LevelUp Rx vs Blue Sky MD

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

LevelUp Rx

Provider comparison

Readers comparing a published one-month compounded plan with longer prepaid supplies who will confirm state eligibility and dispensing pharmacy.

Semaglutide / month: $149.97/moAll doses, one-month compounded plan
Tirzepatide / month: $249.97/moAll doses, one-month compounded plan

Index 67/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check LevelUp Rx pricing Read review

Blue Sky MD

Provider comparison

North Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.

Semaglutide / month: $173.33/moEquivalent (weekly starting rate, in-office, compounded)
Tirzepatide / month: $260/moEquivalent (weekly starting rate, in-office, compounded)

Index 66/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Blue Sky MD pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

LevelUp Rx has the higher Cost-Efficiency Index: 67/100 versus 66/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

LevelUp Rx: Coverage not published
Blue Sky MD: 1 state

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

LevelUp Rx

Blue Sky MD

Semaglutide / month: LevelUp Rx: $149.97/moAll doses, one-month compounded plan; Blue Sky MD: $173.33/moEquivalent (weekly starting rate, in-office, compounded)

Tirzepatide / month: LevelUp Rx: $249.97/moAll doses, one-month compounded plan; Blue Sky MD: $260/moEquivalent (weekly starting rate, in-office, compounded)

Semaglutide / year (modeled): LevelUp Rx: $1,800; Blue Sky MD: $2,080

Tirzepatide / year (modeled): LevelUp Rx: $3,000; Blue Sky MD: $3,120

State availability: LevelUp Rx: Coverage not published; Blue Sky MD: 1 state

Oral / sublingual option listed: LevelUp Rx: Not listed; Blue Sky MD: Not listed

Brand-name access listed: LevelUp Rx: Not confirmed; Blue Sky MD: Yes

Provider facts checked: LevelUp Rx: October 2026; Blue Sky MD: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

LevelUp Rx

Readers comparing a published one-month compounded plan with longer prepaid supplies who will confirm state eligibility and dispensing pharmacy.

Reasons to consider it

Publishes one-, six- and twelve-month prices for both compounds
The price stays the same at every prescribed dose
Includes consultation, medication, supplies, shipping and ongoing support

What to weigh up

Six- and twelve-month plans charge the whole supply total, rather than the one-month rate
Affiliated pharmacy names do not identify which pharmacy will compound your exact prescription
No complete GLP-1 state list is published

Compounded drugs are not FDA-approved. Understand the medication options.

Check LevelUp Rx pricing Read the full LevelUp Rx review

Blue Sky MD

North Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.

Reasons to consider it

Names medical director Dr. David LaMond and displays LegitScript certification
Offers brand-name Wegovy, Ozempic, Zepbound and Mounjaro as well as compounded options
Publishes weekly starting prices for in-office compounded treatment

What to weigh up

The published $40/$60 per-week price is explicitly labeled 'in-office' on the GLP-1 page, and that specific page never mentions telehealth at all — whether the rate applies to out-of-state or telehealth-only patients is unconfirmed
Geographic footprint is North Carolina only; no state-by-state telehealth coverage list is published
No compounding pharmacy is named anywhere on the site

Compounded drugs are not FDA-approved. Understand the medication options.

Check Blue Sky MD pricing Read the full Blue Sky MD review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

LevelUp RxBlue Sky MD

Normalized Cost/Month: LevelUp Rx:
82/100; Blue Sky MD:
60/100

Price Transparency: LevelUp Rx:
97/100; Blue Sky MD:
78/100

Nationwide Access: LevelUp Rx:
24/100; Blue Sky MD:
42/100

Formulation Options: LevelUp Rx:
66/100; Blue Sky MD:
79/100

Clinical Oversight: LevelUp Rx:
89/100; Blue Sky MD:
87/100

Contract Flexibility: LevelUp Rx:
25/100; Blue Sky MD:
55/100

Before you sign up

Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.