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EllieMD vs Lyfe Rx

Lyfe Rx costs $4 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
EllieMD logo

EllieMD

5.8
★★★☆☆2.9/5
Visit EllieMD →
VS
Lyfe Rx logo

Lyfe Rx

6.4
★★★☆☆3.2/5

Best for: compounded semaglutide at $225/month

Visit Lyfe Rx →

If you are choosing between EllieMD and Lyfe Rx, the first difference is cost: Lyfe Rx is $4 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Lyfe Rx leads our six-part score, 6.4 to 5.8. One of the two has an FDA warning letter on record, covered below.

EllieMD vs Lyfe Rx price

Lyfe Rx is the cheaper way in: $225 a month against $229 a month at EllieMD. That is $4 less each month (2% lower), or about $48 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Lyfe Rx ($225 a month vs $229 a month); tirzepatide is cheaper at EllieMD ($239 a month vs $299 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

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

Pricing

EllieMD

GLP-1 single agonist microdose — 12-week blockCompounded
$229/mo
semaglutide
GLP-1/GIP dual agonist microdose — 12-week blockCompounded
$239/mo
tirzepatide

Lyfe Rx

Compounded SemaglutideCompounded
$225/mo
semaglutide
Compounded TirzepatideCompounded
$299/mo
tirzepatide

What each price covers

Both prices cover the clinician visit and shipping.

Lyfe Rx's price also covers the medication itself, which EllieMD does not claim.

EllieMD is silent on the medication itself and coaching.

Lyfe Rx is silent on lab work and coaching.

That matters most for the drug: unless EllieMD confirms otherwise, budget for medication on top of its listed price.

EllieMD

Covered by the monthly price

Medication

Not stated

Clinician visits

In the price

Shipping

In the price

Lab work

Charged on top

Coaching

Not stated

Lyfe Rx

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, Lyfe Rx scores 6.4 and EllieMD 5.8 out of 10.

EllieMD is stronger on value (5.3 vs 3.7) and trust & safety (4.0 vs 3.5).

Lyfe Rx is stronger on user experience (8.0 vs 3.0) and support (7.0 vs 4.0).

Effectiveness and accessibility are within half a point.

How we score

EllieMD

5.8/10

Overall

Lyfe Rx

6.4/10

Value25%

5.3A
vs
B
3.7

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

3.0A
vs
B
8.0

Trust & Safety15%

4.0A
vs
B
3.5

Accessibility10%

5.0A
vs
B
5.0

Support10%

4.0A
vs
B
7.0

FDA warning letters

Lyfe Rx has an FDA warning letter on record.

EllieMD has no FDA warning letter on record with us.

Features & Coverage

FeatureEllieMDLyfe Rx
Starting Price$229/mo✓$225/mo
Features2 features✓3 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning Letters✓None1 letter

About EllieMD

EllieMD is a women-focused telehealth weight loss clinic that prescribes GLP-1 medications.

Read our full EllieMD review →

About Lyfe Rx

Lyfe Rx sells compounded semaglutide at $289 and compounded tirzepatide at $399, shipping to all 50 states. The FDA issued it a warning letter on 09/09/2025 for misbranding compounded GLP-1 products.

Read our full Lyfe Rx review →

Pros & Cons

EllieMD

What we like

  • Tirzepatide costs $239 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
  • The monthly price includes clinician visits and shipping
  • We found no FDA warning letters issued to EllieMD

Watch-outs

  • Semaglutide costs $229 a month, 24% above the $185 median for compounded semaglutide across the sellers we compare
  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • Not included in the monthly price: lab work
  • 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

Lyfe 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, clinician visits and shipping

Watch-outs

  • Semaglutide costs $225 a month, 22% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $299 a month, 20% 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 Lyfe Rx 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: Lyfe Rx

Lyfe Rx wins this one, 6.4 to 5.8, above all for compounded semaglutide at $225/month. It also costs $4 less each month than EllieMD.

Choose EllieMD if…

You want broader feature coverage and an opening price near $229 a month.

Choose Lyfe Rx if…

You want compounded semaglutide at $225/month and an opening price near $225 a month.

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Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

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Moving between compounded and brand without changing seller

8.4

Strut Health

Semaglutide at $99/month, 48% below the typical price

8.4

Enhance MD

Knowing which pharmacy fills the vial: it names Tru Meds Rx

EllieMD vs Lyfe Rx: FAQ

Lyfe Rx. It starts at $225 a month; EllieMD starts at $229 a month, $4 more per month.
Yes, both sell semaglutide and tirzepatide.
EllieMD does not publish where it ships; Lyfe Rx does not publish where it ships. Confirm your state before paying.
Both include the clinician visit and shipping. Only Lyfe Rx includes the medication itself.
EllieMD has none. Lyfe Rx has one FDA warning letter on record.
No. Neither EllieMD nor Lyfe Rx pays us anything.

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