Maximus vs RxSpan MD
In our scoring, RxSpan MD edges ahead overall (8.1 vs 7.6 out of 10), and RxSpan MD costs less for compounded semaglutide (about $12 a year less).
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Key differences
- Price
- RxSpan MD $249/mo vs Maximus $249.99/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $12 a year less with RxSpan MD)
- Coverage
- Maximus 50 states + DC; RxSpan MD 50 states (only Maximus: District of Columbia)
- Included
- Maximus: medication, shipping; RxSpan MD: medication, clinician visits, shipping, coaching
- Safety
- FDA warning letters on record: Maximus 1, RxSpan MD none

Maximus
Affiliate partnerBest for men seeking compounded GLP-1 alongside testosterone optimization
semaglutide
$249.99
Our score 7.6/10

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.
Maximus
RxSpan MD
Price
Semaglutide / month
$249.99/mo
Better on this row: $249/mo
Semaglutide / year (modeled)
$3,000
Better on this row: $2,988
Tirzepatide / month
$359.99/mo
Better on this row: $329/mo
Tirzepatide / year (modeled)
$4,320
Better on this row: $3,948
Brand Wegovy / Ozempic / month
Better on this row: $349.99/mo
$1,299/mo
Brand Wegovy / Ozempic / year (modeled)
Better on this row: $4,200
$15,588
Brand Zepbound / Mounjaro / month
Better on this row: $449.99/mo
$1,069/mo
Brand Zepbound / Mounjaro / year (modeled)
Better on this row: $5,400
$12,828
Oral semaglutide / month
Not listed
$249/mo
Oral tirzepatide / month
Not listed
$349/mo
Brand Wegovy pill / Rybelsus / month
$249.99/mo
Not listed
Brand Foundayo / month
$199.99/mo
Not listed
Coverage
State availability
50 states + DC
50 states
Oral option listed
Yes
Yes
Brand-name access listed
Wegovy / Ozempic, Zepbound / Mounjaro, Wegovy pill / Rybelsus, Foundayo
Wegovy / Ozempic, Zepbound / Mounjaro
Included in the price
Medication, shipping
Medication, clinician visits, shipping, coaching
Terms & safety
Price shown
Before intake
Before intake
Video visit
Required
Not disclosed
Cancel anytime
Yes
Yes
Minimum commitment
None
None
Early-cancellation fee
Not disclosed
None
FDA warning letters
1 warning letter
Better on this row: None on record
Provider facts checked
August 2026
August 2026
Show where they differ by stateHide state lists
Only Maximus (DC)
- District of Columbia
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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 Maximus if…
- Lists brand-name Wegovy pill / Rybelsus and brand-name Foundayo, which RxSpan MD doesn't price
- Serves District of Columbia, where RxSpan MD doesn't
- Microdose GLP-1 protocol for patients with less weight to lose
What to weigh up
- 1 FDA warning letter on record
- About $12 a year more than RxSpan MD for compounded semaglutide

Choose RxSpan MD if…
- About $12 a year less than Maximus for compounded semaglutide at standing prices
- Lists oral compounded semaglutide and oral compounded tirzepatide, which Maximus doesn't price
- No FDA warning letters on record (Maximus has 1)
What to weigh up
- Not available in District of Columbia
- 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.
Maximus
7.6/10
RxSpan MD
8.1/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Ready to start? Vetted GLP-1 providers
Vetted telehealth providers that prescribe GLP-1 online.
No insurance needed · vetted by our editors
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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 →From $247/mo
Get started →Maximus 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.