Head-to-head · Value Score
Precision Telemed vs RxPepsDirect
Two GLP-1 deals, scored on the same six factors. Precision Telemed lands a Value Score of 89, RxPepsDirect 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-nameRxPepsDirect
#287 · Grade C · Watch List
Est. first month
From $64/mo (starting dose, medication billed separately, compounded)
Save ~95% 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. RxPepsDirect isn't out of it: Shoppers who want lowest per-vial GLP-1 cost: compounded sema $25, tirz $45, $39 telehealth Rx, no subscription, 28 states.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | Precision Telemed | RxPepsDirect |
|---|---|---|
| Value Score | 89 (A) | 68 (C) |
| Est. first month | $149/mo | From $64/mo (starting dose, medication billed separately, compounded) |
| Save vs brand-name | ~89% | ~95% |
| Semaglutide | $149/mo | From $64/mo (starting dose, medication billed separately, compounded) |
| Tirzepatide | $199/mo | From $84/mo (starting dose, medication billed separately, compounded) |
| Both molecules | Yes | Yes |
| Pricing | Flat — no step-up | Watch |
| Coverage | All 50 states | 28 states |
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
RxPepsDirect
RxPepsDirect (Peptide RX LLC) is a per-vial compounded GLP-1 telehealth platform offering semaglutide/B12 from $25/vial and tirzepatide/B12 from $45/vial, dispensed through Optimal Balance Pharmacy (503A,…
Why it's a deal
- Industry-lowest GLP-1 pricing: compounded semaglutide from $25/vial, tirzepatide from $45/vial — no subscription or recurring commitment required
- Real 503A telehealth Rx: licensed NP/PA prescribers + MD medical director (Dr. Jonathan Snipes, NPI 1821250077); patient-specific Rx dispensed by
- FedEx overnight shipping at $15 flat; ships pre-reconstituted and includes syringes, alcohol wipes, and reusable cooled travel case
- Independent batch COA testing by Eagle Analytical (FDA-registered, A2LA ISO 17025): 54/54 sterility and endotoxin passes published publicly on
- No subscription required; $39 flat visit fee covers up to 3 peptides per Rx; pay per vial with no ongoing commitment
The fine print
- No LegitScript certification; company founded 2026 — no public track record or long-term patient-outcomes data
- Minimal clinical oversight: $39 asynchronous intake form only — no live video consult required, no labs mandated, no monitoring protocol; lowest
- Per-vial pricing makes true monthly cost opaque; every refill costs another $39 visit fee on top of vial price and $15 shipping
- Only 28 states + DC; excludes California, most of the Southeast (AL, AR, GA, MS, NC, SC, TN, VA), and parts of Midwest
- No coaching, labs, dietitian support, or clinical monitoring included at any tier — purely prescription + dispensing
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 RxPepsDirect.
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.