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PlexusDx vs RxSpan MD

In our scoring, RxSpan MD edges ahead overall (8.1 vs 7.0 out of 10).

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

Key differences

Price
PlexusDx $129/mo no prepay listed; RxSpan MD $249/mo no prepay listed (compounded semaglutide · not like-for-like, so neither is marked cheaper)
Coverage
Both serve the same 50 states
Included
PlexusDx: medication, clinician visits; RxSpan MD: medication, clinician visits, shipping, coaching

How we compare providers

PlexusDx logo

PlexusDx

Affiliate partner

Best for nationwide compounded GLP-1 with optional genetic-test personalization

semaglutide

$129/mo

microdose plan

Our score 7.0/10

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

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.

PlexusDx

RxSpan MD

Price

Semaglutide / month

$129/mo

microdose plan

$249/mo

Semaglutide / year (modeled)

$1,548

$2,988

Tirzepatide / month

$249/mo

starting dose

$329/mo

Tirzepatide / year (modeled)

$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

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

Every dose and plan: PlexusDx · 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.

PlexusDx logo

Choose PlexusDx if…

  • Optional Precision Peptide genetic panel adds a personalization angle
  • Independent clinician review via state-licensed telehealth platform
  • Compounded medications from state-licensed pharmacies

What to weigh up

  • Compounded medications only; no FDA-approved brand options
  • Specific compounding pharmacies not named
RxSpan MD logo

Choose RxSpan MD if…

  • Lists oral compounded semaglutide, oral compounded tirzepatide and brand-name Wegovy / Ozempic, which PlexusDx 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

  • 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)

Explore the scoring factors

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

PlexusDx

7.0/10

Overall

RxSpan MD

8.1/10

Value25%

7.0A
vs
B
7.0

Effectiveness25%

7.0A
vs
B
8.5

User Experience15%

7.0A
vs
B
7.5

Trust & Safety15%

6.8A
vs
B
9.3

Accessibility10%

7.5A
vs
B
8.5

Support10%

6.5A
vs
B
8.9

Ready to start? Vetted GLP-1 providers

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6.9

TMates

Nationwide compounded GLP-1 availability including Puerto Rico

Read full review →

From $249/mo

Get started →
7.7

Ro

FDA-approved brand GLP-1s, including the Wegovy pill and Foundayo, with insurance help

Read full review →

From $149/mo (+ required membership)

Get started →
8.0

ShedRx

Compounded GLP-1 as an injection, drops or lozenges, with lower rates on 6- and 12-month plans

Read full review →

From $299/mo (after intro offer)

Get started →

PlexusDx vs RxSpan MD: FAQ

RxSpan MD scores higher overall at 8.1/10 versus 7.0/10, and is particularly strong for physician-led, pharmacy-transparent compounded GLP-1 with brand-name options. That said, PlexusDx is a better fit if you want nationwide compounded GLP-1 with optional genetic-test personalization.
Both PlexusDx 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.
PlexusDx: $129, about $1,548 a year. RxSpan MD: $249, about $2,988 a year. Not like-for-like: one figure is a microdose plan.
Both publish the same list (50 states), so where you live won't decide between them.
PlexusDx doesn't state its cancellation terms. 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.

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

Or see the full category ranking, or alternatives to PlexusDx and RxSpan MD.

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.