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Belle Health vs RxSpan MD

In our scoring, RxSpan MD edges ahead overall (8.1 vs 7.6 out of 10), and Belle Health costs less for compounded semaglutide (about $600 a year less).

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed

Key differences

Price
Belle Health $199/mo vs RxSpan MD $249/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $600 a year less with Belle Health)
Coverage
Both serve the same 50 states
Included
Belle Health: medication, clinician visits, shipping, coaching; RxSpan MD: medication, clinician visits, shipping, coaching
Safety
FDA warning letters on record: Belle Health 1, RxSpan MD none

How we compare providers

Belle Health logo

Belle Health

Affiliate partner

Best for flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts

semaglutide

$199/mo

Our score 7.6/10

Visit siteRead review
RxSpan MD logo

RxSpan MD

Affiliate partner

Best for physician-led, pharmacy-transparent compounded GLP-1 with brand-name options

semaglutide

$249/mo

Our score 8.1/10

Visit siteRead review

We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.

Costs & coverage

Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.

Belle Health

RxSpan MD

Price

Semaglutide / month

Better on this row: $199/mo

$249/mo

Semaglutide / year (modeled)

Better on this row: $2,388

$2,988

Tirzepatide / month

Better on this row: $249/mo

$329/mo

Tirzepatide / year (modeled)

Better on this row: $2,988

$3,948

Oral semaglutide / month

Not listed

$249/mo

Oral tirzepatide / month

Not listed

$349/mo

Brand Wegovy / Ozempic / month

Not listed

$1,299/mo

Brand Zepbound / Mounjaro / month

Not listed

$1,069/mo

Coverage

State availability

50 states

50 states

Oral option listed

Not listed

Yes

Brand-name access listed

Not listed

Wegovy / Ozempic, Zepbound / Mounjaro

Included in the price

Medication, clinician visits, shipping, coaching

Medication, clinician visits, shipping, coaching

Terms & safety

Price shown

Before intake

Before intake

Cancel anytime

Yes

Yes

Minimum commitment

Plans come in 1-, 2-, 6- and 12-month lengths, and 'Every plan is billed monthly.' The FAQ says 'Pause, skip a shipment, or cancel from the patient portal anytime. No contracts, no cancellation fees, no charges for months you skip.' The site doesn't say whether leaving a longer plan early changes your rate

None

Refunds

'Federal health and safety regulations don't allow returns or refunds on prescription medications or compounded products once they've shipped.' Wrong or damaged shipments must be reported within 7 days of delivery

Not disclosed

Early-cancellation fee

None

None

FDA warning letters

1 warning letter

Better on this row: None on record

Provider facts checked

October 2026

August 2026

Every dose and plan: Belle Health · RxSpan MD

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Which fits your priorities?

Only the points where these two differ, from the table above and each provider’s record.

Belle Health logo

Choose Belle Health if…

  • About $600 a year less than RxSpan MD for compounded semaglutide at standing prices
  • Flat pricing that doesn't rise as your dose goes up, with no membership or consultation fee
  • Weekly check-ins with a registered dietitian are included in weight-loss plans

What to weigh up

  • 1 FDA warning letter on record
  • FDA Warning Letter (Feb 2026) for misbranding compounded GLP-1 products
Visit Belle HealthRead the full Belle Health review
RxSpan MD logo

Choose RxSpan MD if…

  • Lists oral compounded semaglutide, oral compounded tirzepatide and brand-name Wegovy / Ozempic, which Belle Health doesn't price
  • No FDA warning letters on record (Belle Health has 1)
  • Physician-led — founded by Dr. John Diaz, a board-certified plastic surgeon with 20+ years' experience

What to weigh up

  • About $600 a year more than Belle Health for compounded semaglutide
  • Compounded pricing ($249 semaglutide / $329 tirzepatide) sits mid-to-high versus the cheapest telehealth options
Visit RxSpan MDRead the full RxSpan MD review

Explore the scoring factors

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Belle Health

7.6/10

Overall

RxSpan MD

8.1/10

Value25%

8.5A
vs
B
7.0

Effectiveness25%

7.0A
vs
B
8.5

User Experience15%

7.5A
vs
B
7.5

Trust & Safety15%

6.8A
vs
B
9.3

Accessibility10%

8.0A
vs
B
8.5

Support10%

8.0A
vs
B
8.9

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Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price

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8.3

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The lowest flat medication price if you can absorb an annual membership fee

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Belle Health vs RxSpan MD: FAQ

For compounded semaglutide, Belle Health costs less: about $600 less a year at the standing price, with no prepay or separate membership listed (not a first-month promo). See Costs & coverage above for each medication side by side.
RxSpan MD scores higher overall at 8.1/10 versus 7.6/10, and is particularly strong for physician-led, pharmacy-transparent compounded GLP-1 with brand-name options. That said, Belle Health is a better fit if you want flat-rate compounded GLP-1 with weekly dietitian check-ins and long-plan discounts.
Both Belle Health and RxSpan MD are affiliate partners, meaning we may earn a commission if you sign up through our links. Our scores are assigned editorially using the same six-dimension framework for every provider — partnership never changes a score. We disclose every commercial relationship.
Belle Health: $199, about $2,388 a year. RxSpan MD: $249, about $2,988 a year. Belle Health costs about $600 less a year at these prices.
Both publish the same list (50 states), so where you live won't decide between them.
Belle Health: cancel anytime — yes; minimum commitment — Plans come in 1-, 2-, 6- and 12-month lengths, and 'Every plan is billed monthly.' The FAQ says 'Pause, skip a shipment, or cancel from the patient portal anytime. No contracts, no cancellation fees, no charges for months you skip.' The site doesn't say whether leaving a longer plan early changes your rate; early-cancellation fee — none. RxSpan MD: cancel anytime — yes; minimum commitment — None; early-cancellation fee — none. Check the provider's own terms before you buy.

Key terms, explained

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

Related comparisons

Continue exploring Belle Health and RxSpan MD head-to-heads in the same category.

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.