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10rx vs MedLeanRx

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
MedLeanRx logo

MedLeanRx

7.2
★★★3.6/5

Best for: Texas-only compounded semaglutide at $149/mo, plus brand options

Visit MedLeanRx

10rx and MedLeanRx 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 $99.67/mo versus $149/mo, and MedLeanRx edges ahead overall (7.2 vs 7.1 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
$99.67/mo
semaglutide

Compounded; GLP-1 options as low as under $100/mo

Injectablecompounded injection
$149.67/mo
tirzepatide

Compounded GLP-1 + GIP

MedLeanRx

StartingCompounded
$149/mo
semaglutide

Weekly semaglutide vial $149/mo; plans 'start at $149/month for the starting dose' — pricing may vary with medication and dosage

StartingCompounded · oral
$149/mo
semaglutide

Needle-free daily oral semaglutide tablets, $149/mo

StartingCompounded
$269$163/mo
Save 39% right now
tirzepatide

$269/mo standard; intro bundle: 2-month supply at 2 mg weekly for $325 (~$163/mo), Texas clients only, while supplies last

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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

MedLeanRx

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

MedLeanRx

7.2/10

Value25%

8.5A
vs
B
8.0

Effectiveness25%

7.0A
vs
B
8.0

User Experience15%

7.0A
vs
B
7.0

Trust & Safety15%

5.3A
vs
B
6.8

Accessibility10%

7.5A
vs
B
4.5

Support10%

6.4A
vs
B
7.0

Features & Coverage

Feature10rxMedLeanRx
Starting Price$99.67/mo$149/mo
Features8 features8 features
States AvailableNot disclosed1
Compounded✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

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 MedLeanRx

MedLeanRx is a physician-guided telehealth weight-loss clinic serving Texas only, based in Spring, TX. It prescribes compounded semaglutide as a weekly injection or daily oral tablet at $149/month and compounded tirzepatide at $269/month, plus a brand pathway for Wegovy, Zepbound, and Foundayo (orforglipron) at a $99/month fee where medication is billed separately. A 5-minute online assessment gets a 24-48 hour physician review, with free shipping and cancel-anytime plans.

Read our full MedLeanRx 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

MedLeanRx

What we like

  • Compounded semaglutide $149/mo in both weekly injection and daily oral tablet form
  • Brand pathway for Wegovy, Zepbound, and Foundayo (orforglipron) at a $99/mo fee plus medication cost
  • Intro bundle: 2 months of compounded tirzepatide (2 mg weekly) for $325 — about $163/mo
  • LegitScript seal displayed; named supervising physician (Dr. Johnson Uzor, MD)
  • Free shipping, no hidden fees, and cancel-anytime plans per homepage trust chips
  • 5-minute online assessment with 24-48 hour physician review — 100% online, no clinic visits

Watch-outs

  • Texas only — not available in the other 49 states
  • Compounded tirzepatide is $269/mo at standard pricing, above the ~$249 market median
  • Strict no-refund policy: 'All sales are final' per Terms & Conditions
  • Pharmacy partner not publicly named — a transparency gap for a compounding service
  • Legal entity name and founding details not published on the site
  • Brand-medication total cost not published — $99/mo fee plus the separate cost of medication

Our Verdict

Winner: MedLeanRx

MedLeanRx edges out 10rx with a higher overall score of 7.2/10 and is particularly strong for Texas-only compounded semaglutide at $149/mo, plus brand options. 10rx remains a solid alternative, especially if you're looking for low-cost compounded GLP-1 with NAD+ and sermorelin add-ons.

Choose 10rx if…

You want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons and a starting price around $99.67/mo.

Choose MedLeanRx if…

You want Texas-only compounded semaglutide at $149/mo, plus brand options and a starting price around $149/mo.

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8.0

Strut Health

Oral-lozenge compounded GLP-1 access

6.9

YourEra

$99 first-month entry pricing on compounded GLP-1s

8.2

Gala

Compounded GLP-1/GIP combo on a yearly plan with free shipping

10rx vs MedLeanRx: FAQ

Key terms, explained

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