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10rx vs Rila

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
Rila logo

Rila

7.1
★★★★☆3.6/5

Best for: people who want compounded semaglutide or tirzepatide month to month, with no charge unless prescribed

Visit Rila →

10rx and Rila 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 $249/mo, and both land at 7.1/10 overall. 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

Rila

Monthly plan, weekly injection, renews monthlyCompounded
$249/mo
semaglutide

3, 6 and 12-month plans cost $639, $1,188 and $2,196 ($213, $198 and $183 a month)

Monthly plan, dissolving tablet, renews monthlyCompounded
$275/mo
semaglutide

3, 6 and 12-month plans cost $705, $1,000 and $2,419.44

Monthly plan, weekly injection, renews monthlyCompounded
$349/mo
tirzepatide

3, 6 and 12-month plans cost $849, $1,589 and $2,988 ($283, $265 and $249 a month)

Monthly plan, dissolving tablet, renews monthlyCompounded
$303/mo
tirzepatide

3, 6 and 12-month plans cost $783, $1,456 and $2,694.60

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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

Rila

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

Rila

7.1/10

Value25%

8.5A
vs
B
6.5

Effectiveness25%

7.0A
vs
B
8.0

User Experience15%

7.0A
vs
B
6.0

Trust & Safety15%

5.3A
vs
B
7.0

Accessibility10%

7.5A
vs
B
7.5

Support10%

6.4A
vs
B
7.5

Features & Coverage

Feature10rxRila
Starting Price✓$96.67/mo$249/mo
Features✓8 features7 features
States AvailableNot disclosedNot disclosed
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 Rila

Rila is a Utah telehealth company that sells compounded semaglutide and tirzepatide as weekly injections or dissolving tablets, prescribed through the Dr. TelX medical group and filled by three named pharmacies. Monthly plans cost $249 for semaglutide injections and $349 for tirzepatide injections. The advertised $198 is the monthly average of a 6-month plan, and you are not charged unless a provider prescribes.

Read our full Rila 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

Rila

What we like

  • You are not charged unless a licensed provider reviews your answers and prescribes treatment
  • Offers semaglutide and tirzepatide, each as a weekly injection or a dissolving tablet
  • Names its medical group and all three dispensing pharmacies, with addresses, on its site
  • Publishes which states get online-only care and which require a live visit first
  • A certified medical assistant is assigned to each patient at no extra cost
  • Shipping is free and arrives in discreet packaging
  • Support is available by phone as well as email, and FSA or HSA cards are accepted

Watch-outs

  • The advertised $198 is the monthly average of a 6-month semaglutide plan; month-to-month starts at $249
  • The "from $217" tablet price does not match any plan we could find in the checkout data
  • Full plan prices appear only after you enter an email address in the intake
  • Charges are non-refundable once a billing cycle starts, and you must cancel 72 hours before renewal
  • Kansas, Louisiana, Mississippi, New Mexico, Rhode Island, West Virginia and DC require a live consultation first
  • The brand is new and has no independent customer reviews yet

Our Verdict

Both 10rx and Rila score equally well overall — the right choice depends on your priorities.

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 Rila if…

You want people who want compounded semaglutide or tirzepatide month to month, with no charge unless prescribed and a starting price around $249/mo.

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10rx vs Rila: FAQ

10rx is cheaper. Its lowest ongoing monthly cash price is $96.67/mo, compared with $249/mo for Rila. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
10rx and Rila tie at 7.1/10 overall, so the right pick comes down to your priorities — 10rx for low-cost compounded GLP-1 with NAD+ and sermorelin add-ons, Rila for people who want compounded semaglutide or tirzepatide month to month, with no charge unless prescribed.
Neither 10rx nor Rila 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 Rila 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 $249/mo at Rila.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

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

Or see the full category ranking.

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