Lean Rx review
Value Score64/100
Lean Rx is a Sacramento-based telehealth technology platform offering compounded semaglutide from $266 and tirzepatide from $399, in injectable, sublingual and tablet form.
We earn a commission when you start treatment through some links on this site, at no extra cost to you. CoreAge Rx is a featured partner, and providers we work with may appear first. It never changes the Value Score.
Advertised price
From $266/mo
From $266/mo (starting dose, compounded)
How much does Lean Rx cost?
The price Lean Rx publishes is From $266/mo (starting dose, compounded). Tirzepatide is listed at From $399/mo (starting dose, compounded). We flag this one to watch: confirm the ongoing rate with Lean Rx before you count on it.
- Semaglutide
- From $266/mo (starting dose, compounded)
- Tirzepatide
- From $399/mo (starting dose, compounded)
- Coverage
- Coverage not published
- Brand-name
- Compounded only
The Value Score card
Lean Rx scored on our six published factors. See the methodology.
What's good
- Three formulations on one account - injectable, sublingual and tablet - which is broader than most programs here offer
- Both molecules are priced on the site rather than after an intake, with no hidden fees advertised
- A telehealth call with a licensed provider happens before anything is prescribed
Read the fine print
- $266 for semaglutide and $399 for tirzepatide both sit above the medians tracked here, at roughly $179 and $249
- Lean Rx describes itself as a technology platform rather than a healthcare provider, so the clinical relationship sits with a third party it does not name
- No published state availability list
- Compounded only, and no provider credentials are detailed on the site
The bottom line
Best for: Someone who wants three formulation choices and is not shopping on price.
For comparison, see CoreAge Rx, a featured partner (Value Score 81/100).
Programs to compare
Compare with other deals
The programs scoring closest to Lean Rx, out of 428 others we track.
Shopping Lean Rx against a specific rival? We put it head to head with our featured partner on CoreAge Rx vs Lean Rx, and every program that undercuts or outscores it — starting with Cost Plus Drugs, the closest match on score — is ranked on the Lean Rx alternatives ranking.
- From $279/moCost Plus Drugs— Mark Cuban's transparent-pricing online pharmacy.64/100
- From $175/moGenesis Health— Genesis Health is a telehealth platform offering compounded semaglutide and tirzepatide injections alongside brand-name Wegovy, Ozempic, and Zepbound.64/100
- From $199/moHeros Health— Heros Health is a direct-to-consumer telehealth platform offering compounded semaglutide and tirzepatide for weight loss on a flat program price — $149 the first month.64/100
- From $247/moLevers Health— Levers Health sells compounded semaglutide from $247 and tirzepatide from $296 on dose-capped plans, plus a separate low-dose and microdose GLP-1 line aimed at longevity rather than weight loss.64/100
- From $228/moOnyx Weight Loss— Onyx Weight Loss is a nurse-practitioner-led telehealth clinic based in Mooresville, NC, offering GLP-1 and GLP-1/GIP weight-loss medications alongside peptides and HRT across 8 states.64/100
- $169/moOpen Water Rx— Open Water Rx is a clinician-guided telehealth service covering all 50 states, publishing compounded semaglutide at $169, tirzepatide at $219 and a daily oral semaglutide tablet at $199 a month.64/100
More programs we track (24)
- AVARA Rx65
- Avono Health65
- Boston Medical Group65
- Fitstry65
- Harmony Wellness Clinic65
- LunaRx65
- Metaboost Rx65
- OnlyRx65
- Society of You65
- Spry65
- Vita Bella65
- MEDGm64
- Roboclinic64
- RxSaludable64
- Whoosh Wellness64
- MyDrHank63
- Elara MD63
- Eve63
- Fierce Health63
- Freya Meds63
- Livea63
- Medivive63
- Noom Med63
- Novi63
395 more are reviewed too — see every GLP-1 program we track, ranked.
Pricing and coverage on this page come from Lean Rx's own website; the Value Score is our editorial judgment per the methodology."% vs brand-name self-pay" compares a program's lowest disclosed monthly price against $349/mo, Wegovy's self-pay price at NovoCare Pharmacy, every standard dose after the two-month intro offer (checked October 2026). Prices change — confirm on Lean Rx's site. Not medical advice; see our disclosure.