Lean Rx review
LeanRx is a bare-bones GLP-1 telehealth site offering compounded semaglutide and tirzepatide with headline 'starting at' pricing but no transparency on dosing tiers, clinical leadership, pharmacy partner, or state coverage.
- Semaglutide
- $266/mo (starting dose, compounded)
- Tirzepatide
- $399/mo (starting dose, compounded)
- Coverage
- Coverage not published
- Brand-name
- Compounded only
Semaglutide · modeled / year
$3,192
Tirzepatide · modeled / year
$4,788
Pricing verified August 2026
The Index scorecard
Lean Rx scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- Offers both semaglutide and tirzepatide
- Simple, low headline starting prices
- Straightforward telehealth consultation flow described
The tradeoffs
- No LegitScript certification displayed anywhere on the site
- No named medical director or compounding pharmacy partner
- No states-served list published
- 'Starting at' prices are not clarified as promo vs. ongoing, and no dose-tier pricing table exists
The bottom line
Best for: Shoppers who don't need transparency on credentials before comparing headline prices. LeanRx is a bare-bones GLP-1 telehealth site offering compounded semaglutide and tirzepatide with headline 'starting at' pricing but no transparency on dosing tiers, clinical leadership, pharmacy partner, or state coverage.
Ranked #288 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Lean Rx.
- #259VitaFusions IV— VitaFusions IV is a Dallas, TX-based IV-therapy and medical-weight-loss provider that does genuinely sell compounded semaglutide ($149/mo) and tirzepatide ($189/mo) at a flat, dose-independent monthly rate with no memberships or contracts.60/100
- #260YourHealthRx— YourHealthRx is a scientist-founded peptide and GLP-1 telehealth platform available in all 50 states and DC via a multi-state (IMLC) clinician network.60/100
- #261VevaRX— VevaRX sells compounded semaglutide at $189 a month and tirzepatide only as a $467 quarterly plan with a three-month minimum, on a site that prints at least eight mutually contradictory prices for its own products.60/100
- #262Collective— Collective sells compounded semaglutide at $59 and tirzepatide at $69 a month, both genuinely medication prices, on top of a $199 annual membership that is required, auto-renewing and not refundable.57/100
- #263Fifty 410— Fifty 410 is a direct-to-consumer compounded-GLP-1 telehealth service.59/100
- #264Bliv— Bliv is a telehealth provider selling personalized compounded GLP-1 programs.59/100
The 24 programs nearest this one
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- #310 Obu Health57
- #311 RxION Health57
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Pricing, states and verification reflect Lean Rx's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Lean Rx's site. Not medical advice; see our disclosure.