Elevated Health vs RxSpan MD
RxSpan MD costs $47 less a month, and both sell semaglutide and tirzepatide.
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Elevated Health
Best for: moving between compounded and brand without changing seller
Visit Elevated Health →
RxSpan MD
Best for: knowing which pharmacy fills the vial: it names Belmar Pharmacy
Visit RxSpan MD →If you are choosing between Elevated Health and RxSpan MD, the first difference is cost: RxSpan MD is $47 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. RxSpan MD leads our six-part score, 6.7 to 4.9. One of the two has an FDA warning letter on record, covered below.
Elevated Health vs RxSpan MD price
RxSpan MD is the cheaper way in: $249 a month against $296 a month at Elevated Health. That is $47 less each month (16% lower), or about $564 over a year of treatment.
Drug by drug: Semaglutide is cheaper at RxSpan MD ($249 a month vs $296 a month); tirzepatide is cheaper at RxSpan MD ($329 a month vs $359 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections and brand-name pens.
Where each one treats patients
Elevated Health does not publish where it ships, and RxSpan MD lists 50 states.
Pricing
Elevated Health
$196 first month, $296/mo after on the monthly plan; lower on longer plans (3-mo $242, 6-mo $229, 12-mo $187/mo)
$259 first month, $359/mo after on the monthly plan; lower on longer plans (3-mo $304, 6-mo $281, 12-mo $235/mo)
new branded option
RxSpan MD
Plan ladder: Monthly $249/mo, 3-mo $219/mo, 6-mo $199/mo, 12-mo $194/mo. Card labeled '(For the first month)'; plan picker shows flat recurring rates (Total if prescribed $657 on 3-mo).
Plan ladder: Monthly $249/mo, 3-mo $219/mo, 6-mo $199/mo, 12-mo $179/mo.
Plan ladder: Monthly $329/mo, 3-mo $309/mo, 6-mo $289/mo, 12-mo $269/mo (Total if prescribed $927 on 3-mo).
Plan ladder: Monthly $349/mo, 3-mo $299/mo, 6-mo $289/mo, 12-mo $269/mo (Total if prescribed $897 on 3-mo).
Monthly plan only ($1,069/mo).
Monthly plan only ($1,299/mo).
Monthly plan only ($1,349/mo).
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
RxSpan MD's price also covers coaching, which Elevated Health does not claim.
Elevated Health is silent on lab work and coaching.
RxSpan MD is silent on lab work.
Elevated 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
RxSpan MD
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, RxSpan MD scores 6.7 and Elevated Health 4.9 out of 10.
RxSpan MD is stronger on value (3.0 vs 2.4), trust & safety (7.5 vs 1.0), accessibility (10.0 vs 5.0) and support (8.5 vs 7.0).
Effectiveness and user experience are within half a point.
Elevated Health
4.9/10
RxSpan MD
6.7/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Elevated Health a warning letter dated September 9, 2025 (letter 719811), and it is still open.
RxSpan MD has no FDA warning letter on record with us.
Features & Coverage
| Feature | Elevated Health | RxSpan MD |
|---|---|---|
| Starting Price | $296/mo | ✓$249/mo |
| Features | 4 features | ✓7 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | ✓ Yes |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About Elevated Health
Elevated Health lists compounded semaglutide at $176/mo and compounded tirzepatide at $238/mo, with $100 off the first month as a promotional offer. Oral semaglutide is also on the menu.
Read our full Elevated Health review →About RxSpan MD
RxSpan MD prices compounded semaglutide and tirzepatide from $249/mo, as injections or oral capsules, and also carries brand-name Wegovy, Zepbound and Ozempic. It is unusually transparent for the category: it names its 503A pharmacy partners, Belmar, Strive, Epiq Scripts and Casa Pharma, and its medical group. Shipping is free and unlimited 24/7 support is included. The physician-led practice was founded by Dr. John Diaz, a board-certified plastic surgeon, and is available in all 50 states.
Read our full RxSpan MD review →Pros & Cons
Elevated Health
What we like
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
Watch-outs
- Semaglutide costs $296 a month, 61% above the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $359 a month, 44% above the $250 median for compounded tirzepatide across the sellers we compare
- 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 Elevated 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
RxSpan MD
What we like
- The monthly price includes the medication, clinician visits, shipping and coaching
- Serves all 50 states
- Names 4 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to RxSpan MD
Watch-outs
- Semaglutide costs $249 a month, 35% above the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $329 a month, 32% above the $250 median for compounded tirzepatide across the sellers we compare
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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
RxSpan MD wins this one, 6.7 to 4.9, above all for knowing which pharmacy fills the vial: it names Belmar Pharmacy. It also costs $47 less each month than Elevated Health. Elevated Health fits better if moving between compounded and brand without changing seller is your priority.
Choose Elevated Health if…
You want moving between compounded and brand without changing seller and an opening price near $296 a month.
Choose RxSpan MD if…
You want knowing which pharmacy fills the vial: it names Belmar Pharmacy and an opening price near $249 a month.
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Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →Found
Tirzepatide at $169/month, 37% below the typical price
From $149/mo
Get started →Breeze Meds
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $199/mo
Get started →Elevated Health vs RxSpan MD: FAQ
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Or see the full category ranking.
Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.