Blue Sky MD vs LeanDose
Blue Sky MD and LeanDose both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Blue Sky MD
Best for: coaching bundled into the price rather than sold separately
Visit Blue Sky MD →
LeanDose
Best for: seeing what it charges before you answer any medical questions
Visit LeanDose →If you are choosing between Blue Sky MD and LeanDose, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. They tie at 6.6 on our six-part score.
Blue Sky MD vs LeanDose price
LeanDose only publishes an introductory price, $159 for the first month, and does not say what month two costs. Blue Sky MD lists $160 a month. Until LeanDose posts a standing rate, the two numbers are not a like-for-like comparison.
Drug by drug: Semaglutide is cheaper at LeanDose ($159 for the first month vs $160 a month); tirzepatide is cheaper at Blue Sky MD ($240 a month vs $279 for the first month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Blue Sky MD lists 1 state, and LeanDose does not publish where it ships.
Pricing
Blue Sky MD
Compounded semaglutide as low as $40/week in-office ($40 × 4 weeks = $160 a month). Dispensed in-office or shipped to your home.
Compounded tirzepatide at $60/week in-office ($60 × 4 weeks = $240 a month). Dispensed in-office or shipped to your home.
LeanDose
Transparent first-month all-inclusive pricing from $159; ongoing monthly cost may differ. FDA-registered compounding pharmacy.
Transparent first-month all-inclusive pricing from $279; ongoing monthly cost may differ.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Blue Sky MD's price also covers coaching, which LeanDose does not claim.
LeanDose is silent on lab work and coaching.
Blue Sky MD
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Charged on top
Coaching
In the price
LeanDose
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 they tie at 6.6 out of 10.
Blue Sky MD is stronger on trust & safety (7.5 vs 6.5) and support (8.5 vs 7.0).
LeanDose is stronger on accessibility (5.0 vs 2.2).
Value, effectiveness and user experience are within half a point.
Blue Sky MD
6.6/10
LeanDose
6.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Blue Sky MD nor LeanDose has an FDA warning letter on record with us.
Features & Coverage
| Feature | Blue Sky MD | LeanDose |
|---|---|---|
| Starting Price | $160/mo | $159 first month |
| Features | 8 features | 8 features |
| States Available | 1 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Blue Sky MD
Compounded semaglutide starts at $40/week and compounded tirzepatide at $60/week, dispensed to patients' homes within 3-5 business days. Medication is not sold on its own: access requires enrollment in the full medical weight-loss program, which adds 1-on-1 wellness coaching, a nutrition tracking app, hormone analysis and a personalized plan under physician supervision. Blue Sky MD was founded in 2008, is LegitScript certified, and runs seven North Carolina clinics alongside telehealth visits.
Read our full Blue Sky MD review →About LeanDose
The all-inclusive figures LeanDose posts, $159 for compounded GLP-1 semaglutide and $279 for tirzepatide, apply to the first month, and what you pay afterwards may not match. Doctors prescribe and supervise for adults who qualify, care plans are individual, clinical support crosses several states, and an FDA-registered compounding pharmacy delivers to the home. LegitScript certification here is verifiable, and by its own account the service holds 119 five-star reviews. Compounded drugs have no FDA approval, and the pharmacy is unnamed.
Read our full LeanDose review →Pros & Cons
Blue Sky MD
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, shipping and coaching
- We found no FDA warning letters issued to Blue Sky MD
Watch-outs
- Not included in the monthly price: lab work
- Serves only 1 states, so check that yours is one of them
- 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
LeanDose
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 LeanDose
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
Blue Sky MD and LeanDose finish level at 6.6. Choose on the state list and on what each monthly price covers.
Choose Blue Sky MD if…
You want coaching bundled into the price rather than sold separately and an opening price near $160 a month.
Choose LeanDose if…
You want seeing what it charges before you answer any medical questions.
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Enhance MD
Knowing which pharmacy fills the vial: it names Tru Meds Rx
From $169/mo
Get started →DudeMeds
Compounded semaglutide at $175/month
From $175/mo
Get started →Oak
Semaglutide at $119/month, 37% below the typical price
From $119/mo
Get started →Blue Sky MD vs LeanDose: FAQ
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