24hrDOC vs OnlyRx
An in-depth comparison of two leading GLP-1 Providers
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24hrDOC
Best for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatideStarting at $149/mo
OnlyRx
Best for compounded GLP-1 in oral-tablet and injection with named prescribersStarting at $179/mo
Side-by-Side Comparison
| Feature | 24hrDOC | OnlyRx |
|---|---|---|
| Overall Score | ✓7.1/10 | 6.4/10 |
| Starting Price | ✓$149/mo | $179/mo |
| Editorial Rating | ✓3.6 ★ /5 | 3.2 ★ /5 |
| Features | 8 features | 8 features |
| States Available | 0 | 0 |
| Compounded | ✓ Yes | — |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
24hrDOC
Pros
- ✓Low compounded semaglutide price, around 149 per month
- ✓Fast model: 10-minute assessment, Rx within 45 minutes
- ✓Injectable and oral semaglutide plus tirzepatide options
- ✓24/7 availability with unlimited provider messaging
Cons
- ✗Compounded only, not FDA-approved branded GLP-1s
- ✗Self-pay only, no insurance accepted
- ✗States served not disclosed on the site
- ✗Fast-prescribing model offers less in-depth clinical workup
OnlyRx
Pros
- ✓Four-pharmacy network: Belmar, Strive, Epiq Scripts, and Casa Pharma RX
- ✓Named prescribers on the public site: Dr. Carr (MD), Dr. Tenbrink (MD), Dr. Italia (MD), Dr. Mansour (DO)
- ✓Oral disintegrating tablet (ODT) form for both semaglutide and tirzepatide — good for needle-averse patients
- ✓Pricing, drug list, pharmacy partners, and physician roster all visible on the public site
- ✓LegitScript Certified
- ✓Brand-name Ozempic, Wegovy, Zepbound, and Mounjaro available alongside the compounded line
Cons
- ✗Promo pricing ($179 semaglutide injection) is prominent, but post-promo maintenance pricing isn't shown
- ✗No titration-ladder pricing — you can't see costs at 1.0 mg or 2.4 mg maintenance
- ✗Refund / cancellation policy not stated on the homepage
- ✗Lab-work requirement not stated
- ✗Operating corporate entity not disclosed
- ✗Epiq Scripts is the one named pharmacy partner not yet independently verified
Our Verdict
24hrDOC edges out OnlyRx with a higher overall score of 7.1/10 and is particularly strong for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatide. OnlyRx remains a solid alternative, especially if you're looking for compounded GLP-1 in oral-tablet and injection with named prescribers.
Glossary references
Key terms in this article, linked to their canonical definitions.
- 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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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.