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Amazon One Medical vs Velvet Rx

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
Amazon One Medical logo

Amazon One Medical

8.5
★★★★4.3/5

Best for: the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings

Visit Amazon One Medical
VS
Velvet Rx logo

Velvet Rx

6.7
★★★☆☆3.4/5

Best for: cash-pay compounded GLP-1 with bundled shipping across three SKUs

Visit Velvet Rx

Amazon One Medical and Velvet Rx 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, Velvet Rx starts lower at $139/mo versus $149/mo, and Amazon One Medical edges ahead overall (8.5 vs 6.7 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

Amazon One Medical

Foundayo (with insurance + Lilly Savings Card)Brand-name
$25/mo
orforglipron
Foundayo (cash pay)Brand-name
$149/mo
orforglipron

Velvet Rx

Compounded semaglutide injection (first month promo)Compounded
$139/mo
semaglutide
Compounded semaglutide injection (regular monthly)Compounded
$299/mo
semaglutide
Compounded tirzepatide injection (first month promo)Compounded
$199/mo
tirzepatide
Compounded tirzepatide injection (regular monthly)Compounded
$359/mo
tirzepatide
Oral GLP-1 (specific drug not named) (first month promo)Compounded
$189/mo
semaglutide
Oral GLP-1 (specific drug not named) (regular monthly)Compounded
$349/mo
semaglutide

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What’s included

Amazon One Medical

What the monthly price covers

Medication

Billed separately

Provider visits

Included

Shipping

Included

Lab work

Billed separately

Coaching

Not disclosed

Velvet Rx

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.

Amazon One Medical

8.5/10

Overall

Velvet Rx

6.7/10

Value25%

8.5A
vs
B
7.0

Effectiveness25%

8.5A
vs
B
6.5

User Experience15%

8.0A
vs
B
6.5

Trust & Safety15%

8.8A
vs
B
5.8

Accessibility10%

9.5A
vs
B
7.0

Support10%

8.0A
vs
B
7.4

Features & Coverage

FeatureAmazon One MedicalVelvet Rx
Starting Price$149/mo$139/mo
Features6 features6 features
States Available50Not disclosed
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted✓ Yes
FDA WarningsNoneNone

About Amazon One Medical

Amazon One Medical is the unified Amazon GLP-1 channel — One Medical clinicians prescribe FDA-approved Wegovy, Zepbound, and Foundayo (no compounded products), and Amazon Pharmacy fulfills with same-day delivery across roughly 3,000 US cities plus pickup kiosks at select One Medical locations. No prior membership required; insurance and cash pay both accepted. Foundayo launched at $25/month with insurance and the Lilly Savings Card, or $149/month cash pay.

Read our full Amazon One Medical review →

About Velvet Rx

Velvet Rx (velvetrx.com) is a cash-pay telehealth platform offering compounded semaglutide, compounded tirzepatide, and an oral GLP-1 across three publicly-listed SKUs ranging from $139 to $199 'today' (first-month promo) with regular monthly prices of $299 / $359 / $349. Plans bundle a doctor consult, written prescription, 4 weeks of medication, free 1-2 day shipping, and 24/7 medical team access. Cash only; FSA/HSA eligible.

Read our full Velvet Rx review →

Pros & Cons

Amazon One Medical

What we like

  • As low as $1/day ($25/month) for brand-name Foundayo with insurance and the auto-applied Lilly coupon
  • Same-day delivery in nearly 3,000 US cities at launch, expanding to 4,500 by end of 2026
  • In-office pharmacist kiosks at select One Medical clinics let you walk out with Foundayo in hand
  • Cash-pay $5/day ($149/month) is competitive for the same FDA-approved brand-name product
  • Real-time availability, transparent pricing, and automatic manufacturer coupon at checkout
  • Delivering GLP-1 medications since 2021 — track record on cold-chain logistics

Watch-outs

  • Headline $25/month needs both insurance and the Lilly Savings Card — uninsured pay $149/month
  • Same-day delivery is geographically gated; outside major cities it drops to next-day or slower
  • Pricing is set by manufacturer savings programs and can change at any time
  • No compounded options — brand-name only (Foundayo, Wegovy, Zepbound)
  • Wegovy/Zepbound pricing isn't shown upfront — depends on insurance at the prescribing visit
  • Copays and deductibles still apply to the clinical visit

Velvet Rx

What we like

  • Public pricing across 3 SKUs (semaglutide $299, tirzepatide $359, oral GLP-1 $349) — uncommon in compounded telehealth
  • First-month promo pricing shown upfront ($139 sema / $199 tirz / $189 oral)
  • Single monthly price includes consult, prescription, 4 weeks of medication, and free 1–2 day shipping
  • FSA/HSA eligible
  • Three options under one roof: injectable sema, injectable tirz, and an oral GLP-1
  • Fully cash-pay with no membership fee

Watch-outs

  • Oral GLP-1 SKU doesn't name the specific drug — a real gap given Rybelsus, Foundayo, and compounded oral semaglutide differ clinically
  • No LegitScript or NABP .pharmacy seal displayed
  • No legal entity name disclosed
  • No physical address disclosed
  • Compounding pharmacy partner not named
  • States served not listed
  • Pricing display is internally inconsistent — headline promo math doesn't match the pricing card
  • Marketing cites unverifiable success percentages with no methodology or sample size

Our Verdict

Winner: Amazon One Medical

Amazon One Medical edges out Velvet Rx with a higher overall score of 8.5/10 and is particularly strong for the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings. Velvet Rx remains a solid alternative, especially if you're looking for cash-pay compounded GLP-1 with bundled shipping across three SKUs.

Choose Amazon One Medical if…

You want the most authoritative branded GLP-1 channel with same-day delivery and integrated manufacturer savings and a starting price around $149/mo.

Choose Velvet Rx if…

You want cash-pay compounded GLP-1 with bundled shipping across three SKUs and a starting price around $139/mo.

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Amazon One Medical vs Velvet Rx: FAQ

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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.