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Curve vs Genesis Health

Curve and Genesis 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 & fact-checked against primary sources · How we verify contentLast reviewed
Curve logo

Curve

7.5
★★★★☆3.8/5

Best for: knowing which pharmacy fills the vial: it names VialsRx

Visit Curve →
VS
Genesis Health logo

Genesis Health

5.2
★★★☆☆2.6/5

Best for: coaching bundled into the price rather than sold separately

Visit Genesis Health →

If you are choosing between Curve and Genesis Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Curve leads our six-part score, 7.5 to 5.2. One of the two has an FDA warning letter on record, covered below.

Curve vs Genesis Health price

Curve and Genesis Health start at the same figure, $175 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, $175 a month; tirzepatide is cheaper at Curve ($225 a month vs $235 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Curve lists 50 states, and Genesis Health does not publish where it ships.

Pricing

Curve

MonthlyCompounded
$175/mo
semaglutide

Month-to-month; drops to $145/mo (quarterly), $120/mo (6-month), or $99/mo on annual prepay. All doses priced the same.

MonthlyCompounded
$225/mo
tirzepatide

Month-to-month; drops to $199/mo (quarterly), $175/mo (6-month), or $135/mo on annual prepay. All doses priced the same.

Genesis Health

Starting — monthly billingCompounded
$175/mo
semaglutide

Compounded semaglutide injection. Monthly: $175/mo. Quarterly: $145/mo ($435 billed every 3 months). Bi-Annual: $120/mo ($720 every 6 months). Annual: $99/mo ($1,188/yr). Includes physician consult, medication, and free shipping.

Starting — monthly billingCompounded
$235/mo
tirzepatide

Compounded tirzepatide injection. Monthly: $235/mo. Quarterly: $199/mo ($597 billed every 3 months). Bi-Annual: $175/mo ($1,050 every 6 months). Annual: $125/mo ($1,500/yr). Includes physician consult, medication, and free shipping.

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Genesis Health's price also covers coaching, which Curve does not claim.

Curve is silent on lab work and coaching.

Genesis Health is silent on lab work.

Curve

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

Genesis Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

In the price

Where each one scores higher

Overall, Curve scores 7.5 and Genesis Health 5.2 out of 10.

Curve is stronger on value (5.8 vs 3.0), user experience (5.0 vs 3.0), trust & safety (7.5 vs 1.0) and accessibility (10.0 vs 5.0).

Genesis Health is stronger on support (8.5 vs 7.0).

Effectiveness is within half a point.

How we score

Curve

7.5/10

Overall

Genesis Health

5.2/10

Value25%

5.8A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

5.0A
vs
B
3.0

Trust & Safety15%

7.5A
vs
B
1.0

Accessibility10%

10.0A
vs
B
5.0

Support10%

7.0A
vs
B
8.5

FDA warning letters

The FDA sent Genesis Health a warning letter dated February 20, 2026 (letter 721451), and it is still open.

Curve has no FDA warning letter on record with us.

Features & Coverage

FeatureCurveGenesis Health
Starting Price$175/mo$175/mo
Features8 features8 features
States Available50Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted✓ Yes✓ Yes
FDA Warning Letters✓None1 letter

About Curve

Commit longer and pay less: semaglutide spans $99-$175/mo and tirzepatide $135-$225/mo, dose making no difference, and each tier absorbs expedited shipping at no cost, the drug, the prescription and the consultation, with membership charged to nobody. Try Curve LLC leans on providers from Beluga Health, licensed everywhere in the 50 states, and on a 503A compounder in the US, VialsRx. A questionnaire replaces the video visit, reviewed by a provider within 24 hours. HSA/FSA is welcome; insurance isn't accepted. LegitScript-certified.

Read our full Curve review →

About Genesis Health

Take the annual route and semaglutide falls to $99/mo with tirzepatide at $125/mo; paying monthly instead means $175/mo and $235/mo. Compounded injections of both sit beside Zepbound, Ozempic and Wegovy under brand names. Shipping is expedited at no cost, and access to an active community, health coaching, dosing set for the individual and a physician consultation costing nothing come with every plan. US compounding pharmacies that have been audited supply the drug. LegitScript certifies the platform, and FSA/HSA funds apply.

Read our full Genesis Health review →

Pros & Cons

Curve

What we like

  • Semaglutide costs $175 a month, close to the $184 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $225 a month, 10% below the $250 median for compounded tirzepatide across the sellers we compare
  • 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
  • Names VialsRx as the pharmacy that fills its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Curve

Watch-outs

  • 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

Genesis Health

What we like

  • The monthly price includes the medication, clinician visits, shipping and coaching

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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
  • The FDA has issued Genesis Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • 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: Curve

Curve wins this one, 7.5 to 5.2, above all for knowing which pharmacy fills the vial: it names VialsRx. Genesis Health fits better if coaching bundled into the price rather than sold separately is your priority.

Choose Curve if…

You want knowing which pharmacy fills the vial: it names VialsRx and an opening price near $175 a month.

Choose Genesis Health if…

You want coaching bundled into the price rather than sold separately and an opening price near $175 a month.

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6.5

Sesame Care

Oral orforglipron alongside the injectables

8.4

Collective

Flat any-dose pricing, if you can absorb a $199 annual membership on top

8.6

Found

Tirzepatide at $169/month, 37% below the typical price

Curve vs Genesis Health: FAQ

Neither on the entry price: Curve and Genesis Health both start at about $175 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Curve lists 50 states; Genesis Health does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping. Only Genesis Health includes coaching.
Curve has none. Genesis Health has an open FDA warning letter from February 20, 2026.
No. Neither Curve nor Genesis Health pays us anything.

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