Head-to-head · Cost-Efficiency Index
MedLeanRx vs 24hrDOC
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.
MedLeanRx
Cost-first shoppers who want texas residents who want a named supervising physician and a brand-medication pathway alongside compounded options.
Visit MedLeanRx24hrDOC
Shoppers comparing the ongoing standing price of compounded GLP-1s, not the first-month promotional rate.
Visit 24hrDOCThe verdict
MedLeanRx takes it, leading the Cost-Efficiency Index 58 to 57. MedLeanRx is a Spring, Texas-based telehealth weight-loss clinic serving Texas exclusively. 24hrDOC still earns a C — Shoppers comparing the ongoing standing price of compounded GLP-1s, not the first-month promotional rate.
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 MedLeanRx.
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 | MedLeanRx | 24hrDOC |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 57/100 |
| Semaglutide / mo | $149/mo (compounded oral) | $249/mo (microdose tier, 2 mg dose, compounded) |
| Tirzepatide / mo | $269/mo (compounded) | $339/mo (microdose tier, starting dose, compounded) |
| Semaglutide / yr (modeled) | $1,788 | $2,988 |
| Tirzepatide / yr (modeled) | $3,228 | $4,068 |
| Coverage | 1 state | Coverage not published |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Yes | Compounded only |
| Rank here | #289 | #296 |
MedLeanRx
58/100Where the value is
- Named supervising physician (Dr. Johnson Uzor, MD) publicly disclosed with a dedicated bio page
- Both compounded semaglutide (injectable and oral tablet) and a brand Wegovy/Zepbound/Foundayo pathway offered on one platform
- Flat pricing with no dose-tier escalation disclosed
The tradeoffs
- Texas only — not available in any other state
- Compounding pharmacy is never named anywhere on the site
24hrDOC
57/100Where the value is
- Full struck-through pricing (promo vs. regular) is published on-site before intake, so the true ongoing cost is verifiable rather than hidden
- Both standard and lower-cost microdose options published for each drug
- Fast intake model: '10-minute assessment' with no office visit required
The tradeoffs
- The widely-advertised $149/$239 price is a ONE-TIME first-month discount ('$100 off'); the standing ongoing price is $249/mo semaglutide and $339/mo tirzepatide — about 40% higher
- No compounding pharmacy or medical director named on the site
Regulatory note: the FDA issued a warning letter to 24HrDoc, Inc. dba 24HrDoc in February 2026. We still list and link to 24hrDOC; you should know the letter is on the public record before you decide.
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.