50 states | Alternatives | Visit |
| PepHaūs#143 | 69 | $171/mo | $242/mo | All 50 states | Alternatives | Visit |
| Goldspan Health#144 | 69 | $229 per 28 days (13 charges a year) | $299 per 28 days (13 charges a year) | All 50 states plus Washington, D.C. | Alternatives | Visit |
| Nex Gen Health Rx#145 | 69 | $190/mo (30-day supply) | $239/mo (30-day supply) | Coverage not published | Alternatives | Visit |
| VevaRX#146 | 69 | $189/mo | Not disclosed | 36 states | Alternatives | Visit |
| Wholesome Clinic#147 | 68 | $233/mo | $436/mo | 7 states | Alternatives | Visit |
| Zappy Health#148 FDA issued Kare Solutions, LLC dba Zappy a warning letter in February 2026. See FDA's warning-letter database. | 68 | $253/mo | $354/mo | 42 states | Alternatives | Visit |
| 24hrDOC#149 FDA issued 24HrDoc, Inc. dba 24HrDoc a warning letter in February 2026. See FDA's warning-letter database. | 68 | $175/mo | $281/mo | Coverage not published | Alternatives | Visit |
| TOM Weight Loss#150 | 68 | $202/mo | $253/mo | 2 states | Alternatives | Visit |
SexyMD is ranked on our best semaglutide providers, best tirzepatide providers and best GLP-1 programs boards, scored on the same six factors as every other provider there.