Elara Health and Wellness vs RxSpan MD
An in-depth comparison of two leading GLP-1 Providers
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Elara Health and Wellness
Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies
Visit Elara Health and Wellness →
RxSpan MD
Best for: shoppers wanting physician-led, pharmacy-transparent compounded GLP-1 with brand-name options
Visit RxSpan MD →Elara Health and Wellness and RxSpan MD 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, Elara Health and Wellness starts lower at $117/mo versus $249/mo, and RxSpan MD is the option we'd start with for most patients. Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.
Pricing
Elara Health and Wellness
RxSpan MD
Plan ladder: Monthly $249/mo, 3-mo $219/mo, 6-mo $199/mo, 12-mo $194/mo. Card labeled '(For the first month)'; plan picker shows flat recurring rates (Total if prescribed $657 on 3-mo).
Plan ladder: Monthly $249/mo, 3-mo $219/mo, 6-mo $199/mo, 12-mo $179/mo.
Plan ladder: Monthly $329/mo, 3-mo $309/mo, 6-mo $289/mo, 12-mo $269/mo (Total if prescribed $927 on 3-mo).
Plan ladder: Monthly $349/mo, 3-mo $299/mo, 6-mo $289/mo, 12-mo $269/mo (Total if prescribed $897 on 3-mo).
Monthly plan only ($1,069/mo).
Monthly plan only ($1,299/mo).
Monthly plan only ($1,349/mo).
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What’s included
Elara Health and Wellness
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Not disclosed
Lab work
Included
Coaching
Included
RxSpan MD
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Included
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Elara Health and Wellness
8.2/10
RxSpan MD
8.1/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Elara Health and Wellness | RxSpan MD |
|---|---|---|
| Starting Price | ✓$117/mo | $249/mo |
| Features | 6 features | ✓7 features |
| States Available | ✓51 | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | ✓ Yes |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About Elara Health and Wellness
Elara Health and Wellness is a physician-guided weight-loss platform offering compounded semaglutide and tirzepatide injections across all 50 states plus DC. Its differentiator is a bundled care-team model — pricing includes medication, quarterly labs, physician visits, coaching, and 24/7 messaging, with four named 503A pharmacy partners disclosed. Semaglutide is $183/mo and tirzepatide $267/mo, with annual plans cutting cost further.
Read our full Elara Health and Wellness review →About RxSpan MD
RxSpan MD is a physician-led telehealth practice founded by Dr. John Diaz, a board-certified plastic surgeon, offering compounded GLP-1 weight loss — semaglutide and tirzepatide from $249/mo, as injections or oral capsules — plus brand-name Wegovy, Zepbound and Ozempic. It's unusually transparent: it names its 503A pharmacy partners (Belmar, Strive, Epiq Scripts, Casa Pharma) and medical group, ships free, and includes unlimited 24/7 support. Available in all 50 states.
Read our full RxSpan MD review →Pros & Cons
Elara Health and Wellness
What we like
- Corporate parent disclosed (JTE Medical, LLC) — rare transparency for a DTC GLP-1 platform
- Four named 503A pharmacy partners with city/state — among the most pharmacy-transparent providers we've reviewed
- Bundled care model: quarterly labs, physician visits, coaching, and 24/7 messaging without a membership fee
- Publishes the FDA compounded-medication disclaimer
- All 50 states plus DC, with explicit coverage language
- Substantial annual-plan savings ($792/yr semaglutide, $858/yr tirzepatide)
- Self-service cancellation on monthly and quarterly plans
Watch-outs
- LegitScript certification status not disclosed
- No named medical director or physician leadership
- Annual plan requires a 12-month commitment; early-cancellation terms not detailed
- Governing law / arbitration venue not disclosed
- 503A patient-specific compounding only — no 503B option
RxSpan MD
What we like
- Physician-led — founded by Dr. John Diaz, a board-certified plastic surgeon with 20+ years' experience
- Compounded semaglutide and tirzepatide from $249/mo (injection or oral capsules), plus brand-name Wegovy, Zepbound and Ozempic
- Names its 503A pharmacy partners (Belmar, Strive, Epiq Scripts, Casa Pharma) and medical group
- LegitScript-certified (#50405601); free expedited shipping and unlimited 24/7 support included
- Available in all 50 states via a 2-minute assessment
Watch-outs
- Compounded pricing ($249 semaglutide / $329 tirzepatide) sits mid-to-high versus the cheapest telehealth options
- Brand-name GLP-1 is priced steeply (Wegovy $1,349, Ozempic $1,299, Zepbound $1,069)
- Multi-vertical practice (also hair, sexual health, longevity), not weight-loss-only
- Legal entity name isn't published on the site
Our Verdict
RxSpan MD is our recommended choice here, particularly for shoppers wanting physician-led, pharmacy-transparent compounded GLP-1 with brand-name options. Elara Health and Wellness is a solid alternative, especially if you want bundled-care GLP-1 with labs and coaching from four named pharmacies — compare the six-dimension breakdown and pricing below to weigh them for your situation.
Choose Elara Health and Wellness if…
You want bundled-care GLP-1 with labs and coaching from four named pharmacies and a starting price around $117/mo.
Choose RxSpan MD if…
You want shoppers wanting physician-led, pharmacy-transparent compounded GLP-1 with brand-name options and a starting price around $249/mo.
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Gala
Compounded GLP-1/GIP combo therapy on a yearly subscription with free shipping nationwide
From $129/mo
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Nationwide compounded GLP-1 availability including Puerto Rico
From $249/mo
Get started →Trimi Health
Budget-conscious shoppers
From $99/mo
Get started →Elara Health and Wellness vs RxSpan MD: 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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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.