LeanDose Review: Price, Pros & Cons

LeanDose lists compounded semaglutide at $159 for the first month and compounded tirzepatide, which it calls "Tirz GLP-1/GIP," at $279 for the first month. Both are cash pay. LeanDose says there's no membership fee and no hidden fees, and that the price includes the medication, the provider review, care-team support, refill management and free shipping.

The catch is in the words "first month." LeanDose doesn't publish what you'll pay from month two onward, or whether the price changes as your dose goes up. Ask the care team for the refill price at the dose you're likely to reach before you start.

You start with a short eligibility quiz, which LeanDose says takes 60 to 90 seconds and doesn't ask about insurance. If you may qualify, you fill out a fuller medical intake, and a licensed provider reviews your history and decides whether either medication is appropriate. Once approved, medication ships with tracking, and LeanDose says it can arrive in three to five days.

Prescriptions are filled by Striker Pharmacy, a compounding pharmacy in Katy, Texas. LeanDose publishes the pharmacy's address and phone number, so you can contact it directly with questions about your order.

LeanDose isn't online only. It runs clinics in Houston, Brownsville, McAllen and Laredo, so Texas patients can choose in-person support instead of, or alongside, the online process. Nobody needs to visit a clinic to start, though.

For telehealth, LeanDose lists 17 states: Alabama, Alaska, Colorado, Florida, Georgia, Illinois, Louisiana, Michigan, Minnesota, Mississippi, Nevada, North Carolina, Oklahoma, Tennessee, Texas, Virginia and Washington. If you live anywhere else, you can't order.

• The ongoing price. Only first-month prices are published.
• Canceling and refunds. LeanDose says there's no long contract but tells you to confirm refill timing and cancellation details with the care team. Its refund policy link doesn't lead to a working page, so get the terms in writing.
• Unfinished copy. Some answers on LeanDose's site read like internal notes about a site redesign rather than finished policy. Treat the pricing and cancellation details as unconfirmed until the care team puts them in writing.
• Contact. LeanDose's support is by email.