Gala vs RxSpan MD
In our scoring, Gala edges ahead overall (8.2 vs 8.1 out of 10), and Gala costs less for compounded tirzepatide (about $2,160 a year less).
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Key differences
- Price
- Gala $149/mo vs RxSpan MD $329/mo for compounded tirzepatide (standing prices, no prepay or separate membership listed · about $2,160 a year less with Gala)
- Coverage
- Both serve the same 50 states
- Included
- Gala: medication, clinician visits, shipping; RxSpan MD: medication, clinician visits, shipping, coaching
Gala
Affiliate partnerBest for compounded GLP-1/GIP combo on a yearly plan with free shipping
tirzepatide
$149
Our score 8.2/10
RxSpan MD
Affiliate partnerBest for physician-led, pharmacy-transparent compounded GLP-1 with brand-name options
semaglutide
$249
Our score 8.1/10
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.
Gala
RxSpan MD
Price
Tirzepatide / month
Better on this row: $149/mo
$329/mo
Tirzepatide / year (modeled)
Better on this row: $1,788
$3,948
Brand Wegovy / Ozempic / month
$1,299/mo
$1,299/mo
Brand Wegovy / Ozempic / year (modeled)
$15,588
$15,588
Semaglutide / month
Not listed
$249/mo
Oral semaglutide / month
Not listed
$249/mo
Oral tirzepatide / month
Not listed
$349/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
Wegovy / Ozempic
Wegovy / Ozempic, Zepbound / Mounjaro
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping, coaching
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Not disclosed
Yes
Minimum commitment
Not disclosed
None
Early-cancellation fee
Not disclosed
None
FDA warning letters
None on record
None on record
Provider facts checked
August 2026
August 2026
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Gala if…
- About $2,160 a year less than RxSpan MD for compounded tirzepatide at standing prices
- Brand-name Ozempic available alongside compounded options
- 24/7 support, provider visit included, cancel anytime
What to weigh up
- $179/mo requires a yearly subscription — the standalone monthly price isn't published
- Brand-name Ozempic at $1,299/mo is higher than peers (e.g., Found at $1,100/mo)
Choose RxSpan MD if…
- Lists compounded semaglutide, oral compounded semaglutide and oral compounded tirzepatide, which Gala doesn't price
- Physician-led — founded by Dr. John Diaz, a board-certified plastic surgeon with 20+ years' experience
- Names its 503A pharmacy partners (Belmar, Strive, Epiq Scripts, Casa Pharma) and medical group
What to weigh up
- About $2,160 a year more than Gala for compounded tirzepatide
- Compounded pricing ($249 semaglutide / $329 tirzepatide) sits mid-to-high versus the cheapest telehealth options
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Gala
8.2/10
RxSpan MD
8.1/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Found
Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s
Read full review →From $169/mo
Get started →GobyMeds
No-membership, no-auto-renew compounded GLP-1 orders, from about $99/mo on a 3-month bundle
Read full review →From $169/mo
Get started →Ivim Health
Compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
Read full review →From $65/mo + membership
Get started →Gala 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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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.