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ElleS vs Premium Health

ElleS costs $6 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
Premium Health logo

Premium Health

5.9
★★★☆☆3/5

Best for: compounded semaglutide at $275/month

Visit Premium Health →

If you are choosing between ElleS and Premium Health, the first difference is cost: ElleS is $6 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 5.9. One of the two has an FDA warning letter on record, covered below.

ElleS vs Premium Health price

ElleS is the cheaper way in: $269 a month against $275 a month at Premium Health. That is $6 less each month (2% lower), or about $72 over a year of treatment.

Drug by drug: Semaglutide is cheaper at ElleS ($269 a month vs $275 a month); tirzepatide is cheaper at ElleS ($349 a month vs $445 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 Premium Health 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

Premium Health

All-inclusive (up to standard dose)Compounded
$275/mo
semaglutide
All-inclusive (up to standard dose)Compounded
$445/mo
tirzepatide

What each price covers

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

ElleS is silent on lab work and coaching.

Premium Health is silent on 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

Premium 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

Where each one scores higher

Overall, ElleS scores 6.5 and Premium Health 5.9 out of 10.

ElleS is stronger on value (2.6 vs 2.1), user experience (8.0 vs 7.5) and trust & safety (6.5 vs 3.5).

Effectiveness, accessibility and support are within half a point.

How we score

ElleS

6.5/10

Overall

Premium Health

5.9/10

Value25%

2.6A
vs
B
2.1

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
7.5

Trust & Safety15%

6.5A
vs
B
3.5

Accessibility10%

5.0A
vs
B
5.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

The FDA sent Premium Health a warning letter dated February 20, 2026 (letter 721474), and it is still open.

ElleS has no FDA warning letter on record with us.

Features & Coverage

FeatureElleSPremium Health
Starting Price✓$269/mo$275/mo
Features✓8 features6 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning Letters✓None1 letter

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 Premium Health

An all-inclusive membership prices compounded semaglutide at $275/month and compounded tirzepatide at $445/month, taking in drug, supplies, shipping, clinical support and visits with a provider. Going higher costs more: $100/month extra carries semaglutide to 2.4mg, $150/month extra carries tirzepatide to 15mg. Hallandale, Red Rock and Strive compound the medications with Vitamin B12 or B6. Premium Health holds LegitScript certification, runs its telehealth on Doxy.me under HIPAA, and gives the first consultation free.

Read our full Premium Health 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

Premium Health

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
  • 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

  • Semaglutide costs $275 a month, 49% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $445 a month, 78% 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
  • The FDA has issued Premium 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: ElleS

ElleS wins this one, 6.5 to 5.9, above all for seeing what it charges before you answer any medical questions. It also costs $6 less each month than Premium Health. Premium Health fits better if compounded semaglutide at $275/month 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 Premium Health if…

You want compounded semaglutide at $275/month and an opening price near $275 a month.

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6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

6.7

RxSpan MD

Knowing which pharmacy fills the vial: it names Belmar Pharmacy

ElleS vs Premium Health: FAQ

ElleS. It starts at $269 a month; Premium Health starts at $275 a month, $6 more per month.
Yes, both sell semaglutide and tirzepatide.
ElleS does not publish where it ships; Premium Health does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
ElleS has none. Premium Health has an open FDA warning letter from February 20, 2026.
No. Neither ElleS nor Premium Health pays us anything.

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