Head-to-head · Cost-Efficiency Index
LeanDose vs Royal Medical Center
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
LeanDose
Shoppers in one of its 17 served states who don't mind an undisclosed price increase after month one.
Visit LeanDoseRoyal Medical Center
Shoppers drawn to a low, bundled-fee headline price who are comfortable calling for the dose-specific breakdown.
Visit Royal Medical CenterThe verdict
LeanDose and Royal Medical Center tie on the Cost-Efficiency Index at 61/100, so neither wins outright on the numbers. For most shoppers we'd start with LeanDose (ranked #230, a hair above #235) — Shoppers in one of its 17 served states who don't mind an undisclosed price increase after month one. But Royal Medical Center is a genuine coin-flip alternative here.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs LeanDose.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | LeanDose | Royal Medical Center |
|---|---|---|
| Cost-Efficiency Index | 61/100 | 61/100 |
| Semaglutide / mo | $159/mo (starting dose, compounded) | $67/mo (starting dose, compounded) |
| Tirzepatide / mo | $279/mo (starting dose, compounded) | Not disclosed |
| Semaglutide / yr (modeled) | $1,908 | $804 |
| Tirzepatide / yr (modeled) | $3,348 | — |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #230 | #235 |
LeanDose
61/100Where the value is
- Names its actual compounding pharmacy (Striker Pharmacy) unlike most competitors
- Real LegitScript certification badge with verifiable link
- Explicit published states-served list
The tradeoffs
- Headline prices are explicitly 'first month' only -- ongoing renewal price is never disclosed
- Only serves 17 states
Royal Medical Center
61/100Where the value is
- Claims an all-inclusive bundled price covering labs, medication, physical, and MD consultation with no itemized add-ons, per its own homepage
- Real physical clinic address (Deerfield Beach, FL) rather than a purely virtual operation
- Dispenses through Belmar Pharma Solutions, a recognizable compounding pharmacy network
The tradeoffs
- The $67/mo figure's dose tier could not be verified — every deeper pricing/program page returned HTTP 403
- The named physician, 'Dr. Rodriguez,' has no full name, license number, or NPI published on the homepage
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.