Head-to-head · Value Score
Precision Telemed vs ElixaMD
Two GLP-1 deals, scored on the same six factors. Precision Telemed lands a Value Score of 89, ElixaMD a 68. Here's who gives you the honest lower price — and where each one bites back.
Precision Telemed
#10 · Grade A · Great Deal
Est. first month
$149/mo
Save ~89% vs brand-nameElixaMD
#275 · Grade C · Watch List
Est. first month
From $179/mo (starting dose, compounded)
Save ~87% vs brand-nameThe verdict
Precision Telemed takes it on Value Score, 89 to 68 — an est. $149/mo first month, with no teaser step-up baked in. ElixaMD isn't out of it: Shoppers wanting low-cost compounded semaglutide with free dietician and coaching included.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | Precision Telemed | ElixaMD |
|---|---|---|
| Value Score | 89 (A) | 68 (C) |
| Est. first month | $149/mo | From $179/mo (starting dose, compounded) |
| Save vs brand-name | ~89% | ~87% |
| Semaglutide | $149/mo | From $179/mo (starting dose, compounded) |
| Tirzepatide | $199/mo | Not disclosed |
| Both molecules | Yes | No |
| Pricing | Flat — no step-up | Watch |
| Coverage | All 50 states | Coverage not published |
Factor by factor
The six factors behind each Value Score. The orange bar marks the stronger side. See the methodology.
Precision Telemed
A LegitScript-certified, all-50-state program with an honest $149 / $199 flat price on both molecules.
Why it's a deal
- LegitScript-certified and available in all 50 states
- Flat $149 semaglutide / $199 tirzepatide — no step-up
- Both molecules priced up front
The fine print
- Not the rock-bottom sticker — sub-$100 sema tiers exist
- No brand-name or oral option
ElixaMD
ElixaMD is a doctor-guided online weight-loss telehealth offering compounded semaglutide injections from $179 the first month, with free shipping, no membership, no contract, and no insurance required.
Why it's a deal
- Compounded semaglutide from $179 first month with free shipping, no membership, no contract, and no insurance required
- Genuinely all-inclusive: 1:1 physician guidance, free dietician visits and care coaching, 24/7 support, and an all-in-one patient portal
- Names its compounding pharmacies (RedRock Pharmacy, Beaker Pharmacy) — more transparent than most compounded sellers
- HSA/FSA eligible; full legal suite (Terms, Privacy, Privacy Practices, Refund, Medical Consent, California Bill of Rights)
The fine print
- $179 is a first-month/intro price — ongoing monthly cost is higher (tiers to ~$249-$299)
- Compounded semaglutide is not FDA-approved (the site discloses this) — not brand Wegovy or Ozempic
- Appears to offer compounded semaglutide only — tirzepatide is not advertised
- Displays a generic LegitScript Certified badge but no verifiable seal/listing; state-availability list not published
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Value Score.
Neither one the right fit? Every program that outscores Precision Telemed is ranked on the Precision Telemed alternatives board, and the same list for the other side is on alternatives to ElixaMD.
More head-to-heads
Prices, states and verification reflect each program's public disclosures at last check; the Value Score is our editorial judgment per the methodology. “Save vs brand-name” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.