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10rx vs Pillar 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
Pillar Health logo

Pillar Health

7.5
★★★★☆3.8/5

Best for: flat per-dose GLP-1 pricing with no membership, and a half-price first month

Visit Pillar Health →

10rx and Pillar 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 $189/mo, and Pillar Health edges ahead overall (7.5 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
$96.67/mo
semaglutide
Injectablecompounded injection
$149.67/mo
tirzepatide

Pillar Health

Monthly program, every dose 0.25 mg to 2.4 mg/weekCompounded
$189$94.5/mo
Save 50% right now
semaglutide

Code PILLAR50 cuts the first month to $94.50; $189/mo from month two, same at every dose.

Monthly program, every dose 2.5 mg to 15 mg/weekCompounded
$249$124.5/mo
Save 50% right now
tirzepatide

Code PILLAR50 cuts the first month to $124.50; $249/mo from month two, same at every dose.

Microdosing program, clinician-set dose, monthlyCompounded
$199$99.5/mo
Save 50% right now
tirzepatide

Product page lists $199/mo; the category card for the same program reads "249/month".

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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

Pillar 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

Pillar Health

7.5/10

Value25%

8.5A
vs
B
8.5

Effectiveness25%

7.0A
vs
B
8.0

User Experience15%

7.0A
vs
B
7.5

Trust & Safety15%

5.3A
vs
B
5.5

Accessibility10%

7.5A
vs
B
8.0

Support10%

6.4A
vs
B
6.0

Features & Coverage

Feature10rxPillar Health
Starting Price✓$96.67/mo$189/mo
Features8 features8 features
States AvailableNot disclosed49
Compounded—✓ Yes
Brand Name——
FSA/HSA Accepted—✓ Yes
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 Pillar Health

Pillar Health is a Michigan-based telehealth storefront selling compounded semaglutide and tirzepatide programs at one flat monthly price that does not rise with your dose: $189/mo for semaglutide and $249/mo for tirzepatide, with no membership fee and free shipping. Prescribers come through the Architek Health provider network. A first-order code halves the first month, and prices are shown before any intake.

Read our full Pillar 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 pin down
  • 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

Pillar Health

What we like

  • One flat price at every dose: $189/mo semaglutide, $249/mo tirzepatide, and it does not climb as you titrate
  • No membership fee on top; the program price covers the clinician, dose changes and the medication
  • Prices are printed on the product pages before you answer a single health question
  • Code PILLAR50 takes 50% off the first month ($94.50 semaglutide, $124.50 tirzepatide)
  • Available in 48 states plus Washington, D.C.; only Alaska and Mississippi are excluded
  • Names its prescriber network (Architek Health) and advertises the price as locked in for life
  • A lower-cost microdosing tirzepatide program is offered alongside the standard ladder

Watch-outs

  • No compounding pharmacy is named; you are told to email support to learn which pharmacy fills your order
  • Pillar does not run its own checkout, and its refund policy defers entirely to the third-party platform you pay on
  • Billing, renewal and cancellation terms are shown only after you create an account
  • The terms of use ask customers not to disparage the company publicly, including on social media
  • The microdosing program is listed at $199/mo on its product page but "249/month" on the category page
  • A self-described early-stage company; support is email and web form only, with no phone number
  • Compounded only, and the site confirms compounded semaglutide and tirzepatide are not FDA-approved

Our Verdict

Winner: Pillar Health

Pillar Health edges out 10rx with a higher overall score of 7.5/10 and is particularly strong for flat per-dose GLP-1 pricing with no membership, and a half-price first month. 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 $96.67/mo.

Choose Pillar Health if…

You want flat per-dose GLP-1 pricing with no membership, and a half-price first month and a starting price around $189/mo.

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7.4

Brightmeds

Compounded or brand GLP-1 bundled with TRT and peptides for men

6.4

Direct Meds

Listed for disclosure only — see its FDA warning and BBB complaints first

7.6

Maximus

Men seeking compounded GLP-1 alongside testosterone optimization

10rx vs Pillar Health: FAQ

10rx is cheaper. Its lowest ongoing monthly cash price is $96.67/mo, compared with $189/mo for Pillar Health. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
Pillar Health scores higher overall at 7.5/10 versus 7.1/10, and is particularly strong for flat per-dose GLP-1 pricing with no membership, and a half-price first month. That said, 10rx is a better fit if you want low-cost compounded GLP-1 with NAD+ and sermorelin add-ons.
Pillar Health lists availability in 49 states, while 10rx's state list is not publicly listed.
Neither 10rx nor Pillar 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, Pillar Health is cheaper at $94.5/mo versus $96.67/mo at 10rx.

Key terms, explained

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

Or see the full category ranking.

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