GLP Watchdog

ElixaMD vs Rila

Neither ElixaMD nor Rila has an FDA warning letter on record. On compounded semaglutide injection, the standing prices are within $1 a month of each other: $199 at ElixaMD and $198 at Rila.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

ElixaMD / Rila

ElixaMD logo

ElixaMD

7.4/10

Rila logo

Rila

6.1/10

FDA warning letters
None on record
None on record
Pharmacy
None named in our record
Lowest standing price
$199/moCompounded semaglutide injection
$198/moCompounded semaglutide injection
States
No state list published
All 50 states and DC
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit ElixaMDFull review
Visit RilaFull review

Neither ElixaMD nor Rila pays us. Links to them earn nothing. Scores: ElixaMD 7.4, Rila 6.1. How we are paid

What the record shows

  1. 01

    Neither ElixaMD nor Rila has an FDA warning letter on record.

  2. 02

    ElixaMD names three pharmacies, all 503A. Rila names no compounding pharmacy in our record.

  3. 03

    On compounded semaglutide injection, the standing prices are within $1 a month of each other: $199 at ElixaMD and $198 at Rila.

  4. 04

    Only Rila lists a price for compounded oral semaglutide.

  5. 05

    Rila lists all 50 states and DC. ElixaMD publishes no state list.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

ElixaMD

Rila

Compounded semaglutide injection

$199/mo

$2,388 a year

$198/mo

$2,376 a year

Compounded oral semaglutide
Not sold or not priced

$217/mo

$2,604 a year

Price includes
Medication, clinician visits, shipping
Shipping
Cancel any time
Yes, stated
Yes, stated
Minimum term
None
Lowest advertised rates require a 6-month commitment; the Terms describe an auto-renewing monthly subscription
Refunds
Refunded in full if canceled in the first 72 hours before any service, or on medical disqualification; none for a monthly charge already billed
No refund once a billing cycle has begun or for past cycles; a provider decline refunds the unused part of the latest cycle.
Early-exit fee
None stated
Not stated

Read off each seller’s own pages. ElixaMD: October 25, 2026. Rila: October 25, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for ElixaMD

7.4/10
  • Names its compounding pharmacy
  • Publishes no state list
Visit ElixaMD

The case for Rila

6.1/10
  • Sells compounded oral semaglutide, which ElixaMD does not price
  • Names no compounding pharmacy
Visit Rila

Scores

ElixaMD 7.4 · Rila 6.1 out of 10. Six weighted parts.

Value25%

5.0A
vs
B
5.0

Effectiveness25%

10.0A
vs
B
8.5

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

8.0A
vs
B
5.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

7.0A
vs
B
5.0

The score is the same formula for every seller. Payment does not enter it. Method

ElixaMD vs Rila: questions

Neither ElixaMD nor Rila has an FDA warning letter on record. Letters are matched to a seller by company, domain and address, never by a similar name.
ElixaMD names three pharmacies, all 503A. Rila names no compounding pharmacy in our record. A 503A pharmacy compounds for named patients on a prescription; a 503B outsourcing facility is registered with FDA and inspected under federal manufacturing rules.
Neither, by more than $1 a month. ElixaMD charges $199 a month and Rila $198 a month.
ElixaMD states you can cancel at any time; refunds: refunded in full if canceled in the first 72 hours before any service, or on medical disqualification; none for a monthly charge already billed. Rila states you can cancel at any time; refunds: no refund once a billing cycle has begun or for past cycles; a provider decline refunds the unused part of the latest cycle.
Neither ElixaMD nor Rila pays us. Links to them earn nothing. Scores: ElixaMD 7.4, Rila 6.1.

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register