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Ranked #180 · Grade C

OnlyRx review

OnlyRx is a 50-state GLP-1 telehealth marketplace offering compounded semaglutide (injection or oral/ODT) and tirzepatide (injection or oral/ODT).

Visit OnlyRx 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. See our disclosure.
Semaglutide
$179/mo (starting dose, compounded)
Tirzepatide
$249/mo (starting dose, compounded)
Coverage
Coverage not published
Brand-name
Yes

Semaglutide · modeled / year

$2,148

Tirzepatide · modeled / year

$2,988

Pricing verified August 2026

The Index scorecard

OnlyRx scored on our six Cost-Efficiency Index factors. See the methodology.

Normalized Cost/Month68/100
Price Transparency78/100
Nationwide Access24/100
Formulation Options90/100
Clinical Oversight72/100
Contract Flexibility55/100

Where the value is

  • Serves all 50 states per its own claim, wider than most compounded-GLP-1 competitors
  • Two named prescribers with published NPI numbers (Dr. Ana Lisa Carr, Dr. Kelly Tenbrink), plus two supporting providers
  • Sources medication from four named, recognizable 503A-style pharmacy partners rather than one undisclosed source
  • LegitScript-certified with a displayed verification badge

The tradeoffs

  • The $179 headline price is explicitly labeled a 'Summer Promo' on the site's own homepage — no post-promo price is published
  • No dose-tier (mg) breakdown is published for any of the four price points
  • Fulfillment is split across four different pharmacies with no disclosure of which one fills a given order
  • 'No membership or hidden fees' is an unverified site claim — with pricing gated behind consultation, it can't be independently confirmed

The bottom line

Best for: Shoppers who want a 50-state marketplace with multiple pharmacy options and named prescribers. OnlyRx is a 50-state GLP-1 telehealth marketplace offering compounded semaglutide (injection or oral/ODT) and tirzepatide (injection or oral/ODT).

Ranked #180 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 OnlyRx.

The 24 programs nearest this one

Pricing, states and verification reflect OnlyRx's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on OnlyRx's site. Not medical advice; see our disclosure.

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