Aspen vs Lean Rx
Lean Rx costs $13 less a month, and both sell semaglutide and tirzepatide.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Aspen
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Aspen →
Lean Rx
Best for: seeing what it charges before you answer any medical questions
Visit Lean Rx →If you are choosing between Aspen and Lean Rx, the first difference is cost: Lean Rx is $13 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Aspen leads our six-part score, 7.2 to 6.4.
Aspen vs Lean Rx price
Lean Rx is the cheaper way in: $266 a month against $279 a month at Aspen. That is $13 less each month (5% lower), or about $156 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Lean Rx ($266 a month vs $279 a month); tirzepatide costs the same at both, $399 a month.
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Aspen lists 51 states, and Lean Rx does not publish where it ships.
Pricing
Aspen
Month-to-month rate (3-month minimum commitment, 3 months shipped upfront, no credit check); drops to $229/mo (3-mo), $209/mo (6-mo) or $179/mo on the 12-month prepay plan.
Aspen's "Most Prescribed" option; month-to-month rate drops to $329/mo (3-mo), $309/mo (6-mo) or $299/mo on the 12-month prepay plan. Same price at every dose.
Lean Rx
What each price covers
Both prices cover the medication itself.
Aspen's price also covers the clinician visit and shipping, which Lean Rx does not claim.
Aspen is silent on lab work and coaching.
Lean Rx is silent on the clinician visit, shipping, lab work and coaching.
Aspen
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Lean Rx
Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
Shipping
Not stated
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Aspen scores 7.2 and Lean Rx 6.4 out of 10.
Aspen is stronger on user experience (8.0 vs 7.5), trust & safety (8.5 vs 6.5), accessibility (10.0 vs 5.0) and support (7.0 vs 5.0).
Lean Rx is stronger on value (3.0 vs 2.0).
Effectiveness is within half a point.
Aspen
7.2/10
Lean Rx
6.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Aspen nor Lean Rx has an FDA warning letter on record with us.
Features & Coverage
| Feature | Aspen | Lean Rx |
|---|---|---|
| Starting Price | $279/mo | ✓$266/mo |
| Features | 8 features | 8 features |
| States Available | 51 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Aspen
Month-to-month, semaglutide is $279/mo and tirzepatide $399/mo, less on prepay, with flat pricing at every dose. Even the monthly plan requires a 3-month commitment shipped upfront. Aspen Health Systems LLC is LegitScript-certified and sells compounded semaglutide and tirzepatide as physician-chosen weekly injections, filled by Red Rock Compounding Pharmacy, which is NABP-accredited. Shipping is free and expedited, no insurance is needed, and a money-back guarantee applies to patients who complete the 28-week program. Available in all 50 states and DC.
Read our full Aspen review →About Lean Rx
Injectable, sublingual and tablet forms are all offered, at $266 per month upward for the compounded GLP-1 semaglutide and $399 per month upward for compounded tirzepatide. An online medical history comes first. Next an independent licensed provider takes a telehealth call and writes where appropriate, and the parcel goes home. Lean Rx works out of Sacramento, advertises pricing with nothing hidden, and states that it is a technology company rather than a healthcare provider. No list of states exists.
Read our full Lean Rx review →Pros & Cons
Aspen
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- We found no FDA warning letters issued to Aspen
Watch-outs
- Semaglutide costs $279 a month, 51% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $399 a month, 60% above the $250 median for compounded tirzepatide across the sellers we compare
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Lean Rx
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication
- We found no FDA warning letters issued to Lean Rx
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Aspen wins this one, 7.2 to 6.4, above all for coverage in all 50 states, which most sellers will not confirm. Lean Rx undercuts it by $13 a month, so if the monthly bill is what decides it, Lean Rx is the pick. Lean Rx fits better if seeing what it charges before you answer any medical questions is your priority.
Choose Aspen if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $279 a month.
Choose Lean Rx if…
You want seeing what it charges before you answer any medical questions and an opening price near $266 a month.
Ready to start? GLP-1 providers we have vetted
Telehealth providers, vetted by us, prescribing GLP-1 online.
Vetted by our editors · no insurance required
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Trimi Health
Knowing which pharmacy fills the vial: it names VialsRx
From $99/mo
Get started →ShedRx
Oral orforglipron alongside the injectables
From $149/mo
Get started →bmiMD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →Aspen vs Lean Rx: FAQ
Close alternatives to Aspen and Lean Rx
- Aspen vs Joey Med
- Aspen vs Society of You
- Aspen vs Tryozi
- Aspen vs VirtualCare2Go
- Lean Rx vs ElleS
- Lean Rx vs RedBox Rx
Or see the full category ranking.