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AVARA Rx vs Goldspan Health

AVARA Rx and Goldspan Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
AVARA Rx logo

AVARA Rx

6.0
★★★☆☆3/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit AVARA Rx →
VS

Goldspan Health

6.7
★★★☆☆3.4/5

Best for: upfront-priced compounded semaglutide or tirzepatide with B12 or glycine, from a brand-new storefront

Visit Goldspan Health →

If you are choosing between AVARA Rx and Goldspan Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Goldspan Health leads our six-part score, 6.7 to 6.0.

AVARA Rx vs Goldspan Health price

AVARA Rx and Goldspan Health start at the same figure, $229 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $229 a month; tirzepatide is cheaper at AVARA Rx ($279 a month vs $299 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

AVARA Rx lists 50 states, and Goldspan Health says it treats patients nationwide but does not list states.

Enter your state early in either sign-up flow: a nationwide claim is not a promise for every drug in every state.

Pricing

AVARA Rx

Starting tiercompounded injection
$229/mo
semaglutide
Starting tiercompounded injection
$279/mo
tirzepatide

Goldspan Health

Weekly injection with B12 or glycine, monthly planCompounded
$229/mo
semaglutide

Billed every 28 days, so a year is thirteen charges. Includes the clinician evaluation, medication, injection supplies and 2-day shipping. The B12 and glycine versions cost the same.

Weekly injection with B12 or glycine, monthly planCompounded
$299/mo
tirzepatide

Billed every 28 days, so a year is thirteen charges. Includes the clinician evaluation, medication, injection supplies and 2-day shipping. The B12 and glycine versions cost the same.

What each price covers

Goldspan Health's price also covers the clinician visit, the medication itself and shipping, which AVARA Rx does not claim.

AVARA Rx does not say what its price includes.

Goldspan Health is silent on lab work and coaching.

That matters most for the drug: unless AVARA Rx confirms otherwise, budget for medication on top of its listed price.

AVARA Rx

Inclusions not disclosed.

Goldspan Health

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

Where each one scores higher

Overall, Goldspan Health scores 6.7 and AVARA Rx 6.0 out of 10.

AVARA Rx is stronger on accessibility (10.0 vs 5.0).

Goldspan Health is stronger on value (3.7 vs 3.0), user experience (7.5 vs 3.0), trust & safety (6.5 vs 5.0) and support (7.0 vs 5.0).

Effectiveness is within half a point.

How we score

AVARA Rx

6.0/10

Overall

Goldspan Health

6.7/10

Value25%

3.0A
vs
B
3.7

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

3.0A
vs
B
7.5

Trust & Safety15%

5.0A
vs
B
6.5

Accessibility10%

10.0A
vs
B
5.0

Support10%

5.0A
vs
B
7.0

FDA warning letters

Neither AVARA Rx nor Goldspan Health has an FDA warning letter on record with us.

Features & Coverage

FeatureAVARA RxGoldspan Health
Starting Price$229/mo$229/mo
Features8 features8 features
States Available50Not disclosed
Compounded—✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About AVARA Rx

Compounded semaglutide opens at $229/month, compounded tirzepatide at $279/month, cash only. Consultations for the branded drugs Wegovy, Zepbound and Foundayo are offered as well, and HRT, TRT and longevity products fill out the menu. AVARA Rx puts both the pharmacy it uses and the clinical network behind it on record, which sits well above the transparency floor in this category. All 50 states are covered.

Read our full AVARA Rx review →

About Goldspan Health

Goldspan Health is a new storefront selling compounded semaglutide and tirzepatide, each blended with B12 or glycine. Prescribing, pharmacy and billing run through Altro Health, the telehealth platform operated by Lyv Health, Inc., and its affiliated medical group. Semaglutide is $229 and tirzepatide $299 a month, billed every 28 days, with the clinician visit, medication, supplies and 2-day shipping included. Orders are final sale, and a lab panel is required within 60 to 90 days.

Read our full Goldspan Health review →

Pros & Cons

AVARA Rx

What we like

  • Serves all 50 states
  • We found no FDA warning letters issued to AVARA Rx

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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

Goldspan Health

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, clinician visits and shipping
  • We found no FDA warning letters issued to Goldspan Health
  • Baseline bloodwork is required before a prescription

Watch-outs

  • Semaglutide costs $229 a month, 24% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
  • 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

Winner: Goldspan Health

Goldspan Health wins this one, 6.7 to 6.0, above all for upfront-priced compounded semaglutide or tirzepatide with B12 or glycine, from a brand-new storefront. AVARA Rx fits better if coverage in all 50 states, which most sellers will not confirm is your priority.

Choose AVARA Rx if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $229 a month.

Choose Goldspan Health if…

You want upfront-priced compounded semaglutide or tirzepatide with B12 or glycine, from a brand-new storefront and an opening price near $229 a month.

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AVARA Rx vs Goldspan Health: FAQ

Neither on the entry price: AVARA Rx and Goldspan Health both start at about $229 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Both claim wide coverage. AVARA Rx lists 50 states. Goldspan Health claims nationwide care.
Only Goldspan Health includes the clinician visit, the medication itself and shipping.
AVARA Rx has none. Goldspan Health has none.
No. Neither AVARA Rx nor Goldspan Health pays us anything.

Or see the full category ranking.