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MedLeanRx Review

7.2
★★★★☆3.6/5

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.2/10

Best for: Texas-only compounded semaglutide priced from the starting dose, plus brand options

MedLeanRx scores highest on the strength of its clinical program: drug options and dosing support.

Semaglutide

$149/mo · starting dose

Tirzepatide

$269/mo · starting dose

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not stated

Coaching

Not stated

See plans →

No insurance neededVetted by our editors

Compare top-rated alternatives ↓

MedLeanRx is a physician-guided telehealth weight-loss clinic serving Texas only, based in Spring, TX. It prescribes compounded semaglutide as a weekly injection or daily oral tablet at $149/month and compounded tirzepatide at $269/month, plus a brand pathway for Wegovy, Zepbound, and Foundayo (orforglipron) at a $99/month fee with medication billed separately. A 5-minute online assessment gets a physician review in under 12 hours, with free shipping and cancel-anytime plans.

By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
CompoundedSemaglutideTirzepatideOral Semaglutide TabletsBrand Wegovy & ZepboundLegitScript VerifiedFree ShippingTexas Only

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7.7/ 10
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Ro

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

★★★★☆3.9/5

Editorial score · methodology

$149/mosemaglutide
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BrandSemaglutideTirzepatideOrforglipron
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8.3/ 10
Verified partner

Collective

Best for: the lowest flat medication price if you can absorb an annual membership fee

★★★★☆4.2/5

Editorial score · methodology

$59/mosemaglutide
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CompoundedSemaglutideTirzepatide
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8.3/ 10
Verified partner

CoreAge Rx

Best for: lowest-price compounded semaglutide and tirzepatide with one flat price at every dose

★★★★☆4.2/5

Editorial score · methodology

$79/mosemaglutide
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$129/motirzepatide
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CompoundedSemaglutideTirzepatideNAD+SermorelinLegitScript Verified
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MedLeanRx logo
3.6 / 5
Our editorial rating
Visit MedLeanRx →

from $149/mo (starting dose) · no insurance needed

MedLeanRx at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide, Oral Semaglutide Tablets, Brand Wegovy & Zepbound
Starting price
$149/mo (starting dose)
What's included
Medication · Consult · Shipping
Availability
1 state
FDA status
No FDA warning letter on record

How we scored MedLeanRx

Each dimension is scored algorithmically from MedLeanRx’s published pricing, drugs offered, verification status, and disclosed inclusions, using the same six-dimension framework we apply to every provider.

Value25%

7.9/10

At $149/mo (starting dose), MedLeanRx runs about 17% below the $179 median for GLP-1 providers (each program's lowest listed ongoing monthly price for compounded semaglutide).

Effectiveness25%

8.0/10

MedLeanRx offers both semaglutide and tirzepatide, the two GLP-1 molecules with the strongest published weight-loss trial outcomes. An oral/needle-free option is offered for patients who avoid injections.

User Experience15%

7.2/10

Online intake and platform experience (consult included in the price); 8 platform features disclosed.

Trust & Safety15%

7.1/10

Core details confirmed by our editors; no FDA warning letters on file.

Accessibility10%

5.4/10

MedLeanRx operates in a limited 1-state footprint, so check availability first.

Support10%

5.7/10

MedLeanRx provides standard clinician follow-up; no extended coaching or community program is disclosed.

6scored dimensions
678providers compared

Each checked against the provider’s own site.

Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →

How we verified this MedLeanRx review

Last checked October 2026
  • Confirmed current pricing across 3 dose/plan tiers
  • Confirmed availability in 1 state
  • Confirmed what the monthly price does and doesn't include
  • Checked the FDA warning-letter database for enforcement actions
  • Walked the provider's public sign-up flow, stopping before payment

Pricing, availability, and compliance facts come from the provider's own site and primary regulatory records. See the sources below. Editorial confidence in this data: medium.

What we checked

Provider's own pricing page
$149–$269/mo across 3 dose/plan tiers (checked October 2026)
State pharmacy licensing & LegitScript status
LegitScript Verified
FDA warning-letter register
No letter on file for this provider

What to expect when you sign up with MedLeanRx

We walked MedLeanRx’s public signup flow in October 2026 to document the process (the steps, pricing transparency, and what’s required) before you commit. (We don’t create accounts, enter medical information, or check out; this is the observable funnel, not a prescribing outcome.)

  1. 1Click Am I Qualified? or Start Your Free Assessment from any product card; the assessment page says it serves Texas only.
  2. 2Pick your primary goal (lose weight, manage weight, or improve overall health).
  3. 3Answer health questions, starting with sex and then pregnancy status, medical conditions, and medications (we stopped here).
  4. 4The form ends by asking for your state, name, email, and phone; a physician reviews it in under 12 hours, and approved medication ships to your door.
Price shown before you start
  • Prices are on the product cards before you start: $149/mo semaglutide (injection or tablet), $269/mo tirzepatide, and $99/mo plus medication cost for brand options.
  • The assessment is a free eligibility form with no payment step; you agree to the Terms by completing it.
  • The limited-time Texas bundles ($325 tirzepatide, $300 semaglutide for 2 months) work the other way: pay first, then schedule a doctor consultation.
  • FAQ says you can cancel anytime with no cancellation fees, but the Terms say all sales are final with no refunds.
  • The homepage now promises physician review in under 12 hours, while the promotions page still says 24 to 48 hours.
  • Contact page lists email support with hours Monday to Friday 9am to 6pm CT and Saturday 10am to 2pm CT.

MedLeanRx customer support

Phone
+1-855-520-1296
Email
support@medleanrx.com
Hours
Mon-Fri 9am-6pm CT, Sat 10am-2pm CT

GLP-1 medications MedLeanRx offers

Tap any medication to read our plain-English guide: how it works, dosing, side effects, and what the trials found.

SemaglutideTirzepatideWegovyZepbound

Pricing

Prices re-verified

Starting dose, weekly injectionCompounded
$149/mo
semaglutide

Weekly semaglutide vial, $149/mo at the starting dose; the site says pricing may vary with dosage. 2-month intro bundle: $300 upfront for Texas clients.

Oral daily tablet, starting doseCompounded
$149/mo
semaglutide

Needle-free daily oral semaglutide tablets, $149/mo at the starting dose.

Starting dose, weekly injectionCompounded
$269/mo
tirzepatide

$269/mo standard. Intro bundle: 8 weeks at 2 mg weekly for one $325 payment (about $163/mo), Texas clients only, while supplies last.

Ready to get started?

Plans and promotions change often, so check MedLeanRx's current pricing and active discounts before you decide.

See MedLeanRx pricing →

What we like

  • Compounded semaglutide $149/mo in both weekly injection and daily oral tablet form
  • Brand pathway for Wegovy, Zepbound, and Foundayo (orforglipron) at a $99/mo fee plus medication cost
  • Intro bundle: 2 months of compounded tirzepatide (2 mg weekly) for $325, about $163/mo
  • LegitScript seal displayed; named supervising physician (Dr. Johnson Uzor, MD)
  • Free shipping, no hidden fees, and cancel anytime with no cancellation fees
  • 5-minute online assessment with physician review in under 12 hours, 100% online
  • Support by email with published weekday and Saturday hours

Watch-outs

  • Texas only, not available in the other 49 states
  • Compounded tirzepatide is $269/mo at standard pricing, above the ~$249 market median
  • Strict no-refund policy: 'All sales are final' per Terms & Conditions
  • Pharmacy partner not publicly named, a transparency gap for a compounding service
  • Legal entity name and founding details not published on the site
  • Brand-medication total cost not published: $99/mo fee plus the separate cost of medication
  • Intro bundles are paid upfront before your doctor consultation, and payment doesn't guarantee a prescription

Is MedLeanRx worth it?

The short version of what MedLeanRx offers is Texas-only compounded semaglutide priced from the starting dose, plus brand options. It runs $149/month (starting dose); there's no clean category median to weigh that against, but it's a published number rather than one you find out only after signing up. Its standout is a needle-free oral option for people who would rather not inject.

Worth knowing before you sign up: MedLeanRx is LegitScript-certified.

How much MedLeanRx costs

Compounded semaglutide runs $149/month (starting dose) and compounded tirzepatide runs $269/month (starting dose).

Because MedLeanRx's headline figure is a starting dose, we don't set it against the roughly $179 market median for this category. That median is each program's lowest listed ongoing monthly price for compounded semaglutide, so compare MedLeanRx with the month-to-month prices of the alternatives below instead.

PlexusDx (about $149/month) is one of the closest alternatives to weigh MedLeanRx against.

Medications: what MedLeanRx prescribes

MedLeanRx prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro), the two most-studied weight-loss molecules on the market today. These are dispensed as compounded formulations from a licensed pharmacy, which is how the price stays below brand-name pens. Compounded drugs aren't FDA-approved as finished products, which is the standard trade-off across the compounded-GLP-1 market.

MedLeanRx's needle-free oral option appeals if you've been avoiding a GLP-1 because of injections. Just set expectations on the science: oral, sublingual and buccal delivery of these peptides is far less studied than the injectable versions the trials used. Treat it as a convenience option, not a proven equal to the shot.

Who MedLeanRx is best for, and who should skip it

A good fit if you…

  • are needle-averse and want a non-injectable option, since the oral route skips the weekly injection most GLP-1 programs require.

Look elsewhere if you…

  • specifically want an FDA-approved brand-name pen instead of a compounded formulation, which this provider doesn't fill.
  • need to bill insurance, since like most of this market it's cash-pay with no claims filed on your behalf.

Trust, safety, and medical oversight

MedLeanRx is available in 1 state, and we found no FDA warning letter on file for it. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation, and we explain how in our scoring methodology.

Bottom line

MedLeanRx is a reasonable telehealth GLP-1 option; weigh its pricing and coverage against the alternatives below before deciding.

The Bottom Line

MedLeanRx scores highest on the strength of its clinical program: drug options and dosing support.

Score: 7.2/10Best for: Texas-only compounded semaglutide priced from the starting dose, plus brand optionsFrom: $149/mo (starting dose)

Ready to start with MedLeanRx?

From $149/mo (starting dose). See current pricing and start your free consultation.

Visit MedLeanRx →

MedLeanRx might not be your best fit if…

We rank editorially, so here’s where a different provider we track may serve you better.

  • If you want brand-name Ozempic, Wegovy, Mounjaro or Zepbound, consider altRX.
  • If the lowest possible monthly price is your top priority, consider YourEra (from $89/mo).
  • If you want built-in coaching and behavior-change support, consider Ro.
See all alternatives to MedLeanRx →

Head-to-head

Compare MedLeanRx vs…

MedLeanRx scores7.2/10

Side-by-side pricing, medications and scores. Pick a matchup.

Scores are our independent editorial ratings out of 10.

Frequently Asked Questions

MedLeanRx is a physician-guided online weight-loss clinic based in Spring, Texas, where licensed physicians review every patient after a short assessment. A clinician determines whether GLP-1 treatment is appropriate for you before any prescription is issued.
It offers FDA-approved brand GLP-1s - Wegovy (semaglutide), Zepbound (tirzepatide), and Foundayo (orforglipron) - plus compounded and oral GLP-1 options. Compounded medications are not FDA-approved finished products, unlike the brand options; your provider decides which is appropriate.
Compounded semaglutide is $149/month as a weekly injection or daily tablet, and compounded tirzepatide is $269/month, at the starting dose. Brand Wegovy, Zepbound, and Foundayo carry a $99/month fee plus the separate cost of the medication, so the true total runs higher. Limited-time Texas bundles offer 2 months of tirzepatide for $325 or semaglutide for $300, paid upfront.
MedLeanRx serves Texas only, including Houston, Dallas, Austin, and San Antonio. Patients outside Texas are not eligible.
MedLeanRx operates on a cash-pay model; the program fee is a clinical charge, and for brand medications you also pay the cost of the medication. It does not advertise billing through insurance.
You complete a roughly 5-minute online assessment, a licensed physician reviews it in under 12 hours, and approved medication ships free to your door. You can cancel anytime with no cancellation fees, but MedLeanRx has a strict no-refund policy, so review its Terms before you pay.
MedLeanRx doesn't use public promo or coupon codes. Third-party sites advertising "MedLeanRx discount codes" are typically fake; any current offer applies automatically through the link on this page.
Yes. MedLeanRx is a legitimate telehealth provider, and it's LegitScript-certified. Our editors independently verified its pricing and offering and scored it 7.2/10. As with any medication, consult a licensed clinician before starting.
We don't find any safety warnings on file (no FDA action). The concerns our review flags are mostly transparency-related: Texas only, not available in the other 49 states; Compounded tirzepatide is $269/mo at standard pricing, above the ~$249 market median; Strict no-refund policy: 'All sales are final' per Terms & Conditions; Pharmacy partner not publicly named, a transparency gap for a compounding service. None are safety issues, but they're worth weighing before you sign up.

Key terms, explained

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

Sources

The primary regulatory filings and peer-reviewed studies cited throughout this MedLeanRx review:

Sources & methodology (as of November 2026)
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  7. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.

See MedLeanRx's current pricing

Plans from $149/mo (starting dose). Start your free consultation to check eligibility and today's price.

Visit MedLeanRx →