Value Score93/100Best Value
CoreAge Rx
#1 · Grade A+ · Best Value
Est. first month
$99/mo
No teaser step-up. The honest lowest price: both molecules at one flat, all-in monthly rate that never steps up after month one.
Cheaper & better value
Alternatives to Lean Rx
Lean Rx scores a 64 on our Value Score. These are the top-ranked GLP-1 deals we'd point you to instead — every one scored on the same six factors, with the teaser-rate traps flagged so you pay the honest lower price.
Save ~89%
Value Score72/100Watch List
Tell Her Doc
#204 · Grade C · Watch List
Est. first month
From $269/mo (microdose tier, plus a separate fee, compounded)
Pricing to watch. Tell Her Doc is a women-focused, self-pay telehealth program for compounded GLP-1 weight loss — compounded semaglutide and tirzepatide in injection, oral, and orally-dissolving-tablet forms, plus microdoses.
Value Score79/100Fair Price
Direct Meds
#46 · Grade B · Fair Price
Est. first month
$249/mo sublingual
Pricing to watch. One of the few programs offering a sublingual GLP-1 alongside the injection, with the medication, nurse support and shipping bundled into a single monthly figure rather than billed beside it.
FDA warning letter. The FDA issued directmeds.com, Inc. dba DirectMeds a warning letter in September 2025. Check it on the FDA database.
Value Score85/100Great Deal
MadeMed
#12 · Grade A- · Great Deal
Est. first month
$239/mo quarterly (from $199/mo on 6 months)
No teaser step-up. Not the cheapest, but the most honest about what a titrated dose actually costs.
Value Score77/100Fair Price
Nolu
#105 · Grade B- · Fair Price
Est. first month
$249/mo injectable, billed per 4 weeks
Pricing to watch. An all-in, LegitScript-verified GLP-1 line with a simple sticker price — billed every 4 weeks rather than by the calendar month, so the true annual cost runs above what the headline implies.
Value Score74/100Watch List
BetterMe Rx
#165 · Grade C+ · Watch List
Est. first month
$279/mo month-to-month, billed every 4 weeks ($205 first-order offer; $145/mo on 12 months)
Pricing to watch. Publishes no price at all until you finish the quiz, and what is behind it is dearer than the front page suggests: $279 a month for semaglutide, $379 for tirzepatide, each billed every four weeks rather than monthly.
Value Score69/100Watch List
Clume Health
#259 · Grade C · Watch List
Est. first month
$259/mo month-to-month (full dose, oral or injectable; $186/mo only on a 52-week plan)
Pricing to watch. One price of $259 a month covers either molecule in either form, oral or injectable — advertised on the homepage as $199 a month, a figure that is not sold anywhere and whose asterisk resolves to no footnote.
Value Score65/100Watch List
Avono Health
#316 · Grade C · Watch List
Est. first month
From $269/mo (compounded)
Pricing to watch. Avono Health sells clinician-guided compounded semaglutide as injections at $269 a month or $699 for a three-month bundle, with oral capsules at $299 a month or $777 for three.
Value Score69/100Watch List
VirtualCare2Go
#258 · Grade C · Watch List
Est. first month
From $279/mo (starting dose, compounded)
Pricing to watch. VirtualCare2Go is a nationwide telehealth practice charging separately for access and for medication: a $167 monthly membership billed annually or $99.99 per visit, with compounded GLP-1s priced on top.
Ranked by our Value Score — our editorial judgment per the methodology. “Save” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Assume any provider we list may compensate us — it never changes a Value Score. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.