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ElleS vs Lean Rx

Lean Rx costs $3 less a month, and both sell semaglutide and tirzepatide.

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

ElleS

6.5
★★★☆☆3.3/5

Best for: seeing what it charges before you answer any medical questions

Visit ElleS →
VS
Lean Rx logo

Lean Rx

6.4
★★★☆☆3.2/5

Best for: seeing what it charges before you answer any medical questions

Visit Lean Rx →

If you are choosing between ElleS and Lean Rx, the first difference is cost: Lean Rx is $3 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. ElleS leads our six-part score, 6.5 to 6.4.

ElleS vs Lean Rx price

Lean Rx is the cheaper way in: $266 a month against $269 a month at ElleS. That is $3 less each month (1% lower), or about $36 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Lean Rx ($266 a month vs $269 a month); tirzepatide is cheaper at ElleS ($349 a month vs $399 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Neither ElleS nor Lean Rx publishes the states it serves, so enter your state at the very start of each sign-up.

Pricing

ElleS

Injection — floor of a 1/3/6/12-month ladderCompounded
$269/mo
semaglutide
Injection — floor of a 1/3/6/12-month ladderCompounded
$359/mo
tirzepatide
Oral capsules — floor of a 1/3/6/12-month ladderCompounded
$299/mo
semaglutide
Oral capsules — floor of a 1/3/6/12-month ladderCompounded
$349/mo
tirzepatide

Lean Rx

StartingCompounded
$266/mo
semaglutide
StartingCompounded
$399/mo
tirzepatide

What each price covers

Both prices cover the medication itself.

ElleS' price also covers the clinician visit and shipping, which Lean Rx does not claim.

ElleS is silent on lab work and coaching.

Lean Rx is silent on the clinician visit, shipping, lab work and coaching.

ElleS

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

Lean Rx

Covered by the monthly price

Medication

In the price

Clinician visits

Not stated

Shipping

Not stated

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, ElleS scores 6.5 and Lean Rx 6.4 out of 10.

ElleS is stronger on user experience (8.0 vs 7.5) and support (7.0 vs 5.0).

Value, effectiveness, trust & safety and accessibility are within half a point.

How we score

ElleS

6.5/10

Overall

Lean Rx

6.4/10

Value25%

2.6A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
7.5

Trust & Safety15%

6.5A
vs
B
6.5

Accessibility10%

5.0A
vs
B
5.0

Support10%

7.0A
vs
B
5.0

FDA warning letters

Neither ElleS nor Lean Rx has an FDA warning letter on record with us.

Features & Coverage

FeatureElleSLean Rx
Starting Price$269/mo✓$266/mo
Features8 features8 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About ElleS

Nothing is priced publicly; the numbers appear after the CareValidate intake. ElleS Inc. sells its weight-loss line as 3- and 6-month packages that fold the telehealth visit, the medication and delivery together, covering compounded semaglutide and tirzepatide as injectables and as oral capsules, plus a microdose. The catalog runs much wider, into TRT, HRT with estradiol, sexual health, hair loss and longevity via sermorelin and NAD+, with a Registered Dietitian on hand. No LegitScript certification is displayed, and no name is attached to the pharmacy partner.

Read our full ElleS review →

About Lean Rx

Injectable, sublingual and tablet forms are all offered, at $266 per month upward for the compounded GLP-1 semaglutide and $399 per month upward for compounded tirzepatide. An online medical history comes first. Next an independent licensed provider takes a telehealth call and writes where appropriate, and the parcel goes home. Lean Rx works out of Sacramento, advertises pricing with nothing hidden, and states that it is a technology company rather than a healthcare provider. No list of states exists.

Read our full Lean Rx review →

Pros & Cons

ElleS

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 ElleS

Watch-outs

  • Semaglutide costs $269 a month, 45% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $349 a month, 40% 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

Lean Rx

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
  • We found no FDA warning letters issued to Lean Rx
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake

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

Winner: ElleS

ElleS wins this one, 6.5 to 6.4, above all for seeing what it charges before you answer any medical questions. Lean Rx undercuts it by $3 a month, so if the monthly bill is what decides it, Lean Rx is the pick. Lean Rx fits better if seeing what it charges before you answer any medical questions is your priority.

Choose ElleS if…

You want seeing what it charges before you answer any medical questions and an opening price near $269 a month.

Choose Lean Rx if…

You want seeing what it charges before you answer any medical questions and an opening price near $266 a month.

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ElleS vs Lean Rx: FAQ

Lean Rx. It starts at $266 a month; ElleS starts at $269 a month, $3 more per month.
Yes, both sell semaglutide and tirzepatide.
ElleS does not publish where it ships; Lean Rx does not publish where it ships. Confirm your state before paying.
Both include the medication itself. Only ElleS includes the clinician visit and shipping.
ElleS has none. Lean Rx has none.
No. Neither ElleS nor Lean Rx pays us anything.

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