Always verify pricing and state availability on the provider's website before signing up.How our reviews work →

RxSpan MD vs Elara Health and Wellness

An in-depth comparison of two leading GLP-1 Providers

WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more

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

RxSpan MD

8.1
★★★★4.1/5

Best for: shoppers wanting physician-led, pharmacy-transparent compounded GLP-1 with brand-name options

Visit RxSpan MD
VS
Elara Health and Wellness logo

Elara Health and Wellness

8.2
★★★★4.1/5

Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies

Visit Elara Health and Wellness

RxSpan MD and Elara Health and Wellness 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

RxSpan MD

Semaglutide InjectionCompounded
$249$194/mo
Save 22% right now
semaglutide

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).

Semaglutide CapsulesCompounded
$249$179/mo
Save 28% right now
semaglutide

Plan ladder: Monthly $249/mo, 3-mo $219/mo, 6-mo $199/mo, 12-mo $179/mo.

Tirzepatide InjectionCompounded
$329$269/mo
Save 18% right now
tirzepatide

Plan ladder: Monthly $329/mo, 3-mo $309/mo, 6-mo $289/mo, 12-mo $269/mo (Total if prescribed $927 on 3-mo).

Tirzepatide CapsulesCompounded
$349$269/mo
Save 23% right now
tirzepatide

Plan ladder: Monthly $349/mo, 3-mo $299/mo, 6-mo $289/mo, 12-mo $269/mo (Total if prescribed $897 on 3-mo).

ZepboundBrand-name
$1069/mo
tirzepatide

Monthly plan only ($1,069/mo).

OzempicBrand-name
$1299/mo
semaglutide

Monthly plan only ($1,299/mo).

WegovyBrand-name
$1349/mo
semaglutide

Monthly plan only ($1,349/mo).

Elara Health and Wellness

Standard monthlyCompounded
$183/mo
semaglutide
Annual plan (save $792/yr)Compounded
$117/mo
semaglutide
Standard monthlyCompounded
$267/mo
tirzepatide
Annual plan (save $858/yr)Compounded
$196/mo
tirzepatide

Get alerted when GLP-1 prices drop

Join the GLP-1 price-watch list — we re-verify 420+ providers' prices on their own sites and email you when tracked prices move.

What’s included

RxSpan MD

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Included

Elara Health and Wellness

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Included

Coaching

Included

Score breakdown

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

RxSpan MD

8.1/10

Overall

Elara Health and Wellness

8.2/10

Value25%

7.0A
vs
B
8.0

Effectiveness25%

8.5A
vs
B
8.5

User Experience15%

7.5A
vs
B
8.5

Trust & Safety15%

9.3A
vs
B
7.8

Accessibility10%

8.5A
vs
B
8.0

Support10%

8.9A
vs
B
8.4

Features & Coverage

FeatureRxSpan MDElara Health and Wellness
Starting Price$249/mo$117/mo
Features7 features6 features
States Available5051
Compounded✓ Yes✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

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 →

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 →

Pros & Cons

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

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

Our Verdict

Winner: RxSpan MD

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 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.

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.

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

8.3

Found

Mainstream telehealth GLP-1 access

7.4

Breeze Meds

Compounded GLP-1 access with named prescribers and 4-pharmacy network

8.1

GobyMeds

Budget-conscious shoppers

RxSpan MD vs Elara Health and Wellness: FAQ

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Continue exploring RxSpan MD and Elara Health and Wellness head-to-heads in the same category.

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.