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Ranked #331 · Grade C

Rex MD review

Rex MD (a LifeMD brand, historically known for ED telehealth) also runs a real weight-management program, but it is a referral model rather than a compounder: a $75/month Rex MD program fee covers consultation, coaching and labs.

Visit Rex MD 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
$574/mo (all doses, plus a separate fee, brand-name)
Tirzepatide
$424/mo (brand Zepbound, plus a separate fee)
Coverage
All 50 states
Brand-name
Yes

Semaglutide · modeled / year

$6,888

Tirzepatide · modeled / year

$5,088

Pricing verified August 2026

The Index scorecard

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

Normalized Cost/Month28/100
Price Transparency20/100
Nationwide Access86/100
Formulation Options90/100
Clinical Oversight84/100
Contract Flexibility55/100

Where the value is

  • Genuine FDA-approved brand-name medication (Wegovy, Zepbound, Saxenda) rather than compounded — a different, more regulated tier than most of this list
  • Named medical leadership (Dr. Anthony Puopolo, M.D., Rex MD Affiliated Medical Group) and a LegitScript Certified badge
  • Backed by publicly known parent LifeMD, with an established telehealth track record
  • Program fee ($75/mo) is cancel-anytime with no long-term lock-in disclosed

The tradeoffs

  • The headline $75 is NOT the medication cost — Wegovy runs an additional $499/mo (any dose) and Zepbound vials an additional $349/mo, both billed separately by the manufacturer, not Rex MD
  • All-in realistic cost is roughly $424-$574/month, far above what a '$75' or even a '$349' headline implies depending on which landing page you see
  • Two different Rex MD pages show materially different, hard-to-reconcile pricing structures for what appears to be the same semaglutide product
  • Does not accept insurance; no compounded (cheaper) option offered as an alternative

The bottom line

Best for: Cost-first shoppers who want men wanting brand-name Wegovy/Zepbound access through a manufacturer direct-pay bridge, not compounded medication. Rex MD (a LifeMD brand, historically known for ED telehealth) also runs a real weight-management program, but it is a referral model rather than a compounder: a $75/month Rex MD program fee covers consultation, coaching and labs.

Ranked #331 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 Rex MD.

The 24 programs nearest this one

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

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