10rx vs Vital Step
An in-depth comparison of two leading GLP-1 Providers
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Vital Step
Best for: people who want compounded semaglutide or tirzepatide as an injection or a daily tablet, month to month
Visit Vital Step →10rx and Vital Step 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 $296/mo, and 10rx edges ahead overall (7.1 vs 6.3 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
Vital Step
$179 first month, then $296/mo. 3, 6 and 12-month supplies are billed upfront: $717, $1,326 and $2,592
$179 first month, then $296/mo. 3, 6 and 12-month supplies are billed upfront: $717, $1,326 and $2,592
$279 first month, then $396/mo. 3, 6 and 12-month supplies are billed upfront: $1,068, $2,022 and $3,918
$279 first month, then $396/mo. 3, 6 and 12-month supplies are billed upfront: $1,068, $2,022 and $3,918
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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
Vital Step
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
Vital Step
6.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 10rx | Vital Step |
|---|---|---|
| Starting Price | ✓$96.67/mo | $296/mo |
| Features | ✓8 features | 6 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warnings | None | None |
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 Vital Step
Vital Step is a Nevada telehealth company that sells compounded semaglutide and tirzepatide as weekly injections or daily dissolving tablets, prescribed through the Dr. TelX medical group. Month-to-month plans renew at $296 a month for semaglutide and $396 for tirzepatide after a discounted first month. The advertised $161 and $198 figures are the first month of a 6-month plan billed upfront.
Read our full Vital Step 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
Vital Step
What we like
- Offers both semaglutide and tirzepatide, each as a weekly injection or a daily dissolving tablet
- Names its medical group (Dr. TelX) in its terms of service
- Monthly price is described as covering the provider review, dosing guidance, ongoing support and the medication
- Free shipping is advertised on the home page and product pages
- A month-to-month plan is available with no prepay requirement
- Says HSA and FSA funds can be used for eligible expenses
Watch-outs
- The "as low as $161" and "$198" prices are the first month of 6-month plans charged upfront ($1,326 and $2,022)
- After a discounted first month, month-to-month plans renew at $296 for semaglutide and $396 for tirzepatide
- Plan prices appear only after you enter an email address in the intake
- Strict no-refund policy: fees are not refundable in whole or in part, and partial subscription periods are not refunded
- The site lists all 50 states, but its terms exclude Alaska, Arkansas, Louisiana, New Hampshire, Oregon, South Carolina, West Virginia and DC
- The dispensing pharmacy is not named; product pages call the pharmacies "FDA approved"
- The LegitScript badge links to a generic lookup page, and no certification record could be confirmed
- Two home-page testimonials share identical wording, and no independent reviews exist yet
Our Verdict
10rx edges out Vital Step 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. Vital Step remains a solid alternative, especially if you're looking for people who want compounded semaglutide or tirzepatide as an injection or a daily tablet, month to month.
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 Vital Step if…
You want people who want compounded semaglutide or tirzepatide as an injection or a daily tablet, month to month and a starting price around $296/mo.
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GobyMeds
Budget-conscious shoppers
From $93/mo
Get started →Ivim Health
Budget-conscious shoppers
From $75/mo
Get started →Wellorithm
Compounded GLP-1 access with oral tablet options across 49 states
From $147/mo
Get started →10rx vs Vital Step: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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