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Head-to-head · Cost-Efficiency Index

Lumen Meds vs Rex MD

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.

Better valueGrade C · #328

Lumen Meds

Shoppers who want a domain-matched LegitScript certificate and a flat tirzepatide price, not a semaglutide quote.

Visit Lumen Meds
VS
Grade C · #331

Rex MD

Cost-first shoppers who want men wanting brand-name Wegovy/Zepbound access through a manufacturer direct-pay bridge, not compounded medication.

Visit Rex MD

The verdict

Too close to callGrade C vs C

Lumen Meds and Rex MD tie on the Cost-Efficiency Index at 56/100, so neither wins outright on the numbers. For most shoppers we'd start with Lumen Meds (ranked #328, a hair above #331) — Shoppers who want a domain-matched LegitScript certificate and a flat tirzepatide price, not a semaglutide quote. But Rex MD 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 Lumen Meds.

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

52
28

Price Transparency

80
20

Nationwide Access

24
86

Formulation Options

53
90

Clinical Oversight

76
84

Contract Flexibility

55
55

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecLumen MedsRex MD
Cost-Efficiency Index56/10056/100
Semaglutide / moNot disclosed$574/mo (all doses, plus a separate fee, brand-name)
Tirzepatide / mo$196/mo (all doses, plus a separate fee, compounded)$424/mo (brand Zepbound, plus a separate fee)
Semaglutide / yr (modeled)$6,888
Tirzepatide / yr (modeled)$2,352$5,088
CoverageCoverage not publishedAll 50 states
Oral / sublingualNoYes
Brand-name accessCompounded onlyYes
Rank here#328#331

Lumen Meds

56/100

Where the value is

  • Named legal entity with a real street address (Lumen Meds LLC, 128 Sunset Blvd #1214, New Castle, DE)
  • LegitScript verification seal specifically matches the lumenmeds.com domain, with a checkable certificate number (47534109) — unlike some peers whose badge verifies a different domain
  • Tirzepatide priced clearly and flatly at $195.82/month, same price at every dose, with no membership fee

The tradeoffs

  • Semaglutide's price is displayed on the site as literally '$0.00/month' with no explanation and no standard ongoing rate published anywhere checked — a real semaglutide price cannot be confirmed
  • States served are not published anywhere on the site
Visit Lumen Meds

Full Lumen Meds review →

Rex MD

56/100

Where the value is

  • Genuine FDA-approved brand-name medication (Wegovy, Zepbound, Saxenda) rather than compounded — a different, more regulated tier than most of this list
  • Named medical leadership (Dr. Anthony Puopolo, M.D., Rex MD Affiliated Medical Group) and a LegitScript Certified badge
  • Backed by publicly known parent LifeMD, with an established telehealth track record

The tradeoffs

  • The headline $75 is NOT the medication cost — Wegovy runs an additional $499/mo (any dose) and Zepbound vials an additional $349/mo, both billed separately by the manufacturer, not Rex MD
  • All-in realistic cost is roughly $424-$574/month, far above what a '$75' or even a '$349' headline implies depending on which landing page you see
Visit Rex MD

Full Rex MD review →

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.

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