MEDGm vs RxSpan MD
In our scoring, RxSpan MD edges ahead overall (8.1 vs 7.3 out of 10), and RxSpan MD costs less for compounded semaglutide (about $600 a year less).
WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more
Key differences
- Price
- RxSpan MD $249/mo vs MEDGm $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $600 a year less with RxSpan MD)
- Coverage
- MEDGm 50 states + DC; RxSpan MD 50 states (only MEDGm: District of Columbia)
- Included
- MEDGm: medication, clinician visits, shipping; RxSpan MD: medication, clinician visits, shipping, coaching
MEDGm
Affiliate partnerAlso serves District of Columbia
semaglutide
$299
$179 first month
Our score 7.3/10
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.
MEDGm
RxSpan MD
Price
Semaglutide / month
$299/mo
$179 first month
Better on this row: $249/mo
Semaglutide / year (modeled)
$3,588
Better on this row: $2,988
Tirzepatide / month
$399/mo
$279 first month
Better on this row: $329/mo
Tirzepatide / year (modeled)
$4,788
Better on this row: $3,948
Oral semaglutide / month
$369/mo
$249 first month
Better on this row: $249/mo
Oral semaglutide / year (modeled)
$4,428
Better on this row: $2,988
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 + DC
50 states
Oral option listed
Yes
Yes
Brand-name access listed
Not listed
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
Yes
Yes
Minimum commitment
Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term
None
Refunds
'The Subscription Service fee is charged upfront for the contracted term you selected and is non-refundable' — the only exception is a documented medical disqualification, refunded for the months that can no longer be delivered
Not disclosed
Early-cancellation fee
None
None
FDA warning letters
None on record
None on record
Provider facts checked
September 2026
August 2026
Show where they differ by stateHide state lists
Only MEDGm (DC)
- District of Columbia
Get alerted when GLP-1 prices drop
Join the GLP-1 price-watch list — we re-verify 540+ providers' prices on their own sites and email you when tracked prices move.
Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose MEDGm if…
- Serves District of Columbia, where RxSpan MD doesn't
- Names the molecule on every compounded product page and prints the full 3-, 6- and 12-month price ladder publicly
- Every product page states 'Same price, any dose', so titrating up does not raise the bill
What to weigh up
- About $600 a year more than RxSpan MD for compounded semaglutide
- No dose ladder is published — the site never says which milligram strength you start on or how it steps up
Choose RxSpan MD if…
- About $600 a year less than MEDGm for compounded semaglutide at standing prices
- Lists oral compounded tirzepatide, brand-name Wegovy / Ozempic and brand-name Zepbound / Mounjaro, which MEDGm doesn't price
- Physician-led — founded by Dr. John Diaz, a board-certified plastic surgeon with 20+ years' experience
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.
MEDGm
7.3/10
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
WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more
From $219/mo
Get started →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 →MEDGm 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
Related comparisons
Continue exploring MEDGm and RxSpan MD head-to-heads in the same category.
- MEDGm vs Amazon One Medical
- MEDGm vs Vytora Health
- MEDGm vs CoreAge Rx
- RxSpan MD vs Amazon One Medical
- RxSpan MD vs Vytora Health
- RxSpan MD vs CoreAge Rx
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.