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10rx vs Aquivia Health

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
10rx logo

10rx

7.1
★★★3.6/5

Best for: low-cost compounded GLP-1 with NAD+ and sermorelin add-ons

Visit 10rx
VS
Aquivia Health logo

Aquivia Health

6.9
★★★3.5/5

Best for: clinician-reviewed compounded GLP-1 with optional branded upgrade

Visit Aquivia Health

10rx and Aquivia Health are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, 10rx starts lower at $96.67/mo versus $149/mo, and 10rx edges ahead overall (7.1 vs 6.9 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

10rx

Injectablecompounded injection
$96.67/mo
semaglutide
Injectablecompounded injection
$149.67/mo
tirzepatide

Aquivia Health

Compounded semaglutide, 4-week supply (same price all doses)Compounded
$149/mo
semaglutide
Compounded tirzepatide, 4-week supply (same price all doses)Compounded
$179/mo
tirzepatide
Compounded semaglutide, 52-week prepay (13 shipments, $2,327 one-time)Compounded
$179/mo
semaglutide
Compounded tirzepatide, 52-week prepay (13 shipments, $3,497 one-time)Compounded
$269/mo
tirzepatide
Branded Ozempic, 4-week supply (semaglutide, all doses)Brand-name
$1299/mo
semaglutide
Branded Zepbound, 4-week supply (tirzepatide, all doses)Brand-name
$1399/mo
tirzepatide

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What’s included

10rx

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Aquivia Health

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

10rx

7.1/10

Overall

Aquivia Health

6.9/10

Value25%

8.5A
vs
B
7.0

Effectiveness25%

7.0A
vs
B
7.0

User Experience15%

7.0A
vs
B
7.0

Trust & Safety15%

5.3A
vs
B
6.0

Accessibility10%

7.5A
vs
B
7.0

Support10%

6.4A
vs
B
7.4

Features & Coverage

Feature10rxAquivia Health
Starting Price$96.67/mo$149/mo
Features8 features7 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNone4 warnings

About 10rx

10rx is a nationwide GLP-1 telehealth program offering compounded weight-loss medication at low flat monthly rates: semaglutide at $99.67/month and tirzepatide at $149.67/month, with NAD+ and sermorelin also offered for energy and recovery. You take a free online health quiz, a board-certified telehealth doctor reviews your history and prescribes if appropriate, and licensed pharmacy partners ship discreetly. 10rx says it ships to all 50 states, but it doesn't publish its operating company, name its pharmacies, or post a terms page.

Read our full 10rx review →

About Aquivia Health

Aquivia Health is a clinician-led, self-pay telehealth platform offering compounded GLP-1 therapy with the option to step up to branded Ozempic or Zepbound — an unusual side-by-side most compounded providers don't carry. Clinical care runs through Open Loop Healthcare Partners, and the founding team is disclosed, led by a Chief Medical Officer and a 503A-background Chief Pharmacist. Compounded semaglutide is $149/mo and tirzepatide $179/mo at every dose.

Read our full Aquivia Health review →

Pros & Cons

10rx

What we like

  • Very low pricing — compounded semaglutide $99.67/month and tirzepatide $149.67/month
  • Free online health quiz with board-certified telehealth doctors reviewing eligibility
  • Offers NAD+ and sermorelin alongside GLP-1, for energy and muscle recovery
  • Says it ships to all 50 states with discreet delivery from licensed pharmacy partners

Watch-outs

  • Doesn't publish its legal operating entity, so accountability is hard to verify
  • Pharmacy partners are described as licensed but none are named
  • No terms-of-service page is posted, and FAQ answers load only via script
  • Compounded semaglutide and tirzepatide only — no brand-name or oral options
  • No LegitScript or third-party accreditation is shown on the site

Aquivia Health

What we like

  • Clinical care provided by Open Loop Healthcare Partners, PC — a reused, verified MSO network
  • Named leadership: Steven Bishop MD (CMO), Phillip Gray PharmD (Chief Pharmacist), Tom Foster (President)
  • Itemized public pricing: compounded semaglutide $149/mo, tirzepatide $179/mo, Ozempic $1,299, Zepbound $1,399
  • Both compounded and branded GLP-1s offered side by side — unusual for a compounded provider
  • Self-pay model with no insurance required and no separate consultation fee
  • Multi-month prepay discounts disclosed publicly
  • States up front that completing the check doesn't guarantee a prescription — a good safety signal
  • Broader clinical scope with metabolic, longevity, and dysautonomia pathways

Watch-outs

  • No public list of states served — you must complete intake to learn if your state qualifies
  • No named 503A compounding pharmacy partner, limiting licensure verification
  • No LegitScript, PCAB, or BBB trust badges visible
  • Brand confusion: site schema names 'CatalystMD' while the customer-facing brand is Aquivia Health
  • Compounded semaglutide and tirzepatide are not FDA-approved or premarket-reviewed
  • Recently launched (April 2026) with no third-party review profile yet
  • Two of three programs (longevity, dysautonomia) are waitlist-only — only weight loss is available now

Our Verdict

Winner: 10rx

10rx edges out Aquivia Health with a higher overall score of 7.1/10 and is particularly strong for low-cost compounded GLP-1 with NAD+ and sermorelin add-ons. Aquivia Health remains a solid alternative, especially if you're looking for clinician-reviewed compounded GLP-1 with optional branded upgrade.

Choose 10rx if…

You want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons and a starting price around $96.67/mo.

Choose Aquivia Health if…

You want clinician-reviewed compounded GLP-1 with optional branded upgrade and a starting price around $149/mo.

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7.7

TrimRx

Best overall value

7.6

Sprout Health

LegitScript-verified compounded GLP-1 via named pharmacies

7.5

PeterMD

Men wanting flat-priced compounded GLP-1 with TRT or peptides

10rx vs Aquivia Health: FAQ

10rx is cheaper. Its lowest ongoing monthly cash price is $96.67/mo, compared with $149/mo for Aquivia Health. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
10rx scores higher overall at 7.1/10 versus 6.9/10, and is particularly strong for low-cost compounded GLP-1 with NAD+ and sermorelin add-ons. That said, Aquivia Health is a better fit if you want clinician-reviewed compounded GLP-1 with optional branded upgrade.
Neither 10rx nor Aquivia Health publicly lists its exact state availability. Most national GLP-1 telehealth providers operate in the majority of states — confirm your state is covered during sign-up.
Neither 10rx nor Aquivia Health is currently an affiliate partner, so we earn no commission from either. We rank all providers editorially using the same six-dimension framework and disclose any commercial relationships.
For Semaglutide, 10rx is cheaper at $96.67/mo versus $149/mo at Aquivia Health.

Key terms, explained

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Continue exploring 10rx and Aquivia Health head-to-heads in the same category.

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