Lean Rx Review: Price, Pros & Cons

LeanRx sells compounded tirzepatide starting at $399 and compounded semaglutide starting at $266. Those are starting prices for its weight-loss programs, which renew automatically as a subscription until you cancel. LeanRx says its pricing is upfront with no hidden fees, and it's currently advertising new, lower prices.

There's one add-on cost to know about. On tirzepatide, a dose above 50 units a week needs more medication. Once a provider approves it, LeanRx charges an extra $150 for each additional vial, every four weeks. Ask what your expected dose will cost before you start, especially if you've taken a GLP-1 before and want to begin higher.

Both drugs are compounded with glycine and vitamin B12. LeanRx prescribes weekly injections only.

LeanRx's process centers on a live telehealth call. You fill out a qualification questionnaire, schedule a video consultation, and a licensed provider prescribes a plan if it's appropriate. LeanRx currently offers a discovery call for $1. It says the first consultation itself is free and carries no obligation.

LeanRx is careful about who it treats. It won't treat people with type 1 diabetes, and it takes people with type 2 diabetes case by case. Pregnant women, women planning a pregnancy, those who gave birth in the past two months, and breastfeeding mothers aren't eligible. If you see a specialist such as a cardiologist or nephrologist, LeanRx asks you to get their clearance first. It also says plainly that it doesn't replace your regular doctor.

After you start, you message the team through the Healthie app.

LeanRx's medication is made in state-licensed sterile compounding pharmacies or FDA-registered 503B outsourcing facilities, which produce larger batches. It doesn't name them. Shipping typically takes seven to ten days from approval. Every refill is a newly issued prescription that needs its own approval and processing, so reorder early.

LeanRx is licensed in a limited set of states and publishes a licensing map. Check it before you book.

LeanRx's policies leave little room. All sales of prescription medication are final, with no returns, exchanges or refunds, and its terms say it doesn't refund services sold on the site or through its telehealth platform either. The subscription keeps billing until LeanRx receives your cancellation, so cancel well before your next charge if you plan to stop.