Lean Meds review
Lean Meds charges $79 a month for compounded semaglutide and $109 for tirzepatide, flat at every dose, names the four pharmacies that fill the prescriptions, and advertises a $49 figure that is really its twelve-month rate.
- Semaglutide
- $79/mo month-to-month, flat at every dose (the advertised $49 is the 12-month plan)
- Tirzepatide
- $109/mo month-to-month, flat at every dose (the advertised $95 is the 12-month plan)
- Coverage
- All 50 states
- Brand-name
- Compounded only
Semaglutide · modeled / year
$948
Tirzepatide · modeled / year
$1,308
Pricing verified September 2026
The Index scorecard
Lean Meds scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- A flat rate at every dose on both molecules, stated as such, so the price does not climb as a provider titrates
- Names all four pharmacies in its network with addresses, phone numbers and websites, and states the 503A designation in the footer of every page
- The full four-rung ladder for each molecule is printed on one page, so a reader can see what a commitment actually saves
- The price covers the consultation, the care, the medication, the supplies, shipping and support, with nothing billed separately
- Names the medical group behind the prescriptions, OpenLoop Healthcare Partners, PC
The tradeoffs
- The homepage sells "Starting at $49/mo — same price every month, first order and every order after"; $49 is the twelve-month semaglutide plan and the month-to-month rate is $79
- A homepage chip reads "No auto rebill" while the terms say the payment method is automatically charged at recurring intervals until you cancel
- Every offer page runs a countdown reading "Price increases in" with no dated deadline behind it
- The refund policy makes an order non-refundable the moment the medical intake is submitted, and refunds otherwise cover only ineligibility or a billing error
- An "Eligible for Insurance" chip sits against an FAQ calling the service self-pay and terms barring reimbursement from any payer
- The refund page signs both "Leanmeds, Inc." and "Leanmeds LLC", and two different support phone numbers are published
- Florida law is chosen while the exclusive forum is a Georgia county, and the District of Columbia is in the terms' service area but not in the intake's own list
The bottom line
Best for: Cost-first shoppers who want a genuinely flat all-dose price and named pharmacies, and who will read the $49 headline as the annual plan it is. Lean Meds charges $79 a month for compounded semaglutide and $109 for tirzepatide, flat at every dose, names the four pharmacies that fill the prescriptions, and advertises a $49 figure that is really its twelve-month rate.
Ranked #21 of 529 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 528 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Lean Meds.
- #18PepHaūs— Mid-market $152/$246 pricing on both molecules, all-50 and LegitScript-verified — a clean, verified nationwide option that trades rock-bottom cost for a dependable pharmacy.85/100
- #19Alan Meds— Rock-bottom $99 semaglutide with an oral option and all-50 access — strong on price, but not LegitScript-verified.84/100
- #20Ro— The widest formulary — brand-name and oral access, with a named CMO — but the $149/mo (or $74/mo prepaid annual) membership fee is separate from the drug's own opaque, insurance-dependent price.84/100
- #22Hims & Hers— Nationwide reach and a slick app at a mid-market semaglutide price — but an undisclosed tirzepatide price leaves part of the value equation blank.83/100
- #23Care Bare Rx— A LegitScript-certified, HIPAA-compliant multi-service platform bundling weight loss with hair, TRT, sexual health and NAD+ — both oral (Rybelsus, oral tirzepatide) and injectable compounded routes, real brand Ozempic from ~$705/mo, and coverage across all 50 states plus Puerto Rico, but the 3-month plan is a real trap: it costs more per month than either month-to-month or the 6-month plan.80/100
- #24bmiMD— Low $129/$179 month-to-month pricing on both molecules nationwide — the $99/$139 headline requires a full 12-month prepay, but a genuine no-commitment option still undercuts most of the ranking.82/100
The 21 programs nearest this one
- #25 Live Vital82
- #26 PlexusDx82
- #27 Curex81
- #28 Henry Meds81
- #29 Luma Health Co81
- #30 Trimi Health78
- #31 REMEVi80
- #32 Vaylen80
- #33 NP2GO79
- #34 KERNX Health79
- #35 Mondae79
- #36 Trava Health78
- #37 Welling Health78
- #38 FMmeds78
- #39 Enhance MD75
- #40 PreventiveMD77
- #41 HealthRX74
- #42 Pallas Health74
- #43 EverSlim76
- #44 Maves76
- #45 NiceRx76
Pricing, states and verification reflect Lean Meds's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Lean Meds's site. Not medical advice; see our disclosure.