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RxSpan MD vs Sprout Health

In our scoring, RxSpan MD edges ahead overall (8.1 vs 7.6 out of 10), and Sprout Health costs less for compounded semaglutide (about $1,200 a year less).

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

Key differences

Price
Sprout Health $149/mo vs RxSpan MD $249/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $1,200 a year less with Sprout Health)
Coverage
RxSpan MD 50 states; Sprout Health 44 states (only RxSpan MD: Alabama, Arkansas, California and 3 more)
Included
RxSpan MD: medication, clinician visits, shipping, coaching; Sprout Health: medication
Safety
FDA warning letters on record: RxSpan MD none, Sprout Health 1

How we compare providers

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

Sprout Health logo

Sprout Health

Affiliate partner

Best for LegitScript-certified compounded GLP-1 via named pharmacies

semaglutide

$149/mo

Our score 7.6/10

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.

RxSpan MD

Sprout Health

Price

Semaglutide / month

$249/mo

Better on this row: $149/mo

Semaglutide / year (modeled)

$2,988

Better on this row: $1,788

Tirzepatide / month

$329/mo

Better on this row: $199/mo

Tirzepatide / year (modeled)

$3,948

Better on this row: $2,388

Brand Wegovy / Ozempic / month

Better on this row: $1,299/mo

$1,799/mo

Brand Wegovy / Ozempic / year (modeled)

Better on this row: $15,588

$21,588

Brand Zepbound / Mounjaro / month

Better on this row: $1,069/mo

$1,999/mo

Brand Zepbound / Mounjaro / year (modeled)

Better on this row: $12,828

$23,988

Oral semaglutide / month

$249/mo

Not listed

Oral tirzepatide / month

$349/mo

Not listed

Coverage

State availability

50 states

44 states

Oral option listed

Yes

Not listed

Brand-name access listed

Wegovy / Ozempic, Zepbound / Mounjaro

Wegovy / Ozempic, Zepbound / Mounjaro

Included in the price

Medication, clinician visits, shipping, coaching

Medication

Terms & safety

Price shown

Before intake

Before intake

Cancel anytime

Yes

Not disclosed

Minimum commitment

None

Not disclosed

Refunds

Not disclosed

Non-refundable unless disqualified

Early-cancellation fee

None

Not disclosed

FDA warning letters

Better on this row: None on record

1 warning letter

Provider facts checked

August 2026

August 2026

Show where they differ by state

Only RxSpan MD (6 states)

  • Alabama
  • Arkansas
  • California
  • Louisiana
  • Mississippi
  • North Dakota

Every dose and plan: RxSpan MD · Sprout Health

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Which fits your priorities?

Only the points where these two differ, from the table above and each provider’s record.

RxSpan MD logo

Choose RxSpan MD if…

  • Lists oral compounded semaglutide and oral compounded tirzepatide, which Sprout Health doesn't price
  • Serves 6 states that Sprout Health doesn't
  • No FDA warning letters on record (Sprout Health has 1)

What to weigh up

  • About $1,200 a year more than Sprout Health for compounded semaglutide
  • Compounded pricing ($249 semaglutide / $329 tirzepatide) sits mid-to-high versus the cheapest telehealth options
Sprout Health logo

Choose Sprout Health if…

  • About $1,200 a year less than RxSpan MD for compounded semaglutide at standing prices
  • LegitScript certification confirmed
  • 44-state coverage via a pre-qualification quiz and licensed clinician review

What to weigh up

  • 1 FDA warning letter on record
  • Not available in 6 states that RxSpan MD serves

Explore the scoring factors

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

Sprout Health

7.6/10

Value25%

7.0A
vs
B
8.0

Effectiveness25%

8.5A
vs
B
8.0

User Experience15%

7.5A
vs
B
7.0

Trust & Safety15%

9.3A
vs
B
7.3

Accessibility10%

8.5A
vs
B
7.5

Support10%

8.9A
vs
B
7.4

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7.2

Willow

Needle-free compounded semaglutide or tirzepatide tablets

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7.6

SkinnyRx

Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price

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From $149.25/mo

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8.3

Collective

The lowest flat medication price if you can absorb an annual membership fee

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From $59/mo + membership

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RxSpan MD vs Sprout Health: FAQ

For compounded semaglutide, Sprout Health costs less: about $1,200 less a year at the standing price, with no prepay or separate membership listed (not a first-month promo). See Costs & coverage above for each medication side by side.
RxSpan MD scores higher overall at 8.1/10 versus 7.6/10, and is particularly strong for physician-led, pharmacy-transparent compounded GLP-1 with brand-name options. That said, Sprout Health is a better fit if you want LegitScript-certified compounded GLP-1 via named pharmacies.
Both RxSpan MD and Sprout Health 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.
RxSpan MD: $249, about $2,988 a year. Sprout Health: $149, about $1,788 a year. Sprout Health costs about $1,200 less a year at these prices.
Both serve 44 states. Only RxSpan MD serves Alabama, Arkansas, California, Louisiana, Mississippi and North Dakota.
RxSpan MD: cancel anytime — yes; minimum commitment — None; early-cancellation fee — none. Sprout Health doesn't state its cancellation terms. 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 RxSpan MD and Sprout Health 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.